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

Republic of the Philippines)

In the City of Panabo......)

AFFIDAVIT OF LOSS

I, Mr./Mrs./Ms. REO JOHN E. ANGET, of legal age,


single/married/widower/separated, Filipino, and a resident of Tagum City, after
having been sworn to in accordance with law, hereby depose and state:

1. I am a holder of Professional Driver’s License duly issued by the Land


Transportation Office (LTO) with license no. L02-11-006389;
2. On March 19, 2024, I searched for my wallet but I noticed that it was
no longer inside my wallet where I usually put it;
3. I immediately exerted efforts to look for it but my efforts proved
futile since it was nowhere to be found, and may now be considered as
LOST/MISPLACED;
4. That the wallet was not confiscated by any Government authorities in
violation of RA 4136 or any other related laws;
5. That I am executing this Affidavit to attest to the veracity of my
statements and as support in my request for the issuance of a new driver’s
license to be issued by LTO-Panabo City; and
6. I am executing this Affidavit to attest to the truth of the foregoing
facts and for whatever legal purpose it may serve the premises..

IN WITNESS WHEREOF, I have hereunto set my hand this 21st day of March, 2024
at Panabo City, Davao del Norte, Philippines.

REO JOHN E. ANGET


Affiant
CEI: PH Natl ID No. 4576-9804-8651-7902

SUBSCRIBED AND SWORN TO before me this 21st day of March, 2024, in the City
of Panabo, affiant exhibiting to me his/her Competent Evidence of Identity (CEI)
as shown above.

Doc No.:____;
Page No.:___;
Book No.: II;
Series of 2024.

You might also like