Aff. of Loss

Republic of the PhilippinesCITY OF DAVAO . . . . . ..)S.S.X - - - - - - - - - - - - - - - - X

AFFIDAVIT OF LOSS

I, ESMERALDO ABOY HERNANI JR. of legal age, Filipino married and a resident of Hillcrest Subd., Davao City, Philippines, after having been duly sworn to depose and say:

That I am a holder of a certain PAWNPAPER duly issued by the WENADIN PAWNSHOP, Davao City;

The said PAWNPAPER was lost and despite diligent effort to locate hence I considered it lost;

That I am executing this affidavit and to inform the proper authorities concerned and for whatever legal purpose this may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this _________day of _________________, 2013 at Davao City, Philippines.

ESMERALDO ABOY HERNANI JR. Affiant

SUBSCRIBED AND SWORN TO before me this day of _____________2013 at Davao City, Philippines

Doc. No._______Page No._______Book No._______ Series of 2013*

Republic of the PhilippinesCITY OF DAVAO . . . . . .. )S.S.X - - - - - - - - - - - - - - - - - - -X

AFFIDAVIT OF LOSS

I, ROQUE H. DAMASIN, JR., of legal age, Filipino and a resident of Block 18 Lot 48, Countryville Executive Homes, Cabantian, Buhangin, Davao City, Philippines, after having been duly sworn to in accordance with law, hereby depose and say,

That I am a holder of a certain TAX RETURN, to wit:

Kinds of Return Month Year

2551M February 2010

2551M March 2010

2551M July 2010

2551M August 2010

2551M September 2010

2551M October 2010

2551M November 2010

2551M December 2010

2. The said TAX RETURNS were lost and despite diligent effort to locate hence I considered them lost;

3. That I am executing this affidavit and to inform the proper authorities concerned and for whatever legal purpose this may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ________day of _____________, 2011 at Davao City, Philippines

ROQUE H. DAMASIN, JR. Affiant

SUBSCRIBED AND SWORN TO before me this ________ day of ____________ 2011 at Davao City, Philippines

Doc. No._______;Page No._______; Book No._______;Series of 2013

Republic of the PhilippinesCITY OF DAVAO . . . . . ..)S.S.X - - - - - - - - - - - - - - - - X

AFFIDAVIT OF LOSS

I, Lyndon Monday of legal age, Filipino married and a resident of Barangay Tres de Mayo, Digos City, Philippines, after having been duly sworn to in accordance with law, hereby depose and say,

That I am a holder of the following: 1) PROFESSIONAL DRIVER’S LICENSE duly issued at Land Transportation Office (LTO), Davao City;

The said DRIVER’S LICENSE was lost and despite diligent effort to locate hence I considered it lost.

That I am executing this affidavit and to inform the proper authorities concerned and for whatever legal purpose this may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ________day of _____________, 2014 at Davao City, Philippines

Lyndon Monday Affiant


Doc. No._______Page No._______Book No._______ Series of 2014*

Republic of the Philippines)CITY OF DAVAO . . . . . ..)S.S.X - - - - - - - - - - - - - - - - X

AFFIDAVIT OF LOSS

I, JULIETA RELLEN RESERONI of legal age, Filipino married and a resident of Purok 2, Barangay Gumalang, Baguio District, Davao City, Philippines, after having been duly sworn to in accordance with law do hereby depose and say:

1. That I am a Day Care Teacher of Sto. Rosario Day Care Center of Barangay Gumalang, Baguio District, Davao City and a holder of a certain one (1) unit DVD Syntax brand model SDX-60IP and with Serial No. 12090706-10566 duly issued by the Local Government Unit (LGU), Davao City;

2. That the said one (1) unit DVD were lost and despite of diligent efforts in locating the same it could not be found hence, I considered it lost;

3. That I am executing this affidavit to inform the proper authorities concerned of the foregoing facts and for whatever legal purpose this may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signatures this ________day of _____________, 2013 at Davao City, Philippines.

JULIETA RELLEN RESERONI Affiant


Doc. No._______Page No._______Book No._______ Series of 2013.


AFFIDAVIT OF LOSS

I, GREY BONANI BONA, of legal age, Filipino married and a resident of Barangay Catigan, Toril, Davao City, Philippines, after having been duly sworn to in accordance with law do hereby depose and say:

1. That I am a holder of a certain ATM CARD duly issued at Land Bank, Toril Branch, Davao City;

2. That the said ATM was lost and despite of diligent efforts in locating the same it could not be found hence, I considered it lost;

3. That I am executing this affidavit to inform the proper authorities concerned of the foregoing facts and for whatever legal purpose this may served.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ________day of _____________, 2013 at Davao City, Philippines.

GREY BONANI BONA Affiant




AFFIDAVIT OF LOSS

I, ROWENA YAWAKA TAN, of legal age, Filipino married and a resident of BLOCK 36 Lot 2 Almaciga St, Green Meadows Subdivision, Mintal, Davao City, Philippines, after having been duly sworn to in accordance with law do hereby depose and say:

4. That I am a holder of a certain ATM CARD duly issued at Allied Bank, San Pedro St., Davao City;

5. That the said ATM was lost and despite of diligent efforts in locating the same it could not be found hence, I considered it lost;

6. That I am executing this affidavit to inform the proper authorities concerned of the foregoing facts and for whatever legal purpose this may served.


