Republic of the Philippines)

Municipality of Dinalupihan) S.S.

AFFIDAVIT OF LOSS
I, LEONILA V FLORENDO, of a legal age, with address at Riverside, Maite,
Hermosa, Bataan, having been duly sworn in accordance with law, hereby depose
and state that:
1. Three of my Land Titles were lost on May 03, 2010 due to a fire
incident that happened in my house at #49 E Scout Borromeo Street
Quezon City, to wit:
a. TCT NO: T-232000
b. TCT NO: T-232001
c. TCT NO: T-232006
2. I exerted efforts to locate the Land Titles, but the same proved futile;
3. As such, I believe that the Land Titles are now lost beyond recovery:
4. I am executing this Affidavit of Loss to attest to the truth of the
foregoing and for all legal intents and purposes.
June 01, 2016 in Dinalupihan, Bataan.
________________________________
LEONILA V. FLORENDO
OSCA #: 02155
Affiant
SUBSCRIBED AND SWORN before me this 1 st day of June 2016, by the
affiant who exhibited to me her above competent evidence of identity.

Doc No. _______

Page No._______
Book No._______
Series of 2016

Atty. Joseph Mario S. Sabado

Notary Public for Dinalupihan
Ground Floor, MMS Building,
Bonifacio St. Ext., Dinalupihan, Bataan
Roll of Attorneys No. 62613
Appointment No. 015-15 12/31/17
PTR 3058335 1/5/16
TIN 445-178-946
MCLE Compliance No. V-0010905