Affidavit of Loss of Owner's Copy of TCT

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REPUBLIC OF THE PHILIPPINES )

PROVINCE OF _____________ ) S.S


CITY OR MUNICIPALITY OF ___ )

AFFIDAVIT OF LOSS

I, ___________, single, Filipino, and a resident of


_________ , after having duly sworn, depose and say, that:

1. I am the registered owner of a parcel of land located at


____,
containing an area of ____ square meters, more or less, described
and
covered by Transfer Certificate of Title No. ____ of Register of Deeds
of _________.

2. I diligently kept my Owner’s Copy of the said title inside


a locked cabinet in my room.

3. I looked for it as I wanted to sell the property, I found out


that it was no longer there; and thinking that it was only misplaced, I
exerted efforts to search for it, but to no avail. Hence, I have
considered the same to have been lost and beyond recovery.

4. I did not previously sell, mortgage or in any manner dispose


of my said property to whomsoever; and that there is no pending
transaction involving said property for registration with the said
Register of Deeds.

5. I have executed this affidavit to attest to the truth hereof;


and for purposes of filing the necessary petition for issuance od
second owner’s copy of TCT No. _______; and for all legal intents
and purposes.

FURTHER, AFFIANT SAYETH NAUGHT.

THUMBMARK
(Name of Affiant)
Affiant

Affiant (name of affiant) affixed his Thumbmark in the presence of


the following witnesses:

1. (Name and Address of 1st Witness)

Page 1
2. (Name and Address of 2nd Witness)

SUBSCRIBED AND SWORN TO before me in _______,


this __ day of ______ by (name of affiant), who has satisfactorily
proven to me his identity through his (ID name and number and
expiry date) to be the same person who personally affixed his
Thumbmark in the foregoing affidavit before me and in the presence
of the two (2) witnesses whose signatures appear below his thumb
signature, and who acknowledged before me that he executed the
same voluntarily.

The undersigned further certify that the contents of the said


affidavit was explained by me in (English or Filipino), a Language
known and understood by the affiant, he/she being blind and appears
to have understood the contents thereof.

(Signature and Seal of the Notary Public)


Notary Public
A.M. No/Comm. No. _____________
Date and Place Issued
Commission expires on Dec. 31,
______
Roll of Attorney Number
IBP No., date and place issued
PTR No. date and place issued
MCLE Comp./Exemp. No.
Date Issued and Validity
Office Address; telephone number
Fax No. ______; e-mail address

Doc. No. ___


Page No. ___

Page 2
Book No. ___
Series of 20__

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