ROWENA YAWAKA TAN

Affiant




AFFIDAVIT OF LOSS

WE, RAUL M. TOLIBAS and MANUEL AUTIDA of legal ages Filipinos, and a resident of Davao City, Philippines, after having been duly sworn to in accordance with law do hereby depose and say:

1. That we are officers and signatories of TRI-MEDIA ORGANIZATION FOR PEACE AND ALLIANCE IN MINDANAO and a holder of a certain COMPANY IDENTIFICATION CARD, duly issued by GMA Network, Inc., Davao City; PASSBOOK duly issued by Makati Bank, ATAM CARD duly issued by Union Bank, Davao City and DRIVER’S LICENSE duly issued by Land Transportation Office, Davao City;

2. That the said ID, PASSBOOK, ATM CARD and DRIVER’S LICENSE was lost and despite of diligent efforts in locating the same it could not be found hence, we considered it lost;

3. That we are executing this affidavit to inform the proper authorities concerned of the foregoing facts and for whatever legal purpose this may serve.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this ________day of _____________, 2013 at Davao City, Philippines.

RAUL M. TOLIBAS MANUEL AUTIDAAffiant Affiant




AFFIDAVIT OF LOSS

WE, BENITO JUMAMOY (Secretary/Treasurer) and TEODORICO AGRIPO (Vice-President) of legal age Filipino, and a resident of Bankerohan, Davao City, Philippines, after having been duly sworn to in accordance with law do hereby depose and say:

1. That we are officers and signatories of San Pedro Chapel Mortuary Aid Ass., Inc. located at Bankerohan, Davao City and a holder of a certain PASSBOOK with Acct. No. 10-017-0029765 duly issued at the Union Bank, Duterte St., Davao City;

2. That the said PASSBOOK was lost and despite of diligent efforts in locating the same it could not be found hence, I considered it lost;



BENITO JUMAMOY TEODORICO AGRIPO Affiant Affiant



Republic of the Philippines)

CITY OF DAVAO . . . . . ..)S.S.X - - - - - - - - - - - - - - - - X

AFFIDAVIT OF LOSS

I, COUNCILOR VICTORIO U. ADVINCULA JR., of legal age, Filipino, married and a resident of Libra St., Phase 3 Davao Housing Subd., Toril, Davao City, Philippines, after having been duly sworn to in accordance with law do hereby depose and say:

1. That I am a holder of a certain SANGGUNIANG PANLUNGSOD IDENTIFICATION CARD (ID) with Employee # 501228 duly issued at the City Government of Davao/Sangguniang Panlungsod, Davao City;

2. That the said ID was lost and despite of diligent efforts in locating the same it could not be found hence, I considered it lost;



COUNCILOR VICTORIO U. ADVINCULA JR., Affiant




AFFIDAVIT OF LOSS

We, PACITA IBAÑEZ, DULCE AMOR IBAÑEZ and JOLLY JAY IBAÑEZ all of legal age, Filipino, and a resident of Kasilak, Bucana, Davao City, Philippines after having been duly sworn to depose and say:

1. That we are the heirs of the late MATEO J. IBAÑEZ SR. who died last February 12, 1999 at Davao City and who is a member of RHINE PLANS CORPORATION, located at 21 Magallanes St., Cebu City;

2. That his ORIGINAL INSURANCE CERTIFICATE was lost and despite of diligent efforts in locating the same it could not be found hence, I considered it lost;


IN WITNESS WHEREOF, we have hereunto affix our signatures this ________day of _____________, 2008 at Davao City, Philippines.

PACITA IBAÑEZ DULCE AMOR IBAÑEZ Affiant Affiant

JOLLY JAY IBAÑEZ Affiant


Doc. No._______Page No._______Book No._______ Series of 2008


AFFIDAVIT OF LOSS

I, RAYNILDA DALAGUIT BONGCARAWAN, of legal age, Filipino married and a resident of Purok 35 Lagazo Village, Calinan, Davao City, Philippines after having been duly sworn to depose and say:

1. That I am the owner of a certain motor vehicle owned described below as, to wit:

Make & Type : MITSUBISHI Motor No. : D4BXP660447 Chassis No. : LO39PYZ1-09538 Plate No. : LVZ553

2. That as proof of ownership of the above described vehicle I was issued by the Land Transportation Office, Official Receipt (OR) as proof of payment and Certificate of Registration (CR);

3. That said documents while in my position were misplaced and could no longer be located despite of exerting efforts of locating them;

4. That the said documents were not in the position of any bank institutions or lending companies by reason of encumbrance or chattel mortgage of the subject motor vehicle;

5. That the said documents were not confiscated by any government authorities in violation of R.A. 4136 and other related laws:

6. That I shall assume any responsibility or liability if in any event I will use these documents for whatever illicit transactions;

7. That I am executing this affidavit to attest to the veracity of my statements and to support the same in its request for duplicate copies of the lost MVRR/MV/MRR/OR/CR at the Land Transportation Office (LTO) where it has a hand over subject;

8. That I bind myself criminally civilly and administratively liable and will assume full responsibility for nay 3rd party claim, and I hereby hold the Land Transportation Office or any of its employees free form any liability arising from any claim for damages as a result of the approval of the registration of the motor vehicle and or issuance of replacement certificate of registration;

IN WITNESS WHEREOF, I have hereunto affix my signature this ________day of _____________, 2013 at Davao City, Philippines.

RAYNILDA DALAGUIT BONGCARAWAN Affiant

SUBSCRIBED AND SWORN TO before me this ________ day of ____________ 2013 at Davao City, Philippines.


AFFIDAVIT OF LOSS

I,____________________________, of legal age, Filipino, married/single and a resident of ___________________________________________________, Philippines after having been duly sworn to depose and say:

1. That I am a holder of a certain_________________________________________ _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ duly issued in the _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________;

2. That said ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ was inadvertently misplaced and despite of diligent efforts in locating the same it could not be found hence, I considered it lost;

3. That I am executing this affidavit to inform the proper authorities concerned of the foregoing facts and to request for the issuance of a _____________________________________________________________________________________________________________________________________________________________________________ thereof in lieu of the lost one.

