Danilo B. Fedellaga filed an Affidavit of Loss with the Municipality of Catarman in Northern Samar, Philippines. He states that he is a depositor with Land Bank of the Philippines-Catarman Branch and had an ATM card issued to him which he has unfortunately lost or misplaced despite diligent search efforts. He believes the ATM card is now lost beyond recovery. He is executing this affidavit to attest to the truth of his statements and to support his application for a new ATM card to replace the lost one.
Danilo B. Fedellaga filed an Affidavit of Loss with the Municipality of Catarman in Northern Samar, Philippines. He states that he is a depositor with Land Bank of the Philippines-Catarman Branch and had an ATM card issued to him which he has unfortunately lost or misplaced despite diligent search efforts. He believes the ATM card is now lost beyond recovery. He is executing this affidavit to attest to the truth of his statements and to support his application for a new ATM card to replace the lost one.
Danilo B. Fedellaga filed an Affidavit of Loss with the Municipality of Catarman in Northern Samar, Philippines. He states that he is a depositor with Land Bank of the Philippines-Catarman Branch and had an ATM card issued to him which he has unfortunately lost or misplaced despite diligent search efforts. He believes the ATM card is now lost beyond recovery. He is executing this affidavit to attest to the truth of his statements and to support his application for a new ATM card to replace the lost one.
Danilo B. Fedellaga filed an Affidavit of Loss with the Municipality of Catarman in Northern Samar, Philippines. He states that he is a depositor with Land Bank of the Philippines-Catarman Branch and had an ATM card issued to him which he has unfortunately lost or misplaced despite diligent search efforts. He believes the ATM card is now lost beyond recovery. He is executing this affidavit to attest to the truth of his statements and to support his application for a new ATM card to replace the lost one.
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REPUBLIC OF THE PHILIPPINES
PROVINCE OF NORTHERN SAMAR
MUNICIPALITY OF CATARMAN
) )S.S. )
AFFIDAVIT OF LOSS
I, DANILO B. FEDELLAGA, of legal age and residing at Brgy.
Yakal, Catarman, Northern Samar, Philippines, after being sworn in accordance with law, depose and say: That I am a depositor of Land Bank of the Philippines-Catarman Branch, and as such a Land Bank ATM Card was issued in my favor, which unfortunately was lost or misplaced by me; That despite of diligent search and efforts to locate the said ATM, I could not find such, that I now believe that it is lost beyond recovery; As such, I am executing this Affidavit of Loss to attest to the truth of the foregoing and to support my application for the issuance of a new ATM, in lieu of the one that was lost. Affiant sayeth naught. IN WITNESS WHEREOF, I have hereunto set my hand this ______ at Catarman, Northern Samar, Philippines.
DANILO B. FEDELLAGA Affiant
SUBSCRIBED AND SWORN to before me this ___________, in
Catarman, Northern Samar, Philippines, by affiant who is known to me to be the same person who executed and personally signed the foregoing instrument before me and avowed under penalty of law to the whole truth of the contents of said instrument.
Doc. No._____; Page No._____; Book No._____; Series of 2014.