Scribd Logo
Upload

Welcome to Scribd!

  • 137 views

    Affidavit of Loss - Death and Live Birth

    Uploaded by

    rj edang
    Thelma F. Ocas files an affidavit of loss stating that she can no longer find her brother Ferdinand P. Fernandez's certificate of live birth and death certificate, which were in her possession. Despite searching, she was unable to locate the documents. She believes they were lost due to neglect in safekeeping. She assumes responsibility if the lost documents are used without her knowledge. She will surrender the documents if found to the local civil registrar's office. She executes this affidavit to attest to the truth of her statements.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Affidavit of Loss - Death and Live Birth

    Uploaded by

    rj edang
    137 views2 pages
    Thelma F. Ocas files an affidavit of loss stating that she can no longer find her brother Ferdinand P. Fernandez's certificate of live birth and death certificate, which were in her possession. Despite searching, she was unable to locate the documents. She believes they were lost due to neglect in safekeeping. She assumes responsibility if the lost documents are used without her knowledge. She will surrender the documents if found to the local civil registrar's office. She executes this affidavit to attest to the truth of her statements.

    Original Title

    Affidavit of Loss - death and live birth

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Thelma F. Ocas files an affidavit of loss stating that she can no longer find her brother Ferdinand P. Fernandez's certificate of live birth and death certificate, which were in her possession. Despite searching, she was unable to locate the documents. She believes they were lost due to neglect in safekeeping. She assumes responsibility if the lost documents are used without her knowledge. She will surrender the documents if found to the local civil registrar's office. She executes this affidavit to attest to the truth of her statements.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    137 views2 pages

    Affidavit of Loss - Death and Live Birth

    Uploaded by

    rj edang
    Thelma F. Ocas files an affidavit of loss stating that she can no longer find her brother Ferdinand P. Fernandez's certificate of live birth and death certificate, which were in her possession. Despite searching, she was unable to locate the documents. She believes they were lost due to neglect in safekeeping. She assumes responsibility if the lost documents are used without her knowledge. She will surrender the documents if found to the local civil registrar's office. She executes this affidavit to attest to the truth of her statements.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    REPUBLIC OF THE PHILIPPINES)

    Province of Guimaras )S.S.


    x----------------------------------------------x

    AFFIDAVIT OF LOSS
    I, THELMA F. OCAS, of legal age, Filipino, married and a resident of Barangay
    Zaldivar, Buenavista, Guimaras, Philippines, after having been duly sworn to in
    accordance with law, hereby voluntarily depose and state;

    1. That I am the sister of the late FERDINAND P. FERNANDEZ who was


    born on November 10, 1965 and died last September 28, 2005;

    2. That I am the holder/keeper of his CERTIFICATE OF LIVE BIRTH and


    DEATH CERTFICATE issued by the Office of the Local Civil Registrar of
    Buenavista;

    3. Recently, I searched for the said documents;

    4. That said CERTIFICATE OF LIVE BIRTH and DEATH CERTFICATE could


    no longer be found from among any of my personal belongings at home,
    probably having been lost due to neglect in its custody and safekeeping;

    5. That despite diligent search and efforts to locate and retrieve the said
    CERTIFICATE OF LIVE BIRTH and DEATH CERTFICATE, the same could
    no longer be found such that I now believe it is lost beyond my recovery;

    6. That I shall assume any responsibility or liability if in any event the said
    document/s is used with or without my knowledge for whatever illicit
    transactions;

    7. As such, in case the said CERTIFICATE OF LIVE BIRTH and DEATH


    CERTFICATE is found retrieved, undersigned will immediately surrender it to
    the Office of the Local Civil Registrar of Buenavista;

    8. That I am executing this Affidavit to attest to the truth of the foregoing


    statements and for all legal intents and purposes it may serve.

    IN WITNESS WHEREOF, I hereunto affixed my signature this 22 nd day of


    July, 2021 at the Province of Guimaras, Philippines.

    THELMA F. OCAS
    Affiant
    OSCA C.N.: 5352

    SUBSCRIBED AND TO SWORN to before me, a Notary Public for and in the
    Province of Guimaras, this 22nd day of July, 2021 at San Miguel, Jordan, Guimaras,
    Philippines. Affiant exhibited to me her OSCA ID with C.N.: 5352 bearing her
    photograph and signature as competent proof of identity.

    Notary Public
    Doc. No.: 136;
    Page No.: 029;
    Book No.: XXII;
    Series of 2021.

    You might also like