IN WITNESS WHEREOF, I have hereunto affix my signature this _________day of _________________ at Davao City, Philippines.

_______________________________ Affiant

SUBSCRIBED AND SWORN to before me this ________ day of ______________________________ at Davao City, Philippines Doc. No._____;Page No. ____;Book No. ____; Series of 20___.


AFFIDAVIT OF LOSS

I, SONIA C. MELINDO of legal age, Filipino, married and a resident of New Valencia, Tugbok District, Davao City, Philippines after having been duly sworn to depose and say:

1. That I am the mother of CARLA C. MELINDO a 3 rd year student and a holder of a certain SCHOOL IDENTIFICATION CARD (ID) duly issued at the Holy Cross College of Davao;

2.That said ID was inadvertently misplaced and despite of diligent efforts in locating the same it could not be found hence, I considered it lost;

3.That I am executing this affidavit to inform the proper authorities concerned of the foregoing facts and for whatever legal purpose this


SONIA C. MELINDOAffiant

SUBSCRIBED AND SWORN to before me this ________ day of ______________________________ at Davao City, Philippines

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


AFFIDAVIT OF LOSS

I, LIFESTREAM INTL COLLEGE INC. represented by: FATIMA ALONZO (President) of legal age, Filipino and business address at B2 L2 Vincent Hts., Lanang, Davao City, after having been duly sworn to depose and say:

1. That I am the President of LIFESTREAM INTL COLLEGE INC. and a holder of a certain CERTIFICATE OF REGISTRATION (COR) duly issued at the Bureau of Internal Revenue (BIR), Davao City;;

2. That the said COR was lost and despite of diligent efforts in locating the same it could not be found hence, I considered it lost;



LIFESTREAM INTL COLLEGE INC.

represented by: FATIMA ALONZO Affiant




AFFIDAVIT OF LOSS

I, JOEL R. MIRAS of legal age, Filipino married and a resident of Fortune Village, Calinan, Davao City, after having been duly sworn to depose and say:

1. That I am the father of JOEMEL GRACE M. MIRAS 4th year student and a holder of a certain SOLICITATION FORM duly issued at Calinan National High School, Calinan, Davao City;

2. That the said SOLICITATION FORM was lost and despite of diligent efforts in locating the same it could not be found hence, I considered it lost;


IN WITNESS WHEREOF, I have hereunto affixed my signatures this ______ day of ___________ 2013 at Davao City, Philippines.

JOEL R. MIRAS Affiant

SUBSCRIBED AND SWORN TO before me this ______ day of ___________ 2013 at Davao City, Philippines.



AFFIDAVIT OF LOSS

I, ANALYN Q. DRAMA, of legal age, Filipino married and a resident of Barangay Barangay Ula, Tugbok District, Davao City, after having been duly sworn to depose and say:

1. That I am the Barangay Secretary of Barangay Ula, Tugbok District, Davao City and a holder of a certain BARANGAY IDENTIFICATION CARD (ID) duly issued at the Department of Interior and Local Government (DILG), Davao City;

2. That the said ID was misplaced and despite of diligent efforts in locating the same it could not be found hence, I considered it lost;

3. That I am executing this affidavit to inform the proper authorities concerned and for whatever legal purpose this may serve.


ANALYN Q. DRAMA Affiant



REPUBLIC OF THE PHILIPPINES)CITY OF DAVAO . . . . . .. )S.S.X - - - - - - - - - - - - - - - - X

AFFIDAVIT OF LOSS

I, CERILO S. CHATTO JR., of legal age, Filipino and a resident of Purok 2 Ilaboon, Kapalong, Davao del Norte, Philippines after having been duly sworn to depose and say:

1. That I am the registered owner of the motor vehicle described below as, to wit:

Make & Type : HONDA Motor No. : KRZ02E014360 Chassis No. : KRZ02014359 Plate No. : 8627LG

2. That, on October 5, 2011 I submitted the Original OFFICIAL RECEIPT (OR) and CERTIFICTE OF REGISTRATION (CR) in the Land Transportation Office (LTO), Davao City;

3. That the said OR and CR was lost at your end;

4. That I reconstruct again new and OR.

5. That I am executing this affidavit to attest to the truth and to inform the LTO Office and for whatever legal purpose this may serve.


BAYANI L. EBERO Affiant



AFFIDAVIT OF LOSS

I, JAMAL M. MANGADANG, of legal age, Filipino, and a resident of Davao City, Philippines, after having been duly sworn to in accordance with law, hereby depose and say:

That I am the registered owner and a holder of a certain ORIGINAL Certificate No. 00183765 and ORIGINAL Certificate No. 00437256 duly issued in the Office of Department of Trade and Industry (DTI), Davao City;

That the said ORIGINAL Certificate No. 00183765 and ORIGINAL Certificate No. 00437256 was lost and despite of diligent efforts in locating the same it could not be found hence, I considered it lost;

That I am executing this affidavit to inform the proper authorities concerned of the foregoing facts and for whatever legal purpose this may serve.


