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Open your MS Word and apply the following format:
a. Size – 8.5 by 13 inches;
b. Margins – Normal, 1 inch all sides;
c. Font and Font size – any easily readable font, font size 14 is recommended; and
d. Spacing - Single Space.
When the layout is complete, just follow the following sample:
REPUBLIC OF THE PHILIPPINES )
CITY AND PROVINCE OF ___________ ) S.S
x - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - x
I, (AFFIANT’S FULL NAME), of legal age, Filipino and a resident of (Affiant’s complete address), Philippines, after having been duly sworn to in accordance with law, do hereby depose and say that:
IN WITNESS WHEREOF, I have hereunto set my hand this __(Date)________at ________City, Philippines.
(Signed)JUAN DELA CRUZ
The affiant, whose name and personal circumstances are stated above, personally appeared before me this __________ in the City/Province of _______, Philippines, presented the foregoing affidavit, signed the same in my presence and affirmed under oath to the correctness of the contents or allegations of the same.
The affiant was identified by competent evidence of identity, namely a (must be a Government issued ID) bearing his photograph and signature.
WITNESS MY HAND AND SEAL on the place and date above-mentioned.
Doc. No. ____; NOTARY PUBLIC
Page No. ____;
Book No. ____;
Series of 202_.
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Here is a downloadable free sample of an Affidavit of Loss:
When everything is done, print atleast four (4) copies and the Principal must acknowledge the same to the Notary Public.