Affidavit of Loss: Atty. Ralp Ryan A. Lagura, Cpa

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Republic of the Philippines )

City of Tagbilaran ) S.S.

AFFIDAVIT OF LOSS

I, CECIL T. GUMAPAC, Filipino, of legal age, married and a resident of Nueva


Vida Sur, Carmen, Bohol, Philippines, after having been duly sworn to in accordance
with law, do hereby depose and say:

1. That I am a bonafide holder of a Non-Professional Driver’s License duly


issued by the Land Transportation Office (LTO), Tagbilaran City;

2. That said Non-Professional Driver’s License was kept in my wallet for


safekeeping but the same fell from my back pocket;

3. That the said Non-Professional Driver’s License got lost sometime around
July 4, 2020;

4. That I exerted diligent efforts to find and recover my said Non-Professional


Driver’s License, however, my efforts proved futile as until now, its
whereabouts is still uncertain, hence, I considered it to be lost for all intents
and purposes;

5. That my Non-Professional Driver’s License was not confiscated by lawful


authorities for any violation of traffic laws or rules and regulations;

6. That I execute this affidavit voluntarily to attest to the truth of the foregoing
statements for whatever legal purpose this may serve.

IN WITNESS WHEREOF, I hereunto set my hand this 6 th day of July 2020, at


the City of Tagbilaran, Bohol, Philippines.

CECIL T. GUMAPAC
Affiant
PRC ID No. 1254633
Professional Regulation Commission
Manila

SUBSCRIBED AND SWORN to before me this 6th day of July 2020, at the City
of Tagbilaran, Bohol, Philippines.

Doc No. 479 ATTY. RALP RYAN A. LAGURA, CPA


Page No. 96 MAULAS & LAGURA Law Office
Book No. II G/F Castelcelo Building 2 Gallares St,
Series of 2020 corner J.S. Torralba St, Tagbilaran City
NOTARY PUBLIC until December 31, 2020
NCS No. 2019-68; TIN 263-686-047-000
Roll No. 72594, IBP Membership No. 089933
PTR No. 7958107, January 2, 2020; CY 2020
MCLE Compliance No. (TEMPORARILY EXEMPT)
For the City of Tagbilaran and Other Municipalities of Bohol

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