Sample Of Affidavit Of Loss

Sample of Affidavit of Loss: A Comprehensive Guide

Losing important documents is stressful, but knowing how to navigate the legal process of declaring the loss can ease the burden. This comprehensive guide provides a detailed look at a sample affidavit of loss, explaining its purpose, key components, and how to create one effectively. We'll dissect a sample affidavit, highlighting crucial elements to ensure your document is legally sound and accepted by relevant authorities. Understanding the nuances of an affidavit of loss can save you time, money, and unnecessary headaches. This post offers a clear, actionable guide, providing you with everything you need to create a successful affidavit.

What is an Affidavit of Loss?

An affidavit of loss is a sworn statement declaring the loss or destruction of a specific document. It's a formal legal document, typically submitted to government agencies, financial institutions, or courts to certify the loss of something essential, such as a certificate, passport, or title deed. The affidavit assures the recipient that the loss is genuine and not a deliberate attempt to defraud. Its purpose is to initiate a process for obtaining a replacement for the lost document.

Key Components of a Sample Affidavit of Loss

A well-crafted affidavit of loss should always include the following essential components:

1. Affiant's Information:

This section requires the complete and accurate personal details of the person making the affidavit (the affiant). This includes:

Full Legal Name: Use your full legal name as it appears on official documents.
Address: Provide your current, complete residential address.
Contact Information: Include your phone number and email address for easy communication.
Identification Details: State your government-issued ID number (e.g., driver's license, passport number).

2. Description of the Lost Document:

This is arguably the most crucial part of the affidavit. Be precise and detailed in your description:

Type of Document: Clearly state the type of document lost (e.g., "Certificate of Title," "Passport," "Birth Certificate").
Document Number: If applicable, include the document's unique identification number.
Issuing Authority: Specify the organization that issued the document (e.g., "Department of Motor Vehicles," "National Passport Agency").
Date of Issuance: State the date the document was issued.

3. Circumstances of the Loss:

This section explains how the document was lost. Be truthful and concise:

Date of Loss: State the date you realized the document was missing.
Location of Loss: Describe the last known location of the document. Was it lost at home, in transit, or stolen?
Efforts to Recover: Detail any steps you took to locate the missing document.

4. Declaration of Loss:

This is a formal statement confirming the loss and its irrecoverable nature. It should explicitly declare that the document has been lost and cannot be found despite reasonable efforts.

5. Declaration of No Fraudulent Intent:

This crucial section affirms that the loss is genuine and that there's no intention to defraud anyone.

6. Signature and Notary Public:

The affidavit must be signed by the affiant in the presence of a notary public. The notary public then affixes their seal and signature, verifying the authenticity of the signature. This is a legally binding requirement.

Sample Affidavit of Loss (Illustrative)

(Note: This is a sample only and should not be used as a legal template. Seek legal advice for your specific situation.)

AFFIDAVIT OF LOSS

I, [Your Full Name], residing at [Your Full Address], declare under oath that:

1. I am the lawful owner of a [Type of Document], bearing number [Document Number], issued by [Issuing Authority] on [Date of Issuance].
2. On [Date of Loss], I discovered that the aforementioned document was missing. I last saw it at [Location of Loss].
3. I have made diligent efforts to locate the document, including [List efforts made to locate the document]. Despite these efforts, I have been unable to recover the document.
4. I declare that the loss of this document is genuine and that I have no intention of using this affidavit for fraudulent purposes.

I make this solemn declaration conscientiously believing it to be true and correct.


_________________________
[Your Signature]


_________________________
[Notary Public's Signature and Seal]


Conclusion:

Creating an accurate and legally sound affidavit of loss requires attention to detail and adherence to legal formalities. Remember, the information provided should be truthful and complete. If you are unsure about any aspect of the process, seeking legal counsel is highly recommended. A properly drafted affidavit ensures a smooth process for replacing your lost document.


Frequently Asked Questions (FAQs):

1. Can I use a generic template for my Affidavit of Loss? While generic templates can provide guidance, it's crucial to adapt them to your specific situation and ensure all details are accurate and complete. Consult with a legal professional to be sure.

2. What happens after I submit my Affidavit of Loss? The receiving authority will process your affidavit and guide you through the procedure for obtaining a replacement document. This process varies depending on the type of document and the issuing authority.

3. Is it mandatory to have my affidavit notarized? Yes, almost always. A notarized affidavit carries legal weight and is essential for its acceptance by relevant authorities.

4. What if I can't remember the exact date of loss? Provide the best estimate possible and explain the reason for the uncertainty. Honesty is crucial.

