Affidavit Of Loss Format (driver's License).docx

AFFIDAVIT OF LOSS (Driver’s License) REPUBLIC OF THE PHILIPPINES ) ) S.S. I, ________________________________________, Filipino, of legal age, and a resident of _____________________________________________, after having been sworn to in accordance with law hereby deposes and states that: 1. I am a holder of a Driver’s License issued by the Land Transportation Office; 2. On _______________, my Driver’s License including the Official Receipt issued by the LTO, was lost; 3. I took pains in looking for my driver’s license and the official receipt but to no avail and I believe that the same is now beyond recovery; 4. I was not apprehended by any government agency for violation of any traffic or transportation law and I did not surrender my Driver’s License to anyone; 5. I am executing this affidavit to attest to the truth of the foregoing and for purposes of applying for another Driver’s License with the Land Transportation Office. IN WITNESS WHEREOF, I have hereunto set my hand this ___ day of _______________ at _______________, Philippines. ______________________________ Affiant SUBSCRIBED AND SWORN to before me, this ___ day of _______________ at _______________, Philippines.