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AFFIDAVIT OF LOSS OF CERTIFICATE OF OWNERSHIP PAPERS OF AUTOMOBILE

AFFIDAVIT


REPUBLIC OF THE PHILIPPINES   )
PROVINCE OF _______________ )  SS
MUNICIPALITY OF ___________  )

            I, ____________________, of legal age, single/married residing at _____________________--, after being sworn in accordance with law, depose and say:

            That I am the true owner of an automobile, described as follows, to wit:

      (Here, state make, model, motor number, Chassis Serial No. _______; Registration Certificate No. ___________, Plate No.; File No. ______________, etc.)

             That the said automobile had been duly registered in my name in the Motor Vehicle Office in __________ for the year (or years) ____________________________.

              That the certificate of registration and other pertinent papers of ownership of said automobile were among those burned and destroyed on ____________  when my house and all personal belongings were completely destroyed by _____________.

                That said papers are now beyond recovery.

                IN WITNESS WHEREOF, I have hereunto set my hand this _________ day of _____________, 20___, in the Municipality of ___________________, Province of ______________, Philippines.

                                                                                                                  


                                                                                                                ____________________________
                                                                                                                      (Signature of Affiant)



               SUBSCRIBED and sworn to before me, in the city/municipality of __________________, this ___________ day of _________________, 20___________ by ___________________ with Residence Certificate No. ________________ issued at ___________________ on ______________, 20_____.


                                                                                                      

                                                                            NOTARY PUBLIC
                                                                            My commission expires Dec. 31, 20__
                                                                            Not. Reg. No._____________________;
                                                                            Page No.________________________ ;
                                                                            Book ___________________________;
                                                                            Series of 20___________ 

VERIFICATION (OF PLEADING)

REPUBLIC OF THE PHILIPPINES   )
PROVINCE OF _______________ )  SS
MUNICIPALITY OF ___________  )

                   (Name of affiant), after being sworn in accordance with law, deposes and says: That he is the plaintiff in the above-entitled case; that he has caused the above complaint to be prepared and has read and knows the contents thereof; that the allegations therein are true of his own knowledge.

                                                                                                                       ______________________
                                                                                                                                 (Signature of affiant)



               SUBSCRIBED and sworn to before me, in the city/municipality of __________________, this ___________ day of _________________, 20___________ by ___________________ with Residence Certificate No. ________________ issued at ___________________ on ______________, 20_____.


                                                                                                      

                                                                            NOTARY PUBLIC
                                                                            My commission expires Dec. 31, 20__
                                                                            Not. Reg. No._____________________;
                                                                            Page No.________________________ ;
                                                                            Book ___________________________;
                                                                            Series of 20___________ 

Verification is an averment by the party making a pleading that he is prepared to establish the truth of the facts which he has pleaded (Bouv.)A pleading is verified by an affidavit stating that the person verifying has read the pleading and that the allegations thereof are true of his own knowledge.  Verification based on "information and belief," or upon "knowledge, information and belief" shall be deemed insufficient.
                                                                                                      

                                                

THE JURAT

                           SUBSCRIBED and sworn to before me, in the city/municipality of __________________, this ___________ day of _________________, 20___________ by ___________________ with Residence Certificate No. ________________ issued at ___________________ on ______________, 20_____.


                                                                                                      

                                                                            NOTARY PUBLIC
                                                                            My commission expires Dec. 31, 20__
                                                                            Not. Reg. No._____________________;
                                                                            Page No.________________________ ;
                                                                            Book ___________________________;
                                                                            Series of 20___________ 

ACKNOWLEDGMENT BY CORPORATION

REPUBLIC OF THE PHILIPPINES   )
PROVINCE OF _______________ )  SS
MUNICIPALITY OF ___________  )

          BEFORE ME, this __________ day of ___________ , 20___ in the Municipality of ________________, Province of ______________, Philippines, personally appeared ________________, representing to be the President (or Manager) of ____________________, known to me to be the same person who executed the foregoing instrument for and in behalf of the said corporation, and he acknowledged to me that the same is the corporate act and deed of _________ and that he is duly authorized to sign the same.  The said _____________ exhibited to me his Residence Certificates No. A ____________ , issued at __________ on _______________, and No. B ______________ , issued at _____________ on ________ with Tax Identification Number ___________________; while the corporation has Residence Certificates No. A _______________ issued at _____________ on _______________; with Tax Identification Number _____________________.

                           IN WITNESS WHEREOF, I have hereunto set y hand and affixed my notarial seal, the day, the year and place above written.


                                                                                                      

                                                                            NOTARY PUBLIC
                                                                            My commission expires Dec. 31, 20__
                                                                            Not. Reg. No.____________________;
                                                                            Page No.________________________ ;
                                                                            Book ___________________________;
                                                                            Series of 20___________ 


ACKNOWLEDGMENT OF INSTRUMENT CONVEYING TWO OR MORE PARCELS OF LAND

REPUBLIC OF THE PHILIPPINES   )
PROVINCE OF _______________ )  SS
MUNICIPALITY OF ___________  )

     BEFORE ME, this ________day of ___________, 20___ in the Municipality of _____________, Province of ____________, Philippines, personally appeared _____________________, with Residence Certificates A No. ___________ and B No. ____________ issued at ______________, on _________________, 20_____, respectively, and BIR Tax Identification No. __________________, known to me to be the same person who executed the foregoing instrument, and he acknowledged to me that the same is his free act and deed.

            This instrument relates to the sale (or mortgage) of _________ parcels of land, and consists of _______ pages including the page on which this acknowledgment is written, each and every page of which, on the left margin, having been signed by _____________ and his witnesses, and sealed with my notarial seal.

            IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal, the day, year, and place above written.



                                                                                         NOTARY PUBLIC
                                                                                         My commission expires Dec. 31, 20__
                                                                                          Not. Reg. No.____________________;
                                                                                          Page No.________________________ ;
                                                                                           Book ___________________________;
                                                                                           Series of 20___________

ACKNOWLEDGMENT OF INSTRUMENT CONSISTING OF TWO OR MORE PAGES

REPUBLIC OF THE PHILIPPINES)
PROVINCE OF _______________ )  SS
MUNICIPALITY OF ___________)

          BEFORE ME, this ________day of ___________, 20___ in the Municipality of _____________, Province of ____________, Philippines, personally appeared _____________________, with Residence Certificates A No. ___________ and B No. ____________ issued at ______________, on _________________, 20_____, respectively, and BIR Tax Identification No. __________________, known to me to be the same person who executed the foregoing instrument, and he acknowledged to me that the same is his free act and deed.

                 This instrument, consisting of ________ pages, including the page on which this acknowledgment is written, has been signed on the left margin of each and every page thereof by ____________________ and his witnesses, and sealed with my notarial seal.

                 IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal, the day, year, and place above written.



                                                                            NOTARY PUBLIC
                                                                            My commission expires Dec. 31, 20__
                                                                            Not. Reg. No.____________________;
                                                                            Page No.________________________ ;
                                                                            Book ___________________________;
                                                                            Series of 20___________