Friday, August 2, 2019

Affidavit of Loss


Republic of the Philippines)                                       
______________________      ) Sc.

AFFIDAVIT OF LOSS 


 I,      ______________________, Filipino, of legal age, married, and with residence and postal address at ________________________________________________________________, after having been duly sworn to in accordance with law, hereby depose and state that:

1.         I have been trying to look for the original Certificate of Registration of my car with the following details:
MAKE                    :  
MOTOR NO.                      : 
SERIES                  :  
SERIAL/CHASSIS NO.      : 
TYPE OF BODY      : 
PLATE NO.                        : 
YEAR MODEL        : 
FILE NO.                           : 

C.R. NO.                            :  


2.         Diligent efforts to locate the said document were exerted but it proved futile; and

3.         I am executing this affidavit to attest to the truthfulness of the foregoing facts and for the purposes of declaring it loss and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this _____ day of ____________________ at __________________, Philippines.

AFFIANT FURTHER SAYETH NAUGHT.
                                                
______________
               Affiant                       
                                                
JURAT

SUBSCRIBED AND SWORN to before me this _____ day of ____________________________ affiant personally appeared and exhibited to me his Government-issued Identification Card No. ________________________, issued on _____________________ at City of Makati.

NOTARY PUBLIC

Doc.  No.: _____;
Page No.: _____;
Book No.: _____;
Series of 2019.



Tuesday, May 21, 2019

AFFIDAVIT OF ECONOMIC STATUS SAMPLE


Republic of the Philippines )
City of ___                         ) Sc.


AFFIDAVIT OF ECONOMIC STATUS

I, AAA, of legal age, Filipino citizen and with residence address at 143 Brgy IloveYou, Manila, after having been sworn to in accordance with law, do hereby depose and state, that:


1.     I am applying for Violet Card at XXX Medical Center, Manila, to support my medication and in connection therewith, I am required to submit a sworn statement of my economic status, hence this affidavit;

2.     I am solo parent with one minor child still studying;

3.     I am not getting any financial support from the father of my minor child;

4.     I am unemployed and our sole source of income is my sari-sari store located in our residence at 143 Brgy IloveYou, Manila;

5.     I am earning Two Hundred Pesos (P200.00) daily income from my sari-sari-store, of which we are getting our daily expenses, and payment for utility bills and rental fee;

6.     I am executing this affidavit to attest to the truth of the foregoing facts and for purposes of applying for issuance of Violet Card issued by XXX  Medical Center.

AND FURTHER AFFIANT SAYETH NAUGHT.

IN WITNESS WHEREOF, I hereby signed this Affidavit on this ____day of ______________20__ in the City of ________________ on ______________.


AAA
Affiant
Signed in the Presence of:

______________________________                  _____________________________

REPUBLIC OF THE PHILIPPINES )
CITY OF _______________________) Sc.

JURAT

SUBSCRIBED AND SWORN to before me this___________________________ in the City of _____________, affiant exhibiting to me his/her government issued identification card No. __________________________________, issued on _________________, issued at ______________.  

NOTARY PUBLIC
Doc. No. :_______
Book No. :_______
Page No. :_______
Series of :2019.

Wednesday, September 12, 2018

Legal Implications of Cyberbullying


This is part of my presentation during the seminar on "Personal Awareness Through Collective Encounter (PACE) II Program last March 1, 2018 at Trinity University of Asia.




































Monday, September 3, 2018

Affidavit of Discrepancy in Name








REPUBLIC OF THE PHILIPPINES)
__________________________  ) Sc.


AFFIDAVIT OF DISCREPANCY IN NAME

I, WWW WWW, of legal age, single, and with address at 808 Maganda St., May Lahi, Manila under oath, state that:

1.              My name is WWW XXX as stated and registered in my birth certificate issued by the Philippine Statistics Authority.  A copy of my birth certificate is hereto attached as ANNEX “A” and made an integral part of this Affidavit;

2.              In my Certificate of Live Birth as recorded in the Office of the Civil Registrar of May Lahi, Manila, Philippines, my surname was erroneously written as "XYX" instead of my true and correct surname of "XXX";

3.              My true surname name is "XXX", as appearing in all my pertinent records including scholastic records and all identification cards, including my Philippine passport.  Copy of my Philippine passport is hereto attached as Annex “B” and made an integral part of this Affidavit;

4.              WWW XXX and WWW XYX refer to one and the same person, the herein Affiant; and

5.              I am executing this Affidavit of Discrepancy to attest to the truth of the foregoing facts and to explain the discrepancy in my Certificate of Live Birth.


IN WITNESS WHEREOF, I hereunto affix my signature this _________________ at __________________________.


