AFFIDAVIT OF LOST Passbook Glenda Santos 2021

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REPUBLIC OF THE PHILIPPINES )

PROVINCE OF LAGUNA ) S. S.
MUNICIPALITY OF SANTA CRUZ )

AFFIDAVIT OF LOST PASSBOOK

I, GLENDA G. SANTOS, of legal age, married and a resident of


Brgy. San Juan, Kalayaan, Laguna, after being sworn to in accordance with
law hereby depose and state:

1. That I am a depositor of ________________;

2. That as a savings account depositor, I was issued by the said bank a


passbook under account number 2955-003-01-005484-0;

3. That said passbook was placed in a filing cabinet at my office.


However, sometime on the last week of September 2021, when I was
about to check the entries in the said passbook I discovered that said
passbook was already missing and I cannot locate the same;

4. That I have exerted all efforts to locate the whereabouts of the said
passbook and all other possible places where I may have placed it
but all my efforts were in vain as I still cannot locate the same
anymore;

5. That I am executing this affidavit to attest to the truthfulness of the


foregoing statements and to request for the issuance of a new
passbook in lieu of the lost one.

IN WITNESS WHEREOF, I have hereunto affixed my signature


this __th day of October 2021 at Santa Cruz, Laguna.

GLENDA G. SANTOS
Affiant
VIN No. 3409-0017B-J2264GGS20000-1

SUBSCRIBED AND SWORN TO BEFORE ME, this ___th day of


October 2021 at Santa Cruz, Laguna, after the affiant exhibited to me his ID
appearing below his name.

Doc. No. ___


Page No. ___
Book No. ____
Series of 2021

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