Affidavit of Loss Marvs
Affidavit of Loss Marvs
Affidavit of Loss Marvs
AFFIDAVIT OF LOSS
I, ANIL PRAKASH C. SAMTANI, Filipino, of legal age, single, and with residence and postal
address at 6H Tower E Eastwood Parkview Libis., Quezon City, after having been duly sworn in
accordance with law, hereby depose and state that:
2. That being resgistered with the Office of Barangay South Triangle, “the Corporation” has
been issued a Barangay Business Clearance and Barangay Clearance;
3. That when we vacated the place we designated to be our office at Rm. 403 Estuar Bldg.,
No.41 Timog Avenue, Barangay South Triangle, Quezon City, said documents or clearance
were misplaced and that despite diligent search and efforts, the sane could no longer be
found , such that I believe it is now lost beyond recovery;
4. As such, I am executing this Affidavit of Loss to attest to the truth of the foregoing and to
support my application for the Closure, Cessation or Cancellation of the business
Registration; and
5. This affidavit be used for all legal purposes and intents it may serve in the process of the
said closure of my supposed business.
ACKNOWLEDGEMENT
NOTARY PUBLIC