WWW XXX
Affiant

Signed in the presence of:

_______________________________               ______________________________


JURAT

SUBSCRIBED AND SWORN to before me this _______________ at _____________, Affiant exhibiting to me his/her Competent Identification Card: ______________________, issued on _________________ at ________________.


NOTARY PUBLIC

Doc No. _______;
Page No. ______;
Book No. ______;
Series of 2019.


Sunday, August 13, 2017

Secretary's Certificate

Republic of the Philippines
City of Makati                         Sc.


SECRETARY’S CERTIFICATE

     I, MMM M MMM of legal age, Filipino, single and with office address at G/F United Kingdom Tower, Venus Road, Makati City,  after having been duly sworn  in accordance with law, do hereby depose and say that:

1.    I am the Corporate Secretary of the XYZ CORPORATION, a domestic company duly-registered with Securities and Exchange Commission (SEC), with corporate business address at G/F United Kingdom Tower, Venus Road, Makati City;

2.    At the Special Board meeting held on October 19, 2014 where majority of the Stockholders are present and at which a quorum was existing and acting throughout, the members of the Board present approved the following recommendations:

a.   RESOLVED, as it is hereby RESOLVED, that the following are the newly elected Board of Directors: 1.MMM M MMM, 2. JJJ J JJJ and 3. HHH H HHH and likewise elected as Corporate Secretary, Treasurer and Board of Director as replacement of XXX X XXX, respectively.  Said officers shall act as such for the remaining term of the Board of Directors who resigned and replaced” and

b.   RESOLVED FINALLY, that updating of corporate accounts specifically bank accounts of the Corporation will be the tasked of the new Corporate Secretary, MMM M MMM. Official signatories for the checks, deposits and withdrawal shall be MMM M MMM and JJJ J JJJ.

3.    The foregoing approval has not been amended, suspended or revoked and the same is valid and effective until otherwise modified by another act of the board.

Done this 5 November 2014, Makati City.

                                                MMM M MMM
Corporate Secretary






JURAT


SUBSCRIBED AND SWORN to before me this 21st day  of January 2015, personally exhibited to his LTO driving License No. N02-1234-5678 issued on November 28, 2013 in Quezon City.

                                                                                  NOTARY PUBLIC
Doc. No. ___
Page No. ___
Book No. ___
Series of 2014.


TREASURER'S AFFIDAVIT


PDF
Print
E-mail

 


REPUBLIC OF THE PHILIPPINES)
City of San Juan                      )              Sc.

I, AAA A. AAA, of legal age, married and a resident of Unit 101 Maganda Tower, San Juan, after being duly sworn, depose and say:

That I have been elected by the subscribers of the corporation as Treasurer thereof to act as such until my successor has been duly elected and qualified in accordance with the by – laws of the corporation, and that as such Treasurer, I hereby certify under oath that at least 25% of the authorized capital stock of the corporation has been subscribed and at least 25% of the subscription has been paid, and received by me in cash for the benefit and credit of the corporation.

This is also to authorize the Securities and Exchange Commission and Bangko Sentral Ng Pilipinas to examine and verify the deposit in the:

Bank
Branch
Address
BPI
San Juan
G/F Cityland Tower I, San Juan City


in my name as Treasurer in trust for the XYZ INC. in the amount of Five Hundred Thousand Pesos Only (P500,000.00) representing the paid-up capital of the said corporation which is in the process of incorporation.

This authority is valid and inspection of said deposit may be made even after the issuance of the Certificate of Incorporation to the corporation. Should the deposit be transferred to another bank prior to or after incorporation, this will also serve as authority to verify and examine the same. The representative of the Securities and Exchange Commission is also authorized to examine the pertinent books and records of accounts of the corporation as well as all supporting papers to determine the utilization and disbursement of the said paid up capital.

In case the said paid-up capital is not deposited or withdrawn prior to the approval of the articles of incorporation, I, in behalf of the above named corporation, waive our right to a notice and hearing in the revocation of our Certificate of Incorporation.

In witness hereof, I hereunto affix my signature this day of ____________ 2014, _____________, Philippines.


AAA A. AAA
Affiant
Philippine Passport No:EB0912345
Issued on  18 June 2014, Manila


JURAT

SUBSCRIBED AND SWORN TO before me, a Notary Public in the City of San Juan, personally appeared above name with his Philippine Passport No. EB0912345, issued on 18 June 2014, who is personally known to me to be the same person and identified through competent evidence of identity as defined by Rules on Notarial Practice, who presented the foregoing instrument and signed the instrument in my presence, and who took an oath before me as to such instrument. Witness my hand and seal this on _________________.

                                               
NOTARY PUBLIC 

Doc. No.: ______
Page No.: ______
Book No.: ______
Series of 2017.






Affidavit of Loss

Republic of the Philippines)                                        ______________________      ) Sc. AFFIDAVIT OF LOSS   I ,...