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REPUBLIC OF THE PHILIPPINES)

IMUS, CAVITE ) S. S.

AFFIDAVIT OF LOSS

I, HINNA M. ZAHID, Filipino, of legal age, married with residence and postal address at
Blk.26 Lot 10 Pacific Woods, Carsadang Bago, Imus, Cavite, Philippines, after having been duly
sworn to in accordance with law, hereby depose and say:

1. That I am a holder of a Non-Professional Drivers License with nos.


________________________issued by LTO-Las Pias Branch;

2. That I have put my said Drivers License inside my wallet, including the license
receipt and other documents;

3. However, sometime on October 2012 last, when I was on my way home and I
noticed that the said Drivers License was missing, I may have dropped it
somewhere and I tried to locate it but I couldnt find it anymore;

4. That despite my diligent effort to locate the same, it remains missing and cannot be
found until to date;

5. That this affidavit is being executed to attest to the truth of the foregoing
statements and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 17th day of October, 2012 at IMUS,
CAVITE.

HINNA M. ZAHID

Affiant
SUBSCRIBED AND SWORN to before me this 17th day of October, 2012 at IMUS, CAVITE,
and affiant exhibiting to me her Company ID with TIN 918-240-357-000 (BASIC R
MANUFACTURING INC.).

Doc. No. _____;

Page No. _____;

Book No._____;

Series of ______;
REPUBLIC OF THE PHILIPPINES)
IMUS, CAVITE ) S. S.

AFFIDAVIT OF LOSS
(PAWNTICKET)

I, JOCELYN V. ROSAL, Filipino, of legal age, and now residing at Blk 2 Lot 9
Phase 3 Roma Compound, Citta Italia, Imus, Cavite, after having been duly sworn to in
accordance with law, hereby depose and say:

2. That I am the sister of HELEN V. ROSAL the owner of a Laptop ( Acer Laptop)
which she pawned at JARO Pawnshop BUHAY NA TUBIG BRANCH on
December 5, 2011 for an amount of (Php 5,500.00) of which she was issued a
pawnticket with nos. 0536;

6. That she usually put the said pawnticket in her bag. However, she noticed that
it is not there anymore where she usually keep it and is assumed to be
misplaced, that despite her diligent effort to locate the same, it remains missing;

7. That she authorized me to transact, sign, follow up, apply, or represent her at
securing her pawned item at JARO pawnshop, in any or all important
documents from the said institution/office;

8. That this affidavit is being executed to attest to the truth of the foregoing
statements and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 7th day of May, 2012 at IMUS,
CAVITE.

JOCELYN V. ROSAL
Affiant

SUBSCRIBED AND SWORN to before me on the date and place above stated
affiant exhibiting to me her Passport # XX0456134CTC issued on 01-31-2008.

Doc. No. 93
Page No. 19
Book No. 4
Series of 2012
REPUBLIC OF THE PHILIPPINES )
PROVINCE OF CAVITE ) S. S.
CITY OF IMUS )

AFFIDAVIT OF LOSS
(PASSPORT)

I, JUDITH E. PRAMIO, Filipino, of legal age, and with residence and postal address
at Blk 26 Lot 46 Greengate Phase 2, Malagasang, Imus City, Cavite, after having been duly
sworn to in accordance with law, hereby depose and say:

1. That I am a holder of a Passport with nos. __________________ duly issued to


me by DEPARTMENT OF FOREIGN AFFAIRS (DFA);

2. That I usually place my said Passport inside my bag, however last December
2014, I noticed that the said passport was missing from the my bag, that I
might have misplaced it or might have fallen somewhere;

3. That after the discovery of said loss, I exerted effort to locate but I couldnt
find it anymore and it remains missing until to date ;

4. That this affidavit is being executed to attest to the truth of the foregoing
statements and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 15th day of December,
2014 at IMUS CITY, CAVITE.

JUDITH E. PRAMIO
Affiant

SUBSCRIBED AND SWORN to before me this 15th day of December, 2014 at IMUS
CITY, CAVITE, and affiant exhibits to me her Postal ID with no. 4686870.

Doc. No. 93
Page No. 19;
Book No. 14;
Series of 2014.
DEED OF ABSOLUTE SALE

KNOW ALL MEN BY THESE PRESENTS:

This DEED OF ABSOLUTE SALE is made, executed and entered into by:

(NAME OF SELLER), of legal age, single/married to (Name of spouse if


any), Filipino, and with residence and postal address at (Address of Seller), hereinafter
referred to as the SELLER

-AND-

(NAME OF BUYER), Filipino and with residence and postal address at (Address of
Buyer), hereinafter referred to as the BUYER.

WITNESSETH;

WHEREAS, the SELLER is the registered owner of a parcel of land with


improvements located at (Address of property to be sold) and covered by Transfer
Certificate of Title No. (TCT Number) containing a total area of (Land Area of Property
in Words) (000) SQUARE METERS, more or less, and more particularly described as
follows:

TRANSFER CERTIFICATE OF TITLE NO. 0000

"(Insert the technical description of the property on the title) Example: A


PARCEL OF LAND (Lot 20 Blk 54 of consolidation subdivision plan (LRC) Pcs-13265,
being a portion of the consolidation of Lots 4751-A and 4751-B (LRC) Psd-50533, Lot 3,
Psd-100703, Lot 1, Psd-150980, LRC Rec. Nos. Nos. N-27024, 51768, 89632, N-11782,
N-13466, and 21071 situated in the Bo. of San Donisio, Mun of Paranaque, Prov of
Rizal, Is. of Luzon. Bounded on NE., point 4 to 1 by Road Lot 22, on...to the point of
beginning; containing an area of (280) square meters more or less..."

WHEREAS, the BUYER has offered to buy and the SELLER has agreed to sell the
above mentioned property for the amount of (Amount in words) (P 000,000.00)
Philippine Currency;

NOW THEREFORE, for and in consideration of the sum of (Amount in words) (P


000,000.00) Philippine Currency, hand paid by the vendee to the vendor,
the SELLER DO HEREBY SELL, TRANSFER, and CONVEY by way of Absolute Sale
unto the said BUYER, his heirs and assigns, the certain parcel of land together with all
the improvements found thereon, free from all liens and encumbrances of whatever
nature including real estate taxes as of the date of this sale.

(NAME OF SELLER) (NAME OF BUYER)


Seller Buyer
WITH MARITAL CONSENT:
________________________ _________________________
Name of Seller's Spouse Name of Buyer's Spouse

SIGNED IN THE PRESENCE OF:

__________________________ ____________________________

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES)


_____________________________ ) SS.

BEFORE ME, a Notary Public for and in the City of ___________________, personally
appeared:

Name CTC Number Date/Place Issued

(Name of Seller) 10000000 Jan 15, 20__ / Angeles City


(Name of Buyer) 10000000 Jan 9, 20__ / Manila

Known to me and to me known to be the same persons who executed the foregoing
instrument and acknowledged to me that the same are their free act and voluntary
deed.

This instrument, consisting of (__) pages, including the page on which this
acknowledgment is written, has been signed on the left margin of each and every page
thereof by the concerned parties and their witnesses, and sealed with my notarial seal.

WITNESS MY HAND AND SEAL on this ___day of __________________20__


at_______________.

Notary Public

Doc. No. ........;


Page No. .......;
Book No. .......;
Series of 20__.

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