Affidavit of Loss

Republic of the Philippines)
Province of Cagayan ) S.S.

City of Tuguegarao )
x--------------------------------x
AFFIDAVIT OF LOSS OF OR,CR WITH NO ENCUMBRANCE
I, POCHOLO F. PAMITTAN, of legal age, Filipino, with address at

Maddarulug Sur, Enrile, Cagayan, after being duly sworn according to law, do hereby
depose and state:
1. That I am the lawful owner by virtue of a Deed of Sale of Motorcycle and

holder of original OR, CR of a KAWASAKI motorcycle with the following
details, to wit;
Engine No. BC175AEL32949

Chassis No. BC175F-B62884
MV File No. 0201-000000211894
2. That the original copy of OR and CR was inadvertently lost and its where
about cannot be ascertained, hence it is considered lost;
3. That the said copy of OR and CR was not used as a collateral to any lending
institution/s;
4. That I am asking the Land Transportation Office to issue another copy of OR,
CR of the above described motorcycle;
5. That I hereby warrant the LTO personnel free from any liability for the issuance
of the duplicate copy of original copy of Official Receipt and Certificate of
Registration of the said motorcycle and further hold myself liable for the effect
of any transfer of ownership of the same in the Land Transportation Office;
6. That I am executing this affidavit to attest to the truth of the foregoing statements
and to inform government agencies of the loss of said document and for any legal
purposes it may serve.
AFFIANT FURTHER SAYETH NAUGHT.
IN WITNESS WHEREOF, I have hereunto set my hand this _________________

at Tuguegarao City, Cagayan.
POCHOLO F. PAMITTAN
Affiant
LTO DL ID # B0406002486
SUBSCRIBED AND SWORN to before me this ______________at Tuguegarao

City, Cagayan. Affiant exhibited an ID as proof of identity and signed in my presence.
Doc. No.__________;
Page No.__________;
Book No.___________;
Series of 2024
x--------------------------------x
AFFIDAVIT OF LOSS
I, HILARIO J. TAGACAY, of legal age, Filipino, and with address at

Cataggaman Nuevo, Tuguegarao City, Cagayan after being duly sworn according to law,
do hereby depose and state:
1. That I am a holder of an Tax Identification Number card (TIN # 183-011-

638) issued by Bureau of Internal Revenue;
2. That I placed the said card inside a cabinet for safekeeping and after several
days I tried to retrieve said card, unfortunately it is nowhere to be found;
3. That despite diligent efforts to locate said card, in my own knowledge it is

beyond recovery and is considered lost in all its intent;
4. That I am executing this affidavit to attest to the truth of the foregoing

statements and to inform the BIR of the loss of the TIN card and for any
legal purposes it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this 8 July 2023 at

Tuguegarao City, Cagayan.
HILARIO J. TAGACAY
Affiant
BFP ID # T96004
SUBSCRIBED AND SWORN to before me this 8 July 2023 at Tuguegarao City,

Cagayan. Affiant exhibited an ID as proof of identity and signed in my presence.
Doc. No.
Page No.
Book No.
Series of 2023

x--------------------------------x
AFFIDAVIT OF LOSS OF ORIGINAL RECEIOT AND CERTIFICATE OF

REGISTRATION
I, AMELIA FERNANDEZ ABELLA, of legal age, Filipino, and with a postal

address of Ubong, Solana, Cagayan after being duly sworn according to law, do hereby
depose and state:
1. That I am the registered owner of a motorcycle with the following details, to wit;
Make: HONDA
Engine No.: MD38E-2420397
Chassis No. MLHMD449H5002539
2. That the original copy of OR/CR was inadvertently lost;

3. That its where about cannot be ascertained hence is considered lost;
4. That the said copy of OR/CR was not used as a collateral to any lending
institution/s;
5. That I am asking the Land Transportation Office to issue another copy of OR/CR
of the above described utility vehicle;
6. That I hereby warrant the LTO personnel free from any liability for the issuance
of the duplicate copy of original receipt and certificate of registration of the said
motorcycle and further hold myself liable for the effect of any transfer of
ownership of the same in the Land Transportation Office;
7. That I am executing this affidavit to attest to the truth of the foregoing statements
and to inform government agencies of the loss of said document and for any legal
purposes it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this ___ of

