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REPUBLIKA NG PILIPINAS
KAGAWARAN NG KATARUNGAN ':
PANGASIWAAN SA PATALAAN NG LUPAIN
( LAND REGISTRATION AUTHORIT9
CERTIFICATION
This certification is issued upon the request of JoycE p: LAVEGA, for re-issuance
purposes this 23rd day of June 2021at Amas, Kidapawan City.
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ELEONOR E. L'QYOLA
RECORDS OFFICER I
NOTED BY:
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MARLYN A CRUZ
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REPTIBLIC OF THtr PHILIPPINES)
PROVINCE OF COTABATO)s.s 2nr-\N2rtu
crTY or KTDAPAWAIi ) ,i
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AFFIDA\1T OF LOSS /Flot.t,'
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(of owner's Duplicate copy' of original certificate of ritle No. p4743g)
2. The owner's duplicate of the said Original Certificate of Title No. P47438
used to be in iny possession. I have always kept it in the cabinet, along with my other
papers, inside my house in Bulatulian, Makilala, Cotabato. However, in early 2000 when
I opened the cabinet, I found out that the documents or papers inside the cabinet were
already eaten by termites. Some of the papers therein \vere completely eaten and some
already have very tattered. When I checked for my certificate of title, I was not able to
see it anymore.
4. I
have not mortgaged, pledged or delivered to any person or entity as
guarantee for any debt or obligation.
IN \ITTNESS WHEREOF, i have hereunto atlixed rny signature this 3l't day of
May 2A21 in Kidaparvan City.
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ERNESTO CABACTiNGAN
Affiant
SSS. I.D. No. 09-1015308-9
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