REPUBLIC OF THE PHILIPPINES)

PROVINCE OF ILOCOS SUR ) S. S.

MUNICIPALITY OF STA. MARIA)

AFFIDAVIT OF LOSS

I, IRENEO M. CABUDOL, of legal age, married, Filipino citizen and a resident of Danuman West,
Sta. Maria, Ilocos Sur, Philippines, after having been duly sworn to in accordance with law do hereby
depose and say:

1. That I am the registered owner of motor vehicle which is more particularly described as
follows:

Make - HONDA
Model - TMX 155
Engine No. - KB509E001551
Chassis No. - KB509001556
Plate No. - 9914AM

2. That I was issued an Original Certificate of Registration by Land Transportation Office to

show proof of ownership thereof which was kept among my personal belongings in a cabinet
at home;

3. That to my apprehension and frustration, the Original Certificate of Registration was no

longer been located when I had an occasion to need the same despite the concerted efforts
of my family members and myself making me conclude it were either been misplaced or
lost beyond recovery;

4. That by reason of the foregoing, I deem it best to declare the loss of the Original Certificate
of Registration and request for a reissuance of another;

5. That I further attest that the same is free from all liens and encumbrances nor the subject of
mortgage and or delivered to a third person to guarantee payment of an obligation;

6. That I am executing this affidavit to confirm the veracity of the above facts and for all legal
intents and purposes this may deem serve.

IN WITNESS WHEREOF, I have hereunto set my hand for signature this

____________________ at Sta. Maria, Ilocos Sur, Philippines.

IRENEO M. CABUDOL
Affiant
National ID No. 2864-3194-6356-9025
Issued by PSA

SUBSCRIBED AND SWORN to before me this ______________________ at Sta. Maria, Ilocos

Sur, Philippines. Affiant exhibited to me his primary identification card as shown below his name and
signature above to prove his identity.

ATTY. MARIA ELLEN DIRIGE-CABATU

Notary Public
Doc. No. ______; Until December 31, 2026
Page No. ______; Roll No. 36309
Book No. LXXX; Lifetime IBP No. 766604
Series of 2025. TIN No. 132-235-284
PTR No. 14906, 01-02-2025, Vigan City, Ilocos Sur
MCLE Compliance No. VIII-0002633, May 02, 2023
valid until April 14, 2028, Pasig City
REPUBLIC OF THE PHILIPPINES)
PROVINCE OF ILOCOS SUR ) S. S.
MUNICIPALITY OF STA. MARIA)

AFFIDAVIT OF LOSS

I, MENDRADE C. MINA, of legal age, married, Filipino citizen and a resident of Maynganay Sur,
Sta. Maria, Ilocos Sur, Philippines, after having been duly sworn to in accordance with law do hereby
depose and say:

7. That I am the registered owner of motor vehicle which is more particularly described as
follows:

Make - HONDA
Model - TMX 125 ALPHA – CCG125WHF
Engine No. - KSW00E198790
Frame No. - KSW00198486
Plate No. - AO38619

8. That I was issued an Original Certificate of Registration by Land Transportation Office to

show proof of ownership thereof which was kept among my personal belongings in a cabinet
at home;

9. That to my apprehension and frustration, the Original Certificate of Registration including

the Official Receipt for the year 2024 were no longer been located when I had an occasion
to need the same despite the concerted efforts of my family members and myself making
me conclude it were either been misplaced or lost beyond recovery;

10. That by reason of the foregoing, I deem it best to declare the loss of the Original Certificate
of Registration and the Official Receipt for the year 2024 and request for a reissuance of
another;

11. That I further attest that the same is free from all liens and encumbrances nor the subject of
mortgage and or delivered to a third person to guarantee payment of an obligation;

12. That I am executing this affidavit to confirm the veracity of the above facts and for all legal
intents and purposes this may deem serve.

IN WITNESS WHEREOF, I have hereunto set my hand for signature this 9 th day of November,
2024 at Sta. Maria, Ilocos Sur, Philippines.

MENDRADE C. MINA
Affiant
Driver’s License ID No. A01-90-029792
Issued by LTO

SUBSCRIBED AND SWORN to before me this 9th day of November, 2024at Sta. Maria, Ilocos
Sur, Philippines. Affiant exhibited to me his primary identification card as shown below his name and
signature above to prove his identity.

ATTY. MARIA ELLEN DIRIGE-CABATU

Notary Public
Doc. No. ______; Until December 31, 2024
Page No. ______; Roll No. 36309
Book No. LXXX; Lifetime IBP No. 766604
Series of 2024. TIN No. 132-235-284
PTR No. 8760226, 01-02-2024, Vigan City, Ilocos Sur
MCLE Compliance No. VIII-0002633, May 02, 2023
valid until April 14, 2028, Pasig City
REPUBLIC OF THE PHILIPPINES)
PROVINCE OF ILOCOS SUR ) S. S.
MUNICIPALITY OF STA. MARIA)

AFFIDAVIT OF LOSS

I, GRACE C. CARDONA, of legal age, married, Filipino citizen and a resident of Codoog,
Narvacan, Ilocos Sur, Philippines, after having been duly sworn to in accordance with law do hereby
depose and say:

13. That I am the registered owner of motor vehicle which is more particularly described as
follows:

Make - Yamaha
Series - MIO SOUL I 2BB2
Body type - MC
Engine No. - 2BB-038051
Chassis No. - PA02BB000F0038190
Plate No. - AC 55001

14. That I was issued an Original Certificate of Registration by Land Transportation Office to
show proof of ownership thereof which was kept among my personal belongings in a cabinet
at home;

15. That to my apprehension and frustration, the Original Certificate of Registration was no
longer been located when I had an occasion to need the same despite the concerted efforts
of my family members and myself making me conclude it were either been misplaced or
lost beyond recovery;

16. That by reason of the foregoing, I deem it best to declare the loss of the Original Certificate
of Registration and request for a reissuance of another;

17. That I further attest that the same is free from all liens and encumbrances nor the subject of
mortgage and or delivered to a third person to guarantee payment of an obligation;

18. That I am executing this affidavit to confirm the veracity of the above facts and for all legal
intents and purposes this may deem serve.

IN WITNESS WHEREOF, I have hereunto set my hand for signature this

____________________ at Sta. Maria, Ilocos Sur, Philippines.

GRACE C. CARDONA
Affiant
Employee ID No. 070
Issued by LGU, Sta. Maria, Ilocos Sur
 SUBSCRIBED AND SWORN to before me this ____________________ at Sta. Maria, Ilocos
Sur, Philippines. Affiant exhibited to me her primary identification card as shown below her name and
signature above to prove his identity.

ATTY. MARIA ELLEN DIRIGE-CABATU

Notary Public
Until December 31, 2024
Doc. No. ______; Roll No. 36309
Page No. ______; Lifetime IBP No. 766604
Book No. LXXIX; TIN No. 132-235-284
Series of 2024. PTR No. 8760226, 01-02-2024, Vigan City, Ilocos Sur
MCLE Compliance No. VIII-0002633, May 02, 2023
valid until April 14, 2028, Pasig City

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF ILOCOS SUR ) S. S.
MUNICIPALITY OF STA. MARIA)

AFFIDAVIT OF LOSS

I, JUNEL D. LAZO, of legal age, single, Filipino citizen and a resident of Nalvo, Sta. Maria, Ilocos
Sur, Philippines, after having been duly sworn to in accordance with law do hereby depose and say:

19. That I am the absolute owner of a Yamaha NMAX 2DP5 having purchased the same from
the registered owner PAWAN KAMAR and was issued an Original Certificate of
Registration by Land Transportation Office to show proof of ownership thereof, which was
handed to me upon payment of said motor vehicle;

20. That the Original Certificate of Registration covers a motor vehicle bearing plate number
AD and with Chassis No. MH3SG3160F0001902, which was kept among my personal
belongings in a cabinet at home;

21. That to my apprehension and frustration, the Original Certificate of Registration was no
longer been located when I had an occasion to need the same despite the concerted efforts
of my family members and myself making me conclude it was either been misplaced or lost
beyond recovery;

22. That by reason of the foregoing, I deem it best to declare the loss of the Original Certificate
of Registration and request for a reissuance of another;

23. That I further execute this affidavit to confirm the veracity of the above facts and for all legal
intents and purposes this may deem serve.

IN WITNESS WHEREOF, I have hereunto set my hand for signature this 23rd day of June, 2024
at Sta. Maria, Ilocos Sur, Philippines.
 JUNEL D. LAZO
Affiant
Driver’s License ID No. A11-23-000970
Issued by LTO

SUBSCRIBED AND SWORN to before me this 23rd day of June, 2024 at Sta. Maria, Ilocos Sur,
Philippines. Affiant exhibited to me his primary identification card as shown below his name and signature
above to prove his identity.