5. Where can I find a notary public? Notaries public are often found at banks, law offices, and some government agencies. You can also search online for notary services in your area.


  sample of affidavit of loss: Model Rules of Professional Conduct American Bar Association. House of Delegates, Center for Professional Responsibility (American Bar Association), 2007 The Model Rules of Professional Conduct provides an up-to-date resource for information on legal ethics. Federal, state and local courts in all jurisdictions look to the Rules for guidance in solving lawyer malpractice cases, disciplinary actions, disqualification issues, sanctions questions and much more. In this volume, black-letter Rules of Professional Conduct are followed by numbered Comments that explain each Rule's purpose and provide suggestions for its practical application. The Rules will help you identify proper conduct in a variety of given situations, review those instances where discretionary action is possible, and define the nature of the relationship between you and your clients, colleagues and the courts.
  sample of affidavit of loss: Civil Trials Bench Book , 2007 This book provides guidance for judicial officer in the conduct of civil proceedings, from preliminary matters to the conduct of final proceedings and the assessment of damages and costs. It contains concise statements of relevant legal principles, references to legislation, sample orders for judicial official to use where suitable and checklists applicable to various kinds of issues that arise in the course of managing and conducting civil litigation.
  sample of affidavit of loss: Indiana Notary Public Guide Indiana Secretary of State, 2019-04-06 A notary is a public official responsible for independently verifying signatures and oaths. Depending on how a document is written, a notarization serves to affirm the identity of a signer and the fact that they personally executed their signature. A notarization, or notarial act, officially documents the identity of a party to a document or transaction and the occasion of the signing that others can rely upon, usually at face value. A notary's authentication is intended to be reliable, to avoid the inconvenience of having to locate a signer to have them personally verify their signature, as well as to document the execution of a document perhaps long after the lifetime of the signer and the notary. An oath is a sworn statement. In most cases a person will swear that a written statement, oral statement, or testimony they are about to give is true. A notary can document that the notary administered an oath to an individual.
  sample of affidavit of loss: NOTARY NOT INCLUDED Atty. Erwin Zagala, Psicom Publishing Inc A Guide to the 7 Most Requested Legal Forms for people who didn’t go to law school
  sample of affidavit of loss: Washington State Notary Public Guide Washington State Department, 2019-04-06 The Department of Licensing has worked to keep the notary public application process as simple as possible. A prospective notary need only submit a complete application, proof of a $10,000 surety bond, and appropriate fees to the Department of Licensing in order to begin the process. Once an applicant has completed all application requirements and proven that he or she is eligible, the Department will have a new certificate of commission mailed out promptly. New in 2018, notaries public can also apply for an electronic records notary public endorsement, which allows the notary to perform notarial acts on electronic documents as well as paper documents. The application process is similar to the application process for the commission, and can be done at the same time or separately.
  sample of affidavit of loss: The Family Law Book , Divided into nine chapters - including the law and procedures of divorce, children, child support and maintenance, spousal maintenance, property, other routine procedures and financial agreements. Other routine procedures is for routine matters such as consent orders, subpoenas and discovery of documents so as to avoid clutter in ... child and financial chapters.
  sample of affidavit of loss: Archives Act 1983 (Australia) (2018 Edition) The Law The Law Library, 2018-05-27 Archives Act 1983 (Australia) (2018 Edition) The Law Library presents the complete text of the Archives Act 1983 (Australia) (2018 Edition). Updated as of May 15, 2018 This book contains: - The complete text of the Archives Act 1983 (Australia) (2018 Edition) - A table of contents with the page number of each section
  sample of affidavit of loss: Vascular Neurosurgery Samer S. Hoz, 2017-03-15 This book is a guide dedicated to vascular pathologies affecting the central nervous system. It uses a multiple-choice format with more than 340 genuine MCQs in a convenient format that is ideal for self-study. Seven chapters provide comprehensive coverage of core concepts in vascular neurosurgery. The questions are structured and organized so as to offer a step-by-step description of each disease, from the definition, related anatomy, pathology, clinical features, radiology to surgical decisions and operative tricks. Answers and explanations appear directly below the questions to make reading easy. This book is essential for residents across neurosurgical disciplines as it includes most of the neurovascular information neurosurgical residents need to prepare for their certification exam. It is also beneficial for those seeking a refresher or for those preparing for certification maintenance.
  sample of affidavit of loss: Missouri Notary Handbook Missouri Secretary of State, 2019-04-06 We are pleased to provide you with this Missouri Notary Public Handbook. We appreciate the responsibility that comes with being a notary in the State of Missouri, and know the work you do as a notary instills additional confidence in the documents that are vital to our state and economy. This handbook is provided in print and online to more than 60,000 notaries across the state, each of whom takes acknowledgements, administers oaths and affirmations, and certifies that copies of documents are true copies. The powers and responsibilities of a notary are described in the Missouri Revised Statutes Chapter 486. The provisions of this statute are included in this handbook for your convenience. In addition to the statutes, this resource provides general information related to your role as a notary, a glossary of important terms and copies of key application forms to assist you in the administration of your notary duties.
