Affidavit of Loss: La Marea Subd San Antonio San Pedro Laguna After Being Duly Sworn To in

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Republic of the Philippines)

City of PARAÑAQUE ) S.S.

                     AFFIDAVIT OF LOSS

I, REYNALDO CRUZ , Filipino, of legal age, and with residence at 142 COUNTRY DR.
LA MAREA SUBD SAN ANTONIO SAN PEDRO LAGUNA after being duly sworn to in
accordance with law, hereby depose and state:

That I am the registered owner of the motor vehicle with plate # TMF883   in
accordance with pertinent Land Transportation laws, rules and regulations, and
was issued AT LTO CABUYAO LAGUNA.

That on or about last month of January 2023 the license plate of the said vehicle
was lost;

That despite diligent search and efforts to locate, we could not find the same such
that I am now believe that it is 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 duplicate plate, in lieu of the one that was
lost.

IN WITNESS WHEREOF, we have hereunto set my hand this _____of ________ at


____________________

REYNALDO CRUZ
                                                                                        AFFIANT

SUBSCRIBED AND SWORN TO BEFORE ME, on the day, year and place above
written. 

DOC. No. _____


PAGE No. _____
BOOK No. _____
SERIES OF 2023

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