I, CHARLES PHOEBELMER G. BALBIN, of legal age, a Filipino,
single, and a resident of Bacolod City, Philippines, under oath, do hereby depose and state: THAT –
1.) I am the registered owner of a parcel of land known
as Lot 2, Block 39, covered by Transfer Certificate of Title No. T-123456 of the Registry of Deeds of Bacolod City.
2.) As proof of my ownership over Lot 2, Block 39, I was
issued an Owner’s Duplicate of Transfer Certificate of Title No. T-123456 which I kept inside my fireproof and bulletproof vault inside my bedroom.
3.) Last January 1, 2019, a burglar entered my house and
took away with him several of my belongings including the vault which contained several important documents which includes the Owner’s Duplicate of Title No. T-123456.
4.) I have reported the said incident to the authorities
and even exerted effort to locate and recover my lost Owner’s Duplicate of Title No. T-123456 but the same is now beyond recovery.
5.) I did not deliver the said Owner’s Duplicate of Title
No. T-123456 as security for the payment of any outstanding obligation and was lost due to the circumstances narrated above.
6.) I am executing this affidavit to attest to the truth of
the foregoing and for purposes of reporting the loss of my title and in support of the petition I intend to file for issuance of a duplicate of the lost title.
IN WITNESS WHEREOF, I have hereunto affixed my
signature this 18th day of January 2019 at Bacolod City, Philippines.
CHARLES PHOEBELMER G. BALBIN
Affiant
SUBSCRIBED AND SWORN TO before me this 18 th day of
January 2019 at Bacolod City, Philippines, affiant personally appeared before me and exhibited to me his SSS Id. No. _____________ as competent proof of his identity.