  sample of affidavit of loss: Asset Recovery Handbook Jean-Pierre Brun, Anastasia Sotiropoulou, Larissa Gray, Clive Scott, 2021-02-08 Developing countries lose billions each year through bribery, misappropriation of funds, and other corrupt practices. Much of the proceeds of this corruption find 'safe haven' in the world's financial centers. These criminal flows are a drain on social services and economic development programs, contributing to the impoverishment of the world's poorest countries. Many developing countries have already sought to recover stolen assets. A number of successful high-profile cases with creative international cooperation has demonstrated that asset recovery is possible. However, it is highly complex, involving coordination and collaboration with domestic agencies and ministries in multiple jurisdictions, as well as the capacity to trace and secure assets and pursue various legal options—whether criminal confiscation, non-conviction based confiscation, civil actions, or other alternatives. This process can be overwhelming for even the most experienced practitioners. It is exceptionally difficult for those working in the context of failed states, widespread corruption, or limited resources. With this in mind, the Stolen Asset Recovery (StAR) Initiative has developed and updated this Asset Recovery Handbook: A Guide for Practitioners to assist those grappling with the strategic, organizational, investigative, and legal challenges of recovering stolen assets. A practitioner-led project, the Handbook provides common approaches to recovering stolen assets located in foreign jurisdictions, identifies the challenges that practitioners are likely to encounter, and introduces good practices. It includes examples of tools that can be used by practitioners, such as sample intelligence reports, applications for court orders, and mutual legal assistance requests. StAR—the Stolen Asset Recovery Initiative—is a partnership between the World Bank Group and the United Nations Office on Drugs and Crime that supports international efforts to end safe havens for corrupt funds. StAR works with developing countries and financial centers to prevent the laundering of the proceeds of corruption and to facilitate more systematic and timely return of stolen assets.
  sample of affidavit of loss: United States Attorneys' Manual United States. Department of Justice, 1985
  sample of affidavit of loss: Basic Guide to the National Labor Relations Act United States. National Labor Relations Board. Office of the General Counsel, 1997
  sample of affidavit of loss: Michigan Court Rules Kelly Stephen Searl, William C. Searl, 1922
  sample of affidavit of loss: Pleadings Without Tears William Rose, Roger Eastman, 2012-05-17 Pleadings Without Tears has become established as one of the most successful books on practical legal drafting in the context of litigation. This new eighth edition is fully updated to take account of Civil Procedure Rule (CPR) changes since the last edition. The book takes a practical and insightful look at the subject of legal drafting, enabling the reader to become more confident in approaching this often unnecessarily daunting subject. It focuses on core skills and fundamental rules while clearly addressing each stage of the process and goes beyond a straightforward setting out of the precedents and authorities relevant to statements of case. It gives clear examples of how to set out relevant matters with clarity and precision and encourages the reader to give full consideration to concise and clear identification of the subject matter of the action, the issues of the case and the parties' respective positions in respect to those issues. With a wealth of practical examples and anecdotes - and illustrated throughout with cartoons - the light and entertaining style, combined with detailed analysis and explanation, enables the reader to easily acquire a good understanding of drafting.
  sample of affidavit of loss: Mac Security Bible Joe Kissell, 2009-12-17 Your essential, no-holds-barred guide to Mac security threats and solutions Myth number one: Macs are safer than PCs. Not really, says author Joe Kissell, named one of MacTech's 25 Most Influential People in the Mac community for 2008. In this timely guide, he not only takes you beyond the myths, he also delves into the nitty-gritty of each potential threat, helping you weigh the pros and cons of the solutions you might choose. Learn to measure risk versus inconvenience, make informed decisions, and protect your Mac computers, your privacy, and your data with this essential guide. Explains the security threats to Macs, including data in transit from your e-mail or network, and malware such as viruses, worms, and Trojan horses; these threats, formerly the exclusive worry of PC users, now increasingly threaten Macs Explores physical security and hardware barriers, software settings, third-party solutions, and more Shows Mac OS X users how to develop and enforce security policies Covers security for Windows running on a Mac with Boot Camp, virtualization software such as Parallels Desktop or VMware Fusion, and more Learn the full range of options you need to consider to make your Mac safe. Note: CD-ROM/DVD and other supplementary materials are not included as part of eBook file.
  sample of affidavit of loss: Lost Tycoon Harry Hurt, 3rd, 2016-07-15 Lost Tycoon presents an unvarnished, in-depth portrayal of the man who vows to Make America Great Again. Although it was first published in 1993, Lost Tycoon shows us that The Donald's personal character, political philosophy, business ethics, and attitude towards women haven't changed much in the past two decades.Trump is a man of many lives, and many wives. He is arguably the greatest self-promoter in the annals of American business. After inheriting a fortune, he made and lost billions in real estate and casino gambling, rising phoenix-like from his own ashes. He is a reality television show star, a father, a grandfather, and an alleged rapist. In Hollywood terms, he has literally been the producer and director of his own biopic--a real life Citizen Kane, whose father hammered the same lines into his head when was a little boy: You are a killer . . . you are a king . . . you are a killer . . .you are a king.Harry Hurt has created a cinema verité-style narrative that allows the words and actions of the principals to speak for themselves. It is indisputable that Donald's exploits in business, entertainment, and politics prove that he is--to borrow a metaphor from Fred Trump Sr.--a killer. Reading this important biography about the real Donald Trump will help you to make an informed and engaged choice as to whether he is worthy of being king.
  sample of affidavit of loss: Code of Federal Regulations , 1991 Special edition of the Federal Register, containing a codification of documents of general applicability and future effect ... with ancillaries.
  sample of affidavit of loss: The Code of Federal Regulations of the United States of America , 1980 The Code of Federal Regulations is the codification of the general and permanent rules published in the Federal Register by the executive departments and agencies of the Federal Government.
  sample of affidavit of loss: The Seven Instruction Lineages Jo Nang Taranatha, 2007-01-01 In the present work, Taranatha paints a miraculous picture of the great Siddhas of India their lives and the lineages which sprang from their teachings. In all, the lives of some 59 Siddhas are related some well known, others more obscure, but all linked by their various lineages and by the instructions handed down from Siddha to disciple. Taranatha’s account of these remarkable lives is especially valuable as he had as his gurus, and as the sources of these accounts, three Indians from the very traditions about which he wrote with such conviction. The lineage accounts are very important for a clear understanding of the Tantric upadesas themselves. In several places Taranatha makes quite sure that his own lineage is irrefutably established so that there is no doubt that he is a participator in the upadesas themselves, not merely a hander down of legends. The accounts were evidently passed on and, due to the special factors involved in the tantric oral tradition, we cannot but understand them as being accurate and reliable.
  sample of affidavit of loss: RA 9054 Philippines, 2003
  sample of affidavit of loss: Government Code Texas, 2000