JAMAL M. MANGADANG Affiant




AFFIDAVIT OF LOSS

I, ROSALINA R. JIMENEZ, of legal age, Filipino, married and a resident of Inawayan, Davao City, Philippines, after having been duly sworn to depose and say:

That I am the holder of a certain DRIVER’S LICENSE duly issued in the Land Transportation Office, (LTO), Davao City;

That the said DRIVER’S LICENSE was lost and despite of diligent efforts in locating the same it could not be found hence, I considered it lost;



ROSALINA R. JIMENEZ Affiant




AFFIDAVIT OF LOSS

I, RUBY TEJANO ROSALES, of legal age, Filipino, married and a resident of P-17Bayanihan Wangan, Calinan, Davao City, after having been duly sworn to depose and say:

That I am a holder of a certain PAWNPAPER duly issued at CRISTINA DE LEON PAWNSHOP, Calinan Branch, Calinan, Davao City;

That the aforementioned PAWNPAPER was lost and despite of diligent efforts in locating the same it could not be found hence, I considered it lost;



RUBY TEJANO ROSALES Affiant




AFFIDAVIT OF LOSS

I, DINA L. GALANG, of legal age, Filipino married and a resident of B12, L53, Toscana, Puan, Davao City, after having been duly sworn to depose and say:

1. That I am the mother of BRANDON L. GALANG, a first year student who is the registered owner/holder of a certain SCHOOL IDENTIFICATION CARD (ID) duly issued in the School of Ateneo de Davao University, High School Department, Davao City;

2. That the said SCHOOL IDENTIFICATION CARD (ID) was lost and despite of diligent efforts in locating the same it could not be found hence, I considered it lost;



DINA L. GALANG, Affiant




AFFIDAVIT OF LOSS

I, GIRLIE AMOR C. CAÑEDO, of legal age, Filipino and a resident of Purok Crossing, Barangay Tagakpan, Tugbok District, Davao City, after having been duly sworn to depose and say:

1. That I am a holder of a certain PRC LICENSE IDENTIFICATION CARD (ID) duly issued in the Professional Regulation Commission (PRC),Davao City.




GIRLIE AMOR C. CAÑEDO Affiant




AFFIDAVIT OF LOSS

I, RAMON E. RODRIGUEZ, of legal age, Filipino and a resident of Lim Extension, Digos City, Philippines after having been duly sworn to depose and say:

That I am a holder of a certain CELLPHONE WITH SIM CARD NO. 09196696334 duly issued by SMART Telecomunication ;

That the aforementioned SIM CARD was lost and despite of diligent efforts in locating the same it could not be found hence, I considered it lost;



RAMON E. RODRIGUEZAffiant




AFFIDAVIT OF LOSS

I, RICA YSABEL E. RODRIGUEZ, of legal age, Filipino and a resident of Lim Extension, Digos City, Philippines after having been duly sworn to depose and say:

That Davao Central Convenience Store is a holder of a certain Counter receipt with Invoice Nos. 50008691 and 50008794 duly issued by Davao Central Warehouse Club, Lanang Davao City ;

That the aforementioned COUNTER RECEIPTS were lost and despite of diligent efforts in locating the same it could not be found hence, I considered it lost;



RICA YSABEL E. RODRIGUEZAffiant

SUBSCRIBED AND SWORN TO before me this ______ day of ___________ 2012 Davao City, Philippines.



AFFIDAVIT OF LOSS

I, RICA YSABEL E. RODRIGUEZ, of legal age, Filipino and a resident of Lim Extension, Digos City, Philippines after having been duly sworn to depose and say:

That Davao Central Convenience Store is a holder of a certain PURCHASE ORDER of invoice number 50009367 duly issued by Davao Central Warehouse Club, Lanang Davao City ;

That the aforementioned PURCHASE ORDER of invoice were lost and despite of diligent efforts in locating the same it could not be found hence, I considered it lost;




SUBSCRIBED AND SWORN TO before me this ______ day of ___________ 2012 Davao City, Philippines.



AFFIDAVIT OF LOSS

I, FEDERICO U. LIBOON, of legal age, Filipino, married and a resident of Purok 23-A, Isla Suerte, Times Beach, Bucana, Davao City , Philippines, after having been duly sworn to depose and say:

1. That I am the holder of certain SSS IDENTIFICATION CARD (ID) duly issued in the Office of Social Security System (SSS) Davao City;




FEDERICO U. LIBOON Affiant


Doc. No._____;Page No._____;Book No.____;Series of 2012.


AFFIDAVIT OF LOSS

I, EGBERT J. ABOGADO, of legal age, Filipino, and a resident of B-16 L-46 DECA HOMES Subd., Cabantian, Davao City District, Davao City, Philippines, after having been duly sworn to depose and say:

1. That I am the holder of certain Tagum Coop Passbook duly issued in the Office of Tagum Cooperative, Davao City ;

2. That the said Tagum Coop Passbook was lost and despite of diligent efforts in locating the same it could not be found hence, I considered it lost;



EGBERT J. ABOGADOAffiant



AFFIDAVIT OF LOSS

I, JUDANI ARLU NIKU P. CORREA, of legal age, Filipino and a resident of Blk.3 Lot 20 Prudential Village, Daliao, Toril, Davao City, after having been duly sworn to depose and say:

1. That I am the registered owner/holder of a certain SCHOOL IDENTIFICATION CARD (ID) duly issued in the School of University of Southeastern Philippines (USeP), Davao City;

2. That the said SCHOOL IDENTIFICATION CARD (ID) was lost and despite of diligent efforts in locating the same it could not be found hence, I considered it lost;



JUDANI ARLU NIKU P. CORREA Affiant




AFFIDAVIT OF LOSS

That COMMUNITY DEVELOPMENT COOPERATIVE, represented by Coop Chairman ROMEO L. ESCAMILLA, of legal age, Filipino, with office address at Brgy. Kapitan Tomas Monteverde St., Davao City, Philippines, after having been duly sworn to depose and say:

1. That COMMUNITY DEVELOPMENT COOPERATIVE / C.O.R. is the holder of a certain CERTIFICATE OF REGISTRATION (Original) duly issued in the Office of Bureau of Internal Revenue (BIR), Davao City;

2. That the said CERTIFICATE OF REGISTRATION / C.O.R. (Original) was lost and despite of diligent efforts in locating the same it could not be found hence, the cooperative considered it lost;

3. That the cooperative is executing this affidavit to inform the proper authorities concerned of the foregoing facts and for whatever legal purpose this may serve.


