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Verified Tsikot Member
- Join Date
- Nov 2006
- Posts
- 82
December 10th, 2007 05:50 PM #1Hi Guys,
Can you check if this affidavit of loss is okay?
I found some samples on the web then finalized it with my story.
Thanks all!
************************************************** *
Republic of the Philippines)
ManilaCity, Metro Manila ) S.S.
I, _________________, of legal age, married, Chinese citizen, with residence address at _______________________________, Manila, under oath, depose and state:[SIZE=3]AFFIDAVIT OF LOSS[/SIZE][SIZE=3][/SIZE]
(1) I own an Toyota Innova (2.0, A/T, VVTi, model 2007), plate number: ______bought from Toyota Otis Inc. on April of 2007.
(2) On Dec 08, 2007, I found my spare tire was stolen after I finished shopping from Robinson’s Place Ermita where my car was parked along Pedro Gil Street.
(3) I am hereby executing this affidavit to comply with the requirements (OR, CR, driver’s license, insurance policy) requested by Toyota Otis Inc. and Standard Insurance Inc. for the inspection and claim.
Further affiant sayeth naught.
__________________________
Signature over printed name
SUBSCRIBED AND SWORN to before me this day of Dec 2007 in ManilaCity, Metro Manila.
Doc. No. ____;
Page No. ____;
Book No. ____;
Series of 2007.
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December 11th, 2007 01:39 PM #2
Your affidavit is OK, I just made some minor improvements.
Hope this helps. :smiley:
************************************************** *
Republic of the Philippines)
City of Manila, Metro Manila ) s.s.
I, _________________, of legal age, married, Chinese citizen, with residence at _______________________________, Manila, under oath, do hereby state that:[SIZE=3]AFFIDAVIT OF LOSS
[/SIZE]
(1) I own an Toyota Innova (2.0, A/T, VVTi, model 2007), with plate number _________ bought from Toyota Otis Inc. sometime in April, 2007.
(2) On Dec 8, 2007, I found my spare tire was stolen after I finished shopping from Robinson’s Place Ermita where my car was parked along Pedro Gil Street.
(3) I am hereby executing this affidavit to comply with the requirements (OR, CR, driver’s license, insurance policy) requested by Toyota Otis Inc. and Standard Insurance Inc. for the inspection and claim.
December ____, 2007.
__________________________
Signature over printed name
SUBSCRIBED AND SWORN to before me this ____ day of December 2007 in the City of Manila, Metro Manila.
Doc. No. ____;
Page No. ____;
Book No. ____;
Series of 2007.
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