REPUBLIC OF THE PHILIPPINES }

____________________________ } S.S.

AFFIDAVIT OF LOSS

I, ELEONOR C. DELA CRUZ and a resident of Tondo, Manila, NCR, Philippines, duly sworn
according to law, do hereby deposes and state that :
 
1) I am the authorized person of  GRAPHICS DESIGN AND DIGITAL ARTS with
business address located at No. 30 Bayani Road, AFPOVAI, Taguig City;

2) That said institution was incorporated on (April 1, 2003) with SEC Registration Number
(CS200307796) and Registered on Bureau of Internal Revenue (BIR) on (MAY 06,
2003) with TIN no. 223-924-509-000

3) On July 15, 2021, the original copy of the Authority to Print and Official Receipt
Booklets could not be found, which is believe has been lost due to unorganized filing
of files and because of the no-proper of endorsements of the company accountant;

4) Despite diligent search and best efforts, I failed to locate and recover the said Authority
to Print and Official Receipt Booklets to this day;

5) Wherefore, I am executing this Affidavit of Loss to attest to the truth of the foregoing and
for whatever legal purposes that this may serve;

IN TRUTH THEREOF, I have hereunto set my hand this _____________ day of

___________________20__, at __________________________, Philippines.

________________________________
ELEONOR C. DELA CRUZ
Affiant

SUBSCRIBED AND SWORN to before me this ___________________ day of

______________________ 20__ , affiant exhibited to me her Identification Card with no.
_____________________________ __________________ issued at ___________________ on
______________________.

NOTARY PUBLIC

Doc. No. ___________;

Page No. ___________;
Book No. ___________;
Series of 20____
.
REPUBLIC OF THE PHILIPPINES }
____________________________ } S.S.

AFFIDAVIT OF LOSS

I, ELEONOR C. DELA CRUZ and a resident of Tondo, Manila, NCR, Philippines, duly sworn
according to law, do hereby deposes and state that :
 
1) I am the authorized person of  SPECIALIZED ARTS CENTER OF THE PHILIPPINES
with business address located at No. 30 Bayani Road, AFPOVAI, Taguig City;

2) That said institution was Registered on Bureau of Internal Revenue (BIR) on (OCT 30,
2003) with TIN no. 227-368-014-000

3) On July 15, 2021, the original copy of the Authority to Print and Official Receipt
Booklets could not be found, which is believe has been lost due to unorganized filing
of files and because of the no-proper of endorsements of the company accountant;

4) Despite diligent search and best efforts, I failed to locate and recover the said Authority
to Print and Official Receipt Booklets to this day;

5) Wherefore, I am executing this Affidavit of Loss to attest to the truth of the foregoing and
for whatever legal purposes that this may serve;

IN TRUTH THEREOF, I have hereunto set my hand this _____________ day of

___________________20__, at __________________________, Philippines.

________________________________
ELEONOR C. DELA CRUZ
Affiant

SUBSCRIBED AND SWORN to before me this ___________________ day of

______________________ 20__ , affiant exhibited to me her Identification Card with no.
_____________________________ __________________ issued at ___________________ on
______________________.

NOTARY PUBLIC

Doc. No. ___________;

Page No. ___________;
Book No. ___________;
Series of 20____
.
REPUBLIC OF THE PHILIPPINES }
____________________________ } S.S.

AFFIDAVIT OF LOSS

I, ELEONOR C. DELA CRUZ and a resident of Tondo, Manila, NCR, Philippines, duly sworn
according to law, do hereby deposes and state that :
 
1) I am the authorized person of  KOBLENZ REALTY CORP. with business address located at
No. 30 Bayani Road, AFPOVAI, Taguig City;

2) That said institution was incorporated on (AUGUST 7, 1997) with SEC Registration

Number (A199715066) and Registered on Bureau of Internal Revenue (BIR) on
(AUGUST 7, 1998) with TIN no. 9RC0000377619

3) On July 15, 2021, the original copy of the Authority to Print and Official Receipt
Booklets could not be found, which is believe has been lost due to unorganized filing
of files and because of the no-proper of endorsements of the company accountant;

4) Despite diligent search and best efforts, I failed to locate and recover the said Authority
to Print and Official Receipt Booklets to this day;

5) Wherefore, I am executing this Affidavit of Loss to attest to the truth of the foregoing and
for whatever legal purposes that this may serve;

IN TRUTH THEREOF, I have hereunto set my hand this _____________ day of

___________________20__, at __________________________, Philippines.

________________________________
ELEONOR C. DELA CRUZ
Affiant

SUBSCRIBED AND SWORN to before me this ___________________ day of

______________________ 20__ , affiant exhibited to me her Identification Card with no.
_____________________________ __________________ issued at ___________________ on
______________________.

NOTARY PUBLIC

Doc. No. ___________;

Page No. ___________;
Book No. ___________;
Series of 20____