Affidavit of Loss

Republic of the Philippines)

                                     ) S.S.

AFFIDAVIT OF LOSS OF SPA

I, ________________, of legal age, Filipino, single and a resident of _________________________, after having been duly sworn to in accordance with law, depose and state THAT:

On November 17, 2016, a Special Power of Attorney was executed by the registered owners ________ and ____________ acknowledged before Notary Public ____________ (Doc. No. ___; Page No. __; Book No. __; Series of 2016) authorizing Ms.________ to sell the property covered by CCT Nos. ______ and ______ and execute necessary documents relative thereto.

Sometime in July 2017, the original copy of the said Special Power of Attorney given to me could not be found and that despite of diligent search and efforts, the same could no longer be found such that I now believe that it is now lost beyond recovery.

As such, I am executing this Affidavit of Loss to attest to the truth of the foregoing and for whatever legal purposes that this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this ___________________ in ___________, Metro Manila, Philippines.

___________

Affiant

SUBSCRIBED AND SWORN to before me this _______ day of __________________ in __________________, Metro Manila, affiant exhibiting to her Government Issued ID No. ____________.

	Doc. No. Page No. Book No. Series of 2017.