Affidavit of loss- LTO License Receipt PDF

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REPUBLIC OF THE PHILIPPINES QUEZON CITY x------------------------------------------x

) ) S.S.

AFFIDAVIT OF LOSS I, MARJORIE G. PINEDA, of legal age, single, Filipino, with residence and postal address at Blk. 13 Lot 13 Arayat St., Hacienda Heights SSS Village, Marikina City, after being sworn to in accordance with law, depose and say THAT:

1.

Last December 2016, I submitted the requirements for the issuance of Driver’s License in Land Transportation Office in San Juan City;

2.

The LTO issued a Driver’s License Receipt (DLR) upon the submission of the requirements which also serves as payment and Temporary License;

3.

I have always kept the Driver’s License Receipt (DLR) inside my wallet along with my other Identification cards, money and some receipts;

4.

Sometime in April 2018, I was looking for the Driver’s License Receipt (DLR but to my surprise, said Driver’s License Receipt (DLR) could not be found;

5.

I came to believe I accidentally threw away the said receipt together with the other receipts in my wallet;

6.

Despite diligent efforts exerted, I could no longer locate, find, or recover the said Driver’s License Receipt (DLR) , and to the best of my knowledge, the same is truly lost;

7.

For verification purposes, attached as Annex “A” is my Postal ID No. PAN E14160182004 B;

8.

I am executing this Affidavit of Loss to attest to the truth of the foregoing and to support for the issuance of my Driver’s License ID. AFFIANT FURTHER SAYETH NAUGHT. IN WITNESS WHEREOF, I have hereunto set my hand this June 1, 2018 in

Quezon City, Metro Manila, Philippines.

MARJORIE G. PINEDA Affiant SUBSCRIBED AND SWORN TO before me this June 1, 2018 in Quezon City, Philippines, affiant exhibiting to me his Competent Evidence of Identity by way of Postal ID No. PAN E14160182004 B. Doc. No. ______; Page No. ______; Book No. ______;

Series of 2018....