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    Affidavit of Loss Sample

    Uploaded by

    Joey Albert De Guzman
    The affidavit details that: 1. The affiant lost their credit card while out shopping on a specific date in 2022. 2. Despite searching, the affiant was unable to find the lost credit card. 3. The affiant executed the affidavit to attest to the truth of the loss and to request a replacement credit card.

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

    Affidavit of Loss Sample

    Uploaded by

    Joey Albert De Guzman
    145 views1 page
    The affidavit details that: 1. The affiant lost their credit card while out shopping on a specific date in 2022. 2. Despite searching, the affiant was unable to find the lost credit card. 3. The affiant executed the affidavit to attest to the truth of the loss and to request a replacement credit card.

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    Sample Affidavit of Loss

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    The affidavit details that: 1. The affiant lost their credit card while out shopping on a specific date in 2022. 2. Despite searching, the affiant was unable to find the lost credit card. 3. The affiant executed the affidavit to attest to the truth of the loss and to request a replacement credit card.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    145 views1 page

    Affidavit of Loss Sample

    Uploaded by

    Joey Albert De Guzman
    The affidavit details that: 1. The affiant lost their credit card while out shopping on a specific date in 2022. 2. Despite searching, the affiant was unable to find the lost credit card. 3. The affiant executed the affidavit to attest to the truth of the loss and to request a replacement credit card.

    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 )

    CITY OF ___________________ ) S.S.

    AFFIDAVIT OF LOSS

    I, ___________________, of legal age, single/ married, Filipino, and


    residing at ________________________________, ___________ City , after having
    been duly sworn to in accordance with law, depose and say that:

    1. I am a holder of ______________ bearing nos. _____________________


    which I keep in my wallet.

    2. On _______________, 2022 I went out to buy some goods and upon


    checking my wallet containing my said credit card above-mentioned
    the same was missing.

    3. Despite diligent efforts I exerted to locate my said credit card the same
    could no longer be found and is now lost and beyond recovery.

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


    the foregoing facts and for the purpose of securing a new
    _______________ in lieu of the lost one.

    IN WITNESS WHEREOF, I have hereunto set my hand this ___ th day of


    ___________ 2022 in the City of _________________.

    _________________________________
    Affiant
    __________ I.D. No. _______________________

    SUBSCRIBED AND SWORN to before me this _____________ 2022 in the City


    of ___________ by the affiant exhibiting to me his valid I.D. stated below his name
    bearing his signature and photograph.

    NOTARY PUBLIC

    Doc. No. _______:


    Page No. _______:
    Book No. _______:
    Series of 2022.

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