Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd Logo
Upload

Welcome to Scribd!

  • 118 views

    Affidavit of Loss: I, - , of Legal Age, Filipino, (Single/married/widow)

    Uploaded by

    viviviolette
    This affidavit of loss was sworn by an individual who lost their driver's license. It details that the individual was a licensed driver issued license number [NUMBER] that was valid until [DATE]. The license was misplaced and lost on [DATE] despite diligent search efforts. The license has not been confiscated and this affidavit is being filed to support an application for a new license to replace the lost one. The affidavit was sworn on [DATE] in [CITY].

    Copyright:

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

    Affidavit of Loss: I, - , of Legal Age, Filipino, (Single/married/widow)

    Uploaded by

    viviviolette
    118 views1 page
    This affidavit of loss was sworn by an individual who lost their driver's license. It details that the individual was a licensed driver issued license number [NUMBER] that was valid until [DATE]. The license was misplaced and lost on [DATE] despite diligent search efforts. The license has not been confiscated and this affidavit is being filed to support an application for a new license to replace the lost one. The affidavit was sworn on [DATE] in [CITY].

    Original Description:

    LForms

    Original Title

    Loss Drivers License

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This affidavit of loss was sworn by an individual who lost their driver's license. It details that the individual was a licensed driver issued license number [NUMBER] that was valid until [DATE]. The license was misplaced and lost on [DATE] despite diligent search efforts. The license has not been confiscated and this affidavit is being filed to support an application for a new license to replace the lost one. The affidavit was sworn on [DATE] in [CITY].

    Copyright:

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

    Affidavit of Loss: I, - , of Legal Age, Filipino, (Single/married/widow)

    Uploaded by

    viviviolette
    This affidavit of loss was sworn by an individual who lost their driver's license. It details that the individual was a licensed driver issued license number [NUMBER] that was valid until [DATE]. The license was misplaced and lost on [DATE] despite diligent search efforts. The license has not been confiscated and this affidavit is being filed to support an application for a new license to replace the lost one. The affidavit was sworn on [DATE] in [CITY].

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 1

    REPUBLIC OF THE PHILIPPINES)

    CITY OF ___________ ) S.S.


    x----------------------------x

    AFFIDAVIT OF LOSS

    I, ___________________, of legal age, Filipino, (single/married/widow)


    and a resident of _______________________________, after having been
    duly sworn to in accordance with law, depose and state THAT:

    1. I am a duly-licensed driver in accordance with pertinent Land Transportation


    laws, rules and regulations, and was issued a corresponding
    (Non) Professional Driver's License with number _____________ which is
    valid until _____________;

    2. Sometime on ____________, said driver's license was misplaced and got lost;

    3. Efforts were exerted to locate said driver's license, but in spite of


    diligent search, it could not be found and the same is now beyond recovery;

    4. Said Driver's License has not been confiscated by the LTO, Police or other
    Traffic Enforcers for any traffic violation;

    5. As such, I am executing this Affidavit of Loss to attest to the truth of the


    foregoing and to support my application for the issuance of a new
    (Non) Professional Driver's License, in lieu of the one that was lost;

    IN WITNESS WHEREOF, I have hereunto set my hand


    this ___________________ in Makati City, Metro Manila, Philippines.

    ____________________
    Affiant

    SSS ID No. _____________

    SUBSCRIBED AND SWORN TO before me


    this ___________________ in _________________, Philippines, affiant
    exhibiting to me his/her competent evidence of identity by way of
    __________________ issued at ______________ on __________________.

    Doc. No. _____;


    Page No. _____;
    Book No. _____;
    Series of 2013.

    You might also like