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________________________ )S.S.
AFFIDAVIT OF LOSS
(Contract Policy)
3. Inspite of diligent efforts to look for said contact policy all such
efforts proved futile and in vain up to this time, thus, I am declaring
the loss of the said contract policy.
_________________________
Affiant
AFFIDAVIT OF LOSS
I, JOHNNY LIMSOC JR., of legal age, Filipino, and with residence and
postal address at Lot 5 Block 1, Maple St., Phase 2, Greenwood Village,
Cainta Rizal, after being duly sworn to in accordance with law, hereby
depose and say that:
AFFIDAVIT OF LOSS
I, JOHNNY LIMSOC JR., of legal age, Filipino, and with residence and
postal address at Lot 5 Block 1, Maple St., Phase 2, Greenwood Village,
Cainta Rizal, after being duly sworn to in accordance with law, hereby
depose and say that:
I, JOHNNY LIMSOC JR., of legal age, Filipino, and with residence and postal
address at Lot 5 Block 1, Maple St., Phase 2, Greenwood Village, Cainta Rizal, do
hereby constitute, appoint and name, JOHNNY LIMSOC III, of legal age, Filipino
and resident of #10 Governor E. Rodriguez St., Zone 5, Signal Village, Taguig City,
to be my true and lawful attorney-in-fact, for me and in my name, place and stead,
concerning my Education Plan with PRUDENTIALIFE PLANS, INC., under
Policy/Contract No. 73323668 issued by Prudentialife Plans Inc., to do and perform
the following: - the following:
BEFORE ME, a Notary Public for and in Las Pias City, this August 17, 2013
personally appeared principal, with his identification card consisting of:
___________________________ known to me and to me known to be the same
person who executed the foregoing Special Power of Attorney, and who
acknowledged to me that the same is her free and deed.
I, JOHNNY LIMSOC JR., of legal age, Filipino, and with residence and postal
address at Lot 5 Block 1, Maple St., Phase 2, Greenwood Village, Cainta Rizal, do
hereby constitute, appoint and name, JOHNNY LIMSOC III, of legal age, Filipino
and resident of #10 Governor E. Rodriguez St., Zone 5, Signal Village, Taguig City,
to be my true and lawful attorney-in-fact, for me and in my name, place and stead,
concerning my Education Plan with PRUDENTIALIFE PLANS, INC., under
Policy/Contract No. 73358720 issued by Prudentialife Plans Inc., to do and perform
the following: - the following:
BEFORE ME, a Notary Public for and in Las Pias City, this August 17, 2013
personally appeared principal, with his identification card consisting of:
___________________________ known to me and to me known to be the same
person who executed the foregoing Special Power of Attorney, and who
acknowledged to me that the same is her free and deed.
I, JOHNNY LIMSOC JR., of legal age, Filipino, and with residence and postal
address at Lot 5 Block 1, Maple St., Phase 2, Greenwood Village, Cainta Rizal, do
hereby constitute, appoint and name, JOHNNY LIMSOC III, of legal age, Filipino
and resident of #10 Governor E. Rodriguez St., Zone 5, Signal Village, Taguig City,
to be my true and lawful attorney-in-fact, for me and in my name, place and stead,
concerning my Pension Plan with PRUDENTIALIFE PLANS, INC., under
Policy/Contract No. 53678334 issued by Prudentialife Plans Inc., to do and perform
the following: - the following:
BEFORE ME, a Notary Public for and in Las Pias City, this August 17, 2013
personally appeared principal, with his identification card consisting of:
___________________________ known to me and to me known to be the same
person who executed the foregoing Special Power of Attorney, and who
acknowledged to me that the same is her free and deed.