  sample of affidavit of loss: Advocacy in Practice James Lindsay Glissan, 2011 Now in its 26th year of publication, the fifth edition of Advocacy in Practice is an authoritative and reliable guide for professionals to the art of advocacy. This highly esteemed work has once again been written by the authoritative and well-respected author James L Glissan, QC, and provides useful and practical checklists for examination, cross and address. It also details when and what objections may be taken, and constructive hints and techniques for dealing with difficult witnesses, opponents and judges. Restored to this edition are the classic cross-examinations from great advocates of the past, as well as a new chapter on general techniques of advocacy, which enlarge the scope of the work beyond the practising lawyer to encompass all areas of practical advocacy.
  sample of affidavit of loss: North Carolina Notary Public Manual, 2016 North Carolina Department of the, Nc Department Secretary of State, 2018-11-13 The office of notary public has a long and proud history in our society. Their work is rarely glamorous, but it is so important that the highest courts in the nation routinely accept properly notarized documents as evidence in legal matters. In fact, the law governing notaries gives them the same mission as sworn law enforcement officers, to serve and protect.
  sample of affidavit of loss: Guide to men's tailoring, Volume 2 Sven Jungclaus, 2021-03-25 Step by step to a handmade men's jacket. Hundreds of steps and thousands of hand stitches are necessary before you hold a finished men's jacket in your hands. The trick is to follow the correct order of the individual steps and combine traditional and modern processing methods. As in the first volume of our men's tailoring books, How to make shirts, trousers, and vests, step-by-step instructions in this book with numerous photos and drawings lead safely through the fittings to the finished garment. Detailed explanations ensure that you always keep an overview. This book is intended for advanced users with a few years of sewing practice. But even beginners can make use of the know-how of individual chapters. The way to the finished jacket is not short - but with the help of the tips and tricks from master tailor Sven Jungclaus and a little practice, first sewing successes can be achieved quickly ...
  sample of affidavit of loss: Importing Into the United States U. S. Customs and Border Protection, 2015-10-12 Explains process of importing goods into the U.S., including informed compliance, invoices, duty assessments, classification and value, marking requirements, etc.
  sample of affidavit of loss: Speeches & Documents on Indian Policy, 1750-1921 Arthur Berriedale Keith, 1922
  sample of affidavit of loss: The Art of Cross-Examination Francis Lewis Wellman, 1920
  sample of affidavit of loss: Apprehended Violence Orders New South Wales. Law Reform Commission, 2003
  sample of affidavit of loss: Prisoner Handbook , 2018
  sample of affidavit of loss: Uniform Evidence Law Miiko Kumar, Stephen Odgers, Elisabeth Peden, 2015 Uniform Evidence Law: Commentary and Materials, 5th editionhas been updated throughout to provide essential case and legislative extracts and thoughtful, concise commentary covering the uniform evidence legislation in the UEL jurisdictions of the Commonwealth, New South Wales, Victoria and Tasmania.
  sample of affidavit of loss: Canadian Business Law Today Nancy Breen, Shane Ellis, Craig Stephenson, 2017-01-25 Breen/Ellis/Stephenson Canadian Business Law Today, First Edition, is an exciting new ground up product specifically designed for Canadian college courses, or for instructors that want concise business law coverage. Fundamental topics of Canadian business law such as the court and legal system, tort law, contract law, employment law, property law, and business organization are introduced and discussed. With an emphasis on active learning to engage students, Canadian Business Law Today contains current Canadian examples, legal scenarios, and case studies, along with comprehensive instructor resources to suit a variety of teaching and learning styles.
  sample of affidavit of loss: Legal Writing Exercises Edwin Scott Fruehwald, 2014 Like nothing else, writing is an essential skill for every lawyer. This handy, easy-to approach guide will strengthen any lawyers writing skills through a series of specialized exercises. You'll learn to write more concise, powerful sentences; eliminate un-needed words; and structure and combine sentences and paragraphs to create clear and persuasive documents, letters, and more. It's perfect for lawyers and associates, even non-lawyers, anyone looking for an effective way to improve their writing skills.
  sample of affidavit of loss: Election Inspector National Learning Corporation, 2012 The Election Inspector Passbook(R) prepares you for your test by allowing you to take practice exams in the subjects you need to study. It provides hundreds of questions and answers in the areas that will likely be covered on your upcoming exam, including but not limited to: American government and civics; inspection procedures; understand and interpreting written materials; name and number checking; and more.
  sample of affidavit of loss: Federal Court of Australia Act 1976 (Australia) (2018 Edition) The Law The Law Library, 2018-05-29 Federal Court of Australia Act 1976 (Australia) (2018 Edition) The Law Library presents the complete text of the Federal Court of Australia Act 1976 (Australia) (2018 Edition). Updated as of May 15, 2018 This book contains: - The complete text of the Federal Court of Australia Act 1976 (Australia) (2018 Edition) - A table of contents with the page number of each section
  sample of affidavit of loss: Administrative Functions Disposal Authority National Archives of Australia Staff, 2000-01-01 Authorises the disposal of records of administrative functions commonly performed by most Commonwealth agencies.
  sample of affidavit of loss: Equality Before the Law Bench Book Linda Daniele, 2006
  sample of affidavit of loss: Civil Appeals Michael Burton, 2011-12-01 Any practitioner faced with the decision as to whether to appeal, or who has questions arising at each stage, will benefit enormously from a book that examines the law, principles, procedures, and processes involved. This leading work has been updated and restructured, to ensure it provides guidance on the complete and complex process of making a civil appeal. Clearly written and cross referenced, the books UK/European coverage of appeals includes: -- District Judges to Circuit Judges in the County Court -- Masters and District Judges to High Court Judges -- Court of Appeal -- House of Lords -- Privy Council -- The European Court -- The European Court of Human Rights -- Administrative Law and Elections
  sample of affidavit of loss: Losses Through Stolen Or Duplicate Checks Or Authorization Documents United States. Congress. House. Committee on Government Operations. Intergovernmental Relations and Human Resources Subcommittee, 1980
  sample of affidavit of loss: WILLS, PROBATE AND ADMINISTRATION LAW IN NSW. STEPHEN & STUDDERT JANES (PAUL & LIEBHOLD, DAVID.), 2018
  sample of affidavit of loss: Federal Register , 1940-04
AFFIDAVIT OF LOSS OF PHILIPPINE PASSPORT - philcongen …
AFFIDAVIT OF LOSS OF PHILIPPINE PASSPORT . I, _____, a _____ citizen, of legal age, single (never been married) / married ... I am executing this Affidavit in support of my application for Re-acquisition and Retention of Philippine Citizenship; and, 7. I attest to the veracity of the foregoing information.