COMMUNITY DEVELOPMENT COOPERATIVE

Represented by:

ROMEO L. ESCAMILLACoop Chairman / Affiant



AFFIDAVIT OF LOSS

I, FLORENCE C. AGUILOS, of legal age, Filipino, married and a resident of Davao City, Philippines after having been duly sworn to depose and say:

1. That I am a holder of a certain pawn paper issued by Kimsan Pawnshop, Quimpo Blvd., Davao City with Pawn Ticket No. 111602 dated October 29, 2009.

2. That said pawn paper issued by Kimsan Pawnshop, Quimpo Blvd., Davao City was inadvertently misplaced and despite of diligent efforts in locating the same it could not be found hence, I considered it lost;

3. That I am executing this affidavit to inform the proper authorities concerned of the foregoing facts and for whatever legal purpose this


FLORENCE C. AGUILOS Affiant


Doc. No._____;Page No. ____;Book No. ____; Series of 2010


AFFIDAVIT OF LOSS

I, TIARA ANN U. WAGAY, of legal age, Filipino, single and a resident of Purok 1, Lacson, Calinan, Davao City, Philippines after having been duly sworn to depose and say:

1. That I am a holder of a certain OFFICIAL RECEIPT (OR) of YEAR BOOK duly issued at the School of Mindanao Medical Foundation College, R. Castillo, Agdao Davao City;

2. That said OR was inadvertently misplaced and despite of diligent efforts in locating the same it could not be found hence, I considered it lost;


IN WITNESS WHEREOF, I have hereunto affixed my signature this _________day of _________________ at Davao City, Philippines.

TIARA ANN U. WAGAY Affiant

SUBSCRIBED AND SWORN to before me this ________ day of ______________________________ at Davao City, Philippines Doc. No._____;Page No. ____;Book No. ____; Series of 2010


AFFIDAVIT OF LOSS

I, RODESSA CHI, of legal age, Filipino, and a resident of Malvar St., Davao City, Davao City, Philippines after having been duly sworn to depose and say:

1. That I am a holder of a certain Pawn Paper Ticket issued by EURO CIRCLE Pawnshop located at 164 Betty Tan Bldg., Anda and San Pedro St., Davao City

2. That said pawn paper issued by EURO CIRCLE Pawnshop was inadvertently misplaced and despite of diligent efforts in locating the same it could not be found hence, I considered it lost;



RODESSA CHI Affiant

SUBSCRIBED AND SWORN to before me this ________ day of ______________________________ at Davao City, Philippines Doc. No._____;Page No. ____;Book No. ____; Series of 2010


AFFIDAVIT OF LOSS

I, QUINTIN A. DAGOC, of legal age, Filipino married and a resident of Adecor Kaputian, Island Garden City of Samal, Philippines after having been duly sworn to depose and say:

1. That I am the registered owner/holder of certain GSIS E-Card ID NO. B42JHQAD011 duly issued in the GSIS Office, Davao City;

2. That the aforementioned GSIS E-Card were lost and despite of diligent efforts in locating the same, it could not be found hence, I considered it lost;



QUINTIN A. DAGOC Affiant




AFFIDAVIT OF LOSS

I, VIRGINIA L. GOLIMLIM, of legal age, Filipino married and a resident of SIR Teacher’s Village, Tigatto, Buhangin, Davao City, Philippines after having been duly sworn to depose and say:

1. That I am the owner/holder of a certain PASSBOOK duly issued at Tagum Cooperative, Bajada Branch, Davao City;

2. That the aforementioned PASSBOOK were lost and despite of diligent efforts in locating the same, it could not be found hence, I considered it lost;



VIRGINIA L. GOLIMLIM Affiant




AFFIDAVIT OF LOSS

I, RONALD A. MARANTE, of legal age, Filipino, married , and a resident of Manggahan St., Toril, Davao City, after having been duly sworn to depose and say:

1. That I am the registered owner/holder of the following: SSS IDENTIFICATION CARD (ID), duly issued at the Social Security system (SSS), Davao City, 2) DRIVER’S LICENSE duly issued at Land Transportation Office (TO), Davao City; 3) SECURITY OFFICERS LICENSE, AFPSLAI IDENTIFICATION CARD (ID); 4) FIREARM LICENSE and TIN IDENTIFICATION CARD (ID) duly issued at the Bureau of Internal Revenue (BIR), Davao City and other pertinent documents.

2. That the aforementioned ID’s and LICENSE was lost and despite of diligent efforts in locating the same, it could not be found hence, I considered it lost;



RONALD A. MARANTE Affiant




AFFIDAVIT OF LOSS

I, SANITARY CARE PRODUCTS ASIA INC. represented by: RICHARD ALVIN PULIDO (Head Logistic) of legal age, Filipino and a resident of Lanang, Davao City, Philippines after having been duly sworn to depose and say:

1. That SANITARY CARE PRODUCTS ASIA INC. is the registered owner of a certain motor vehicle described below as, to wit:

Make & Type : KIA Motor No. : J2-494161 Chassis No. : KNQSE211287323263 Plate No. : LGH415









SANITARY CARE PRODUCTS ASIA INC.

represented by: RICHARD ALVIN PULIDO Affiant



AFFIDAVIT OF TWO DISINTERED PERSONSRE: LOSS OF LAPTOP

WE, ME-ANN D. BIOLON and MARY GRACE L. GARCIA, both of legal ages, Filipinos, married and a resident of Davao City, Philippines, after having been duly sworn to in accordance with law, hereby depose and say,

That we are employees of Sangguniang Panlungsod, Davao City, and we know that Councilor Peter Lavina is a holder of one (1) unit LAPTOP ASUS and M.R. to him and owned by City Government of Davao with property #06-0696;

That Mary Ann B. Gonzales, one of the staff of Councilor Peter Lavina is the one who discovered that the LAPTOP ASUS was lost and despite diligent efforts to locate the same they cannot be found hence, they considered it lost.



