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    Affidavit of Loss Orcr

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    mitsudayo_
    Christopher A. Pine executed an affidavit of loss to attest that he is the registered owner of a 2011 Toyota Fortuner with plate number TSQ 728. He was previously issued a Certificate of Registration and Official Receipt for 2016 by the Land Transportation Office of Muntinlupa City, but can no longer find these documents despite searching diligently. As the documents are believed to be lost beyond recovery, Pine is submitting this affidavit to support his application for new registration documents to replace the lost ones. The affidavit was sworn before a notary on June 4, 2017 in Muntinlupa City.

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    Affidavit of Loss Orcr

    Uploaded by

    mitsudayo_
    53 views3 pages
    Christopher A. Pine executed an affidavit of loss to attest that he is the registered owner of a 2011 Toyota Fortuner with plate number TSQ 728. He was previously issued a Certificate of Registration and Official Receipt for 2016 by the Land Transportation Office of Muntinlupa City, but can no longer find these documents despite searching diligently. As the documents are believed to be lost beyond recovery, Pine is submitting this affidavit to support his application for new registration documents to replace the lost ones. The affidavit was sworn before a notary on June 4, 2017 in Muntinlupa City.

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    Christopher A. Pine executed an affidavit of loss to attest that he is the registered owner of a 2011 Toyota Fortuner with plate number TSQ 728. He was previously issued a Certificate of Registration and Official Receipt for 2016 by the Land Transportation Office of Muntinlupa City, but can no longer find these documents despite searching diligently. As the documents are believed to be lost beyond recovery, Pine is submitting this affidavit to support his application for new registration documents to replace the lost ones. The affidavit was sworn before a notary on June 4, 2017 in Muntinlupa City.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    53 views3 pages

    Affidavit of Loss Orcr

    Uploaded by

    mitsudayo_
    Christopher A. Pine executed an affidavit of loss to attest that he is the registered owner of a 2011 Toyota Fortuner with plate number TSQ 728. He was previously issued a Certificate of Registration and Official Receipt for 2016 by the Land Transportation Office of Muntinlupa City, but can no longer find these documents despite searching diligently. As the documents are believed to be lost beyond recovery, Pine is submitting this affidavit to support his application for new registration documents to replace the lost ones. The affidavit was sworn before a notary on June 4, 2017 in Muntinlupa City.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    Republic of the Philippines)

    Province of NCR) S.S.


    City of Muntinlupa)
    x---------x

    AFFIDAVIT OF LOSS
    I, CHRISTOPHER A. PINE, Filipino, of legal age, single, and
    a resident of No. 5 Don Manolo Drive, Alabang Hills Village,
    Alabang, Muntinlupa, Philippines, after being duly sworn in
    accordance with law, depose and state:

    That I am the registered owner of a certain motor vehicle,


    which is more particularly described as follows:
    Make: Toyota
    Series: Fortuner
    Type of Body: SUV
    Motor No. 12345678
    Chassis No.0987652
    Yr. Model: 2011
    Color: Black
    Plate No. TSQ 728

    That as a registered owner, I was issued a


    Certificate of Registration (C.R.) and an Original Receipt
    (O.R.) for my registration for the year 2016 by the Land
    Transportation Office of Muntinlupa City, Philippines;
    That when I was about to register the said motor vehicle
    for year 2017, I could no longer find said Certificate
    of Registration and Official Receipt of the said motor
    vehicle.
    That despite diligent search and efforts to locate the said
    documents, I could no longer find the same, such that I
    believe that they are now lost beyond recovery.
    As such, I am executing this Affidavit of Loss to attest to
    the truth of the foregoing and to support my application
    for the issuance of new Certificate of Registration and
    Original Receipt, in lieu of the ones that were lost.

    IN WITNESS WHEREOF, I have hereunto set my hand this


    4th day of June 2017 in the City of Muntinlupa,
    Philippines.

    CHRISTOPHER A. PINE
    Affiant
    JURAT
    SUBSCRIBED AND SWORN to me before this 4th day of
    June 2017, in the City of Muntinlupa, by CHRISTOPHER
    A. PINE with Drivers License No. C92-88391092 issued
    on March 7, 2015 at Muntinlupa City.

    ATTY. STEPHANIE ANN A. GENER


    Notary Public
    My commission expires December 30, 2017
    IBP Lifetime Roll No. 77930
    PTR No. 5273877P, 03-7-2016,
    Muntinlupa
    MCLE Compliance No. V-0002332, 03-7-
    2017, Muntinlupa City

    Doc. No.: ___


    Page No.: ___
    Book No.: ___
    Series of 2017.

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