ATTY. MARIA ELLEN DIRIGE-CABATU

Notary Public
Until December 31, 2024
Doc. No. ______; Roll No. 36309
Page No. ______; Lifetime IBP No. 766604
Book No. LXXVIII; TIN No. 132-235-284
Series of 2024. PTR No. 8760226, 01-02-2024, Vigan City, Ilocos Sur
MCLE Compliance No. VIII-0002633, May 02, 2023
valid until April 14, 2028, Pasig City

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF ILOCOS SUR ) S. S.
MUNICIPALITY OF STA. MARIA)

AFFIDAVIT OF LOSS

I, ROMALYN V. FELICITAS, of legal age, single, Filipino citizen and a resident of Paratong,
Narvacan, Ilocos Sur, Philippines, after having been duly sworn to in accordance with law do hereby
depose and say:

24. That I am the registered owner of a Yamaha NMAX bearing Engine No. G3L8E-0914512
and as such I was issued an Original Certificate of Registration by Land Transportation
Office to show proof of ownership thereof which was kept among my personal belongings in
a cabinet at home;

25. That to my apprehension and frustration, the Original Certificate of Registration including
the Official Receipt for the year 2024 were no longer been located when I had an occasion
to need the same despite the concerted efforts of my family members and myself making
me conclude it were either been misplaced or lost beyond recovery;

26. That by reason of the foregoing, I deem it best to declare the loss of the Original Certificate
of Registration and the Official Receipt for the year 2024 and request for a reissuance of
another;

27. That I further attest that the same is free from all liens and encumbrances nor the subject of
mortgage and or delivered to a third person to guarantee payment of an obligation;

28. That I am executing this affidavit to confirm the veracity of the above facts and for all legal
intents and purposes this may deem serve.

IN WITNESS WHEREOF, I have hereunto set my hand for signature this 2nd day of June, 2024 at
Sta. Maria, Ilocos Sur, Philippines.
 ROMALYN V. FELICITAS
Affiant
Driver's License ID No. A08-14-002445
Issued by LTO

SUBSCRIBED AND SWORN to before me this 2nd day of June, 2024 at Sta. Maria, Ilocos Sur,
Philippines. Affiant exhibited to me her primary identification card as shown below her name and
signature above to prove his identity.

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF ILOCOS SUR ) S. S.
MUNICIPALITY OF STA. MARIA)

AFFIDAVIT OF LOSS

I, LEMUEL T. CASTILLEJOS, married, of legal age, Filipino citizen and a resident of Poblacion Norte,
Sta. Maria, Ilocos Sur, Philippines, after having been duly sworn to in accordance with law do hereby
depose and say:

29. That I am a Physician by profession and a registered taxpayer with the Bureau of Internal
Revenue (BIR) and as such I was issued a Certificate of Registration (Bir Form No. 2303)
which was kept among my files;

30. That to my apprehension and frustration, said Certificate of Registration was no longer
been located when I had an occasion to need the same despite the concerted efforts of my
family members and myself making me conclude it was either been misplaced or lost
beyond recovery;

31. That by reason of the foregoing, I deem it best to declare the loss of the Original Certificate
of Registration and request for a reissuance of another;

32. That I am executing this affidavit to confirm the veracity of the above facts and for all legal
intents and purposes this may deem serve.

IN WITNESS WHEREOF, I have hereunto set my hand for signature this __________________
at Sta. Maria, Ilocos Sur, Philippines.

LEMUEL T. CASTILLEJOS
Affiant
Professional ID No. 0107704
Issued by PRC
 SUBSCRIBED AND SWORN to before me this ___________________ at Sta. Maria, Ilocos Sur,
Philippines. Affiant exhibited to me his primary identification card as shown below his name and signature
above to prove his identity.

MARIA ELLEN DIRIGE-CABATU

Doc. No. ______; Notary Public
Page No. ______; Until December 31, 2024
Book No. LXXV; PTR No. 6503251, 01-03-23
Series of 2023. Vigan City, Ilocos Sur

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF ILOCOS SUR ) S. S.
MUNICIPALITY OF STA. MARIA)

AFFIDAVIT OF LOSS

I, JOEL JOLLY A. ALUCDAY, of legal age, married, Filipino citizen and a resident of San
Ramon, Manabo, Abra, Philippines, after having been duly sworn to in accordance with law do hereby
depose and say:

33. That I am the registered owner of a Honda TMX 1559 bearing Plate No. 4073AY and as
such I was issued an Original Certificate of Registration by the Land Transportation Office
to show proof of ownership thereof;

34. That to my apprehension and frustration, the Original Certificate of Registration was no
longer been located when I had an occasion to need the same despite the concerted efforts
of my family members and myself making me conclude it was either been misplaced or lost
beyond recovery;

35. That by reason of the foregoing, I deem it best to declare the loss of the Original Certificate
of Registration and request for a reissuance of another;

36. That I further attest that the same is free from all liens and encumbrances nor the subject of
mortgage and or delivered to a third person to guarantee payment of an obligation;

37. That I am executing this affidavit to confirm the veracity of the above facts and for all legal
intents and purposes this may deem serve.

IN WITNESS WHEREOF, I have hereunto set my hand for signature this __________________
at Sta. Maria, Ilocos Sur, Philippines.

JOEL JOLLY A. ALUCDAY

Affiant
Driver's License ID No. A08-92-004858
Issued by LTO
 SUBSCRIBED AND SWORN to before me this ___________________ at Sta. Maria, Ilocos Sur,
Philippines. Affiant exhibited to me his primary identification card as shown below his name and signature
above to prove his identity.

REMA PAZVIA D. CABATU

Doc. No. ______; Notary Public
Page No. ______; Until December 31, 2024
Book No. I; PTR No. 6503252, 01-03-23
Series of 2023. Vigan City, Ilocos Sur

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF ILOCOS SUR ) S. S.
MUNICIPALITY OF STA. MARIA)

AFFIDAVIT OF LOSS

I, EDNA R. REYES, of legal age, widow, Filipino citizen and a resident of Poblacion Sur, Sta.
Maria, Ilocos Sur, Philippines, after having been duly sworn to in accordance with law do hereby depose
and say:

38. That I am the legitimate wife of the late PROCESO A. REYES, the registered owner of a
Yamaha Mio Sporty bearing Engine No. 5TL-1238868 and as such he was issued an
Original Certificate of Registration by the Land Transportation Office, which was
entrusted to me for safekeeping and kept by me among my personal belongings at home;

39. That to my apprehension and frustration, the Original Certificate of Registration of said
motor vehicle was no longer been located when I had an occasion to need the same
despite the concerted efforts of my family members and myself making me conclude it was
either been misplaced or lost beyond recovery;

40. That by reason of the foregoing, I deem it best to declare the loss of the Original Certificate
of Registration and request for the reissuance of another;

41. That I further attest that the same is free from all liens and encumbrances nor the subject of
mortgage and or delivered to a third person to guarantee payment of an obligation;

42. That I am executing this affidavit to confirm the veracity of the above facts and for all legal
intents and purposes this may deem serve.

IN WITNESS WHEREOF, I have hereunto set my hand for signature this 29th day of December,
2022 at Sta. Maria, Ilocos Sur, Philippines.

EDNA R. REYES
Affiant
Membership ID No. 01-0543022-9
Issued by SSS
 SUBSCRIBED AND SWORN to before me this 29th day of December, 2022 at Sta. Maria, Ilocos
Sur, Philippines. Affiant exhibited to me her primary identification card as shown below her name and
signature above to prove her identity.

MARIA ELLEN DIRIGE-CABATU

Doc. No.______; Notary Public
Page No.______; Until December 31, 2018
Book No. LXX; PTR No. 8890176, 01-03-18
Series of 2022. Vigan City, Ilocos Sur

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF ILOCOS SUR ) S. S.
MUNICIPALITY OF STA. MARIA)

AFFIDAVIT OF LOSS

I, MARK ANGELO C. TUGADE, of legal age, single, Filipino citizen and a resident of Cabaroan,
Sta. Maria, Ilocos Sur, Philippines, after having been duly sworn to in accordance with law do hereby
depose and say:

43. That I am the registered owner of a Honda TMX 125 and as such I was issued an Original
Certificate of Registration by the Land Transportation Office to show proof of ownership
thereof;

44. That to my apprehension and frustration, the Original Certificate of Registration was no
longer been located when I had an occasion to need the same despite the concerted efforts
of my family members and myself making me conclude it was either been misplaced or lost
beyond recovery;

45. That by reason of the foregoing, I deem it best to declare the loss of the Original Certificate
of Registration and request for a reissuance of another;

46. That I further attest that the same is free from all liens and encumbrances nor the subject of
mortgage and or delivered to a third person to guarantee payment of an obligation;

47. That I am executing this affidavit to confirm the veracity of the above facts and for all legal
intents and purposes this may deem serve.

