Certificate

You might also like

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 2

Republic of the Philippines )

City of Cagayan de Oro ) S.S.

AFFIDAVIT OF LOSS
I, ETHEL GRACE ANYONG PARAJES, of legal age, single, Filipino and a resident
of Macanhan, Carmen, Cagayan de Oro City, after being sworn according to law, hereby depose
and say that:

1. I am the sister of the late GLENDTON AUYONG PARAJES, who died on October
13, 2013 at the Northern Mindanao Medical Center in Capitol Compound, Cagayan de Oro City;

2. Unfortunately, however, the said Certificate of Death of my brother, Glendton Auyong


Parajes that was in my possession, was lost during the flashflood caused by Typhoon Odette
sometime in December 2021;

3. I exerted diligent efforts to locate the said Certificate of Death but the same can no
longer be recovered;

4. I execute this Affidavit to attest the truth of the foregoing statements and in support of
the issuance of the Certificate of Death of the deceased.

IN WITNESS WHEREOF, I have hereunto set my hand this 12th day of October 2022,
at Cagayan de Oro City, Philippines.

ETHEL GRACE A. PARAJES


Affiant

SUBSCRIBED AND SWORN to before me this 12th day of October 2022, at Cagayan
de Oro City, Philippines.

Doc. No._____
Page No._____
Book No._____
Series of 2022
Republic of the Philippines )
City of Cagayan de Oro ) S.S.

AFFIDAVIT OF LOSS

I, RENANTE ORNOPIA MIRANDA, of legal age, single, Filipino and a resident of


146 Sta Cruz Village Carmen, Cagayan de Oro City, after being sworn according to law, hereby
depose and say that:

1. I am a depositor of Katipunan Banking Corp.- Capistrano Branch, Cagayan de Oro


City with Joint Account of my minor brother named ALDREEN ORNOPIA MIRANDA under
Time Deposit Account No. 016400007601;

2. Unfortunately however, while in my possession, the said Certificate of Time Deposit


[CTD] was lost from among my personal files and despite diligent efforts exerted to locate, the
same can no longer be recovered;

3. I execute this Affidavit to attest the truth of the foregoing statements and for other
legal purpose this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 17th day of August 2022, at
Cagayan de Oro City, Philippines.

RENANTE O. MIRANDA
Affiant
DL No. K02-20-003196

SUBSCRIBED AND SWORN to before me this 17th day of August 2022, at Cagayan de
Oro City, Philippines.

Doc. No._____
Page No._____
Book No._____
Series of 2022

You might also like