Basilia Gan executed an affidavit of loss to attest that she lost her BIR TIN card, PhilHealth identification card, and postal identification card when she discovered they were missing from her wallet while at the public market on May 13, 2017. Despite searching, she was unable to find the cards and believes them to be lost beyond recovery. She signed the affidavit to request replacements of the cards from the respective agencies and for any legal purposes.
Basilia Gan executed an affidavit of loss to attest that she lost her BIR TIN card, PhilHealth identification card, and postal identification card when she discovered they were missing from her wallet while at the public market on May 13, 2017. Despite searching, she was unable to find the cards and believes them to be lost beyond recovery. She signed the affidavit to request replacements of the cards from the respective agencies and for any legal purposes.
Basilia Gan executed an affidavit of loss to attest that she lost her BIR TIN card, PhilHealth identification card, and postal identification card when she discovered they were missing from her wallet while at the public market on May 13, 2017. Despite searching, she was unable to find the cards and believes them to be lost beyond recovery. She signed the affidavit to request replacements of the cards from the respective agencies and for any legal purposes.
Basilia Gan executed an affidavit of loss to attest that she lost her BIR TIN card, PhilHealth identification card, and postal identification card when she discovered they were missing from her wallet while at the public market on May 13, 2017. Despite searching, she was unable to find the cards and believes them to be lost beyond recovery. She signed the affidavit to request replacements of the cards from the respective agencies and for any legal purposes.
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Republic of the Philippines )
_______________________________ ) S.S
AFFIDAVIT OF LOSS
I, BASILIA GAN, of legal age, Filipino, widow and a resident of
Poblacion, Taytay, Palawan, after having been duly sworn in accordance with law, hereby depose and say:
1. That I am a holder of a BIR TIN card, PhilHealth identification card
Postal identification card;
2. That I used to put said identification cards inside my wallet;
3. That sometime on May 13, 2017, at around ten (10) oclock in
the morning at New Public Market at Poblacion, Taytay, Palawan, I discovered that the above-mentioned identification cards was no longer in my wallet where I used to place it;
4. That despite diligent search and efforts to locate the said
identification cards, I could not find the same such that I believe that it is now lost beyond recovery;
5. That said identification cards was not confiscated by the
authorities or used in violation of the law;
6. That I am executing this affidavit to attest to the truth of the
foregoing facts and to request for a replacement of the above- mentioned identification cards from the respective agency and for whatever legal purposes it may serve best.
IN WITNESS WHEREOF, I have hereunto affixed my signature
__________________ in _________________________.
BASILIA GAN/Affiant Id No: ____________/_____________
SUBCRIBED AND SWORN TO before me this _________________ in
________________________, affiant exhibiting to me her valid proof of identification as indicated below her name.
DAO 2004-01 IRR FOR RA 9147 (Act Providing For The Conservation and Protection of Wildlife Resources and Their Habitats, Appropriating Funds Therefore and For Other Purposes)