IN WITNESS WHEREOF, I have hereunto set my hand for signature this 3rd day of November,
2022 at Sta. Maria, Ilocos Sur, Philippines.

MARK ANGELO C. TUGADE

Affiant
VIN 2926-0027A-F0900MCT10000-2
Issued by LTO
 SUBSCRIBED AND SWORN to before me this 3rd day of November, 2022 at Sta. Maria, Ilocos
Sur, Philippines. Affiant exhibited to me his primary identification card as shown below his name and
signature above to prove his identity.

Doc. No. ______; MARIA ELLEN DIRIGE-CABATU

Page No. ______; Notary Public
Book No. LXX; Until December 31, 2022
Series of 2022. PTR No. 5769370, 01-03-22
Vigan City, Ilocos Sur

REPUBLIC OF THE PHILIPPINES)

REPUBLIC OF THE PHILIPPINES)
PROVINCE OF ILOCOS SUR ) S. S.
MUNICIPALITY OF STA. MARIA)

AFFIDAVIT OF LOSS

I, FERDINAND T. DEGRACIA JR., of legal age, single, Filipino citizen and a resident of Silag,
Sta. Maria, Ilocos Sur, Philippines, after having been duly sworn to in accordance with law do hereby
depose and say:

48. That I am the registered owner of a motor vehicle bearing Engine No. E31WE-0093034 and
Chassis No. MH3SEF550K0005701 and as such I was issued an Original Certificate of
Registration by the Land Transportation Office to show proof of ownership thereof;

49. That to my apprehension and frustration, the Original Certificate of Registration was no
longer been located when I had an occasion to need the same despite the concerted efforts
of my family members and myself making me conclude it was either been misplaced or lost
beyond recovery;

50. That by reason of the foregoing, I deem it best to declare the loss of the Original Certificate
of Registration and request for a reissuance of another;

51. That I further attest that the same is free from all liens and encumbrances nor the subject of
mortgage and or delivered to a third person to guarantee payment of an obligation;

52. That I am executing this affidavit to confirm the veracity of the above facts and for all legal
intents and purposes this may deem serve.

IN WITNESS WHEREOF, I have hereunto set my hand for signature this 1st day of September,
2022 at Sta. Maria, Ilocos Sur, Philippines.

FERDINAND T. DEGRACIA JR.

Affiant
Driver’s License ID No. A11-20-004888
Issued by LTO

SUBSCRIBED AND SWORN to before me this 1st day of September, 2022at Sta. Maria, Ilocos
Sur, Philippines. Affiant exhibited to me his primary identification card as shown below his name and
signature above to prove his identity.
Doc. No. ______; MARIA ELLEN DIRIGE-CABATU
Page No. ______; Notary Public
Book No. LXIX; Until December 31, 2022
Series of 2022. PTR No. 5769370, 01-03-22
Vigan City, Ilocos Sur

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF ILOCOS SUR ) S. S.
MUNICIPALITY OF STA. MARIA)

AFFIDAVIT OF LOSS

I, FELIPE B. CERA JR., of legal age, Filipino citizen and a resident of Lanipao, Narvacan, Ilocos
Sur, Philippines, after having been duly sworn to in accordance with law do hereby depose and say:

53. That I am the brother-in-law of JAMES MOLINA ANGEL, the registered owner of a motor
vehicle bearing Engine No. KRZ 0004X 009263 E and Chassis No. KRZ 0004X 009268
and as such he was issued an Original Certificate of Registration by the Land
Transportation Office to show proof of ownership thereof;

54. That my brother-in-law went abroad hence I was made to take care his motor vehicle and he
entrusted to me the Original Certificate of Registration of the same and was kept by me
among my personal belongings in a cabinet at home;

55. That to my apprehension and frustration, the Original Certificate of Registration was no
longer been located when I had an occasion to need the same despite the concerted efforts
of my family members and myself making me conclude it was either been misplaced or lost
beyond recovery;

56. That by reason of the foregoing, I deem it best to declare the loss of the Original Certificate
of Registration and request for a reissuance of another;

57. That I further attest that the same is free from all liens and encumbrances nor the subject of
mortgage and or delivered to a third person to guarantee payment of an obligation;

58. That I am executing this affidavit to confirm the veracity of the above facts and for all legal
intents and purposes this may deem serve.

IN WITNESS WHEREOF, I have hereunto set my hand for signature this 28 th day of June, 2022
at Sta. Maria, Ilocos Sur, Philippines.

FELIPE B. CERA JR.

Affiant
Driver’s License ID No. A08-18-003418
Issued by LTO
 SUBSCRIBED AND SWORN to before me this 28th day of June, 2022 at Sta. Maria, Ilocos Sur,
Philippines. Affiant exhibited to me his primary identification card as shown below his name and signature
above to prove his identity.

Doc. No. ______; MARIA ELLEN DIRIGE-CABATU

Page No. ______; Notary Public
Book No. LXVIII; Until December 31, 2022
Series of 2022. PTR No. 5769370, 01-03-22
Vigan City, Ilocos Sur

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF ILOCOS SUR ) S. S.
MUNICIPALITY OF STA. MARIA)

AFFIDAVIT OF LOSS

I, ALFREDO D. BAÑEZ JR., of legal age, married, Filipino citizen and a resident of Laslasong
Sur, Sta. Maria, Ilocos Sur, Philippines, after having been duly sworn to in accordance with law do hereby
depose and say:

59. That I am the registered owner of a Honda CFT125MRCJ bearing Engine No.
KPYR2E014048 and Chassis No. KPYR2014032 and as such I was issued an Original
Certificate of Registration by the Land Transportation Office to show proof of ownership
thereof which was kept among my personal belongings in a cabinet at home;

60. That to my apprehension and frustration, the Original Certificate of Registration was no
longer been located when I had an occasion to need the same despite the concerted efforts
of my family members and myself making me conclude it was either been misplaced or lost
beyond recovery;

61. That by reason of the foregoing, I deem it best to declare the loss of the Original Certificate
of Registration and request for a reissuance of another;

62. That I further attest that the same is free from all liens and encumbrances nor the subject of
mortgage and or delivered to a third person to guarantee payment of an obligation;

63. That I am executing this affidavit to confirm the veracity of the above facts and for all legal
intents and purposes this may deem serve.

IN WITNESS WHEREOF, I have hereunto set my hand for signature this 26 th day of June, 2022
at Sta. Maria, Ilocos Sur, Philippines.

ALFREDO D. BAÑEZ JR.

Affiant
Driver’s License ID No. A11-16-001441
Issued by LTO
 SUBSCRIBED AND SWORN to before me this 26th day of June, 2022 at Sta. Maria, Ilocos Sur,
Philippines. Affiant exhibited to me his primary identification card as shown below his name and signature
above to prove his identity.

Doc. No. ______; MARIA ELLEN DIRIGE-CABATU

Page No. ______; Notary Public
Book No. LXVIII; Until December 31, 2022
Series of 2022. PTR No. 5769370, 01-03-22
Vigan City, Ilocos Sur

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF ILOCOS SUR ) S. S.
MUNICIPALITY OF STA. MARIA)

AFFIDAVIT OF LOSS

I, MELVIN C. AMBROCIO, of legal age, married, Filipino citizen and a resident of Tinaan, Sta.
Maria, Ilocos Sur, Philippines, after having been duly sworn to in accordance with law do hereby depose
and say:

64. That I am the registered owner of a Honda Click 125 bearing Engine No. JA46E7232868
and Chassis No. MH1JA4675LK232819 and as such I was issued an Original Certificate
of Registration by the Land Transportation Office to show proof of ownership thereof which
was kept among my personal belongings in a cabinet at home;

65. That to my apprehension and frustration, the Original Certificate of Registration was no
longer been located when I had an occasion to need the same despite the concerted efforts
of my family members and myself making me conclude it was either been misplaced or lost
beyond recovery;

66. That by reason of the foregoing, I deem it best to declare the loss of the Original Certificate
of Registration and request for a reissuance of another;

67. That I further attest that the same is free from all liens and encumbrances nor the subject of
mortgage and or delivered to a third person to guarantee payment of an obligation;

68. That I am executing this affidavit to confirm the veracity of the above facts and for all legal
intents and purposes this may deem serve.

IN WITNESS WHEREOF, I have hereunto set my hand for signature this 12 th day of May, 2022 at
Sta. Maria, Ilocos Sur, Philippines.

