Affidavit of Loss
Affidavit of Loss
Affidavit of Loss
AFFIDAVIT OF LOSS
a) _________________
b) _________________
______________________
Affiant
Doc. No.__________;
Page No.__________;
Book No.__________;
Series of 2014.
REPUBLIC OF THE PHILPPINES )
CITY OF GENERAL S A N T O S ) S.S.
x-------------------------x
AFFIDAVIT OF LOSS
I, ALLAN G. LOPEZ, of legal age, Filipino, married with postal address at 1422
Recto-Sampaloc St., General Santos City, after having been duly sworn to in accordance
with law, do hereby depose and say:
ALLAN G. LOPEZ
Affiant
CTC NO. 08716515
Issued on January 17, 2006
At General Santos City