ME-ANN D. BIOLON MARY GRACE L. GARCIA Affiant Affiant




AFFIDAVIT OF LOSS

I, EVELYN P. SASUBE, of legal age, Filipino, married and a resident of Mitsui Busan Vill., Bajada, Davao City, Philippines after having been duly sworn to depose and say:


Make & Type : HONDA Motor No. : XRM16E084746 Chasis No : XRM16084740 Plate No. : _5295YL


3. That said documents while in my position were misplaced and could no longer be located inspite of exerting efforts of locating them;





8. That I bind myself criminally civilly and administratively liable and will assume full responsibility for nay 3rd party claim, and I hereby hold the Land Transportation Office or any of its employees free form any liability arising from any claim for damages as a result

of the approval of the registration of the motor vehicle and or issuance of replacement certificate of registration;


EVELYN P. SASUBE Affiant



AFFIDAVIT OF LOSS

I, A M A COMPUTER COLLEGE, INC., represented by NONITO R. LAVESORES JR. of legal age, Filipino, and with office address at Marfori Heights, Davao City, Philippines, after having been duly sworn to depose and say:

That A M A COMPUTER COLLEGE, INC., is a holder of a certain ORIGINAL CERTIFICTE OF REGISTRATIOPN (COR) Form No. 1556 duly issued in the Bureau of Internal Revenue (BIR), Davao City.

That the said ORIGINAL CERTIFICTE OF REGISTRATIOPN (COR ) was lost and despite of diligent efforts in locating the same it could not be found hence, I considered it lost;



A M A COMPUTER COLLEGE, INC.,

represented by : NONITO R. LAVESORES JR. Affiant




AFFIDAVIT OF LOSS

I, ALDIEN M. SARUNAY, of legal age, Filipino, married and a resident of Lansona Hi-way, Calinan, Davao City, Philippines after having been duly sworn to depose and say:

That I am the owner of a certain TWO (2) PAWNPAPER with PT #40942 and PT #40941 duly issued at De Leon Pawnshop Calinan Branch, Davao City;

2. That the said PAWNPAPER was inadvertently lost and despite of diligent efforts in locating the same it could not be found hence, I considered it lost;

4. That I am executing this affidavit to inform the proper authorities concerned and for whatever legal purpose this may serve.


ALDIEN M. SARUNAY

Affiant




JOINT AFFIDAVIT OF LOSS

We, REBECCA S. DIZON (Vice-President of-Admin & Operations) of legal age, Filipino and a resident of Davao City and MARGE FLORITA C. IBAÑEZ of legal age, Filipino and a resident of Davao City, Philippines after having been duly sworn to depose and say:

1. That we are employee of Davao Beta Spring, Inc. located Malagamot Road, Panacan, Davao City and holder of a certain SAFETY DEPOSIT VAULT KEY NO. K-1509 of BPI-Quirino Branch, Davao City;

2. That the said SAFETY DEPOSIT VAULT KEYS NO. K-1509 were lost after the robbery incident happened last August 7, 2010 at around 2:00 A.M. at the residence of Marge Florita C. Ibañez;

3. That we are requesting the BPI-Quirino Branch Office, Davao City to force open the Safety Deposit Vault;



REBECCA S. DIZON MARGE FLORITA C. IBAÑEZ

Affiant Affiant




AFFIDAVIT OF LOSS

I, MD BIOTECH & RESEARCH CORP., of legal age, Filipino and a resident of Sto. Tomas , Davao del Norte, Philippines after having been duly sworn to depose and say:

1. That the corporation is the registered owner of the motor vehicle described below as, to wit:

Make & Type : NISSANMotor No. : TD27TD02391Chasis No. : Plate No. : LEG457









MD BIOTECH & RESEARCH CORP Affiant



AFFIDAVIT OF LOSS

I, BARANGAY TUGBOK PROPER represented by LENNIE R. REPALDA (Barangay Treasurer) of legal age, Filipino, and a resident of Barangay Tugbok Proper, Davao City, Philippines, after having been duly sworn to depose and say:

That BARANGAY CTUGBOK PROPER is a holder of a certain OFFICIAL RECEIPT (OR) duly issued in the Office of BAYAN TELECOMMUNICATIONS INC., Davao City;

2. That the said OFFICIAL RECEIPT (OR) was inadvertently lost and despite of diligent efforts in locating the same it could not be found hence, I considered it lost;

4. That I am executing this affidavit to inform the Register of Deeds of Davao City and for whatever legal purpose this may serve.


BARANGAY TUGBOK PROPER

represented by: LENNIE R. REPALDA Affiant



REPUBLIC OF THE PHILIPPINES)CITY OF DAVAO . . . . . . . . . . . . .)S.S.x- - - - - - - - - - - - - - - - - - - - - - x

AFFIDAVIT OF LOSS

I, GARLON A. ICASAS of legal age, Filipino and a resident of Old Airport, Sasa, Davao City , after being sworn to in accordance with law, hereby depose and say, THAT:

1. The subject motor vehicle is described as follows:Make/Type HI BED C.R. No.04922594Motor No. Current O.R. No.___________Chassis No. LTC-4PE-1716 File No.4pe 22755Plate No. NUR-659 Classification______________

Trade No._________________________________Position of Affiant :/ /Chairman / / General Manager / / President /X / Owner

2. On or about _______AM/PM of ____________________my vehicle was properly

parked at ________________________________. When I returned to retrieve the above-described vehicle on _____________, I noticed that one/both of its plates is/are missing.