MELVIN C. AMBROCIO
Affiant
 Driver’s License ID No. A06-96-017838
Issued by LTO

SUBSCRIBED AND SWORN to before me this 12th day of May, 2022 at Sta. Maria, Ilocos Sur,
Philippines. Affiant exhibited to me his primary identification card as shown below his name and signature
above to prove his identity.

Doc. No. _____; MARIA ELLEN DIRIGE-CABATU

Page No. _____; Notary Public
Book No. LXVII; Until December 31, 2022
Series of 2022. PTR No. 5769370, 01-03-22
Vigan City, Ilocos Sur

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF ILOCOS SUR ) S. S.
MUNICIPALITY OF STA. MARIA)

AFFIDAVIT OF LOSS

I, AGNES EDILBERTA D. HERMITANIO, of legal age, married, Filipino citizen and a resident of
Ag--agrao, Sta. Maria, Ilocos Sur, Philippines, after having been duly sworn to in accordance with law do
hereby depose and say:

69. That I am the registered owner of a Yamaha Mio Sporty motorcycle bearing plate number
6338 AQ and as such I was issued an Original Certificate of Registration bearing No.
8435817-5 sometime on August 10, 2009 by Land Transportation Office to show proof of
ownership thereof which was kept among my personal belongings in a cabinet at home;

70. That to my apprehension and frustration, the Original Certificate of Registration was no
longer been located when I had an occasion to need the same despite the concerted efforts
of my family members and myself making me conclude it was either been misplaced or lost
beyond recovery;

71. That by reason of the foregoing, I deem it best to declare the lost of the Original Certificate
of Registration and request for a reissuance of another;

72. That I further attest that the same is free from all liens and encumbrances nor the subject of
mortgage and or delivered to a third person to guarantee payment of an obligation;

73. That I am executing this affidavit to confirm the veracity of the above facts and for all legal
intents and purposes this may deem serve.

IN WITNESS WHEREOF, I have hereunto set my hand for signature this

______________________ at Sta. Maria, Ilocos Sur, Philippines.

AGNES EDILBERTA D. HERMITANIO

Affiant
 Driver’s License ID No. A11-04-007644
Issued by LTO

SUBSCRIBED AND SWORN to before me this ______________________ at Sta. Maria, Ilocos

Sur, Philippines. Affiant exhibited to me her primary identification card as shown below her name and
signature above to prove her identity.

MARIA ELLEN DIRIGE-CABATU

Doc. No.______; Notary Public
Page No.______; Until December 31, 2018
Book No. LIV; PTR No. 8890176, 01-03-18
Series of 2018. Vigan City, Ilocos Sur

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF ILOCOS SUR ) S. S.
MUNICIPALITY OF STA. MARIA)

AFFIDAVIT OF LOSS

I, AGNES EDILBERTA D. HERMITANIO, of legal age, married, Filipino citizen and a resident of
Ag--agrao, Sta. Maria, Ilocos Sur, Philippines, after having been duly sworn to in accordance with law do
hereby depose and say:

74. That I am the registered owner of a Yamaha Mio Sporty motorcycle bearing plate number
6338 AQ and as such I was issued an Original Certificate of Registration bearing No.
8435817-5 sometime on August 10, 2009 by Land Transportation Office to show proof of
ownership thereof which was kept among my personal belongings in a cabinet at home;

75. That to my apprehension and frustration, the Original Certificate of Registration was no
longer been located when I had an occasion to need the same despite the concerted efforts
of my family members and myself making me conclude it was either been misplaced or lost
beyond recovery;

76. That by reason of the foregoing, I deem it best to declare the lost of the Original Certificate
of Registration and request for a reissuance of another;

77. That I further attest that the same is free from all liens and encumbrances nor the subject of
mortgage and or delivered to a third person to guarantee payment of an obligation;

78. That I am executing this affidavit to confirm the veracity of the above facts and for all legal
intents and purposes this may deem serve.

IN WITNESS WHEREOF, I have hereunto set my hand for signature this

______________________ at Sta. Maria, Ilocos Sur, Philippines.

AGNES EDILBERTA D. HERMITANIO

Affiant
Driver’s License ID No. A11-04-007644
Issued by LTO
 SUBSCRIBED AND SWORN to before me this ______________________ at Sta. Maria, Ilocos
Sur, Philippines. Affiant exhibited to me her primary identification card as shown below her name and
signature above to prove her identity.

MARIA ELLEN DIRIGE-CABATU

Doc. No.______; Notary Public
Page No.______; Until December 31, 2018
Book No. LIV; PTR No. 8890176, 01-03-18
Series of 2018. Vigan City, Ilocos Sur

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF ILOCOS SUR ) S. S.
MUNICIPALITY OF STA. MARIA)

AFFIDAVIT OF LOSS

I, DENNIS D. CABALAR, of legal age, married, Filipino citizen and a resident of Ag--agrao, Sta.
Maria, Ilocos Sur, Philippines, after having been duly sworn to in accordance with law do hereby depose
and say:

79. That I am the registered owner of a Yamaha motorcycle bearing plate number AD 61994
and as such I was issued an Original Certificate of Registration bearing No. 248451770
sometime on June 29, 2016 by Land Transportation Office to show proof of ownership
thereof which was kept among my personal belongings in a cabinet at home;

80. That to my apprehension and frustration, the Original Certificate of Registration and
Original Receipt for the year 2016 were no longer been located when I had an occasion to
need the same despite the concerted efforts of my family members and myself making me
conclude it were either been misplaced or lost beyond recovery;

81. That by reason of the foregoing, I deem it best to declare the lost of the Original Certificate
of Registration and request for a reissuance of another;

82. That I further attest that the same is free from all liens and encumbrances nor the subject of
mortgage and or delivered to a third person to guarantee payment of an obligation;

83. That I am executing this affidavit to confirm the veracity of the above facts and for all legal
intents and purposes this may deem serve.

IN WITNESS WHEREOF, I have hereunto set my hand for signature this

______________________ at Sta. Maria, Ilocos Sur, Philippines.

DENNIS D. CABALAR
Affiant
Driver’s License ID No. A06-01-025164
Issued by LTO

SUBSCRIBED AND SWORN to before me this ______________________ at Sta. Maria, Ilocos

Sur, Philippines. Affiant exhibited to me his primary identification card as shown below his name and
signature above to prove his identity.
 MARIA ELLEN DIRIGE-CABATU
Doc. No.______; Notary Public
Page No.______; Until December 31, 2018
Book No. LIII; PTR No. 8890176, 01-03-18
Series of 2018. Vigan City, Ilocos Sur

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF ILOCOS SUR ) S. S.
MUNICIPALITY OF STA. MARIA)

AFFIDAVIT OF LOSS

I, AVTAR-SINGH, of legal age, Indian National and a resident of Dalumpinas Oeste, City of San
Fernando, La Union, Philippines, after having been duly sworn to in accordance with law do hereby
depose and say:

84. That I am the registered owner of a Honda City bearing plate number AEV 212 and as such
I was issued an Original Certificate of Registration by Land Transportation Office to show
proof of ownership thereof which was kept among my personal belongings in a cabinet at
home;

85. That to my apprehension and frustration, the Original Certificate of Registration was no
longer been located when I had an occasion to need the same despite the concerted efforts
of my family members and myself making me conclude it was either been misplaced or lost
beyond recovery;

86. That by reason of the foregoing, I deem it best to declare the lost of the Original Certificate
of Registration and request for a reissuance of another;

87. That I further execute this affidavit to confirm the veracity of the above facts and for all legal
intents and purposes this may deem serve.

IN WITNESS WHEREOF, I have hereunto set my hand for signature this

______________________ at Sta. Maria, Ilocos Sur, Philippines.

AVTAR-SINGH
Affiant
Id No. __________
Issued by __________

SUBSCRIBED AND SWORN to before me this ______________________ at Sta. Maria, Ilocos

Sur, Philippines. Affiant exhibited to me his primary identification card as shown below his name and
signature above to prove his identity.

MARIA ELLEN DIRIGE-CABATU

Doc. No.______; Notary Public
Page No.______; Until December 31, 2018
Book No. LIII; PTR No. 8890176, 01-03-18
Series of 2018. Vigan City, Ilocos Sur
REPUBLIC OF THE PHILIPPINES)
PROVINCE OF ILOCOS SUR ) S. S.
MUNICIPALITY OF STA. MARIA)

AFFIDAVIT OF LOSS

I, AUREA R. GAGTAN, of legal age, Filipino citizen and a resident of Maynganay Sur, Sta.
Maria, Ilocos Sur, Philippines, after having been duly sworn to in accordance with law do hereby depose
and say:

a. That I am the administrator of all the real and personal properties owned by my daughter
EDNA GAGTAN LUPTON;

b. That she is the registered owner of one (1) unit Motorstar bearing Plate No. 9433 TP
and as such she was issued a Certificate of Registration bearing number
000000010446821 as proof of ownership thereof which was entrusted to me by my
daughter for safekeeping and the same was kept by me among my personal belongings
at home;

c. That to my apprehension and frustration, the Original Certificate of Registration was no

longer been located when I had an occasion to need the same despite the concerted
efforts of my family members and myself making me conclude it was either been
misplaced or lost beyond recovery;

d. That by reason of the foregoing, I deem it best to declare the lost of the Original
Certificate of Registration and request for a reissuance of another;

e. That I further execute this affidavit to confirm the veracity of the above facts and for all
legal intents and purposes this may deem serve.

