Affidavit Of Loss Books.docx

REPUBLIC OF THE PHILIPPINES ) PROVINCE OF LAGUNA )S.S. MUNICIPALITY OF SANTA CRUZ)

AFFIDAVIT OF LOSS I, ANGELICA EMPEO, of legal age, married, and residence address Ina ng Awa Brgy. 5, Santa Cruz, Laguna, after and having been duly sworn on oath in accordance with law hereby voluntary depose and say: 1.- That I am the Secretary of Fundline Finance Corporation located at Quezon Ave. Santa Cruz, Laguna, and being a secretary I was the holder of Promissory Note Trust Receipt of the following customer of Fundline Finance Corporation at Pagsanjan Branch. The list of customer contract are the following: Cynthia Fortaleza

Yolanda Marquez

Ronel Mondalla

Aileen Custodio

Ernesto Salva Jr.,

Rebecca Pajabera

Cristy Gonzales

Darwin Guilermo

Edrenalin Custodio

2.- That sometime in the 1ST week of December of 2012, I noticed that the said contract was not in my filling cabinet were I thought placed the said contract, now I cannot find it anymore, and it must now be considered as lost and beyond recovery; 3.- That I am executing this statement to attest to all the above and of any legal purposes. IN TRUTH WHEREOF, I have hereunto signed my name below, this December 2012 at Santa Cruz, Laguna

17th day of

ANGELICA EMPEO Affiant th SUBSCRIBED AND SWORN to before me this 17 day of December 2012 at Santa Cruz, Laguna, by Angelica Empeo, who has proven to me her identity thru her TIN No. 264-535-321000 , and that she is the same person who personally signed before me the foregoing affidavit and acknowledged that she executed the same.

Doc No.61 Page No. 14 Book No. XXVI Series of 2012

DIOMEDES A. PEREZ Notary Public Until Dec. 31, 2012 PTR OR NO. 0169702 1/2/12 SCL IBP NO. 870986 1/4/12 SPC

REPUBLIC OF THE PHILIPPINES ) PROVINCE OF LAGUNA )S.S. MUNICIPALITY OF SANTA CRUZ)

AFFIDAVIT OF LOSS I, LOWIE BETH RACOMA, of legal age, single, and residence address P. Guevarra St. POb 1, Santa Cruz, Laguna, after and having been duly sworn on oath in accordance with law hereby voluntary depose and say: 1.- That I am the Secretary of Fundline Finance Corporation and I was the holder of Promissory Note Trust Receipt of the following customer of Fundline Finance Corporation at Sta. Cruz Branch. The list of customer contract are the following. Ginalyn Duera

Nancy Mesa

Cynthia Padilla

Liza Paras

Marilou Razalan

Ricky Romero

Lolita Gaceta

Marilen Corpio

Elmore Octavio

2.- That sometime in the 1st week of December of 2012, I noticed that the said contract was not in my filling cabinet were I thought placed the said contract, now I cannot find it anymore, and it must now be considered as lost and beyond recovery; 3.- That I am executing this statement to attest to all the above and of any legal purposes IN TRUTH WHEREOF, I have hereunto signed my name below, this 17th day of December 2012 at Santa Cruz, Laguna LOWIE BETH RACOMA Affiant th SUBSCRIBED AND SWORN to before me this 17 day of December 2012 at Santa Cruz, Laguna, by Lowie Beth Racoma, who has proven to me her identity thru her Postal ID No. 2005950, and that she is the same person who personally signed before me the foregoing affidavit and acknowledged that she executed the same.

Doc No. Page No. Book No. XXIII Series of 2012

DIOMEDES A. PEREZ Notary Public Until Dec. 31, 2012 PTR OR NO. 0169702 1/2/12 SCL IBP NO. 870986 1/4/12 SPC Roll No. 22735