3. I lost no time in diligently trying t locate the said plates but all efforts exerted proved futile and to no avail and that the same is considered lost or stolen and beyond recovery.

4. The said lost plate/s was/were never lent to another person or entity nor confiscated by any other law enforcement agency.

5. I bind myself to surrender the said plates to the district office that issued the same in the event that said plates are recovered;

6. If the DOTC thru the LTO/LTFRB, after inquiry, has found me responsible for the unauthorized of the herein reported lost plates, I hereby signify my conformity to be meted the administrative fines and penalties due and imposed thereon, including the grounding of the unit/s covered by the Certificate of the Public Convenience issued therefore, with waiver and desistance on my part for any claim or action reason on the aforesaid punitive measures taken against me.

7. Purpose of the affidavit of Loss:

/ /For LTFRB Petition for Dropping and Substitution / / For LTFRB Petition for Sale and Transfer and/or /X / For Securing a replacement for lost plates.

8. I am executing this affidavit for the aforesaid purposes as well as for attesting to the truth of the statements herein declare subject to the rules on perjury.

AFFIANT FURTHER SAYETH NAUGHT.

GARLON A. ICASAS Affiant

SUBSCRIBED AND SWORN to before me this _______ day of________ at Davao City, Philippines, affiant exhibited to me his/her CTC No.________ issued on ______________ at_______________.


AFFIDAVIT OF LOSS

I, ROLANDO SEPADA BASCO, of legal age, Filipino married and a resident of Blk. 16 Lot 10, Ilang-Ilang St., Phase II, Tugbok, Davao City, Philippines after having been duly sworn to depose and say:

1. That I am the owner of a certain HOUSE located at Blk. 16 Lot 10, Ilang-Ilang St., Phase II, Tugbok, Davao City;

2.That said HOUSE was burned last March 16, 2012;

1. That the damaged of my house will cost P 923,499.22.



ROLANDO SEPADA BASCO Affiant


Doc. No._____;Page No. ______;Book No. ______; Series of 2012*

Republic of the Philippines)

CITY OF DAVAO . . . . . ..)S.S.X - - - - - - - - - - - - - - - - X

AFFIDAVIT OF LOSS

I, JOSE LEON VENCER, of legal age, Filipino, single and a resident of Guerrero St., Davao City, after having been duly sworn to depose and say:

That I am the holder of a certain PHILIPPINE PASSPORT , duly issued in the Office of Department of Foreign Affairs (DFA), General Santos City;

That the aforementioned PASSPORT was lost and despite of diligent efforts in locating the same it could not be found hence, I considered it lost;



JOSE LEON VENCER Affiant




AFFIDAVIT OF LOSS

I, GIDEON QUIñONES FEROLINO, of legal age, Filipino, and a resident of 8 th Ave., Bangoy St., Brgy. Tomas Monteverde Sr., Davao City, after having been duly sworn to depose and say:

1. That I am the holder of a certain PHILHEALTH IDENTIFICATION CARD (ID) duly issued in the Philhealth Office of Davao City;

2. That the said ID was misplaced and despite of diligent efforts in locating the same it could not be found hence, I considered it lost;



GIDEON QUIñONES FEROLINO Affiant



Republic of the Philippines)City of Davao. . . . . . . . . . )s.s.X- - - - - - - - - - - - - - - - - X

AFFIDAVIT OF LOSS

I, NILO BALBIN of legal age, Filipino married and a resident of Bo. Obrero, Davao City, Philippines after having been duly sworn to depose and say:


Make & Type : HONDAMotor No. : XRM110ME7182766Chasis No. : XRM12-063-182766Plate No. : MEB223









NILO BALBIN Affiant



AFFIDAVIT OF LOSS

I, ____________________________________________, of legal age, Filipino ____________________ and a resident of ________________________________ _____________________________________________________________________________________________, Philippines after having been duly sworn to depose and say:

1. The subject motor vehicle is described as follows::

Make & Type : ___________________ C.R. No._____________Motor No. : ___________________ Current O.R. No.____________Chasis No. : ___________________ File No.___________________Plate No. : ___________________ Classification_______________

Trade Name :____________________ Position of Affiant : :Chairman : : General Manager : : President : : Owner

2. On or about ________AM/PM of _______________, my vehicle was properly parkedat ________________________________________.When I returned to retrieve the above-described vehicle on____________________, I noticed that one/both of its plates is/are missing.

3. I lost no time in diligently trying to locate the said plates but all efforsts exerted proved futile and to no avail and that the same is considered lost or stolen and beyond recovery.

4. The said lost plate/s was/were never lent to another person or entity nor confiscated by any other law enforcement agency.

5. I bind myself to surrender the said plates to the district office that issued the same in the event that said plates are recovered;

6. If the DOTC thru the LTO/LTFRB, after inquiry, has found me responsible for the unauthorized of the herein reported lost plates, I hereby signify my conformity to be meted the administrative fines and penalties due and imposed thereon, including the grounding of the unit/s covered by the Certificate of the Public Convenience issued therefore, with waiver and desistance on my part for any claim or action by reason on the aforesaid punitive measures taken against me.

7. Purpose of this affidavit of Loss: : : For LTFRB Petition for Dropping and Substitution : : For LTFRB Petition for Sale and Transfer and/or : : For Securing a replacement for lost plates.

