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Philippines)
City of Cabanatuan ) s.s.
AFFIDAVIT OF LOSS
I, ALMA MINA, of legal age, Filipino, married and a resident of Brgy.
Bagting, Gabaldon,Nueva Ecija after having been duly sworn to in accordance
with law, hereby depose and state that:
5. Sometime on June 14, 2020, my sister asked if she can see the
Owner’s Copy of XXXXXXXX because she already gathered enough
funds to have it transferred in her name. Unfortunately, I discovered
that XXXXXXXX was not among my important files and has gone
missing;
9. That I am executing this affidavit to attest to all the above facts and
to request the Honorable Register of Deeds of Nueva Ecija to
annotate at the back of the original copy of Transfer Certificate of
Title No. XXXXXXXX the fact of loss of the duplicate owner’s copy
of the said certificate of title.
IN WITNESS WHEREOF, I have hereunto set my hand
this __________________ in Cabanatuan City, Nueva Ecija, Philippines.
ALMA MINA
Affiant
ID No. ____________________
Valid Until: _________________