DECLARATION FOR Lost of POLICY DOCUMENTS
DECLARATION FOR Lost of POLICY DOCUMENTS (Executed on Non-Judicial Stamp Paper of Rs.50.) 1. _____ bearing NIC No. _____ resident of _____

AFFIDAVIT (For Dual Citizenship) - Philippine Consulate …
3. That I am executing this Affidavit in compliance with the rules and regulations implementing R.A. 9225 or the Citizenship Retention and Re-acquisition Act of 2003; and 4. That I am fully aware that any false statement made herein shall constitute a crime or perjury punishable under Philippine laws.

The Website of Philippine Consulate General of Toronto, Canada
AFFIDAVIT OF LOSS , Filipino citizen, of legal age, presently residing at after having been duly sworn to in accordance with the law, do hereby depose and say: That I lost my Philippine passport numbered issued in on That I discovered the loss on while I was That I exerted diligent effort in locating the said lost passport, but to no avail;

ONTARIO SUPERIOR COURT OF JUSTICE - David Freedman
SAMPLE AFFIDAVIT OF DOCUMENTS Court File No: 3251/year -1 ONTARIO SUPERIOR COURT OF JUSTICE BETWEEN: CENTRAL WIDGET CORPORATION Plaintiff - and - FLYING MACHINES INC. Defendant AFFIDAVIT OF DOCUMENTS I, EDGAR J. IRWIN, of the City of Barrie in the County of Simcoe, MAKE OATH AND SAY: 1. I am the Secretary of the plaintiff, …

LOST NOTE AFFIDAVIT - Eagle Abstract
I/We hereby agree to indemnify and hold harmless Eagle Abstract Corp. and it’s underwriter from any loss, claim or damage, including but not limited to attorney fees, that may arise by reason of foreclosure or other action commenced to enforce ... EAGLEZ/EAGLE SHARED DOCS/SAMPLE BLANK AFFIDAVITS/LOST NOTE AFFIDAVIT _____ Exception No(s ...

