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Affidavit of Loss
Affidavit of Loss
AFFIDAVIT OF LOSS
That I normally kept said license together with some other pertinent IDs inside my wallet
and I always bring with me the same for reference purposes whenever needed;
That however, sometime on October 7, 2022, my wallet containing said license was lost
and it is likely believed that the same might have slipped off from my pocket while I was driving
a motorcycle in ______________________;
That utmost effort was exerted in trying to retrieve my wallet containing said license, but
to no avail, and now the same is considered lost and cannot be recovered;
That said license was not confiscated by the PNP/LTO or any law enforcement authority
nor involved in any accident/traffic violation, but the same was lost in the manner stated above;
That I am executing this affidavit to attest to the veracity of the foregoing facts to request
the Land Transportation Office (LTO) in _______________________ to issue in my favor a new
driver’s license in lieu of the lost one and for whatever legal purpose this may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this 18th day of October, 2022,
in _______________________.
_____________________
Affiant
SUBSCRIBED AND SWORN to before me this 18th day of October, 2022, in Daet,
Camarines Norte.
Doc. No._____
Page No._____
Book No._____
Series of 2022.