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    Affidavit of Loss or CR

    Uploaded by

    Jubelee Anne Patangan
    The affiant, Rosinee Cagurin-Monte, owns a motor vehicle registered in Dipolog City, Philippines. She was issued a Certificate of Registration and Original Receipt for 2018, but has since lost these documents and is unable to locate them. She is executing this Affidavit of Loss to attest that the documents are lost beyond recovery and to support her application for new registration documents to replace the lost ones.

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    Affidavit of Loss or CR

    Uploaded by

    Jubelee Anne Patangan
    289 views2 pages
    The affiant, Rosinee Cagurin-Monte, owns a motor vehicle registered in Dipolog City, Philippines. She was issued a Certificate of Registration and Original Receipt for 2018, but has since lost these documents and is unable to locate them. She is executing this Affidavit of Loss to attest that the documents are lost beyond recovery and to support her application for new registration documents to replace the lost ones.

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    AFFIDAVIT OF LOSS OR CR.docx

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    The affiant, Rosinee Cagurin-Monte, owns a motor vehicle registered in Dipolog City, Philippines. She was issued a Certificate of Registration and Original Receipt for 2018, but has since lost these documents and is unable to locate them. She is executing this Affidavit of Loss to attest that the documents are lost beyond recovery and to support her application for new registration documents to replace the lost ones.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    289 views2 pages

    Affidavit of Loss or CR

    Uploaded by

    Jubelee Anne Patangan
    The affiant, Rosinee Cagurin-Monte, owns a motor vehicle registered in Dipolog City, Philippines. She was issued a Certificate of Registration and Original Receipt for 2018, but has since lost these documents and is unable to locate them. She is executing this Affidavit of Loss to attest that the documents are lost beyond recovery and to support her application for new registration documents to replace the lost ones.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    AFFIDAVIT OF LOSS

    Republic of the Philippines )


    City of Dipolog ) S.S
    x-----------------------------------x

    I, ROSINEE CAGURIN-MONTE, of legal, Filipino, married and a resident of Lower Dicayas


    ,Dipolog City, Zamboanga del Norte, after having duly sworn in accordance with law, do hereby depose
    and state that:
    That I am the owner of a certain motor vehicle, which is more particularly described as follows:

    That as a registered owner, I was issued a Certificate of Registration (CR) and an Original Receipt
    (OR) for my registration for the year 2018 by the Land Transportation Office of Dipolog City,
    Philippines;
    That when I was about to register the said motor vehicle for year 2018, I could no longer find the same
    such that I believe that they are now 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 New Certificate of Registration and Original Receipt, in lieu of the ones
    that were lost.

    IN WITNESS WHEREOF, I have hereunto affixed my hand this ___________ day of


    ____________ at Dipolog City.

    ROSINEE CAGURIN-MONTE
    AFFIANT
    PRC ID No.

    SUBSCRIBE AND SWORN TO before me this _____________ at Dipolog City.

    Doc. No.____
    Page No.____
    Book No.____
    Series of 2018

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