______________ at Tuguegarao City,Cagayan.
AMELIA F. ABELLA
Affiant
LTOPF ID: 2023I-AFA0209351-RCSU2
SUBSCRIBED AND SWORN to before me this ____ of __________at

Tuguegarao City, Cagayan. Affiant exhibited an ID as proof of identity and signed in my
presence.
Doc. No.________;
Page No.________;
Book No.________;
Series of 2023

x--------------------------------x
AFFIDAVIT OF LOSS OF CERTIFICATE OF REGISTRATION
I, ROMEO OGOY ANDRES of legal age, Filipino, and with a postal

address at Buntun, Tuguegarao City, Cagayan after being duly sworn
according to law, do hereby depose and state:
1. That I am the VENDEE of a motorcycle by virtue of an ABSOLUTE DEED

OF SALE executed by RENANTE C. ROSERO in favor of my name;
duly notarized by ATTY. AUREA P. BALIAT with a docket no. 178,
page no. 37, book 2 , series of 2023 dated February 1, 2023.
2. That the vehicle has the following details, to wit;

Make: Toyota Wigo 1.0 MT
Model/Type: 2016/ Hatchback
Engine No. 1KRA294488
Chassis No. MHKA4DE3FGJ0008116
Plate No: BCL 5459
MV File No. 0201-00000413508
3. That the original copy of the Certificate of Registration (CR) for

the above-mentioned vehicle was inadvertently lost;
4. That its where about cannot be ascertained hence is considered lost;
5. That the said copy of CR was not used as a collateral to any lending
institution/s;
6. That I am asking the Land Transportation Office to issue another
copy of CR of the above described vehicle;
7. That I hereby warrant the LTO personnel free from any liability for the
issuance of the duplicate copy of certificate of registration of the said
vehicle and further hold myself liable for the effect of any transfer of
ownership of the same in the Land Transportation Office;
8. That I am executing this affidavit to attest to the truth of the foregoing
statements and to inform other concerned government agencies
of the loss of said document and for any legal purposes it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this ___ of

______________ at Tuguegarao City,Cagayan.
JUDITH Z. TATTAO
Affiant
PRC License no: 0004852
SUBSCRIBED AND SWORN to before me this ____ of __________at

Tuguegarao City, Cagayan. Affiant exhibited an ID as proof of identity and
signed in my presence.
Doc. No.
Page No.
Book No.
Series of 2023

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Republic of the Philippines)

Province of Cagayan ) S.S.

AFFIDAVIT OF LOSS OF OR,CR WITH NO ENCUMBRANCE

I, POCHOLO F. PAMITTAN, of legal age, Filipino, with address at

1. That I am the lawful owner by virtue of a Deed of Sale of Motorcycle and

Engine No. BC175AEL32949

AFFIANT FURTHER SAYETH NAUGHT.

IN WITNESS WHEREOF, I have hereunto set my hand this _________________

SUBSCRIBED AND SWORN to before me this ______________at Tuguegarao

I, HILARIO J. TAGACAY, of legal age, Filipino, and with address at

1. That I am a holder of an Tax Identification Number card (TIN # 183-011-

3. That despite diligent efforts to locate said card, in my own knowledge it is

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

AFFIANT FURTHER SAYETH NAUGHT.

IN WITNESS WHEREOF, I have hereunto set my hand this 8 July 2023 at

SUBSCRIBED AND SWORN to before me this 8 July 2023 at Tuguegarao City,

Republic of the Philippines)

AFFIDAVIT OF LOSS OF ORIGINAL RECEIOT AND CERTIFICATE OF

I, AMELIA FERNANDEZ ABELLA, of legal age, Filipino, and with a postal

2. That the original copy of OR/CR was inadvertently lost;

AFFIANT FURTHER SAYETH NAUGHT.

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

SUBSCRIBED AND SWORN to before me this ____ of __________at

Province of Cagayan ) S.S.

I, ROMEO OGOY ANDRES of legal age, Filipino, and with a postal

1. That I am the VENDEE of a motorcycle by virtue of an ABSOLUTE DEED

2. That the vehicle has the following details, to wit;

3. That the original copy of the Certificate of Registration (CR) for

AFFIANT FURTHER SAYETH NAUGHT.

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

SUBSCRIBED AND SWORN to before me this ____ of __________at

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