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    Affidavit of Loss.

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    serbisyo legal
    Felino L. Quia purchased a television from Tiongsan Supermart on March 30, 2022 and was issued an official receipt, which he placed in the TV box for safekeeping. When he later wanted to return part of the TV due to an issue, he realized the receipt was missing after searching his belongings and home. Despite diligent efforts, he was unable to locate the lost official receipt. He executed this affidavit to attest to losing the receipt through inadvertence.

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    Affidavit of Loss.

    Uploaded by

    serbisyo legal
    112 views1 page
    Felino L. Quia purchased a television from Tiongsan Supermart on March 30, 2022 and was issued an official receipt, which he placed in the TV box for safekeeping. When he later wanted to return part of the TV due to an issue, he realized the receipt was missing after searching his belongings and home. Despite diligent efforts, he was unable to locate the lost official receipt. He executed this affidavit to attest to losing the receipt through inadvertence.

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    Felino L. Quia purchased a television from Tiongsan Supermart on March 30, 2022 and was issued an official receipt, which he placed in the TV box for safekeeping. When he later wanted to return part of the TV due to an issue, he realized the receipt was missing after searching his belongings and home. Despite diligent efforts, he was unable to locate the lost official receipt. He executed this affidavit to attest to losing the receipt through inadvertence.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    112 views1 page

    Affidavit of Loss.

    Uploaded by

    serbisyo legal
    Felino L. Quia purchased a television from Tiongsan Supermart on March 30, 2022 and was issued an official receipt, which he placed in the TV box for safekeeping. When he later wanted to return part of the TV due to an issue, he realized the receipt was missing after searching his belongings and home. Despite diligent efforts, he was unable to locate the lost official receipt. He executed this affidavit to attest to losing the receipt through inadvertence.

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    © All Rights Reserved
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    of 1

    Republic of the Philippines)

    La Trinidad, Benguet) s.s


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

    AFFIDAVIT OF LOSS OF OFFICIAL RECEIPT

    I, Felino L. Quia, of legal age, married, Filipino, and resident of Km.3, Naguilian Road,
    Irisan, Baguio City, Philippines, after having been duly sworn to in accordance with law, do
    hereby depose and state THAT:

    1. I purchased from Tiongsan Supermart Incorporated (Tiongsan) located at Km. 4,


    Pico, La Trinidad, Benguet a Television (TV) with model 32A4GS Hisense,
    sometime on March 30, 2022. Accordingly, I was issued an Official Receipt (OR) for
    the said purchase by Tiongsan. What I recall is that I got the receipt after I pay the
    necessary amount and put inside the TV Box for safe keeping.

    2. Thereafter, I brought home the said LP Gas Regulator. After few weeks we decided to
    use the said item, but to my surprised the said GAS Regulator has two (2) Detachable
    Fitting, which I only need one (1) fitting. Therefore, I decided to refer the matter to
    Tiongsan, the seller/dealer/distributor. I was then required to present the Official
    Receipt thereof.

    3. However, when I tried to locate the said OR in my bags and other belongings, I was
    shocked that it was no longer inside the same. Immediately, I searched the same
    within the premises and/or in other places where I might kept the said receipt but I
    was still unable to locate it.

    4. Despite diligent efforts exerted, I was not able to locate the afore-mentioned OR until
    now. Therefore, I considered it lost and beyond recovery. The loss of the same is not
    deliberate but purely due to mere inadvertence or excusable neglect;

    5. I am executing this affidavit to attest to the truthfulness of the foregoing facts and for
    all legal intents and purposes it may serve well.

    IN WITNESS WHEREOF, I have hereunto set my hand this 2nd day December 2020, at
    La Trinidad, Benguet, Philippines.

    Marie Fe Manggay Alumbro


    Affiant
    TIN ID No. 488-385-491-000

    SUBSCRIBED AND SWORN to before me a Notary Public for and in La Trinidad,


    Benguet, Philippines this December 2, 2020, by the above Affiant, who exhibited to me her ID as
    competent evidence of identity with picture above her name and identified by me to be the same
    person who personally signed before me the foregoing Affidavit.

    ATTY. CYRUS C. CALAYA


    Doc. No. ____; Notary Public until Dec. 31, 2021
    Page No. ___; PTR No. BGTCF 6232438; Jan. 10, 2020
    Book No. I; IBP Lifetime No. 08051, at Pasig City
    Series of 2020. Roll No. 52590, May 12, 2006; Manila
    S & B Bldg., FA 224, Km. 4
    National, Highway La Trinidad, Benguet

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