Sample Affidavit of Loss (Driver's License)

Republic of the Philippines)                                       Quezon City                        ) Sc.

AFFIDAVIT OF LOSS 

            I,         JUAN P. DELA CRUZ, Filipino, of legal age, single and with residence and postal address at Unit 105 Silver Place Townhouse,  Mango Circle, Quezon City, after having been duly sworn to in accordance with law, hereby depose and state that:

1.      Sometime in December 18, 2012, I was looking for my Driver’s License;

2.    I have looked everywhere to find my Driver’s License but it was nowhere to be found;

3.      Diligent efforts to locate the same was exerted but it proved futile; 

    4.     I am executing this affidavit to attest to the truthfulness of the foregoing facts and for what legal intents and purposes it may serve.

AFFIANT FURTHER SAYETH NAUGHT.

 JUAN P. DELA CRUZ

   Affiant                       

                                                

IN WITNESS WHEREOF, I have hereunto set my hand this 23^rd day of December 2014 at Quezon, City, Philippines.

                                                  JUAN P. DELA CRUZ

                        Affiant

JURAT

SUBSCRIBED AND SWORN to before me this 23^rd day of December 2014, affiant personally appeared and exhibited to me his Philippine Passport No. EB-1234567 issued on July 16, 2012 in Manila, Philippines.

NOTARY PUBLIC

Doc.  No.: _____;

Page No.: _____;

Book No.: _____;

Series of 20_____.