Republic fo the Philippines )

San Juan City, Metro Manila ) S.S.

AFFIDAVIT OF LOSS

I, LIONG YAN KWONG, of legal age, Filipino, married to Mar Yok King, and
resident of 71-G Xavier St., Bgy. Greenhills, San Juan City, Metro Manila being sworn
according to law, depose and say:

That I am the registered owner of a real property covered by Condominium

Certificate of Title (CCT) No. 1457 of the Registry of Deeds of San Juan City, Metro Manila,
identified and described as Suite G, with an area of Two Hundred (200) square meters, more
or less, built on a land area of Two Hundred (200) square meters, more or less facing Xavier
Street, two-storey, with one master bedroom with its own toilet and bathroom with bathtub,
three other bedrooms and two toilets and bathrooms, walk in closet and balcony, all on the
second floor and a carport, garden and patio, living room, dining room, kitchen and laundry
on the ground floor, annotated an Transfer Certificate of Title No. 11385, located at Xavier
St., Bgy. Greenhills, San Juan City Metro Manila.

That the abovedescribed Condominium Certificate of Title (CCT) cannot be found

from our files or in any portion of our residence or in other possible places that it was
misplaced inspite of diligent efforts made to locate the same.

That this affidavit is executed for the purpose of filing of Court petition for issuance
of new owner’s duplicate of Condominium Certificate of title for the abovedescribed
property.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ____ day of

May 2018 in San Juan City, Metro Manila.

LIONG YAN KWONG

Affiant

SUBSCRIBED and sworn to before me this _____ day of May 2018 in San Juan City, Metro
Manila, affiant exhibited to me his Senior’s Citizen’s Identification Card issued on December
9, 2015 in San Juan City.

NOTARY PUBLIC

Doc No. _______;

Page No._______;
Book No.______;
Series of 2018.
Republic fo the Philippines )
San Juan City, Metro Manila ) S.S.

AFFIDAVIT OF LOSS

I, JUAN A. TAN, of legal age, Filipino, married to Segundina O. Tan, and resident of
71-M Xavier St., Bgy. Greenhills, San Juan City, Metro Manila being sworn according to
law, depose and say:

That I am the registered owner of a real property covered by Condominium

Certificate of Title (CCT) No. 866 of the Registry of Deeds of San Juan City, Metro Manila,
identified and described as Suite M, with an area of Two Hundred (200) square meters, more
or less, built on a land area of Two Hundred Thirty (230) square meters, more or less facing
Xavier Street, two-storey, with one master bedroom with its own toilet and bathroom with
bathtub, three other bedrooms and two toilets and bathrooms, walk in closet and balcony, all
on the second floor and a carport, garden and patio, living room, dining room, kitchen and
laundry on the ground floor, annotated an Transfer Certificate of Title No. 11385, located at
Xavier St., Bgy. Greenhills, San Juan City Metro Manila.

That the abovedescribed Condominium Certificate of Title (CCT) cannot be found

from our files or in any portion of our residence or in other possible places that it was
misplaced inspite of diligent efforts made to locate the same.

That this affidavit is executed for the purpose of filing of Court petition for issuance
of new owner’s duplicate of Condominium Certificate of title for the abovedescribed
property.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ____ day of

May 2018 in San Juan City, Metro Manila.

JUAN A. TAN
Affiant

SUBSCRIBED and sworn to before me this _____ day of May 2018 in San Juan City, Metro
Manila, affiant exhibited to me his Senior’s Citizen’s Identification Card issued on February
16, 1995 in San Juan City.

NOTARY PUBLIC

Doc No. _______;

Page No._______;
Book No.______;
Series of 2018.