IN WITNESS WHEREOF, I have hereunto set my hand for signature this 22 nd day of March,
2018 at Sta. Maria, Ilocos Sur, Philippines.

AUREA R. GAGTAN
Affiant
Senior Citizen ID No. 3602
Issued by OSCA, Sta. Maria, Ilocos Sur
 SUBSCRIBED AND SWORN to before me this 22nd day of March, 2018at Sta. Maria, Ilocos
Sur, Philippines. Affiant exhibited to me her primary identification card as shown below her name and
signature above to prove her identity.

MARIA ELLEN DIRIGE-CABATU

Doc. No.______; Notary Public
Page No.______; Until December 31, 2018
Book No. LII; PTR No. 8890176, 01-03-18
Series of 2018. Vigan City, Ilocos Sur

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF ILOCOS SUR ) S. S.
MUNICIPALITY OF STA. MARIA)

AFFIDAVIT OF LOSS

I, CLEMENCIA NILDA D. IDICA, of legal age, widow, Filipino citizen and a resident of
Baliw Laud, Sta. Maria, Ilocos Sur, Philippines, after having been duly sworn to in accordance with law
do hereby depose and say:

f. That I am the absolute owner of a Mitsubishi Adventure having purchased the same
from the registered owner AGUSTIN M. GUERZON and was issued an Original
Certificate of Registration by Land Transportation Office to show proof of ownership
thereof, which was handed to me upon payment of said Motor Vehicle;

g. That the Original Certificate of Registration covers a motor vehicle bearing plate
number XHX 713 and with Chassis No. PAEVB5NS13B000125, which was kept
among my personal belongings in a cabinet at home;

h. That to my apprehension and frustration, the Original Certificate of Registration was no

longer been located when I had an occasion to need the same despite the concerted
efforts of my family members and myself making me conclude it was either been
misplaced or lost beyond recovery;

i. That by reason of the foregoing, I deem it best to declare the lost of the Original
Certificate of Registration and request for a reissuance of another;

j. That I further execute this affidavit to confirm the veracity of the above facts and for all
legal intents and purposes this may deem serve.

IN WITNESS WHEREOF, I have hereunto set my hand for signature this 20th day of March,
2018 at Sta. Maria, Ilocos Sur, Philippines.

CLEMENCIA NILDA D. IDICA

Affiant
Senior Citizen ID No. 5054
Issued by OSCA, Sta. Maria, Ilocos Sur

SUBSCRIBED AND SWORN to before me this 20th day of March, 2018at Sta. Maria, Ilocos
Sur, Philippines. Affiant exhibited to me her primary identification card as shown below her name and
signature above to prove her identity.
 MARIA ELLEN DIRIGE-CABATU
Doc. No.______; Notary Public
Page No.______; Until December 31, 2018
Book No. LII; PTR No. 8890176, 01-03-18
Series of 2018. Vigan City, Ilocos Sur

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF ILOCOS SUR ) S. S.
MUNICIPALITY OF STA. MARIA)

AFFIDAVIT OF LOSS

I, DOMINGO S. SORIANO, of legal age, married, Filipino citizen and a resident of Poblacion
Norte, Sta. Maria, Ilocos Sur, Philippines, after having been duly sworn to in accordance with law do
hereby depose and say:

k. That I am the absolute owner of a Mitsubishi Adventure having purchased the same
from GENIE A. TABAY, who likewise purchased the same from the registered owner
REY DE LEON and was issued an Original Certificate of Registration by Land
Transportation Office sometime in 2007 to show proof of ownership thereof, which was
handed to me upon payment of said Motor Vehicle;

l. That the Original Certificate of Registration (CR No. 000000005995146) covers a motor
vehicle bearing plate number WHM203 and with Chassis No. PAEVB5HZLXB004841,
which was kept among my personal belongings in a cabinet at home;

m. That to my apprehension and frustration, the Original Certificate of Registration was no

longer been located when I had an occasion to need the same despite the concerted
efforts of my family members and myself making me conclude it was either been
misplaced or lost beyond recovery;

n. That by reason of the foregoing, I deem it best to declare the lost of the Original
Certificate of Registration and request for a reissuance of another;

o. That I further execute this affidavit to confirm the veracity of the above facts and for all
legal intents and purposes this may deem serve.

IN WITNESS WHEREOF, I have hereunto set my hand for signature this

___________________ at Sta. Maria, Ilocos Sur, Philippines.

DOMINGO S. SORIANO
 Affiant
Senior Citizen ID No. 002388
Issued by OSCA, Sta. Maria, Ilocos Sur

SUBSCRIBED AND SWORN to before me this ___________________ at Sta. Maria, Ilocos

Sur, Philippines. Affiant exhibited to me his primary identification card as shown below his name and
signature above to prove his identity.

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF ILOCOS SUR ) S. S.
MUNICIPALITY OF STA. MARIA)

AFFIDAVIT OF LOSS

I, ELVIRA B. JARANTILLA, of legal age, married, Filipino citizen and a resident of Magsaysay District
(Pob.), Santa, Ilocos Sur, Philippines, after having been duly sworn to in accordance with law do hereby depose and
say:

88. That I am the registered owner of a Yamaha motorcycle and as such I was issued an Original
Certificate of Registration by Land Transportation Office to show proof of ownership thereof;

89. That the Original Certificate of Registration covers a motorcycle bearing plate number 6650 AP and
with Chassis No. MH35C80018K008209, which was kept among my personal belongings in a
cabinet at home;

90. That on October 20, 2016 when typhoon “Lawin” wrought havoc and damages to our municipality,
our residence was not spared causing our residence submerged in water and water entered our rooms
and it took days before we cleaned the same;

91. That to my apprehension and frustration, the Original Certificate of Registration was no longer been
located when I had an occasion to need the same despite the concerted efforts of my family members
making me conclude that this was destroyed and are among the destroyed documents which were
thrown away when our house was cleaned up;

92. That by reason of the foregoing, I deem it best to declare the lost of the Original Certificate of
Registration and request for a reissuance of another;

93. That I further execute this affidavit to confirm the veracity of the above facts and for all legal intents
and purposes this may deem serve.

IN WITNESS WHEREOF, I have hereunto set my hand for signature this 4 th day of February, 2018 at
Sta. Maria, Ilocos Sur, Philippines.

ELVIRA B. JARANTILLA
Affiant
VIN 2922-0002A-J2755EBJ20000
Issued by COMELEC
 SUBSCRIBED AND SWORN to before me this 4th day of February, 2018 at Sta. Maria, Ilocos Sur,
Philippines. Affiant exhibited to me her primary identification card as shown below her name and signature above to
prove her identity.

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF ILOCOS SUR ) S. S.
MUNICIPALITY OF STA. MARIA)

AFFIDAVIT OF LOSS

I, JOHN RUDOLPH M. CRUZ, of legal age, married, Filipino citizen and a resident of Lingsat,
Sta. Maria, Ilocos Sur, Philippines, after having been duly sworn to in accordance with law do hereby
depose and say:

94. That I am the registered owner of Honda XRM motor vehicle with the following description:

Color - Red
Chassis No. - XRM11-047-072533
Machine No. - XRM110ME-8072533

95. That I was issued an Original Certificate of Registration by the Land Transportation Office
to show proof of ownership thereof which was kept among my personal belongings in a
cabinet at home;

96. That to my apprehension and frustration, the Original Certificate of Registration was no
longer been located when I had an occasion to need the same despite the concerted efforts of
my family members and myself making me conclude it was either been misplaced or lost
beyond recovery;

97. That by reason of the foregoing, I deem it best to declare the loss of the Original Certificate
of Registration and request for a reissuance of another;

98. That I further execute this affidavit to confirm the veracity of the above facts and for all
legal intents and purposes this may deem serve.

IN WITNESS WHEREOF, I have hereunto set my hand for signature this 2 nd day of February,
2018 at Sta. Maria, Ilocos Sur, Philippines.

JOHN RUDOLPH M. CRUZ

Affiant
Driver’s License ID No. A11-09-001080
Issued by LTO
 SUBSCRIBED AND SWORN to before me this 2nd day of February, 2018 at Sta. Maria, Ilocos
Sur, Philippines. Affiant personally appeared to me and exhibited to me his primary identification card as
shown below his name and signature above to prove his identity.

