Republic of the Philippines ) City of Angeles )S.S. AFFIDAVIT OF LOSS I, AAA, of legal age, Filipino, married and with postal address at ______, after having been sworn to in accordance with law, do hereby deposes and states: 1. That I was issued a Driver’s License Card by the Land Transportation Office with no. ________. 2. That I keep the same in my wallet for safekeeping. 3. That this morning, I tried to retrieve the said Driver’s License Card, however, it was missing. 4. That I exerted efforts to locate the above-mentioned Driver’s License Card but all proved futile and beyond recovery, thus, I consider the same as lost; And that I am executing this affidavit in order to attest to the truth of the foregoing. Affiant sayeth naught. AAAA Affiant

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Affidavit of Loss

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REPUBLIC OF THE PHILIPPINES

Republic of the Philippines)City of Angeles)S.S.

AFFIDAVIT OF LOSS

I, AAA, of legal age, Filipino, married and with postal address at ______, after having been sworn to in accordance with law, do hereby deposes and states:

1. That I was issued a Drivers License Card by the Land Transportation Office with no. ________.

2. That I keep the same in my wallet for safekeeping.

3. That this morning, I tried to retrieve the said Drivers License Card, however, it was missing. 4. That I exerted efforts to locate the above-mentioned Drivers License Card but all proved futile and beyond recovery, thus, I consider the same as lost;

And that I am executing this affidavit in order to attest to the truth of the foregoing.

Affiant sayeth naught. AAAA Affiant