Affidavit of Loss Official Receipt OR for Bail Bond
Republic of the Philippines)
AFFIDAVIT OF LOSS
I, _____________, Filipino, of legal age, and a resident of _____________, Philippines, after being duly sworn in accordance with law, depose and state:
That I am defendant in Criminal Case No. _____________ before the _____________ Trial Court, Branch ______, _____________ City, which is for _____________;
That on _____________ and to secure my provisional liberty in the said criminal case, I posted a Cash Bail Bond in the amount of _____________ (P_____________) and was issued Official Receipt No. _____________;
As the aforementioned criminal case against me was already dismissed, I looked for the original copy of the said Official Receipt No. _____________ to get back my cash bail bond;
However, despite diligent search and efforts to locate the said original copy of the said Official Receipt No. _____________, the same could not be found and must have been misplaced and irretrievably lost, 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 in support for my request for the release of my P_____________ cash bail bond and for whatever legal purposes that this may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this _____________ at _____________, Philippines.