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Affidavit of Loss: Republic of The Philippines) - ) S.S. - )
Affidavit of Loss: Republic of The Philippines) - ) S.S. - )
Affidavit of Loss: Republic of The Philippines) - ) S.S. - )
_____________________) s.s.
_____________________ )
AFFIDAVIT OF LOSS
(of Land Title)
2. I kept said title in my cabinet for safekeeping and preservation. However, the original copy
of OCT/TCT/CLOA No. ______________ could no longer be located;
3. I exerted diligent efforts in locating said original copy, but all efforts proved futile, and I am
of honest belief that the same may have been misplaced and considered lost beyond recovery;
4. The said original copy of OCT/TCT/CLOA No. __________ was never used as collateral for
security or for any forbearance of money or any transactions involving conveyance, cession,
sale, donation or transfer of title over the said parcel of land;
5. I am executing this affidavit to attest to the truthfulness of the above-narrated facts in good
faith and in accordance with law and for all legal intents and purposes.
GENINA MARTINEZ
Affiant