REPUBLIC OF THE PHILIPPINES ) Municipality / City of ) S.S.
Feb 1, 2019 · AFFIDAVIT OF LOSS I, [name], of legal age, single/married, with residence and postal address at, [add ress] after being duly sworn to in accordance with law, hereby depose and say that: 1. I am a true and lawful owner of [state the item that was lost]. 2. Sometime last [date] said [item] was misplaced and got lost [circumst ances of its loss ]. 3.

AFFIDAVIT OF DESTRUCTION/ MUTILATION - Embassy of the …
AFFIDAVIT OF DESTRUCTION/ MUTILATION I, _____, of legal age, single/married/widow, Filipino citizen, and presently residing at _____ , after having been duly sworn to in accordance with law, do hereby depose and say 1. That I am a holder of …

Enter Application Reference number (ARN) - VFS Global
SWORN AFFIDAVIT 1. I, DD DD residing at dd, dd, San Francisco, CA 94104, USA hereby declare that I was born on May 08, 1990 at ddd, dd, Albania 2. I have travelled from Afghanistan to United States on Afghanistan passport. 3. I have also submitted an affidavit of loss Indian passport in this regards. 4.

EMBASSY OF THE REPUBLIC OF THE PHIILIPPINES ) Consular …
AFFIDAVIT OF LOSS OF PASSPORT ... That I am executing this affidavit to attest to the truth of the foregoing facts and for whatever legal purpose it may serve. FURTHER AFFIANT SAYETH NONE. IN WITNESS WHEREOF, I have hereunto set my hand this _____ day of _____ 20___ at the Embassy of the Republic of the Philippines in Riyadh, Saudi Arabia. ...

AFFIDAVIT OF UNDERTAKING - SEC
AFFIDAVIT OF UNDERTAKING I, _____, of legal age, Filipino, and a resident of _____, after being duly sworn to, under oath and in accordance with law, do hereby depose and state that: 1. I am the _____ of _____; 2. I accomplished and signed the Mandatory Disclosure Form (MDF) as authorized by the ...

Transferring property when someone dies… - California Courts
property, give an affidavit to the person, company or bank that has the property now. What if there are many assets to transfer? You can list all assets in one affidavit. Or, you can do one affidavit for each asset. How do I write the affidavit? Many banks and other institutions have their own affidavit. So, check with them first and ask for one.

DuplicatePolicy [Form 3762] - Lic New Delhi
(Brief statement of circumstances of loss) was/were not assigned, mortgaged or dealt with in any other manner except for any assignment, notice of which may have already been given to the Corporation and undertaking to return to the Corporation the original policy if the original policy/ies is/are recovered subsequently AND WHEREAS the said

AFFIDAVIT FOR LOST ORIGINAL DEED - tjsc.com
AFFIDAVIT FOR LOST ORIGINAL DEED . I, , do hereby certify that I purchased a property commonly known as at a foreclosure sale held . on Judicial Sales Corporation. I was issued an Original Deed and have subsequently lost it. I have not had any such deed recorded as of the date indicated on ...

Sample 2 Applicant s Affidavit
Sample 2 – Applicant’s Affidavit MAGISTRATES COURT OF QUEENSLAND Registry: Brisbane Number: M1234 of 2012 IN THE MATTER OF section 87 of the Transport Operations (Road Use Management) Act 1995 AFFIDAVIT OF BOSCA ALBERTO TRAN BOSCA ALBERTO TRAN of 26 Little Street, Browns Plains in the State of Queensland, Landscape Gardener, states on oath: 1.

AFFIDAVIT OF TWO DISINTERESTED PERSONS - Commission …
That we are executing this joint affidavit to attest to the truth and veracity of the foregoing set of facts without any promise or reward or any other monetary consideration but solely for the purpose of declaring that the only surviving compulsory heirs of the late _____ are his/her surviving spouse ...

Example Of Affidavit Of Loss Company Id - Spicers Canada …
Business license plate affidavit loss id card and company is located in georgia. The notary signed with the statement above are common is relatively simple questions by an example of the words spoken by the presence of statements made by the irs can. Page and affidavit sample affidavit loss identification number in black ink and license plates ...

7.5 Affidavit of Lost Stock Certificate - AllBusiness.com
liability relating to the loss of the Certificates, or the issuance of new Certificates. The undersigned agrees to defend and indemnify and hold harmless the Company and any successor from any damage or loss caused by the loss of the Certificates. 5. In the event of discovery of the original Certificates, the undersigned agrees to

THE UNITED REPUBLIC OF TANZANIA AFFIDAVIT 1. born o …
the united republic of tanzania affidavit ,¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬ %r[¬¬¬¬¬¬¬¬¬ %hlqjd flwl]hqr i¬¬¬¬¬¬¬¬¬¬¬¬¬ ¬¬¬¬¬ ...

