REPUBLIC  OF  THE PHILIPPINES )

CITY OF MANILA     ) S.S.

 
AFFIDAVIT OF LOSS

I, , Filipino, of legal age, married and a resident of

, after having duly sworn to in accordance with
law, hereby depose and say that:

1. I am the buyer of Isuzu Cargo Truck with Plate No. in

the Deed of Absolute Sale dated , executed by and between me
and the registered owner of the subject vehicle, and seller,
;

2. On , during our execution of Deed of Absolute Sale,

told me that he lost the Original Certificate of Registration
for the said Isuzu Cargo Truck No. issued by
, and what was given to me was only a photocopy of the said
Certificate of Registration;

3. I even assisted him in looking for the said original certificate of

registration, but despite our diligent efforts exerted to locate and/or recover the
said document, it can no longer be found and thus, considered it lost for all
legal purposes;

4. As such, I am executing this Affidavit of Loss to attest to the truth

of the foregoing, and to support my application for the replacement and/or
renewal of the said Certificate of Registration.

IN WITNESS WHEREOF, I have hereunto set my hand this

in the , Philippines.

Affiant

SUBSCRIBED AND SWORN to before me this 16th day of September

2020, affiant satisfactorily proven to me his identity through his
, valid until , that he is the same
person who personally signed before me the foregoing affidavit and
acknowledged that he executed the same.

Doc. No. ;
Page No: ;
Book No. IV;
Series of 2020.