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Affidavit
Affidavit
AFFIDAVIT OF LOSS
I, (name) of legal age, Filipino citizen and a resident of (address) under oath do
hereby deposes and says that:
IN WITNESS WHEREOF, I hereby affix my signature this 3rd day of July 2019 in
Legazpi City, Philippines.
(name)
SUBSCRIBED AND SWORN before me this 3rd day of July 2019 affiant
personally appeared and exhibited to me proper and sufficient document of her
identification.
NOTARY PUBLIC