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    Affidavit of Loss - ST Peter Plan

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    Jomar L. Gaza
    1. The affiant and her mother procured life insurance policies from St. Peter Life Plan under contract numbers [NUMBER] and [NUMBER] respectively, which were kept in the affiant's home cabinet. 2. The affiant recently discovered that the contracts were no longer in the cabinet, having been misplaced over the years. 3. Despite searching, the affiant was unable to find the missing contracts, so she executed this affidavit to attest to their loss.

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    Affidavit of Loss - ST Peter Plan

    Uploaded by

    Jomar L. Gaza
    525 views1 page
    1. The affiant and her mother procured life insurance policies from St. Peter Life Plan under contract numbers [NUMBER] and [NUMBER] respectively, which were kept in the affiant's home cabinet. 2. The affiant recently discovered that the contracts were no longer in the cabinet, having been misplaced over the years. 3. Despite searching, the affiant was unable to find the missing contracts, so she executed this affidavit to attest to their loss.

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    1. The affiant and her mother procured life insurance policies from St. Peter Life Plan under contract numbers [NUMBER] and [NUMBER] respectively, which were kept in the affiant's home cabinet. 2. The affiant recently discovered that the contracts were no longer in the cabinet, having been misplaced over the years. 3. Despite searching, the affiant was unable to find the missing contracts, so she executed this affidavit to attest to their loss.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    525 views1 page

    Affidavit of Loss - ST Peter Plan

    Uploaded by

    Jomar L. Gaza
    1. The affiant and her mother procured life insurance policies from St. Peter Life Plan under contract numbers [NUMBER] and [NUMBER] respectively, which were kept in the affiant's home cabinet. 2. The affiant recently discovered that the contracts were no longer in the cabinet, having been misplaced over the years. 3. Despite searching, the affiant was unable to find the missing contracts, so she executed this affidavit to attest to their loss.

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    © All Rights Reserved
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    of 1

    REPUBLIC OF THE PHILIPPINES) SS

    CITY OF OLONGAPO )

    AFFIDAVIT OF LOSS

    I, ____________, of legal age, Filipino, with address at _____________________,


    after being sworn in accordance with law, state that:

    1. We have procured a St. Francis Plan from St. Peter Life Plan under my name
    and that of my mother, _____________. Given this, we have executed, and
    were issued with our respective contracts for the same. The one under my
    name has a contract number of _________, while that of my mother has a
    contract number of _______________.

    2. I kept both contracts in my cabinet in our house at


    ________________________ .

    3. I recently discovered that the said contracts that my mother and I have
    executed are no longer inside the said cabinet. The same must have been
    misplaced through the years.

    4. I exerted earnest efforts to look for the said contracts but to no avail.

    5. I have executed this Affidavit of Loss to attest to the foregoing and for
    whatever legal purpose it may serve.

    IN WITNESS WHEREOF, I have hereunto affixed my signature this ___ day of


    March 2019 at the _______________..

    ____________________
    Affiant

    SUBSCRIBED AND SWORN TO before me this ___ day of March 2019 affiant
    exhibited to me her ____________ with number ____________ valid until
    _______________.

    Doc. No. ___;


    Page No. ___;
    Book No. ___;
    Series of 2019.

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