Aff of Loss LTO Plate Number
Aff of Loss LTO Plate Number
Aff of Loss LTO Plate Number
AFFIDAVIT OF LOSS
2. That the aforementioned motorcycle was issued with Plate No. 5582-OY;
3. Sometime in October 2019, while I was driving the said motorcycle somewhere in our
Municipality, the Plate unknowingly detached from its place ;
4. I exercised due diligence in locating the said Plate Number and have reported its loss to the
proper LTO Office, Patin-ay, Prosperidad, Agusan del Sur;
5. My efforts to locate Plate No. 5582-OY failed since until now the same has not been found,
leaving me with no other recourse but to request and process for the issuance of a replacement
thereof, for which purpose this affidavit is executed; and
IN WITNESS WHEREOF, I hereunto affix my signature this 27th day of November 2019 at Patin-
ay, Prosperidad, Agusan del Sur, Philippines.
MA TERESA P. BAYLON
Affiant
SUBSCRIBED AND SWORN to before me, this 27th day of November 2019 at Patin-ay,
Prosperidad, Agusan del Sur, Philippines.