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF ILOCOS SUR ) S. S.
MUNICIPALITY OF STA. MARIA)

AFFIDAVIT OF LOSS

I, ROMEL S. RIVERA, of legal age, married, Filipino citizen and a resident of Laslasong Norte,
Sta. Maria, Ilocos Sur, Philippines, after having been duly sworn to in accordance with law do hereby
depose and say:

99. That I am the registered owner of a motor vehicle and as such I was issued an Original
Certificate of Registration by the Land Transportation Office to show proof of ownership
thereof which was kept among my personal belongings in a cabinet at home;

100. That to my apprehension and frustration, the Original Certificate of Registration

including the Official Receipt for 2017 were no longer been located when I had an occasion
to need the same despite the concerted efforts of my family members and myself making me
conclude it was either been misplaced or lost beyond recovery;

101. That by reason of the foregoing, I deem it best to declare the loss of the Original
Certificate of Registration and Official Receipt for 2017 and request for a reissuance of
another;

102. That I further execute this affidavit to confirm the veracity of the above facts and for
all legal intents and purposes this may deem serve.

IN WITNESS WHEREOF, I have hereunto set my hand for signature this 5th day of January,
2018 at Sta. Maria, Ilocos Sur, Philippines.

ROMEL S. RIVERA
Affiant
VIN 2926-0040A-J0482RSR100007
Issued by COMELEC

SUBSCRIBED AND SWORN to before me this 5th day of January, 2018 at Sta. Maria, Ilocos
Sur, Philippines. Affiant personally appeared to me and exhibited to me his primary identification card as
shown below his name and signature above to prove his identity.
REPUBLIC OF THE PHILIPPINES)
PROVINCE OF ILOCOS SUR ) S. S.
MUNICIPALITY OF STA. MARIA)

AFFIDAVIT OF LOSS

I, GERALD D. MEDINA, of legal age, single, Filipino citizen and a resident of Maynganay
Norte, Sta. Maria, Ilocos Sur, Philippines, after having been duly sworn to in accordance with law do
hereby depose and say:

103. That I am the registered owner of a motor vehicle and as such I was issued an
Original Certificate of Registration by the Land Transportation Office to show proof of
ownership thereof which was kept among my personal belongings in a cabinet at home;

104. That to my apprehension and frustration, the Original Certificate of Registration was
no longer been located when I had an occasion to need the same despite the concerted efforts
of my family members and myself making me conclude it was either been misplaced or lost
beyond recovery;

105. That by reason of the foregoing, I deem it best to declare the loss of the Original
Certificate of Registration and request for a reissuance of another;

106. That I further execute this affidavit to confirm the veracity of the above facts and for
all legal intents and purposes this may deem serve.

IN WITNESS WHEREOF, I have hereunto set my hand for signature this 13th day of December,
2017 at Sta. Maria, Ilocos Sur, Philippines.

GERALD D. MEDINA
Affiant
Driver’s License ID No. A11-13-000325
Issued by LTO

SUBSCRIBED AND SWORN to before me this 13 th day of December, 2017 at Sta. Maria,
Ilocos Sur, Philippines. Affiant personally appeared to me and exhibited to me his primary identification
card as shown below his name and signature above to prove his identity.
REPUBLIC OF THE PHILIPPINES)
PROVINCE OF ILOCOS SUR ) S. S.
MUNICIPALITY OF STA. MARIA)

AFFIDAVIT OF LOSS

I, ELMER E. DIRIGE, of legal age, married, naturalized American citizen and a resident of
Tinaan, Sta. Maria, Ilocos Sur, Philippines, after having been duly sworn to in accordance with law do
hereby depose and say:

107. That I am the registered owner of a motor vehicle and as such I was issued an
Original Certificate of Registration bearing number 08014105 by the Land Transportation
Office to show proof of ownership thereof which was kept among my personal belongings in
a cabinet at home;

108. That to my apprehension and frustration, the Original Certificate of Registration was
no longer been located when I had an occasion to need the same despite the concerted efforts
of my family members and myself making me conclude it was either been misplaced or lost
beyond recovery;

109. That by reason of the foregoing, I deem it best to declare the loss of the Original
Certificate of Registration and request for a reissuance of another;

110. That I further execute this affidavit to confirm the veracity of the above facts and for
all legal intents and purposes this may deem serve.

IN WITNESS WHEREOF, I have hereunto set my hand for signature this

__________________ at Sta. Maria, Ilocos Sur, Philippines.

ELMER E. DIRIGE
Affiant
Driver’s License ID No. D7808746
Issued at California

SUBSCRIBED AND SWORN to before me this _________________ at Sta. Maria, Ilocos Sur,
Philippines. Affiant personally appeared to me and exhibited to me his primary identification card as
shown below his name and signature above to prove his identity.

MARIA ELLEN DIRIGE-CABATU

Doc. No.______; Notary Public
Page No.______; Until December 31, 2018
Book No. LI; PTR No.9688265, 01-04-17
Series of 2017. Vigan City, Ilocos Su
REPUBLIC OF THE PHILIPPINES)
PROVINCE OF ILOCOS SUR ) S. S.
MUNICIPALITY OF STA. MARIA)

AFFIDAVIT OF LOSS

I, ROLIGINO A. CALIBUSO, of legal age, married, Filipino citizen and a resident of

Cabaroan, Sta. Maria, Ilocos Sur, Philippines, after having been duly sworn to in accordance with law do
hereby depose and say:

1. That I am the nephew of Victoria Antolin Cuaresma, the registered owner of a motor vehicle
bearing Plate No. XLU 902 and as such she was issued an Original Certificate of
Registration by the Land Transportation Office to show proof of ownership thereof;

2. That before leaving the country back to Canada,said Original Certificate of Registrationwas
entrusted to me by my auntie for safekeeping to which I keptinside a cabinet at the Suso
house, Suso, Sta. Maria, Ilocos Sur;

3. That to my apprehension and frustration, the Original Certificate of Registration was no

longer been located when I had an occasion to need the same despite the concerted efforts of
my family members and myself making me conclude it was either been misplaced or lost
beyond recovery;

4. That by reason of the foregoing, I deem it best to declare the loss of the Original Certificate
of Registration and request for a reissuance of another;

5. That I further execute this affidavit to confirm the veracity of the above facts and for all
legal intents and purposes this may deem serve.

IN WITNESS WHEREOF, I have hereunto set my hand for signature this 4th day of July, 2017
at Sta. Maria, Ilocos Sur, Philippines.

ROLIGINO A. CALIBUSO
Affiant
Driver’s License ID No. A08-94-007571
Issued by LTO

SUBSCRIBED AND SWORN to before me this 4th day of July, 2017 at Sta. Maria, Ilocos Sur,
Philippines. Affiant personally appeared to me and exhibited to me his primary identification card as
shown below his name and signature above to prove his identity.
REPUBLIC OF THE PHILIPPINES)
PROVINCE OF ILOCOS SUR ) S. S.
MUNICIPALITY OF STA. MARIA)

AFFIDAVIT OF LOSS

I, MARIO R. SONGCO JR., of legal age, single, Filipino citizen and presently residing at
Sulvec, Narvacan, Ilocos Sur, Philippines, after having been duly sworn to in accordance with law do
hereby depose and say:

6. That I am the caretaker/custodian of all the properties of Elena CameroGalacgac, who is

now presently residing at Hawaii;

7. That one of her properties which was entrusted to me is a Honda TMX motorcycle bearing
Plate No. 6995 AM;

8. That to show proof of ownership thereof,she was issued an Original Certificate of

Registration by the Land Transportation Office which was also entrusted to me for
safekeeping and was kept by me among my personal belongings in a cabinet at home;

9. That to my apprehension and frustration, the Original Certificate of Registration was no

longer been located when I had an occasion to need the same despite the concerted efforts of
my family members and myself making me conclude it was either been misplaced or lost
beyond recovery;

10. That by reason of the foregoing, I deem it best to declare the loss of the Original Certificate
of Registration and request for a reissuance of another;

11. That I further execute this affidavit to confirm the veracity of the above facts and for all
legal intents and purposes this may deem serve.

IN WITNESS WHEREOF, I have hereunto set my hand for signature this 7 th day of June, 2017
at Sta. Maria, Ilocos Sur, Philippines.

MARIO R. SONGCO JR.

