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    Affidavit of Loss G

    Uploaded by

    Jubelee Anne Patangan
    1) Gemma Gamolo pawned a 12.10 gram YG necklace without a pendant at the M-Lhuillier Pawnshop Sibutab Branch on January 20, 2020 for a loan of 19,000 pesos with receipt number 0063-2020-00048. 2) She lost the pawn ticket in March 2020 despite diligent efforts to find it. 3) She swears she has not sold, transferred, or alienated the lost pawn ticket. 4) She is executing this affidavit of loss to support her application for a new pawn ticket.

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    Affidavit of Loss G

    Uploaded by

    Jubelee Anne Patangan
    62 views2 pages
    1) Gemma Gamolo pawned a 12.10 gram YG necklace without a pendant at the M-Lhuillier Pawnshop Sibutab Branch on January 20, 2020 for a loan of 19,000 pesos with receipt number 0063-2020-00048. 2) She lost the pawn ticket in March 2020 despite diligent efforts to find it. 3) She swears she has not sold, transferred, or alienated the lost pawn ticket. 4) She is executing this affidavit of loss to support her application for a new pawn ticket.

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    1) Gemma Gamolo pawned a 12.10 gram YG necklace without a pendant at the M-Lhuillier Pawnshop Sibutab Branch on January 20, 2020 for a loan of 19,000 pesos with receipt number 0063-2020-00048. 2) She lost the pawn ticket in March 2020 despite diligent efforts to find it. 3) She swears she has not sold, transferred, or alienated the lost pawn ticket. 4) She is executing this affidavit of loss to support her application for a new pawn ticket.

    Copyright:

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

    Affidavit of Loss G

    Uploaded by

    Jubelee Anne Patangan
    1) Gemma Gamolo pawned a 12.10 gram YG necklace without a pendant at the M-Lhuillier Pawnshop Sibutab Branch on January 20, 2020 for a loan of 19,000 pesos with receipt number 0063-2020-00048. 2) She lost the pawn ticket in March 2020 despite diligent efforts to find it. 3) She swears she has not sold, transferred, or alienated the lost pawn ticket. 4) She is executing this affidavit of loss to support her application for a new pawn ticket.

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    Republic of the Philippines )

    City of Dipolog                    ) S.S


    x------------------------------------x 

    AFFIDAVIT OF LOSS

    I, GEMMA GAMOLO, Filipino of legal age, and a resident of Pob. Sibutad, Zamboanga


    del Norte, after having duly sworn in accordance with law, do hereby depose and state that:

    1. That I am the pledgor of M-LHUILLIER PAWNSHOP-Sibutab Branch for the


    following item(s)

    Amount of Loan: 19,000 Description: YG Necklace w/out Pendant


    Date Pawned: January 20, 2020 Grams: 12.10
    Receipt No: 0063-2020-00048

    2. That sometime on March 2020 my pawned tickets was lost in my possession and
    inspite diligent efforts to locate, the same could not be found;

    3. That I have not sold, transferred or alienated the said list pawn ticket

    4. I shall assume responsibility or liability if in any event, I will use these documents
    for whatever illicit transactions;

    5. As such, i am executing this affidavit of loss to attest to the truth of the foregoing
    and to support the application for the issuance of new Pawn ticket at M-
    LHUILLIER PAWNSHOP-Sibutab Branch.

      IN WITNESS WHEREOF, I have hereunto affixed our hands this___________ at Dipolog


    City, Philippines.
     

    GEMMA GAMOLO
    Affiant

    SUBSCRIBE AND SWORN to before me this_______________ at Dipolog City,


    Philippines, with affiant exhibiting to me her Valid PRC No. 0460028.

    Doc. No. ___


    Page No.____
    Book No.III
    Series of 2020

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