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Affidavit

Joseph Ishmael P. Ferrer was driving his vehicle out of the garage on September 28, 2019 at around 7am when another vehicle sideswiped the left side of his car by the gate. Ferrer did not notice the other vehicle in time as the accident happened quickly and was beyond his control. He is filing this affidavit to attest to the truth of the events and support his claim for reimbursement from his insurance company.

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Dharlyn Espiritu
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0% found this document useful (0 votes)
120 views1 page

Affidavit

Joseph Ishmael P. Ferrer was driving his vehicle out of the garage on September 28, 2019 at around 7am when another vehicle sideswiped the left side of his car by the gate. Ferrer did not notice the other vehicle in time as the accident happened quickly and was beyond his control. He is filing this affidavit to attest to the truth of the events and support his claim for reimbursement from his insurance company.

Uploaded by

Dharlyn Espiritu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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REPUBLIC OF THE PHILIPPINES)

CITY OF PASAY)

AFFIDAVIT OF ACCIDENT

I, Joseph Ishmael P. Ferrer, Filipino, of legal age, with residence address at P33-11 9th
Street, Villamor Air Base, Pasay City, after having been duly sworn to in accordance with law, hereby depose
and say that:

I am the authorized driver of one vehicle which is particularly described as follows:

MAKE AND MODEL :


SERIAL NUMBER :
PLATE NUMBER :

On September 28, 2019 at around seven o’clock in the morning, I was making my way out
of the garage. I did not immediately notice that it sideswiped the left-side portion of my driven vehicle to the
gate. The accident happened so fast and went beyond my control.
I am executing this affidavit to attest the truth of the foregoing statement and in support of
my claims of reimbursement from the insurance company.

Joseph Ishmael P. Ferrer


Affiant

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