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Republic of the Philippines) City of Pasay...) SS.

AFFIDAVIT OF LOSS

I, ROSANIE F. ESTUCHE, of legal age, single/married, Filipino, with postal address at #2 Cadena de Amor St., Higgins, Pasay City, after having duly sworn to in accordance with law, hereby depose and state: 1. That I am a holder/bearer of a pawnshop paper or document (Papel de Agencia) issued by Ochoa Realica Pawnshop; 2. That I lost said pawnshop paper last October 5, 2013 while I was on my way home; 3. That I exerted so much effort to recover the same but it was to no avail; 4.That I executed this affidavit to attest the truth hereof, and for the purpose of securing a new one in lieu thereof. IN WITNESS WHEREOF, I have hereunto affixed my hand this 24th day of January, 2014 in Pasay City, Philippines.

ROSANIE F. ESTUCHE Affiant

SUBSCRIBED AND SWORN to before me on the day, month, year, place above-written. Affiant exhibited to me her Comm. Tax Cert. No. 31306288 issued at Pasay City on January __, 2014.

NOTARY PUBLIC Doc. No. ____; Book No. ____; Page No. ____; and Series of 2014.