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LOSS Manila Teachers MAMA

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REPUBLIC OF THE PHILIPPINES)

CITY OF TAGBILARAN) S.S.

AFFIDAVIT OF LOSS

I, FELINA C. SARTE, Filipino, of legal age, married and a resident


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

1. That I am a bonafide member of the MANILA TEACHERS’


SAVINGS AND LOAN ASSOCIATION, INC. Tagbilaran City , Bohol,
Philippines;

2. That by virtue thereof I was issued a savings and loan PASSBOOK


by the above mentioned institution;

3. That sometime on March 2, 2020, our residence located in


Vallehermoso, Carmen, Bohol was burned and destroyed by fire including
the said PASSBOOK;

4. That the above-mentioned passbook is not in the hands of third


persons for monetary consideration whatsoever but is in fact lost as above-
stated or said item confiscated for any legal cause;

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


foregoing statements for the purpose of its re-issuance and for whatever
other legal purposes this may serve.

FELINA C. SARTE
Affiant

SUBSCRIBED AND SWORN to before me this 13th day of July


2022 in Tagbilaran City, Bohol, Philippines.

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