Professional Documents
Culture Documents
Affidavit of Loss
Affidavit of Loss
AFFIDAVIT OF LOSS
2. I kept said Tax Identification Card in my wallet which contains also other
important documents;
3. However, the wallet which contains the said Tax Identification Card and other
important documents was lost;
DANNY C. CORDITA
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME, a Notary Public for and in the
Province of Surigao del Sur, this 28 nd day of October 2014, in Tandag City, Surigao del
Sur, the affiant personally appeared and affixed his signature together with his ID as
proof of his identity.
AFFIDAVIT OF LOSS
2. I kept said GSIS Card in my wallet which contains also other important
documents;
3. However, the wallet which contains the said GSIS Card and other important
documents was lost;
5. I am executing this Affidavit to apprise GSIS the fact of said loss and for
whatever legal purpose this may serve best.
VIZMINDA B. LAGURA
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME, a Notary Public for and in the
Province of Surigao del Sur, this 2 ND day of June 2014, in Tandag City, Surigao del Sur,
the affiant personally appeared and affixed her signature together with her ID as proof
of her identity.
AFFIDAVIT OF LOSS
2. I kept said Tax Identification Card in my wallet which contains also other
important documents;
3. However, the wallet which contains the said Tax Identification Card and other
important documents was lost;
JENNO R. BEÑALES
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME, a Notary Public for and in the
Province of Surigao del Sur, this 30 th day of January 2014, in Tandag City, Surigao del
Sur, the affiant personally appeared and affixed her signature together with her ID as
proof of her identity.
Doc. No. _______; Page No. _________; Book No. __________; Series of 2014.