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Affidavit of Lost Vehicle Documents

The document is an affidavit of loss filed by Juan B. Dela Cruz regarding his lost vehicle registration documents. In the affidavit, Dela Cruz states that he is the registered owner of a described motor vehicle but that the official receipt and certificate of registration issued by the Land Transportation Office were misplaced despite efforts to locate them. He further attests that the documents were not transferred, encumbered, or confiscated by authorities. Dela Cruz executes the affidavit to support his request for duplicate registration documents from the LTO.

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117 views2 pages

Affidavit of Lost Vehicle Documents

The document is an affidavit of loss filed by Juan B. Dela Cruz regarding his lost vehicle registration documents. In the affidavit, Dela Cruz states that he is the registered owner of a described motor vehicle but that the official receipt and certificate of registration issued by the Land Transportation Office were misplaced despite efforts to locate them. He further attests that the documents were not transferred, encumbered, or confiscated by authorities. Dela Cruz executes the affidavit to support his request for duplicate registration documents from the LTO.

Uploaded by

attywithnocaseyet
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)

MUNICIPALITY OF___________ ) S.S.


PROVINCE OF )
x----------------------------x

AFFIDAVIT OF LOSS OR/CR

I, Juan B. Dela Cruz, of legal age, Filipino, married, and a resident of


_______________________________, after having been duly sworn
to in accordance with law, depose and state THAT:

1. I am the registered owner of a motor vehicle which is particularly


described as follows:

Make & Type : ______________


Motor Number : ______________
Chassis Number : ____________
Plate Number : ______________
MV File No. : ________________
Year Model/Color : ___________

2. As proof of ownership of the above-described vehicle, I was issued


by the Land Transportation Office, Official Receipt (OR) and
Certificate of Registration (CR);

3. The said documents while in my possession were misplaced and


could no longer be located in spite of diligent efforts to locate them;

4. Said documents were neither transferred to other


persons/entity/financial institutions for any consideration nor
encumbered to guarantee financial obligations with any financial
institution;

5. Said documents were not confiscated by any government


authorities for violation of R.A. 4136 and other related laws;

6. I shall assume responsibility or liability if in any event I will use


these documents for whatever illicit transactions;

7. I am executing this affidavit to attest to the veracity of my


statements and to support my request for duplicate copies of the lost
MVRR/MVMRR/OR/CR with the Land Transportation Office (LTO).

IN WITNESS WHEREOF, I have hereunto set my hand this 6th day


of August 2018 in, Philippines.
____________________
Affiant
SSS ID No. _____________

SUBCRIBED AND SWORN TO before me this day of in, Philippines,


affiant exhibiting to me her competent evidence of identity by way of
__________________ issued at ______________ on
__________________.

Doc. No. _____;


Page No. _____;
Book No. _____;
Series of.

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