DO NOT SIGN until in front of a Notary Public OR a Witness …
By signing this affidavit, I declare that the above information is true to the best of my knowledge. I am aware that if any of the information provided by me is willfully false, I am subject to punishment. Applicant signature Date DO NOT SIGN until in front of a Notary Public OR a Witness (over 18 years old). Choose A or B below. OPTION A

8. Issuance of Affidavit of Loss - quezonquezon.gov-ph.net
An Affidavit of loss is a document declaring that a security certificate has been lost or destroyed Office or Division: Office of the Municipal Mayor Classification: Simple Type of Transaction: G2C-Government to Citizens Who may avail: All residents that have lost documents (IDs/ books, passbook and ATM)

DS-4080 Oath / Affirmation of Renunciation of Nationality …
Title: DS-4080 Oath / Affirmation of Renunciation of Nationality of United States Author: U.S. Department of State Keywords: citizenship Created Date

Affidavit of Consent - Philippine Consulate General
6. That I am executing this Affidavit to attest to the truth of the above statement in connection with said minor’s application for a Philippine passport. IN WITNESS WHEREOF, I have hereunto set my hand this _____ in the City of New York _____ _____

SMC Stock Transfer Service Corporation
AFFIDAVIT Republic of the Philippines) S.S. . ... of legal age, Filipino, married, a resident of 01 name) . after having been duly sworn in accordance with law, do ... (state circumstances under which loss occurred) That the said certificate/s have …

CERTIFICATION OF MISSING OR LOST RECEIPT - U.S.
May 17, 2019 · a. Optional insurance (Loss Damage Waiver, Personal Accident Insurance, etc...) on vehicle rentals, unless the rental is OCONUS. b. Sundries, unofficial phone calls, movie rentals, room service, bellhop tips, unauthorized laundry services, restaurant fees at lodging facilities, or any other expense incurred for personal convenience.

Note: This affidavit is to be executed in the presence of a …
AFFIDAVIT [For issuance of duplicate securities] Note: This affidavit is to be executed in the presence of a Public Notary [To be submitted in non-judicial stamp paper of appropriate value] I/We,_____ Son / daughter/spouse of _____ residing at

Affidavit of Loss - Travelers Canada
COMPLETE IN TRIPLICATE Affidavit of Loss I / We (print name), _____ (hereinafter called “Deponent”) of legal age, being duly sworn, depose and state that: 1. Deponent’s Full Address (Please include Province/State and Postal/Zip Code): ... If the Deponent is a corporation: I am authorized to make this Affidavit on behalf of

AFFIDAVIT OF LOSS DUE TO A HOUSEHOLD MISFORTUNE
AFFIDAVIT OF LOSS DUE TO A HOUSEHOLD MISFORTUNE Case Name: Telephone No.: Case No.: County: I hereby certify, under penalty of perjury and/or fraud that the food purchased with SNAP benefits for the month of _____ were destroyed on _____ as a result of Please describe how the food was destroyed ...

CUSTOMER REQUEST FORM (CRF) - Land Bank of the …
card shall be my sole responsibility. In case of report of loss of ATM card/request for cancellation of lost/stolen card/request for replacement of card, I undertake to hold the Bank free from any liability or damage that may arise out of its cancellation or dishonor of the subject ATM card. Card was _____ damaged _____ expired

AFFIDAVIT OF TWO DISINTERESTED PERSONS - Philippine …
4. We are executing this affidavit to attest to the truth and veracity of the foregoing facts and in compliance with the requirements of the Philippine Civil Registrar. FURTHER AFFIANTS SAYETH NAUGHT. _____ Affiant _____ Affiant SUBSCRIBED AND SWORN to before me this _____ day of _____ in

HOW DO YOU USE THE SAMPLE AFFIDAVIT OF HEIRSHIP?
SAMPLE AFFIDAVIT OF HEIRSHIP FOR TEXASLAWHELP.ORG Page 4 of 4 EXPENSES AND DEBTS OF DECEDENT OR STATE “NONE”> 13. There are no unpaid estate or inheritance taxes, except: 14. To the best of my knowledge, Decedent owned an interest in the following real property:

AFFIDAVIT - Philippine Consulate General in San Francisco
AFFIDAVIT (FOR TRAVEL DOCUMENT) I, _____, of legal age, single / married / widow(er), currently residing at _____ after having been sworn to in accordance with law, hereby depose and say: That I am a Filipino citizen _____ (initial) That I have a Philippine passport (copy attached), with the following details: ...

BDO Life Assurance Company, Inc.
2019-10 Affidavit of Loss And Undertaking Created Date: 10/7/2019 2:28:06 PM ...

AFFIDAVIT OF TWO DISINTERESTED PERSONS - Philippine …
AFFIDAVIT OF TWO DISINTERESTED PERSONS I, , citizen, of legal age, and with (complete name of Affiant 1) residence address at , and I, , citizen, of legal age, and with (complete name of Affiant 2) residence address at , after having duly sworn in accordance with law, hereby depose and state: THAT – 1. We personally know ; (complete name of ...

ANNEXURE ‘L’ - Passport Seva
ANNEXURE ‘L’ SPECIMEN AFFIDAVIT FOR A PASSPORT IN LIEU OF LOST/ DAMAGED PASSPORT (This affidavit is to be executed on non-judicial stamp paper of minimum value in the

STATEMENT OF NO LOSS - sibrokers.com
statement of no loss producer insured’s name telephone number: company: approved by: code: sub code: policy # i certify that there have been no losses, accidents or circumstances that might give rise to a claim under the insurance policy whose number is shown above, from 12:01 am on to . receipt $ amount received by: acord 37 (1/96) oc acord ...

