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Affidavit of Loss Passbook

This affidavit summarizes the loss of a savings passbook from a bank. The affidavit states that the individual maintained a savings account with a specific account number and balance at a bank. The passbook, which was always in the individual's possession, was lost and could not be found despite a diligent search. The individual requests that the bank issue a new passbook in place of the lost one. The individual agrees to surrender the lost passbook if found and to indemnify the bank if any loss or damage results from issuing a replacement passbook.

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2K views1 page

Affidavit of Loss Passbook

This affidavit summarizes the loss of a savings passbook from a bank. The affidavit states that the individual maintained a savings account with a specific account number and balance at a bank. The passbook, which was always in the individual's possession, was lost and could not be found despite a diligent search. The individual requests that the bank issue a new passbook in place of the lost one. The individual agrees to surrender the lost passbook if found and to indemnify the bank if any loss or damage results from issuing a replacement passbook.

Uploaded by

ig185011
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Affidavit of Loss Passbook) Republic of the Philippines) Province of ____________________) S.S.

City/Municipality of _____________) x--------------x AFFIDAVIT OF LOSS I, _____________, Filipino, of legal age, (single / married / widow), and with residence at _____________, Philippines, after being duly sworn to in accordance with law, hereby depose and state: That I maintain a Savings Account with S/A No. _____________ with _____________ Bank with a credit balance of _____________ (P_____________); That on or about _____________, the Passbook/Certificate of the above-mentioned account, which has always been in my possession, was lost and its whereabouts cannot be ascertained despite due and diligent search made and undertaken such that I now believe that the same is lost beyond recovery; That I now request the _____________ Bank to issue a new Passbook/Certificate in lieu of the lost one and I bind myself to surrender the lost Passbook/Certificate in the event that the same is found and/or located; That I bind myself to indemnify _____________ Bank for any loss and damage it may incur by reason of its issuance or replacement Passbook/Certificate; That each and every fact herein stated is true and I am willing to testify before any court of justice to substantiate the truth of each and all the said facts. IN WITNESS WHEREOF, I have hereunto set my hand this _____________ at _____________, Philippines. Affiant (JURAT)

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