8.I am executing this affidavit for the aforesaid purposes as well as for attesting to the truth of the statements herein declared, subject to the rules on perjury.

AFFIANT FURTHER SAYETH NAUGHT.

__________________________ Affiant



AFFIDAVIT OF LOSS

I, RICA YSABEL E. RODRIGUEZ, of legal age, Filipino and a resident of 2269 Gen. Lim Extension, Digos City, Davao del Sur, after having been duly sworn to depose and say:

That I was a Superstore Coordinator for the Davao City Area from July 30, 2009 and Jan. 31, 2011 of the S’ Activations and Consultancy, Inc. located at Door 5 Aala Bldg, Camia St., Corner Juan Ave., Matina, Davao City;

That by virtue of said position, I possess the Official Receipts (O.R.) duly issued by S’ Activations and Consultancy, Inc. for Unilever Philippines, located at U.N. Avenue, Metro Manila, to be used for Liquidation purposes, briefly described as follows:

O.R NO. AMOUNT436710 P 207.50

2362 1, 500.00

38299 10, 169.00

9862272A 900.00

49659 500.00

037204 1, 200.00

That the said Official Receipts for Liquidation were lost and despite of diligent efforts in locating the same it could not be found hence, I considered it lost;



RICA YSABEL E. RODRIGUEZ Affiant



REPUBLIC OF THE PHILIPPINES)CITY OF DAVAO . . . . . .. )S.S.X - - - - - - - - - - - - - - - - X

AFFIDAVIT OF LOSS

I, ROBERT BALON AGUSTIN of legal age, Filipino married and a resident of Purok 6 Dacudao, Calinan, Davao City, Philippines after having been duly sworn to depose and say:


Make & Type : MITSUBISHI Motor No. : AQ2374 Chassis No. : Plate No. : MCM553








IN WITNESS WHEREOF, I have hereunto affix my signature this ________day of

_____________, 2011 at Davao City, Philippines.

ROBERT BALON AGUSTIN Affiant



AFFIDAVIT OF LOSS

I, MIRASOL UY OPALLA , of legal age, Filipino, married and a resident of Blk. 8, Lot2, Suraya Homes, Cabantian, Davao City, Philippines, after having been duly sworn to depose and say:

That I am the mother of IAN UY OPALLA holder of a certain SCHOOL IDENTIFICATION CARD (ID) duly issued in the Ateneo de Davao High School Department, Davao City.

That the said SCHOOL IDENTIFICATION CARD (ID), was lost and despite of diligent efforts in locating the same it could not be found hence, I considered it lost;



MIRASOL UY OPALLA Affiant




AFFIDAVIT OF LOSS

I, JEARVE M. SAYSON of legal age, Filipino single and a resident of Ph2 Sandawa, Matina, Davao City, Philippines after having been duly sworn to depose and say:


Make & Type : GRANSTAR Motor No. : 152FMH-288401290 Chassis No. : 152FMH-288400703 Plate No. : 2089LJ

2. That as proof of ownership of the above described vehicle I was issued by the Land

Transportation Office, Official Receipt (OR) as proof of payment and Certificate of Registration (CR);








JEARVE M. SAYSON Affiant


Doc. No.________;Page No.________;Book No.________;Series of 2012.


AFFIDAVIT OF LOSS

I, RICA YSABEL E. RODRIGUEZ, of legal age, Filipino and a resident of Digos City, Philippines after having been duly sworn to depose and say:

That Davao Central Warehouse Club is a holder of a certain Sales Invoice Nos. 50000232; 50010563; 50010062; 50010063; 50009577; 50009367; 50008794 and 50008691; duly issued by Unilever RFM Ice Cream Inc. ;

That the aforementioned SALES INVOICE were lost and despite of diligent efforts in locating the same it could not be found hence, I considered it lost;







AFFIDAVIT OF LOSS

I, RICHIE BALASA ARROJADO legal age Filipino married and a resident of Mintal, Tugbok, Davao City, Philippines, after having been duly sworn to in accordance with law do hereby depose and say:

That I am holder of a certain TIN IDENTIFICATION CARD, duly issued at at the Bureau of Internal Revenue (BIR), Davao City.

2. That the said TIN CARD was lost and despite of diligent efforts in locating the same it could not be found hence, I considered it lost;



RICHIE BALASA ARROJADO Affiant




AFFIDAVIT OF LOSS

I, BAI HUNDRA CASSANDRA DOMINQUE N. ADVINCULA of legal age Filipino, single and a resident of b5 7 Crystal Bay Road, Hillcrest Subd., Davao City, Philippines, after having been duly sworn to in accordance with law do hereby depose and say:

That I am the guardian of CARLO N. HAM and a holder of a certain SCHOOL IDENTIFICATION CARD (ID) duly issued at the Davao City National High School


3. That I am executing this affidavit to attest to the truth and to inform the proper authorities concerned and for whatever legal purpose this may serve.


BAI HUNDRA CASSANDRA DOMINQUE N. ADVINCULA

Affiant




AFFIDAVIT OF LOSS

I, RENATO ALDEMITA BASALE of legal age, Filipino, married and a resident of Purok Everlasting, Barangay Tagakpan, Tugbok District, Davao City, Philippines after having been duly sworn to depose and say:

That I am a holder of a certain SSS IDENTIFICATION CARD (ID) duly issued by the Social Security System (SSS), Davao City;

That aforesaid ID was inadvertently misplaced and despite of diligent efforts in locating the same it could not be found hence, I considered it lost;

That I am executing this affidavit to inform the proper authorities concerned of the foregoing facts and for whatever legal purpose this


RENATO ALDEMITA BASALEAffiant


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

Aff. of Loss

Documents

Transcript of Aff. of Loss