AFFIDAVIT OF LOSS
REPUBLIC OF THE PHILIPPINES)
_____________________________) S.S.
I, (Name of Affiant)., Filipino,
of legal age, residing at (Address of Affiant), after having
been sworn in accordance with law hereby depose and state:
1. That I am the true and lawful owner of a certain
motor vehicle which is more particularly described as follows:
MAKE
:
|
MOTOR
NO.
:
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SERIES :
|
SERIAL/CHASSIS NO. :
|
TYPE OF BODY :
|
PLATE
NO.
:
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YEAR MODEL :
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FILE
NO.
:
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2. That sometime in August 2020, I was
looking for the original Certificate of Registration of my car/motor
vehicle but to my surprise, said Owner’s original Copy could not be found;
3. That despite diligent and exhaustive
searched to look for said Certificate of Registration, but to no
avail;
4. That I am executing this affidavit to attest to the
truth of the foregoing and to request from the Land Transportation Office of
Naga City, a copy of said Certificate of Registration.
IN WITNESS WHEREOF,
I have hereunto set my hand this _____ day of _______________. 20___ at
_________________________.
(Name Over Signature of
Affiant)
SUBSCRIBED AND SWORN to
before me, this ____ day of ______________, 20___ in ______________ City, with
affiant exhibiting his CTC No. _______________ , Issued on
______________________ at _________________________.
NOTARY
PUBLIC
Until December 31, 2025
Doc. No. : ________;
Page No. : ________;
Book No. : ________;
Series of 20_______.
What is an affidavit of loss? According to
(definitions.uslegal.com), Affidavit of loss is a legal document declaring
the physical loss of a security through theft or destruction by fire/flood. It
will contain all details regarding the loss, the owner's name and any
information pertaining to the security, such as serial number or date of issue.
Affidavit of loss can also be filed for a number of
things including identifications such as passports, certificates of title for
homes and vehicle, and certificates indicating ownership of securities.
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