Affidavit of Loss of Mayor's Permit or Other Official Document

For those looking for a simple Affidavit of Loss for business documents such as Permit or any other business documentation issued for your company, the sample Affidavit form below may help.

CITY OF/MUN. OF  __________               ))    S.S.


I, ____(insert your name here)__, Filipino, of legal age, married/single and with residence at (insert your business address here), after having been duly sworn in accordance with law, hereby depose and state THAT:

1.      I am the (insert your position) of  (insert your company/corporation’s name here), a corporation duly organized and existing under and by virtue of the laws of the Republic of the Philippines;

2.      That being registered with the BIR/Office of/etc., the (Company name or Corporation)  has been issued a  (insert kind of document lost here) ;

3.      That sometime in (date when permit/official document was lost), the original copy of the said (name of Permit/Official Document) could not be found and that despite diligent search and efforts, the same could no longer be found, such that I believe it is now lost beyond recovery;

4.      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.

IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of ________, 20__ at _____________, Philippines.

                                                              Name of Affiant (signature above written name

CITY OF __________              ) ) S.S

SUBSCRIBED AND SWORN TO before me this ____ day of (month), 20___ at (City/Municipality), affiant exhibiting to me his valid government-issued identification no. _______________ issued at _________________ and valid until ______________.

                                                                                      Notary Public
                                                                                      Until 31 December 20___
                                                                                      PTR No. __________
                                                                                      Issued at: __________
                                                                                      Issued on: __________
                                                                                      TIN No. ___________

Doc. No. _______
Page No. _______
Book No. _______
Series of ________

For more information on legal forms, contracts and agreements, personal and business forms, other popular forms like Billof Sale, Power of Attorney, last Will, Promissory Note, Prenuptial Agreement, Landlord and Tenant Forms as well as Guardianship Form CLICK HERE.

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