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    Affidavit of Loss

    Uploaded by

    Erikha Araneta
    This 3 sentence affidavit of loss summarizes: The affiant maintains a savings account with Bank A that had a balance of [amount]. The passbook for this account was lost in [manner]. Despite efforts, the passbook could not be located or recovered, so the affiant requests that Bank A issue a new passbook in lieu of the lost one.

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

    Affidavit of Loss

    Uploaded by

    Erikha Araneta
    145 views2 pages
    This 3 sentence affidavit of loss summarizes: The affiant maintains a savings account with Bank A that had a balance of [amount]. The passbook for this account was lost in [manner]. Despite efforts, the passbook could not be located or recovered, so the affiant requests that Bank A issue a new passbook in lieu of the lost one.

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    AFFIDAVIT OF LOSS.docx

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    This 3 sentence affidavit of loss summarizes: The affiant maintains a savings account with Bank A that had a balance of [amount]. The passbook for this account was lost in [manner]. Despite efforts, the passbook could not be located or recovered, so the affiant requests that Bank A issue a new passbook in lieu of the lost one.

    Copyright:

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

    Affidavit of Loss

    Uploaded by

    Erikha Araneta
    This 3 sentence affidavit of loss summarizes: The affiant maintains a savings account with Bank A that had a balance of [amount]. The passbook for this account was lost in [manner]. Despite efforts, the passbook could not be located or recovered, so the affiant requests that Bank A issue a new passbook in lieu of the lost one.

    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)

    CITY OF MAKATI            ) S.S.


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

    AFFIDAVIT OF LOSS

     I, ___________________, of legal age, Filipino, (single/married/widow) and


    a resident of _______________________________, after having been duly
    sworn to in accordance with law, depose and state THAT:

    1. I maintain a Savings Account with S/A No. _____________ with


    _____________ Bank with a credit balance of _____________
    (P_____________);

    2. Sometime on ____________, the passbook of the above-mentioned account


    was lost in the following manner:
        ___________________________________________________
        ___________________________________________________

    3. Despite diligent efforts exerted, I could no longer locate, find or recover the said
    passbook, and to the best of my knowledge, the same is truly lost;

    4. In view thereof, I now desire and hereby request ______ Bank to issue another
    passbook in lieu of the lost one and I am willing to surrender the lost passbook
    in the event that the same could be found;

    5. As such, I am executing this affidavit to attest to the foregoing facts and to


    support the application for the issuance of a new passbook in lieu of the one
    which was lost. 
    IN WITNESS WHEREOF, I have hereunto set my hand
    this ___________________ in Makati City, Metro Manila, Philippines.

    ____________________
    Affiant
    SSS ID No. _____________

            SUBCRIBED AND SWORN TO before me


    this ___________________ in _________________, Philippines, affiant
    exhibiting to me his/her competent evidence of identity by way of
    __________________ issued at ______________ on __________________.

    Doc. No. _____;


    Page No. _____;
    Book No. _____;
    Series of 2020.

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