Affidavit of Loss

I, (Pangalan), Filipino, of legal age, presently residing at (Address ), after having been sworn to in accordance with law hereby depose and state:

1. That the Land Transportation Office issued to me a Driver’s License with No. 123456789

(Note: Ilagay ang bagay na nawala at kung kanino nanggaling, e.g., birth certificate-NSO, company ID-Company name, etc.)

2. That sometime in (buwan kung kelan nawala o ilagay ang tamang araw kung  alam mo kelan) of this year, I was looking for the (bagay na nawala) but to my surprise, said (bagay na nawala) could not be found;

3. That I took pains to look for said (bagay na nawala), but to no avail;4. That I am executing this affidavit to attest to the truth of the foregoing and to request from the Land Transportation Office of Quezon City, a new Driver’s Licence.

(Note: Ilagay ang dahilan kung bakit ginawa o purpose ng affidavit) 

IN WITNESS WHEREOF, I have hereunto set my hand this _____ day of _______________. 20___ at _________________________.


(Name Over Signature of Affiant)

REPUBLIC OF THE PHILIPPINES)
_________________________ ) S.S

SUBSCRIBED AND SWORN to before me, this ____ day of ______________, 20___ in ___________________ City, with affiant exhibiting his CTC No. _______________ , Issued on ______________________ at _________________________.

{ 55 comments… read them below or add one }

iami June 9, 2010 at 12:57 pm

tito boy, pagamit nito ha. kailangan ko for my lost insurance contract. thanks thanks

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Rob aka Tito Boy June 10, 2010 at 5:39 pm

sure!

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bobtom07 June 28, 2010 at 9:27 am

sir makikigamit po ha, need ko lang po sa SSS id et al na nawala kasama po ng wallet ko.

Maraming Salamat po and More Power

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TONETTE PADLAN July 30, 2010 at 5:25 pm

PAGAMIT PO KC UNG MGA IRRESPONSABLENG TAO SA DSWD IWINALA UNG OLD HEALTH CARD KO, GRRR TALAGA, SA KANILA KAYA MANGYARI ANG HASSLE NA ITO HMMP!!!! SALAMAT PO ULI

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Vivienne Gonzalez August 20, 2010 at 9:12 pm

ask ko lang po sana kung pwedeng pagawa ng affidavit of loss highschool id po ang nwala with signature of a lawyer daw ?

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granger1220 August 20, 2010 at 11:12 pm

Sa Quiapo :D

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jhep October 14, 2010 at 12:59 pm

pagamit din ha..nid ko para sa ID amf..badtrip n mga mandurukot/magnanakaw na yan..

Thanks dito..

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kat November 20, 2010 at 9:30 am

pagawa naman po ng affidavit loss ng SSS ID at Smart Money card nawala po kasi, Thanks

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BHING December 8, 2010 at 11:57 am

pagamit po nito ha, kasi nawala po kasi ang philhealth id & sss id po..thanx…nawala kasi ang wallet eh…ty ng marami :)

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mj February 6, 2011 at 2:33 pm

pagamit po ahh… pde b to sa affidavit of loss ng pldt landline prepaid plus? kailngan ng pldt may affidavit pa ehh. simcard nalang madami pang arte,

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Nathaniel M. Coles February 9, 2011 at 2:24 pm

Affidavit of loss about TIN

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Rayst Strife April 14, 2011 at 8:19 pm

Affidavit of lost book pls

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fernan g fortes April 26, 2011 at 1:31 pm

it’s not CTC anymore as exhibit for identification Rule on Notarial Practice of 2004

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Anne May 8, 2011 at 7:06 pm

sir pwede po ba ito for lost college id. kaso duly notarized daw? TIA. :*

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April May 19, 2011 at 3:26 pm

ask ko lang po pwede po ba to sa lost high school card? at pano po ang signature ng lawyer? thanks

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Ed Nabus July 23, 2011 at 6:31 pm

Atty.
Pahingi po ng kopya nito. Affudavit of loss

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cams August 8, 2011 at 4:58 pm

pwd din po na pagamit? nawala po kasi driver’s license ko. thank you po.:)

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Ivan Cagandahan August 25, 2011 at 6:55 am

Kuya Boy,

Pwede din po ba ako pagamit nito? Nawawala kasi ang katinuan ko. Papa-notaryo ko na lang para mas mura.

Salamat!

Nagmamahal,
Kuya Ivan

P.S. Ako ay loyal na taga-subaybay mo. Labyu!

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misz.bhaliw September 25, 2011 at 3:59 pm

pedi nyo p0e va ako gawa ng affidavit of loss ..
para sa nawawalang tiket sa licensya …

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smcc October 20, 2011 at 4:42 pm

can i use your format for our lost items. thanks.

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JEN October 20, 2011 at 10:28 pm

saan po pwede magpa sign ng affidavit of loss sa SS ID.. naguguluhan po ako wala ako pambayad lawyer

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TERESA October 26, 2011 at 2:08 pm

SIR,PWEDE PO PAGAWA AFFIDAVIT OF LOSS?NA SNATCH PO KASI BAG KO……KASAMA ID…CP…TNX.

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BM January 30, 2012 at 9:48 am

hi sir, pagamit po for lost ID

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christina February 28, 2012 at 2:56 pm

..gagmitin ko din..at akoy nanakawan!!nawala ng lahat ee..hayyy!!

