Affidavit of Loss of Plate Number
Affidavit of Loss of Plate Number
Affidavit of Loss of Plate Number
Make/Type : xxx
Denomination: xxx
Engine No. xxx
Current O.R. No.: xxx Chassis No xxx
File No.: xxx
Plate No.: xxx
2. That on or about the second quarter of 2022, I recently discovered that the plate number of said
vehicle (xxx) was irretrievably lost and can no longer be found despite diligent search and efforts
to locate the same.
3. As a result, I am signing this Affidavit of Loss to attest to the truth of the foregoing and to support
the application for the issuance of a new one in place of the one that was lost.
IN WITNESS WHEREOF, I have hereunto set my hand this xxx 2022, in the City of San
Fernando, Pampanga, Philippines.
xxx
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME, this ________ day of xxx, 2022 in the City of
San Fernando, Pampanga, affiant exhibited to me his government-issued ID No. _______________ with
expiry date _____________.
WITNESS MY HAND AND SEAL, on the date and place above written.
Notary public