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Loss - Driver License Rivera

Alvaro E. Rivera files an affidavit of loss to request a new driver's license card from the LTO-Agoo office in La Union, Philippines. He states that while driving his tricycle, he discovered his wallet containing his original driver's license was missing. Despite searching, he was unable to find or recover the lost wallet and license. He affirms that the license was not revoked or cancelled by any authority. Rivera executes the affidavit to support his application for a new driver's license card and for any other legal purposes. The affidavit is notarized by Atty. Joonee Randyl E. Rivera.

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0% found this document useful (0 votes)
64 views

Loss - Driver License Rivera

Alvaro E. Rivera files an affidavit of loss to request a new driver's license card from the LTO-Agoo office in La Union, Philippines. He states that while driving his tricycle, he discovered his wallet containing his original driver's license was missing. Despite searching, he was unable to find or recover the lost wallet and license. He affirms that the license was not revoked or cancelled by any authority. Rivera executes the affidavit to support his application for a new driver's license card and for any other legal purposes. The affidavit is notarized by Atty. Joonee Randyl E. Rivera.

Uploaded by

joonee09
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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REPUBLIC OF THE PHILIPPINES)

Province of La Union ) Sc.


Municipality of Tubao )
x-------------------------x

AFFIDAVIT OF LOSS

I, ALVARO E. RIVERA, of legal age, single, Filipino and a resident of Francia


West, Tubao, La Union, after having been duly sworn to in accordance with law, do
hereby depose and state the following to wit:

1. That I was issued a Student Driver’s License by the Land


Transportation Office (LTO-Agoo) which is to expire on July 2, 2012;

2. That recently, I was driving my tricycle along Marcos Highway at


Amallapay, Tubao, La Union where I dropped off a passenger;

3. That when I reached for my wallet to get fare change, I discovered that
my wallet containing my Driver’s License Card, among others, is
missing;

4. Diligent efforts were exerted to locate the same but failed, of which I
presume that the same is now lost and beyond recovery;

5. The said Identification Card was not confiscated, revoked or cancelled


by any law enforcing authority or the issuing government agencies for
violation of any laws, rules and regulations;

6. That I am executing this Affidavit to attest to the truth of all the


foregoing facts in support of my application for the issuance of a new
Professional Driver’s License Card by LTO-Agoo and for all other
legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 5th day of


September 2013 at Tubao, La Union, Philippines.

ALVARO E. RIVERA
Affiant

SUBSCRIBED AND SWORN to before me this 5th day of September 2013 at


Tubao, La Union, Philippines. Affiant, whom I personally know, signed the document in
my presence and avowed under penalty of law to the whole truth of the contents of the
foregoing document.

ATTY. JOONEE RANDYL E. RIVERA


Notary Public
Doc. No.: 123; until December 31, 2014
Page No.: 25; Aspiras Highway, Francia Sur, Tubao, La Union
Book No.: I; Attorney’s Roll No. 61766, April 25, 2013
Series of 2013. PTR No. 8284603; 04-18-13, Tubao, La Union
IBP No. 671319; 04-03-13, San Fernando, La
Union

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