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AFFIDAVIT OF LOSS
2. That in the afternoon of January 17 2016, a thief entered into our residence and took
my Apple 6 plus with the said SIM Card inside our house;
3. That I have reported this incident to the police and I am attaching a certified true copy
of a blotter report in this affidavit as Annex;
4. That despite diligent search and efforts to locate said cellular phone, I could not find
the same such that I now believe that said is now lost beyond recovery together with
the aforesaid SIM Card;
5. As such, I am executing this Affidavit of Loss to attest to the truth of the foregoing
and in support of my request / application for the replacement of the said SIM Card
and for whatever purpose it may serve.
ACKNOWLEDGMENT
NOTARY PUBLIC