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shirwin March 5, 2012 at 5:43 pm

pahiram po nito

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joven March 16, 2012 at 5:15 pm

boss pahiram po ha.nadukutan ako ng cellphone eh.kasama company sim ko.haist

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justin March 23, 2012 at 12:59 pm

pagamit po nito:) thanks po.

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Erick March 24, 2012 at 7:53 am

Sir pagamit po to ah, nawala ko kasi ang library card ko, hehehe :)

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ABBEGUEL March 28, 2012 at 10:27 am

sobra nmng hrp hanpin ne2 nakkinis

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Anne March 29, 2012 at 5:05 pm

sir, makikigamit po ha, nid lang po for sim replacement…

thanks…

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roxie March 31, 2012 at 3:49 pm

aku din po nwala ung librarycard ku.. kc aman ung press.. amin di iningatn ee’pgamit pu tenx

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bloodyketchupjaz April 18, 2012 at 5:19 pm

sir,,,pagamit po ako….kung ok lng?

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hana banana April 21, 2012 at 6:24 pm

pa copy naman po neto… =)

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jewel May 1, 2012 at 10:02 am

sir!.. nawala po kasi yung book ko.. pa copy po nito.. :) tnxx..!!
affidavit of loss BOOK po plx.. :)

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shazzamm May 2, 2012 at 7:16 am

Sir, pagawa po ng affidavit ng form 138 due to a fire victim. Thanks!

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Tito Boy May 3, 2012 at 5:28 pm

pagawa ka sa notaryo. may bayad yan.

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bhabe August 24, 2012 at 8:42 pm

Sir, san po b yung notaryo and mga magkano po kaya bayad dun? Thanks po.

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Ray May 7, 2012 at 11:51 am

may samples po ba ng affidavit of loss ng maraming id?
isang company po kami tpos ung mga tao namin nawawala ung id na naisyu ng kinontrata naming company and hinahanap nila ung mga id para mabayaran kami.

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Tito Boy May 7, 2012 at 7:44 pm

Just make separate affidavits for each employees. Not all of them have same circumstance I suppose. If not, just modify the above.

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Khar May 16, 2012 at 2:07 pm

Sir,

Pagamit po ako nito ha, para sa mga nawala kung I.D.

Thanks.

Khar

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Gwen May 27, 2012 at 9:09 pm

Sir, paano po kung ung nawalang d.l. ko po e expired na? paano po ang processing nun? at anu requirements kung sakaling magpapa-renew po ako? almost 2 mos. na xpired ung d.l. ko po. reply po kayo.

Thanks.

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Tito Boy May 28, 2012 at 6:17 pm

Anong ID? Iba’t-ibang ID, iba’t-ibang proseso. Basta gawa ka affidavit of loss, kailangan yun kahit expired o hindi ang ID mo.

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eonzerimar June 4, 2012 at 2:07 pm

sir puwede bang 2 lost item in one affidavit?
kasi sir naaksidente ako kaso mukhang kumuha ng reward yung mga tumulong sakin kaya medyo nawala ung ATM & SSS ID ko pwd ho ba un?

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Tito Boy June 4, 2012 at 11:35 pm

Sure, ang importante ay ang katotohanan sa loob ng affidavit.

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john June 5, 2012 at 5:45 pm

sir gudafternoon!

Sir can u please make me a format of afidavit of loss ng ATM.. ive lost it a week ago.. and the bank ask me to present an afidavit of loss.. sir pls help me make a format of it..

Thank u so much…

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Tito Boy June 5, 2012 at 7:17 pm

Aba may bayad yan. Just copy what is provided here and modify to fit your need.

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Gwen June 9, 2012 at 12:01 pm

Sir, ung drivers license i.d. ko po ung nawala bale magpapa renew po kasi ako e expired na po ung po ung nawalang drivers license ko. kailangan pa rin ba ng affidavit of loss kung expired naman na ung drivers license ko po?? thanks!

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Tito Boy June 9, 2012 at 8:37 pm

Yes.

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chao June 10, 2012 at 3:21 pm

Hi po. Cod i use 1 affidavit for 5 IDs lost? pwd po pagamit nito? Anywhere po ba pwedeng kumuha ng IDs gaya ng philihealth? SSS? Voters ID?

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Tito Boy June 10, 2012 at 8:03 pm

Yes, pwede isang affidavit na lang para tipid. Gamitin mo chao. Kumuha ka ng ID sa opisina ng pagkukunan e.g. SSS, Philhealth, COMELEC ID, etc.

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chao June 10, 2012 at 3:22 pm

By the way, Thank u po.

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ariel amoy June 19, 2012 at 4:20 pm

pidi poh ba pa2long kung papano gumwa ng affidavit kapag nawala ung I.D

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DEE July 8, 2012 at 11:33 pm

Makikigamit po ha :) I need it for my stolen driver’s license po. Maraming salamat po!

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JMVP July 30, 2012 at 9:57 pm

Pacopy nalang po ng format sir para sa nawala kong ID… thanks!

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Ian August 28, 2012 at 10:25 am

Tito boy,
Pakopya din po ng format niyo, para po sa nawalang Driver’s License ko. Salamat po

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