Affiant
Professional Driver’s License ID No. D16-92-060999
Issued by LTO

SUBSCRIBED AND SWORN to before me this 7th day of June, 2017 at Sta. Maria, Ilocos Sur,
Philippines. Affiant personally appeared to me and exhibited to me his primary identification card as
shown below his name and signature above to prove his identity.
MARIA ELLEN DIRIGE-CABATU
Doc. No.______; Notary Public
Page No.______; Until December 31, 2018
Book No. L; PTR No.9688265, 01-04-17
Series of 2017. Vigan City, Ilocos Su
REPUBLIC OF THE PHILIPPINES)
PROVINCE OF ILOCOS SUR ) S. S.
MUNICIPALITY OF STA. MARIA)

AFFIDAVIT OF LOSS

I, MERENCIANA D. COSTALES, of legal age, widow, Filipino citizen and a resident of

Lingsat, Sta. Maria, Ilocos Sur, Philippines, after having been duly sworn to in accordance with law do
hereby depose and say:

12. That I am designated as President of Lingsat Rural Improvement Club, Sta. Maria, Ilocos
Sur Inc. and as I requested for its Tax Identification Number with the Bureau of Internal
Revenue Vigan City to which I was instructed to fill up BIR Form 1905;

13. That upon registration of the same, our organization was issued a copy of the BIR Form
1905 where the Tax Identification Number was written which I kept among my personal
belongings at home;

14. That to my apprehension and frustration, the BIR Form 1905 was no longer been located
when I had an occasion to need the same despite the concerted efforts of my family
members and myself making me conclude it was either been misplaced or lost beyond
recovery;

15. That by reason of the foregoing, I deem it best to declare the loss of the Certificate of
Registration and request for a reissuance of another;

16. That I further execute this affidavit to confirm the veracity of the above facts and for all
legal intents and purposes this may deem serve.

IN WITNESS WHEREOF, I have hereunto set my hand for signature this 24 th day of May,
2017 at Sta. Maria, Ilocos Sur, Philippines.

MERENCIANA D. COSTALES
Affiant
TIN 927-560-661
Issued by BIR

SUBSCRIBED AND SWORN to before me this 24th day of May, 2017 at Sta. Maria, Ilocos Sur,
Philippines. Affiant personally appeared to me and exhibited to me her primary identification card as
shown below her name and signature above to prove her identity.

MARIA ELLEN DIRIGE-CABATU

Doc. No.______; Notary Public
Page No.______; Until December 31, 2018
Book No. XLIX; PTR No.9688265, 01-04-17
Series of 2017. Vigan City, Ilocos Sur
REPUBLIC OF THE PHILIPPINES)
PROVINCE OF ILOCOS SUR ) S. S.
MUNICIPALITY OF STA. MARIA)

JOINT AFFIDAVIT OF LOSS

We, FRANCISCO T. DIVINA, single and ALEXANDER T. DIVINA, married, both of legal
ages, Filipino citizens and residents of Poblacion Sur, Sta. Maria, Ilocos Sur, Philippines, after having
been duly sworn to in accordance with law do hereby depose and say:

1. That we are the registered owner of a motorcycle and as such we were issued an Original
Certificate of Registration by the Land Transportation Office to show proof of ownership
thereof which was kept among our personal belongings in a cabinet at home;

2. That to our apprehension and frustration, the Original Certificate of Registration was no
longer been located when we had an occasion to need the same despite the concerted efforts
of our family members and ourselves making us conclude it was either been misplaced or
lost beyond recovery;

3. That by reason of the foregoing, we deem it best to declare the lost of the Original
Certificate of Registration and request for a reissuance of another;

4. That we are executing this instrument voluntarily to the best of our knowledge and belief and
for all legal intents and purposes this may deem serve.

IN WITNESS WHEREOF, we have hereunto set our hands for signatures this ____ day of
January, 2017 at Sta. Maria, Ilocos Sur, Philippines.

FRANCISCO T. DIVINA ALEXANDER T. DIVINA

Affiant Affiant
VIN 2926-0006A-L0387FTD10000 VIN 2926-0010A-K1578ATD100005
Issued by COMELEC Issued by COMELEC

SUBSCRIBED AND SWORN to before me this _____ day of January, 2017 at Sta. Maria,
Ilocos Sur, Philippines. Affiants exhibited to me their primary identification cards as shown below their
names and signatures above to prove their identities.

MARIA ELLEN DIRIGE-CABATU

Doc. No.______; Notary Public
Page No.______; Until December 31, 2018
Book No. XLIX; PTR No.9688265, 01-04-17
Series of 2017. Vigan City, Ilocos Sur

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF ILOCOS SUR ) S. S.
MUNICIPALITY OF STA. MARIA)

JOINT AFFIDAVIT OF LOSS

We, KRISTINE LEA Q. DIVINA, and ALEXANDER T. DIVINA, married unto each
other,both of legal ages, Filipino citizens and residents of Poblacion Sur, Sta. Maria, Ilocos Sur,
Philippines, after having been duly sworn to in accordance with law do hereby depose and say:

5. That we are the registered owner of a motorcycle and as such we were issued an Original
Certificate of Registration by the Land Transportation Office to show proof of ownership
thereof which was kept among our personal belongings in a cabinet at home;

6. That to our apprehension and frustration, the Original Certificate of Registration was no
longer been located when we had an occasion to need the same despite the concerted efforts
of our family members and ourselves making us conclude it was either been misplaced or
lost beyond recovery;

7. That by reason of the foregoing, we deem it best to declare the lost of the Original
Certificate of Registration and request for a reissuance of another;

8. That we are executing this instrument voluntarily to the best of our knowledge and belief and
for all legal intents and purposes this may deem serve.

IN WITNESS WHEREOF, we have hereunto set our hands for signatures this ____ day of
November, 2016 at Sta. Maria, Ilocos Sur, Philippines.

KRISTINE LEA Q. DIVINA ALEXANDER T. DIVINA

Affiant Affiant
VIN 2926-0007A-C2383KQD200004 VIN 2926-0010A-K1578ATD100005
Issued by COMELEC Issued by COMELEC

SUBSCRIBED AND SWORN to before me this _____ day of November, 2016 at Sta. Maria,
Ilocos Sur, Philippines. Affiants exhibited to me their primary identification cards as shown below their
names and signatures above to prove their identities.

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF ILOCOS SUR ) S. S.
MUNICIPALITY OF STA. MARIA)
 AFFIDAVIT OF LOSS

I, CLARENCE M. ESCOBAR, of legal age, single, Filipino citizen and a resident of Poblacion
Sur, Sta. Maria, Ilocos Sur, Philippines, after having been duly sworn to in accordance with law do
hereby depose and say:

17. That I am the grandson of the late BIENVENIDO M. ESCOBAR, the registered owner of a
motorcycle and as such he was issued an Original Certificate of Registration by the Land
Transportation Office to show proof of ownership thereof which was entrusted to me prior to
his death and was kept by me among my personal belongings in a cabinet at home;

18. That to my apprehension and frustration, the Original Certificate of Registrationwas no

longer been located when I had an occasion to need the same despite the concerted efforts of
my family members and myself making me conclude it was either been misplaced or lost
beyond recovery;

19. That by reason of the foregoing, I deem it best to declare the lost of theOriginal Certificate
of Registration and request for a reissuance of another;

20. That I further execute this affidavit to confirm the veracity of the above facts and for all
legal intents and purposes this may deem serve.

IN WITNESS WHEREOF, I have hereunto set my hand for signature this February 22, 2017 at
Sta. Maria, Ilocos Sur, Philippines.

CLARENCE M. ESCOBAR
Affiant
VIN 2926-0005A-L1390CME10000
Issued by COMELEC

SUBSCRIBED AND SWORN to before me this February 22, 2017 at Sta. Maria, Ilocos Sur,
Philippines. Affiant personally appeared to me and exhibited to me his primary identification card as
shown below his name and signature above to prove his identity.

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF ILOCOS SUR ) S. S.
MUNICIPALITY OF STA. MARIA)

AFFIDAVIT OF LOSS

I, EDNALYN R. DEOMPOC, of legal age, married, Filipino citizen and a resident of Cabaroan,
Sta. Maria, Ilocos Sur, Philippines, after having been duly sworn to in accordance with law do hereby
depose and say:
 111. That I am the registered owner of a Yamaha motorcycle and as such I was issued an
Original Certificate of Registration by the Land Transportation Office to show proof of
ownership thereof which was kept among my personal belongings in a cabinet at home;

112. That to my apprehension and frustration, the Original Certificate of Registration was
no longer been located when I had an occasion to need the same despite the concerted efforts
of my family members and myself making me conclude it was either been misplaced or lost
beyond recovery;

113. That by reason of the foregoing, I deem it best to declare the loss of the Original
Certificate of Registrationand request for a reissuance of another;

114. That I further execute this affidavit to confirm the veracity of the above facts and for
all legal intents and purposes this may deem serve.

