Affidavit of Undertaking

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 1

Republic of the Philippines)

Iloilo City )sc.


x---------------------------------x

AFFIDAVIT OF UNDERTAKING

I, JUAN R. ALVAREZ, of legal age, married, Filipino and a resident of


Brgy. Lanjagan, Ajuy, Iloilo after having been sworn to in accordance with law
hereby depose and say:

1. I was the owner and holder of a Firearm described as follows:

Kind : Pistol
Make/Model : Remington
Caliber : .45 pistol
Serial Number : 883832

2. That I kept the said firearm inside my stock room in my residence in


Ajuy, Iloilo;

3. That last October 22, 2007, while I was cleaning my stock room, I
discovered that the said firearm was lost and I could no longer locate the same
despite diligent efforts. Upon discovering that the said firearm was lost, I
immediately reported the same to the Ajuy Municipal Police Station. A copy of the
Certification issued by the Ajuy Municipal Police Station is hereto attached as
Annex “A”;

4. While the said firearm was still in my possession it was never used in the
commission of any crime or any unlawful act; and

5. I am executing this affidavit of undertaking to attest to the truth of the


foregoing.

IN WITNESS WHEREOF, I hereby set my hand this _______of day


April 2019 at Iloilo City.

JUAN R. ALVAREZ
Affiant

SUBSCRIBED AND SWORN to before me this ____ day of April 2019


at Iloilo City. Affiant having exhibited to me his Driver’s License No.
________________ valid until ___________________.

Doc. No.: _____


Page No.: _____
Book No.: _____
Series of _____

You might also like