Affidavit of Loss: Leslie T. Danga

Download as doc, pdf, or txt
Download as doc, pdf, or txt
You are on page 1of 2

REPUBLIC OF THE PHILIPPINES)

CITY OF TARLAC )S.S.

AFFIDAVIT OF LOSS

I, LESLIE T. DANGA, married, Filipino citizen, and a residentof Maamot, San


Jose, Tarlac, after having been duly sworn to in accordance with law, hereby depose
and state THAT:

1. My son, JAKE IVAN DANGA, is a Grade 4 student at Mababanaba


Elementary School, Mababanaba, San Jose, Tarlac;

2. He was issued an English Book and a Filipino Book, which he always bring
going to and from the school;

3. Last February 2019, I have found out that the abovementioned books were
lost;

4. It is my belief that the said books were lost while he was riding a tricycle
on his way home from school;

5. I exerted earnest efforts to trace the books in our residence house but to no
avail, and are now considered lost beyond recovery;

6. I am executing this affidavit to attest to the veracity of the foregoing


statements and for whatever legal purposes it may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 3 rd day of


May 2019 at Tarlac City, Philippines

LESLIE T. DANGA
Affiant

SUBSCRIBED AND SWORN TO before me this 3 rd day of May 2019 at


Tarlac City, Philippines

Doc No. ________;


Page No. _______;
Book No._______;
Series of 2019.
REPUBLIC OF THE PHILIPPINES)
CITY OF TARLAC )S.S.

AFFIDAVIT OF LOSS

I, MICHAELLE KING R. MANIEGO, married, Filipino citizen, and a resident


of San Rafael, Tarlac City, after having been duly sworn to in accordance with law,
hereby depose and state THAT:

1. I am a holder of a Professional Driver’s License issued at Land


Transportation Office (LTO);

2. That sometime on November 2019 the above-said Identification Card was


unfortunately lost or misplaced by me and diligent search proved futile;

3. That despite diligent efforts exerted to locate the same, it could no longer
be found and is now deemed lost and beyond recovery;

4. That I am executing this affidavit to attest to the truth of the foregoing


statements and facts.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


______________at Tarlac City, Philippines

MICHAELLE KING R. MANIEGO


Affiant

SUBSCRIBED AND SWORN TO before me this ________________at


Tarlac City, Philippines

Doc No. ________;


Page No. _______;
Book No._______;
Series of 2020.

You might also like