Professional Documents
Culture Documents
Affidavit of Loss Sample
Affidavit of Loss Sample
Affidavit of Loss Sample
CITY OF _______________________ )
AFFIDAVIT OF LOSS
2. Immediately after the Deed of Sale of a Registered Land was executed, the original
duplicate owner’s copy of Transfer Certificate of Title No. T-63274 was turned over to me by
He likewise delivered to me possession the subject parcel of land and since then I have
openly exercised and maintained all rights of ownership thereon.
3. I was not able to immediately effect transfer the title in my name because I was then
preoccupied with my studies at Aviator Flight School in Cebu City and at Clark Aviation School in
Clark Freeport, Pampanga. Sometime in April 2012, when I decided to process the transfer of the
title in my name, because I finally had the time and opportunity to do so, I discovered that the
original duplicate owner’s copy of Transfer Certificate of Title No. was missing. I could no longer
find it in my files. All diligent efforts I exerted to locate and retrieve it were in vain; hence for all
legal intents and purposes it is now deemed lost and beyond recovery.
4. I certify and confirm that the parcel of land covered by Transfer Certificate of Title No.
of the Registry of Deeds of Benguet was never mortgaged, sold, conveyed, disposed of, or
encumbered, to any other person or entity. I certify and confirm further that said document was
neither confiscated nor relinquished in favor of, any government entity agency, or authority.
5. I attest to the truth of the foregoing statements to the best of my own personal knowledge
and based on authentic documents or records. I am executing this Affidavit of Loss to support my
application for a new owner’s duplicate copy of Transfer Certificate of Title No. as well as
for all lawful intents and purposes it may serve.
IN WITNESS WHEREOF, I set my hand this 2nd day of July 2012 at Baguio City,
Philippines.
A
ffiant Driver’s
License No.
Firearm License
No.
Philippines.
SUBSCRIBED AND SWORN to before me this 2nd day of July
at Baguio City,