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

Jayson P. Richards

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 2

REPUBLIC OF THE PHILIPPINES

PROVINCE OF BILIRAN) S.S


CITY OR MUNICIPALITY OF KAWAYAN

AFFIDAVIT OF LOSS

I, JAYSON P. RICHARDS, of legal age, and resident of Brgy.


San Lorenzo, Kawayan, Biliran, after having duly sworn, depose and
say, that:

1. I am the registered owner of a parcel of land located at


Poblacion, Kawayan, Biliran, containing an area of 450 square
meters, more or less, described and covered by Transfer Certificate
of Title No. T-12345 of the Register of Deeds Biliran.

2. I used to keep my Owner’s Copy of the said title in a plastic


folder containing all my important documents at my aforesaid
residence. On the 1st of June 2021, I discovered that the said Owner’s
Copy was missing from the said folder. Thinking it was only
misplaced, I exerted efforts to locate the document, but cannot locate
it anywhere inside my residence. Thus, I considered the same to
have been lost and beyond recovery.

3. I did not sell, mortgage or in any manner dispose of my said


Property to whosoever; and that there is no pending transaction
involving said property for registration with said Register of Deeds.

4. I have executed this affidavit to attest to the truth hereof; and


for purpose of filing the necessary petition for issuance of second
owner’s copy of TCT No. T-12345; and for legal intents and
purposes.

FURTHER, AFFIANT SAYETH NAUGHT.

THUMBMARK
JAYSON P. RICHARDS

*Affiant Jayson P. Richards affixed his Thumbmark in the presence of


the following witnesses:
1. ALBERT A. LAO – Tucdao, Kawayan, Biliran

1
2. ROSANNA R. MANOTOC – Kawayan, Biliran

SUBSCRIBED AND SWORN TO before me in Kawayan,


Biliran, this 25th day of July 2021 by Jayson P. Richards, who has
satisfactorily proven to me his identity through his PRC ID 016234
valid until December 25, 2022 to be the same person who personally
affixed his Thumbmark in the foregoing affidavit before me and in the
presence of the two (2) witnesses whose signatures appear below
this thumb signature, and who acknowledged before me that he
executed the same voluntarily.

The undersigned further certify that the contents of said affidavit


was explained by me in (English or Filipino), a Language known and
understood by the affiant, he being blind and appears to have
understood the contents thereof.

ABEGAIL A. ATOK
NOTARY PUBLIC until December 31, 2021
NOTARIAL COMMISION NO. 2020-02-70
Tacloban City, Philippines/December 31, 2018
Roll of Attorney’s No.12345
IBP No. 12345 / 1.09.2021 / Leyte Chapter
PTR No. 1234567 / 1.05.2021 / Tacloban City
MCLE Compliance No. VI-0012345
Valid until April 14, 2022

Doc. No. 154:


Page No. 32:
Book No. 11:
Series of 2021.

You might also like