7/22/2019 Sample Affidavit of Lost Title

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REPUBLIC OF THE PHILIPPINES | S. S.DONE: IN THE CITY OF BAGUIO |

AFFIDAVIT OF LOSS

I, BENTER S. BATANES, of legal age, single, Filipino, and a resident of Km. 5, La Trinidad,

Benguet, Philippines, after being sworn in accordance with law, hereby depose and state

1. I am the purchaser / vendee of that parcel of land located at Barangay Longlong, LaTrinidad, Benguet containing an area of Two Hundred Square Meters covered by Transfer Certificateof Title No. T-63274 of the Registry of Deeds of Benguetas evidenced by the Deed of Sale of aRegistered Land which was executed in my favor by Benedicto C. Fernandez and thereuponacknowledged before Notary Public Reenan Orate and docketed in his Notarial Registry as Doc. No.427; Page No. 87; Book No. 12; and Series of 2007. A copy of the said Deed of Sale of a Registered Landis hereto attached and made an integral part hereof as ANNEX A.

2. Immediately after the Deed of Sale of a Registered Land was executed, the original duplicateowners copy of Transfer Certificate of Title No. T-63274 was turned over to me by Benedicto C.Fernandez. He likewise delivered to me possession the subject parcel of land and since then I haveopenly exercised and maintained all rights of ownership thereon.

3. I was not able to immediately effect transfer the title in my name because I was thenpreoccupied with my studies at Aviator Flight School in Cebu City and at Clark Aviation School inClark Freeport, Pampanga. Sometime in April 2012, when I decided to process the transfer of the title inmy name, because I finally had the time and opportunity to do so, I discovered that the originalduplicate owners copy of Transfer Certificate of Title No. T- 63274 was missing. I could no longer findit in my files. All diligent efforts I exerted to locate and retrieve it were in vain; hence for all legalintents and purposes it is now deemed lost and beyond recovery.

4. I certify and confirm that the parcel of land covered by Transfer Certificate of Title No. T-63274 of the Registry of Deeds of Benguet was never mortgaged, sold, conveyed, disposed of, orencumbered, to any other person or entity. I certify and confirm further that said document was neitherconfiscated nor relinquished in favor of, any government entity agency, or authority.

5. I attest to the truth of the foregoing statements to the best of my own personal knowledgeand based on authentic documents or records. I am executing this Affidavit of Loss to support myapplication for a new owners duplicate copy of Transfer Certificate of Title No. T-63274 as well as forall lawful intents and purposes it may serve.

IN WITNESS WHEREOF, I set my hand this 2nd day ofJuly 2012 at Baguio City, Philippines.

BENTER S. BATANESAffiant

Drivers License No. A01-02-084831Firearm License No. 842133/1588288

SUBSCRIBED AND SWORN to before me this 2nd day of July 2012 at Baguio City,Philippines.

ATTY. OSCAR A. CORPUZ, JR.Notary Public

Until December 31, 2013N. A. No. 54-NC-12-R

Attorneys Roll No. 53486IBP No. 863438 01.02.2012 Baguio City

PTR No. 0793799 01.02.2012 Baguio CityMCLE Compliance No. IV-0000200; 08.04.2010

Doc. No. 189Page No. 38Book No. IIISeries of 2012