Scribd Logo
Upload

Welcome to Scribd!

  • 57 views

    Loss Senior Citizen Id & Purchase Slip Booklet - Butron

    Uploaded by

    ralplagura
    Nicolas M. Butron executed an affidavit stating that (1) he is a holder of a senior citizen ID and purchase slip booklet that (2) went missing in March 2021. Despite diligent efforts, he was unable to find or recover the documents. Therefore, he considers them lost and (3) is requesting new documents to replace the lost ones.

    Copyright:

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

    Loss Senior Citizen Id & Purchase Slip Booklet - Butron

    Uploaded by

    ralplagura
    57 views1 page
    Nicolas M. Butron executed an affidavit stating that (1) he is a holder of a senior citizen ID and purchase slip booklet that (2) went missing in March 2021. Despite diligent efforts, he was unable to find or recover the documents. Therefore, he considers them lost and (3) is requesting new documents to replace the lost ones.

    Original Title

    loss senior citizen id & purchase slip booklet - butron

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Nicolas M. Butron executed an affidavit stating that (1) he is a holder of a senior citizen ID and purchase slip booklet that (2) went missing in March 2021. Despite diligent efforts, he was unable to find or recover the documents. Therefore, he considers them lost and (3) is requesting new 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
    57 views1 page

    Loss Senior Citizen Id & Purchase Slip Booklet - Butron

    Uploaded by

    ralplagura
    Nicolas M. Butron executed an affidavit stating that (1) he is a holder of a senior citizen ID and purchase slip booklet that (2) went missing in March 2021. Despite diligent efforts, he was unable to find or recover the documents. Therefore, he considers them lost and (3) is requesting new 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
    of 1

    Republic of the Philippines ]

    Province of Bohol ] S.S.


    Municipality of Carmen ]

    AFFIDAVIT OF LOSS
    (Re: Senior Citizen ID & Purchase Slip Booklet)

    I, NICOLAS M. BUTRON, Filipino, of legal age, married and a resident of Bicao,


    Carmen, Bohol, Philippines, after being duly sworn in accordance with law, hereby depose and
    say:

    1. That I am a holder of a Senior Citizen ID and a Purchase Slip Booklet;

    2. That said Senior Citizen ID and Purchase Slip Booklet got lost last March 2021;

    3. That I exerted diligent efforts to find and recover the aforesaid Senior Citizen ID and
    Purchase Slip Booklet, however, my efforts proved futile as until now, its
    whereabouts still could not be ascertained, hence, I considered it to be lost for all
    intents and purposes;

    4. That the said Senior Citizen ID and Purchase Slip Booklet was not transferred to any
    person for consideration or used as collateral to secure obligations;

    5. That I execute this affidavit voluntarily to attest to the truth of the foregoing
    statements to support my request for the issuance of another Senior Citizen ID and
    Purchase Slip Booklet in lieu of the lost one;

    6. That further, I execute this affidavit for whatever legal purpose this may serve.

    IN WITNESS WHEREOF, I hereunto set my hand this 28th day of July, 2021 at
    Carmen, Bohol, Philippines.

    NICOLAS M. BUTRON
    Affiant
    Driver’s License No. N06-61-017060
    Issued by LTO

    SUBSCRIBED AND SWORN TO before me this 28th day of July, 2021 at Carmen,
    Bohol, Philippines.

    You might also like