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Affidavit of Loss Firearm (Bornilla)

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REPUBLIC OF THE PHILIPPINES)

CITY OF ILOILO) S. S.
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AFFIDAVIT
I, YOLANDA B. BORNILLA, of legal age, Filipino and a resident of 175 Brgy. Motag,
Malay, Aklan, Philippines, after having been duly sworn to in accordance with law, do
hereby depose and state that:

1. I am previously a lawful owner of a Glock 9mm Pistol, Model G26 Green, with
Serial Number LVV756 and was duly issued of a Permit to Carry (PTC) with Control No.
09113333 and Firearm License No. 92121811705595;

2. Sometime in 2012, a colleague introduced a certain police officer, which name I


cannot recall, from Metro Manila, who was interested to acquire the above-described
firearm, with the undertaking that he will process all documents and all necessary permits
for its transfer under his name. Immediately thereafter, he presented a Deed of Absolute
Sale which I signed, and I gave him all original documents and licenses in connection with
the aforementioned firearm;

3. However, I was surprised when the Philippine National Police (PNP), Malay,
Aklan approached me and inquired with regard to the licenses and non-renewal of the
above-described firearm. I exerted diligent search and effort to locate a copy of the Deed of
Absolute Sale but the same was nowhere to be found, as it might have been lost together
with all my personal files and belongings during the devastation of the Typhoon Yolanda,
hence, is considered LOST for all intent and purposes;

4. I am executing this Affidavit in order to attest to the truthfulness of the foregoing


facts.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed my signature this
th
17 day of November 2018, in the City of Iloilo, Philippines.

YOLANDA B. BORNILLA
Affiant

ATTY. MA. ANGELA D. MASACOTE


Notary Public
For the City and Province of Iloilo
Comm. Reg. No. 115, valid until 31 December 2018
PTR No. 5802953. 03 January 2018. Iloilo City
IBP Lifetime Membership No. 030370. 03 January 2018. Iloilo
City
MCLE Compliance No. VI-0010214. 18 June 2018
Doc. No. _____; Attorney’s Roll No. 64235
Page No. _____; E-mail Address: maiangelsmile@gmail.com
Book No._____; Gascon Tingson Caballero Lastimoso Pagunsan Law Firm
Series of 2018. Door 3, 2/F Rosary Building, Iznart Street, Iloilo City
Telefax: (033) 323- 6203
SUBSCRIBED AND SWORN to before me this 17th day of November 2018, at Iloilo
City, Philippines, affiant exhibiting to me her TIN 188-343-458, as competent proof of her
identification.

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