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Affidavit of Loss ATM Drivers TIN
Affidavit of Loss ATM Drivers TIN
Affidavit of Loss ATM Drivers TIN
AFFIDAVIT OF LOSS
3. That I am also a holder of a TIN Card/I.D with No. __________ issued by the Bureau
of Internal Revenue (BIR);
4. That I used to put said IDs and ATM card inside my wallet. Sometime on
_________________, I went to ______________ and only upon returning home that I
noticed my wallet was already missing.
5. That diligent efforts have already been exerted to retrieve the above-mentioned cards
but all turned out futile;
6. As such, I am executing this Affidavit of Loss to attest to the truth of the foregoing
and to request for a replacement of my ATM-Land Bank card, Driver’s License and
TIN ID.
IN WITNESS WHEREOF, I have hereunto set my hand this _____ day of ____ 2020 at
___________.
_________________
Affiant
SUBSCRIBED AND SWORN to before me, this ____ day of _______ 2020 by the
Affiant whom I have identified through competent evidence of identity and who exhibited his
_____________ issued at _______ on ___________.