IN WITNESS WHEREOF, I have hereunto set my hand for signature this 17 th day of August,
2017 at Sta. Maria, Ilocos Sur, Philippines.

EDNALYN R. DEOMPOC
Affiant
VIN 2926-0029A-B2780ERD20004-1
Issued by COMELEC

SUBSCRIBED AND SWORN to before me this 17th day of August, 2017 at Sta. Maria, Ilocos
Sur, Philippines. Affiant personally appeared to me and exhibited to me her primary identification card as
shown below her name and signature above to prove her identity.

MARIA ELLEN DIRIGE-CABATU

Doc. No.______; Notary Public
Page No.______; Until December 31, 2017
Book No. L; PTR No. 9688265, 01-04-17
Series of 2017. Vigan City, Ilocos Sur

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF ILOCOS SUR ) S. S.
MUNICIPALITY OF STA. MARIA)
 AFFIDAVIT OF LOSS

I, RANDISON B. SANCHEZ, of legal age, married, Filipino citizen and a resident of Libnaoan,
Piddig, Ilocos Norte, Philippines, after having been duly sworn to in accordance with law do hereby
depose and say:

115. That I am the registered owner of a Honda motorcycle and as such I was issued an
Original Certificate of Registration by Land Transportation Office sometime in 2008 to
show proof of ownership thereof;

116. That the Original Certificate of Registration covers a motorcycle bearing plate
number QL 5767 and with Chassis No. KB506-057-029359, which was kept among my
personal belongings in a cabinet at home;

117. That to my apprehension and frustration, the Original Certificate of Registration was
no longer been located when I had an occasion to need the same despite the concerted efforts
of my family members and myself making me conclude it was either been misplaced or lost
beyond recovery;

118. That by reason of the foregoing, I deem it best to declare the lost of the Original
Certificate of Registration and request for a reissuance of another;

119. That I further execute this affidavit to confirm the veracity of the above facts and for
all legal intents and purposes this may deem serve.

IN WITNESS WHEREOF, I have hereunto set my hand for signature this ____ day of
__________, 2016 at Sta. Maria, Ilocos Sur, Philippines.

RANDISON B. SANCHEZ
Affiant
Driver’s License ID No. A03-10-001907
Issued by LTO

SUBSCRIBED AND SWORN to before me this ____ day of _____________, 2016 at Sta.
Maria, Ilocos Sur, Philippines. Affiant exhibited to me his primary identification card as shown below his
name and signature above to prove his identity.

MARIA ELLEN DIRIGE-CABATU

Doc. No.______; Notary Public
Page No.______; Until December 31, 2016
Book No. XLVII; PTR No.2763178, 01-04-16
Series of 2016. Vigan City, Ilocos Sur

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF ILOCOS SUR ) S. S.
MUNICIPALITY OF STA. MARIA)

AFFIDAVIT OF LOSS
 I, MELANIO C. CASTRO,of legal age, married, Filipino citizen and a resident of Tangaoan,
Sta. Maria, Ilocos Sur, Philippines, after having been duly sworn to in accordance with law do hereby
depose and say:

120. That I am a driver of a Suzuki motor vehicle owned and registered in the name of my
brother MARLON C. CASTRO and as such he was issued an Original Certificate of Registration
by Land Transportation Office sometime in 1997 to show proof of ownership thereof;

121. That the Original Certificate of Registration (CR No. 09282532) covers a motorcycle
bearing plate number CU7277 and with Chassis No. OP125-1L8837, which was kept among his
personal belongings in a cabinet at home;

122. That to his apprehension and frustration, the Original Certificate of Registration was no
longer been located when we had an occasion to need the same despite the concerted efforts of
our family members and himself making him conclude it was either been misplaced or lost
beyond recovery;

123. That by reason of the foregoing, I deem it best to declare the lost of the Original
Certificate of Registration and request for a reissuance of another;

124. That I further execute this affidavit to confirm the veracity of the above facts and for all
legal intents and purposes this may deem serve.

IN WITNESS WHEREOF, I have hereunto set my hand for signature this 3 rd day of September,
2014 at Sta. Maria, Ilocos Sur, Philippines.

MELANIO C. CASTRO
Affiant
Driver’s License ID No. A11-05-000014
Issued by LTO

SUBSCRIBED AND SWORN to before me this 3 rd day of September, 2014 at Sta. Maria, Ilocos
Sur, Philippines. Affiant exhibited to me his primary identification card as shown below his name and
signature above to prove his identity.

MARIA ELLEN DIRIGE-CABATU

Doc. No. 524; Notary Public
Page No. 73; Until December 31, 2014
Book No. XLIV; PTR No.1731670, 1-03-14
Series of 2014. Vigan City, Ilocos Sur

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF ILOCOS SUR ) S. S.
MUNICIPALITY OF STA. MARIA)

AFFIDAVIT OF LOSS
 I, ANGELITA S. GUERRERO,of legal age, married, Filipino citizen and a resident of Tinaan,
Sta. Maria, Ilocos Sur, Philippines, after having been duly sworn to in accordance with law do hereby
depose and say:

a. That I am the absolute owner of a HONDA motor vehicle having purchased the same from the
registered owner JEFFREY B. Ongand as such he was issued an Original Certificate of
Registration by Land Transportation Office sometime in 2003 to show proof of ownership
thereof, which was handed to me upon payment of said Motor Vehicle;

b. That the Original Certificate of Registration (CR No. 71664917) covers a motor vehicle
bearing plate number ZZ 7280 and with Chassis No. KB505-036-020386, which was kept
among my personal belongings in a cabinet at home;

c. That to my apprehension and frustration, the Original Certificate of Registration was no longer
been located when I had an occasion to need the same despite the concerted efforts of my
family members and myself making me conclude it was either been misplaced or lost beyond
recovery;

d. That by reason of the foregoing, I deem it best to declare the lost of the Original Certificate of
Registration and request for a reissuance of another;

e. That I further execute this affidavit to confirm the veracity of the above facts and for all legal
intents and purposes this may deem serve.

IN WITNESS WHEREOF, I have hereunto set my hand for signature this _____day of April,
2016 at Sta. Maria, Ilocos Sur, Philippines.

ANGELITA S. GUERRERO
Affiant
Senior Citizen ID No. 9580
Issued by OSCA, Sta. Maria, Ilocos Sur

SUBSCRIBED AND SWORN to before me this ____day of April, 2016 at Sta. Maria, Ilocos
Sur, Philippines. Affiant exhibited to me her primary identification card as shown below hername and
signature above to prove her identity.

MARIA ELLEN DIRIGE-CABATU

Doc. No. ______; Notary Public
Page No._______; Until December 31, 2016
Book No. XLVII; PTR No.2763178, 01-04-16
Series of 2016. Vigan City, Ilocos Sur

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF ILOCOS SUR ) S. S.
MUNICIPALITY OF STA. MARIA)

AFFIDAVIT OF LOSS
 I, FLORDELINO D. DOLLENTE, of legal age, married, Filipino citizen and a resident of
Poblacion Sur, Sta. Maria, Ilocos Sur, Philippines, after having been duly sworn to in accordance with
law do hereby depose and say:

125. That I am the registered owner of a Toyota Fortuner and as such I was issued an
Original Certificate of Registration by Land Transportation Office sometime in 2015 to
show proof of ownership thereof;

126. That the Original Certificate of Registration (CR No. 214787565) covers a motor
vehicle bearing plate number ALA 6290 and with Chassis No. 3120398, which I kept in a
safe deposit box together with the key of the said motor vehicleand other important personal
documents at home;

127. That my wife and I went to Germany for a vacation leaving our house and a day
after our arrival, I noticed that our safe deposit box was forcibly taken together with other
items in our house which makes me conclude that our house was burglarized during our
absence;

128. That we promptly reported the matter to the PNP, Sta. Maria, Ilocos Sur which is
now conducting investigation on the matter;

129. That I further execute this affidavit to confirm the veracity of the above facts and for
all legal intents and purposes this may deem serve.

IN WITNESS WHEREOF, I have hereunto set my hand for signature this 26 th day of January,
2016 at Sta. Maria, Ilocos Sur, Philippines.

FLORDELINO D. DOLLENTE
Affiant
Senior Citizen ID No. 2808
Issued by OSCA, Sta. Maria, Ilocos Sur

SUBSCRIBED AND SWORN to before me this 26th day of January, 2016 at Sta. Maria, Ilocos
Sur, Philippines. Affiant personally appeared to me and exhibited to me his primary identification card as
shown below his name and signature above to prove his identity.

MARIA ELLEN DIRIGE-CABATU

Doc. No. 73; Notary Public
Page No. 100; Until December 31, 2016
Book No. XLVI; PTR No.2763178, 01-04-2016
Series of 2016. Vigan City, Ilocos Sur