Affidavit of Loss: 3. I Honestly Believe That The Said Wallet Fell Somewhere Which I Did Not Notice

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REPUBLIC OF THE PHILIPPINES)

PROVINCE OF BUKIDNON) S.S


MUNICIPALITY OF PANGANTUCAN)

AFFIDAVIT OF LOSS
I, FELIMON P. VILLAR, of legal age, Filipino, married and a resident of
Adtuyon, Pangantucan, Bukidnon, after having been duly sworn to in accordance
with law do hereby depose and say:

1. That sometime today, while driving my motorcycle and upon arrival at


Helen Branzuela store, located at Poblacion, Pangantucan, Bukidnon, I
noticed that my wallet which was placed in my pocket was lost.

2. That the contents of my said wallet are the following, to wit;

a. Professional Driver’s License bearing No. ___________;


b. Photocopy of Certificate of Registration (CR) and Official Receipt
(OR) registered to Antonio Garces;
c. Covid-19 vaccination card; and
d. Cash amounting to Php1,300.00

3. I honestly believe that the said wallet fell somewhere which I did not
notice.

4. That diligent efforts were exerted to locate the above-mentioned wallet as


well as the contents thereof but the same proved to no avail;

5. That the mentioned Professional Driver’s License was not confiscated by


any authority for violation/s of law.

6. That I am executing this affidavit to apprise the authorities of the


surrounding circumstances and to facilitate my request for its re-issuance;

7. Further, I am executing this affidavit to attest to the veracity of the


foregoing facts and for whatever worth this may serve best.

IN WITNESS WHEREOF, I have hereto affixed my hand this 31 st day of


December, 2021 in Pangantucan, Bukidnon.

FELIMON P. VILLAR
AFFIANT

SUBSCRIBED AND SWORN to before me this 31st day of December, 2021


at Pangantucan, Bukidnon, and affiant exhibited to me his Voter’s ID with No.
1316-0026A-H3067FPV10000.

ATTY. MC FERLIN P. TAÑOLA


NOTARY PUBLIC
Until December 31, 2021
Notarial Commission No. 25-20
IBP No. 141762; 01-07-2021
Doc. No. 369 PTR No. 1217201; 01-05-2021
Page No. 74 Roll of Attorneys No. 57674
Book No. LVII TIN: 298-959-704
SERIES OF 2021 MCLE Compliance No. VI-0030034 ; valid until April 14, 2022

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