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    Affidavit of Loss Dionaldo

    Uploaded by

    Jubelee Anne Patangan
    Nancy Dionaldo filed an affidavit of loss stating that: (1) She is the registered owner of a tricycle with specific identification details; (2) She was issued a franchise registered sticker in June 2019 by City Hall of Dipolog; (3) The registered sticker was removed by an unknown person while the tricycle was parked; (4) Despite searching, she could not find the lost sticker. She executed the affidavit to support her application for a new sticker. Frederick Calog also filed an affidavit of loss stating that: (1) He was the holder of an official receipt for a chainsaw purchase in 2017 with specific details; (2) The document was mis

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    Affidavit of Loss Dionaldo

    Uploaded by

    Jubelee Anne Patangan
    5K views3 pages
    Nancy Dionaldo filed an affidavit of loss stating that: (1) She is the registered owner of a tricycle with specific identification details; (2) She was issued a franchise registered sticker in June 2019 by City Hall of Dipolog; (3) The registered sticker was removed by an unknown person while the tricycle was parked; (4) Despite searching, she could not find the lost sticker. She executed the affidavit to support her application for a new sticker. Frederick Calog also filed an affidavit of loss stating that: (1) He was the holder of an official receipt for a chainsaw purchase in 2017 with specific details; (2) The document was mis

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    Nancy Dionaldo filed an affidavit of loss stating that: (1) She is the registered owner of a tricycle with specific identification details; (2) She was issued a franchise registered sticker in June 2019 by City Hall of Dipolog; (3) The registered sticker was removed by an unknown person while the tricycle was parked; (4) Despite searching, she could not find the lost sticker. She executed the affidavit to support her application for a new sticker. Frederick Calog also filed an affidavit of loss stating that: (1) He was the holder of an official receipt for a chainsaw purchase in 2017 with specific details; (2) The document was mis

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    5K views3 pages

    Affidavit of Loss Dionaldo

    Uploaded by

    Jubelee Anne Patangan
    Nancy Dionaldo filed an affidavit of loss stating that: (1) She is the registered owner of a tricycle with specific identification details; (2) She was issued a franchise registered sticker in June 2019 by City Hall of Dipolog; (3) The registered sticker was removed by an unknown person while the tricycle was parked; (4) Despite searching, she could not find the lost sticker. She executed the affidavit to support her application for a new sticker. Frederick Calog also filed an affidavit of loss stating that: (1) He was the holder of an official receipt for a chainsaw purchase in 2017 with specific details; (2) The document was mis

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    Republic of the Philippines )

    City of Dipolog                    ) S.S


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

    AFFIDAVIT OF LOSS

    I, NANCY P. DIONALDO, Filipino, of legal age and a resident of Laoy, Olingan,


    Dipolog City, after having duly sworn in accordance with law, do hereby depose and state
    that:

    1. That I am the registered owner of a certain TRICYCLE vehicle, which is more


    particularly described as follows:

    Type of Body: Tricycle MOTOR NO. : 34C4004744


    Year Model: SERIAL/CHASSIS NO. : 34C4011575
    C.R No.: 149117835 PLATE NO. : JZ 1806
    Franchise DPLG No.2020-1049

    2. That as a registered owner, I was issued a Franchise Registered Sticker for my


    franchise issued last June 2019 by City Hall of Dipolog;

    3. That the registered franchise sticker was removed by an unknown person while
    parked outside of my residence;

    4. That despite diligent search and efforts to locate the registered franchise sticker,
    I could no longer find the same such that I now believe that it is now lost;

    5. As such, I am executing this affidavit of loss to attest to the truth of the


    foregoing and to support my application for the issuance of new franchise
    registered sticker in lieu of the one that was lost.

      IN WITNESS WHEREOF, I have hereunto affixed my signature this ______________at


    Dipolog City, Philippines.
     

    NANCY P. DIONALDO
    Affiant

    SUBSCRIBE AND SWORN to before me this ____________at Dipolog City,


    Philippines, with affiant exhibiting to me her Valid Id No.____________________.

    Doc. No.____
    Page No. ____
    Book No._____
    Series of 2020
    Republic of the Philippines )
    City of Dipolog                    ) S.S
    x------------------------------------x 

    AFFIDAVIT OF LOSS

    I, FREDERICK S. CALOG, of legal age, Filipino, married and a resident of


    Barangay Alvinda, Mutia, Zamboanga del Norte, after having duly sworn in accordance with
    law, do hereby depose and state that:

    1. That I am a holder of an Official Receipt from a purchase of a chainsaw in


    Oroquieta City in the year 2017 which is more particularly described as follows:
    BRAND SERIAL MACHINE NO.

    ZERO70 STEEL S178200084

    2. That the said document while in my possession was misplaced and could no
    longer ne located inspite of exerting efforts of locating them;

    3. That I am executing this affidavit to attest the truth of the foregoing and for
    whatever legal purpose it may serve.

    AFFIANT FURTHER SAYETH NAUGHT.

      IN WITNESS WHEREOF, we have hereunto affixed our hands this____ day of


    _______________ at ________________.
     

    FREDERICK S. CALOG
    Affiant
    Philhealth ID 16-050166521-2

    SUBSCRIBE AND SWORN TO before me this August 31, 2018 at Dipolog City.

    Doc. No.___
    Page No.___
    Book No.___
    Series of 2018.

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