D. Repair estimates: One (1) (4 sides) - Government Service …
Registration at the time of accident or loss or damage B. Photocopy of valid Driver’s License and Official Receipt C. Original or Certified True Copy of Police Report or Original Copy of the Duly notarized Owner’s or Driver’s Affidavit of Accident or duly accomplished claim form assigned by parties involved and traffic

What You Need to Know About Affidavits - Representing …
2 WHAT YOU NEED TO KNOW ABOUT AFFIDAVITS By Michelle Morgan-Coole, MMC Legal Services An affidavit is a form of giving written evidence, sworn under oath. Just as when a person is on the witness stand in court, the deponent (the person making the affidavit) is swearing that what he or she is stating is the truth.

Land Bank of the Philippines | Home
Exempted from submission of Affidavit of Loss (per MOA with DepEd) Change Name from PIN was forgotten Others (pls. specify) [2 Card Tagging as "Lost/Stolen" Card Tagging as "Hot Card" ... In case of report of loss of A TM card/request for cancellation of lost/stolen card/request for replacement of card, I hereby undertake to hold the Bank free ...

Discovery affidavit - gautengadvocates.co.za
contents of this Affidavit which was signed and sworn to before me at [insert place] on this [insert day] day of [insert month] [insert year], under compliance with the Regulations contained in Government Notice No. R1258 dated 21 July 1972 (as amended) and Government Notice R1648 of 19/8/77 (as amended). _____

AFFIDAVIT OF LOST STOCK CERTIFICATE & GUIDE - LegalZoom
will issue replacements. If you follow the enclosed sample and guidelines, you can resolve the situation quickly, and may prevent the investment loss you could face if someone obtained your document before you had the chance to report it missing. 2. Dos & Don’ts Checklist Protect your securities certificates.

Affidavit of lost Passport Koror State ) - Palau Embassy
Affidavit of lost Passport Koror State ) Republic of Palau ) Affidavit of: _____ Print Name . I, the undersigned, hereby duly sworn under oath and state as follows: 1. That I am a citizen of the Republic of Palau; and. 2. That my passport had been lost; 3. That I am executing this affidavit in connection with my application

BDO Life Assurance Company, Inc.
02 092022 Affidavit of Loss And Undertaking copy Created Date: 9/9/2022 9:01:28 AM ...

Sample Self Affidavit Letter - English - DHCS
Sample Self Affidavit of Income Letter Applicant’s Name Address City, State, Zip Phone Number Today’s Date . Medi-Cal Access Program P.O. Box 15559 Sacramento, CA 95852-0559 . Dear Medi-Cal Access Program, I am providing this affidavit to verify my income as I have no other income documentation available to me.

AFFIDAVIT -- FEDERAL LOSS MITIGATION PROGRAMS
The loan is not subject to the above-listed entities' loss mitigation programs because the loan is not guaranteed, owned, or insured by any of the entities. (If checked, proceed to subparagraph 5.c.) The loan is subject to one of the above-listed entities' loss mitigation programs and a review is pending at this time.

AFFIDAVIT OF LOST PROMISSORY NOTE & GUIDE
the debt it represents by signing an affidavit of lost promissory note. This package contains everything you’ll need to customize and complete your affidavit. If you follow the enclosed sample and guidelines, you can resolve the situation quickly, and may prevent the investment loss you would otherwise face

Land Bank of the Philippines | Home
Exempted from submission of Affidavit of Loss (per MOA with DepEd) Change Name from PIN was forgotten Others (pls. specify) [2 Card Tagging as "Lost/Stolen" Card Tagging as "Hot Card" ... In case of report of loss of A TM card/request for cancellation of lost/stolen card/request for replacement of card, I hereby undertake to hold the Bank free ...

Mortgagor’s Affidavit of Repair Certification Loss Draft Funds …
I/we the undersigned mortgagor(s) acknowledge that upon execution of this Affidavit, insurance loss proceeds will be released per guidelines. Funds are released in incremental disbursements. Upon completion of work and at each draw request, an insurance loss inspection will be scheduled to confirm percentage of completion.

AFFIDAVIT OF BIRTH - Immigrant Law Center of Minnesota
AFFIDAVIT OF BIRTH State of MINNESTOA_____) County of RAMSEY_____) 1. I, [Witness Name], was born on [MM/DD/YYYY], in [City/Country of Birth]. 2. [Have witness explain his or her immigration status if applicable. Have witness explain his or her status at entry into the United, A number, and current status.] ...

Loss Draft Department REPAIRS AFFIDAVIT
Loss Draft Department REPAIRS AFFIDAVIT Loan No: (Please print names of all owners) owner(s) and being first duly sworn hereby certifies the following: ... Loss Draft Department Overnight Address: 827 West Grove Avenue, Mesa, AZ 85210-4931 Phone: 833.249.6390 Fax: 833.249.6393 www.propertyclaimcenter.com . Author: Juezan, Dexter