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Affidavit of Loss
Affidavit of Loss
I, Manny tulog Pacquiao., Filipino, of legal age, residing at 001 St. Luke Street, Makati, after having been sworn in accordance with law hereby depose and state: That I am the true and lawful owner of a Mercedez Benz X-5 covered by CR No. 123456 and OR No. 654321 which is more particularly described as follows:
Plate No.: GMA 1/2 Chassis No.: 00000011 Year Model: 2012
That sometime in November 15, 2011 while on my way to the gym at Makati and carrying a bag containing the CR and OR of the above described vehicle, the bag was stolen by robbers;
That said bag containing the CR and OR of the said vehicle was lost and never recovered;
That I am executing this affidavit to attest to the truth of the foregoing and to request from the Land Transportation Office of Manila City, a copy of said Certificate of Registration. IN WITNESS WHEREOF, I have hereunto set my hand this 3rd day of February. 2014 at Makati City, Philippines.
known to me to be the same person who executed the foregoing instrument, and he acknowledged to me that the same is his free act and deed.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal, the day, year, and place above written.
NOTARY PUBLIC for Quezon City 15 Carnation St., DRJVillage, Novaliches, Q.C. Until Dec. 31, 2007 Roll No. 0001 P.T.R. No. 0002, 12/31/2007, Manila. IBP No. 0003, 12/31/2007, Manila. MCLE Compliance No. 1234 Serial No. of Commission: 07-11111 Doc. No. 5; Page No. 6;
KNOW ALL MEN BY THESE PRESENTS: I, MANNY TULOG PACQUIAO, of legal age, with residence and postal address at 001 St. Luke Street, Makati City do hereby APPOINT DIONISIA ROSARY PACQUIAO, likewise of legal age, with postal address at of 12 St, New Life Manila as my true and legal representative to act for and in myname and stead and to perform the following acts: To sell, and execute the necessary deed of conveyance and thereafter to sign for me and in my name and receive payment from the sale of my property more particularly described as follows:
Plate No.: GMA 1/2 Chassis No.: 00000011 Year Model: 2012
HEREBY GRANTING unto my representative full power and authority to execute and perform every act necessary to render effective the power to sell the foregoing property, as though I myself, have so performed it, and HEREBY APPROVING ALL that she may do by virtue hereof with full right of substitution of her person and revocation of this instrument. IN WITNESS WHEREOF , I HAVE HEREUNTO SET MY HAND THIS 3rd DAY OF February 2014, AT Makati City, Philippines.
Date/Place Issued Jan 09, 2014 / Makati City Jan 16, 2014 / City of Manila
Known to me and to me known to be the same persons who executed the foregoing instrument and acknowledged to me that the same is their free and voluntary act and deed. WITNESS MY HAND AND SEAL, on the date and place first above written.
ATTY. JANE ABLAZA
NOTARY PUBLIC for Quezon City 15 Lookup St. Salcedo Village, Makati City Until Dec. 31, 2014 Roll No. 0001 P.T.R. No. 0002, 12/31/2007, Makati City. IBP No. 0003, 12/31/2007, Makati City MCLE Compliance No. 1234 Serial No. of Commission: 07-11111