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Affidavit of Loss Official Receipt OR for Bail Bond


Affidavit of Loss Official Receipt OR for Bail Bond

Republic of the Philippines)
Province of ____________________)S.S.
City/Municipality of _____________)
x - - - - - - - - - - x

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.

Affiant

(JURAT)

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