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What is an Affidavit of Loss?
An Affidavit of Loss is a sworn legal document executed by a person who has lost an important item, document, or identification card such as a driver’s license, passport, or ATM card. It serves as a formal declaration under oath that the loss occurred unintentionally and that all efforts to locate the missing item have been exhausted.
This affidavit is often required by government agencies or private institutions before issuing a replacement of the lost document. For instance, the Land Transportation Office (LTO) in the Philippines requires a driver to submit an Affidavit of Loss before a replacement driver’s license can be processed.
The affidavit should be signed by the affiant (the person making the statement) and notarized by a lawyer to make it legally binding. Below is a sample template that you can use and edit based on your personal details and situation.
REPUBLIC OF THE PHILIPPINES)
CITY OF BATANGAS) S.S.
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:
IN WITNESS WHEREOF, I have hereunto set my hand this ____________ in Batangas City, Batangas, Philippines.
_____________________________
Affiant
ID No.: ______________________
SUBSCRIBED 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 2025.
Disclaimer: This sample is for educational and informational purposes only. For official use, please have your affidavit reviewed and notarized by a licensed lawyer.
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