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Affidavit of Loss (Driver's License)

This document is an affidavit of loss for a driver's license. It states that the affiant had a valid driver's license that was misplaced and lost. Despite searching diligently, the license could not be found or recovered. The license had also not been confiscated by authorities. The affiant is filing this affidavit to support an application for a new driver's license to replace the lost one.

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273 views1 page

Affidavit of Loss (Driver's License)

This document is an affidavit of loss for a driver's license. It states that the affiant had a valid driver's license that was misplaced and lost. Despite searching diligently, the license could not be found or recovered. The license had also not been confiscated by authorities. The affiant is filing this affidavit to support an application for a new driver's license to replace the lost one.

Uploaded by

gongsilog
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

REPUBLIC 

OF THE PHILIPPINES)
CITY OF MAKATI            ) S.S.
x----------------------------x
  

AFFIDAVIT OF LOSS

 I, ___________________, of legal age, Filipino, (single/married/widow) and


a resident of _______________________________, after having been duly
sworn to in accordance with law, depose and state THAT:

1. I am a duly-licensed driver in accordance with pertinent Land Transportation


laws, rules and regulations, and was issued a corresponding (Non) Professional
Driver's License with number _____________ which is valid until
_____________;

2. Sometime on ____________, said driver's license was misplaced and got lost;

3. Efforts were exerted to locate said driver's license, but in spite of


diligent search, it could not be found and the same is now beyond recovery;

4. Said Driver's License has not been confiscated by the LTO, Police or other


Traffic Enforcers for any traffic violation;

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 a new (Non)
Professional Driver's License, in lieu of the one that was lost;

IN WITNESS WHEREOF, I have hereunto set my hand


this ___________________ in Makati City, Metro Manila, Philippines.

____________________
Affiant
SSS ID No. _____________

 SUBCRIBED AND SWORN TO before me this ___________________ in


_________________, Philippines, affiant exhibiting to me his/her
competent evidence of identity by way of __________________ issued at
______________ on __________________.

Doc. No. _____;


Page No. _____;
Book No. _____;
Series of 2013.

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