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Affidavit of Loan Repayment Sample and Complete Guide | Free Template

Affidavit of Loan Repayment: Meaning, Purpose, and Sample Form

An Affidavit of Loan Repayment is a sworn legal document executed by a borrower or payor to formally declare that a loan has been fully or partially paid. This affidavit serves as written proof that loan obligations have been settled or are being repaid according to an agreed schedule. It is commonly required by lenders, courts, employers, government agencies, or private individuals.

This document is often used when official receipts, contracts, or payment records are unavailable, incomplete, or need additional sworn confirmation. Because it is executed under oath, any false declaration may result in legal consequences.

When Is an Affidavit of Loan Repayment Required?

An Affidavit of Loan Repayment may be required for:

  • Proof of fully paid personal or business loans
  • Settlement of debts between private individuals
  • Court or legal documentation of debt repayment
  • Loan clearance or record updates
  • Employment, background, or financial verification
  • Government or institutional compliance requirements

Supporting documents such as receipts, payment schedules, or written agreements may be attached if available.

What Should Be Included in an Affidavit of Loan Repayment?

A valid affidavit should include the following details:

  • Complete details of the borrower/affiant
  • Name of the lender or creditor
  • Amount of the loan and date it was incurred
  • Statement confirming full or partial repayment
  • Date or period of repayment
  • Purpose of executing the affidavit
  • Affiant’s signature and notarization

Accuracy is essential, as this affidavit is a legally binding declaration.

Sample Affidavit of Loan Repayment (Editable Template)

Replace all bracketed information below before printing and notarization.

REPUBLIC OF THE PHILIPPINES
[CITY / MUNICIPALITY]
[PROVINCE]

AFFIDAVIT OF LOAN REPAYMENT

I, [FULL NAME OF AFFIANT], of legal age, [citizenship], [civil status], and residing at [complete address], after having been duly sworn in accordance with law, hereby declare and state:

1. That I obtained a loan from [FULL NAME OF LENDER] in the amount of [amount] on or about [loan date].

2. That I have fully repaid / partially repaid the said loan on [date/s of payment], in accordance with our agreement.

3. That as of this date, the loan balance is [state “fully settled” or indicate remaining balance].

4. That I am executing this Affidavit of Loan Repayment to formally attest to the repayment of the said loan and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this [day] day of [month, year] at [place of execution].



_________________________________
[FULL NAME OF AFFIANT]
Affiant

SUBSCRIBED AND SWORN to before me this [day] day of [month, year] at [place], the affiant presenting the following competent proof of identity:

ID Type and Number: [ID Number]
Date & Place of Issuance: [details]


_________________________________
NOTARY PUBLIC
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of _____.

Disclaimer: This template is for general informational use only. Additional documents or confirmation from the lender may be required depending on the institution.

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