Document Sample
AFFIDAVIT OF LOSS Philippines Powered By Docstoc
REPUBLIC OF THE PHILIPPINES) _____________________________ ) S.S. I, (Name of Affiant)., Filipino, of legal age, residing at (Address of Affiant), after having been sworn in accordance with law hereby depose and state: That I am the true and lawful owner of a certain motor vehicle which is more particularly described as follows: MAKE SERIES TYPE OF BODY YEAR MODEL : : : : MOTOR NO. SERIAL/CHASSIS NO. PLATE NO. FILE NO. : : : :

(Change the declaration below to the actual circumstances) That sometime in June of this year, I was looking for the original Certificate of Registration of my car but to my surprise, said Owner’s original Copy could not found; That I took pains to look for said Certificate of Registration, but to no avail; That I am executing this affidavit to attest to the truth of the foregoing and to request from the Land Transportation Office of Angeles City, a copy of said Certificate of Registration. IN WITNESS WHEREOF, I have hereunto set my hand this _____ day of _______________. 200__ at _________________________.

(Name Over Signature of Affiant) SUBSCRIBED AND SWORN to before me, this ____ day of ______________, 200___ in ___________________ City, with affiant exhibiting his CTC No. _______________ , Issued on ______________________ at _________________________. NOTARY PUBLIC Until December 31, 200___ Doc. No. : ________; Page No. : ________; Book No. : ________; Series of 200__.

Description: Philippine Legal Forms for Deed of Sale,Contract to Sell,Chattel Mortgage,Sale of Vehicle,Lease Contract,Rent to Own,General Affidavit,Affidavit of Loss,Earnest Money,Affidavit Desistance,Receipt,Acknowled of Debt,Gen Power of Atty,Special Power of Atty,Transfer of Rights,Deed of Donation,Renovation Contract,Authority to Sell,Offer to Purchase,Will & Testament