Affidavit of loss receipt template. As such i am executing this affidavit of loss to attest to the truth of the foregoing and for whatever legal purposes that this may serve. Microsoft word sample affidavit of loss author. In witness whereof i have hereunto set my hand this 20th day of may 2013 at makati city philippines.
It is very easy to compose an affidavit in ms word with assistance of affidavit template in word. An affidavit of loss is a legal document containing a written statement declaring a physical loss of a necessary document. For this payment has been lost or was not received from the vendor and that this statement is given in lieu of that itemized receipt to obtain reimbursement for this expenditure.
You would face consequences if you lie. The particular affidavit sample here is for a lost promissory note but it is a simple matter to change the details of the lost document. Affidavit of loss i of legal age filipino singlemarried and resident of.
Below is an example of an affidavit of loss for your personal use. An affidavit of loss is used as proof that a particular document is no longer with you or to indicate that a certain record is truly gone. I am executing this affidavit to attest to the truth of the foregoing statements and to request.
No redistribution of this document is allowed without our permission. Whether the document is misplaced stolen or destroyed the person must file an affidavit of loss to confirm that the document is not physically present anymore. As its name shows this whole affidavit template is produced in ms word and also customizable in the same computer program.
Republic of the philippines provincecity ss.