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Affidavit

The affiant declares that they accidentally hit their garage gate and posts while parking their Toyota Avanza in their residence. They state they are a licensed non-professional driver and own the vehicle. The affiant executed this affidavit to support an insurance claim for the substantial dent and scratches caused by the impact.

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Marvin De Paz
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42 views1 page

Affidavit

The affiant declares that they accidentally hit their garage gate and posts while parking their Toyota Avanza in their residence. They state they are a licensed non-professional driver and own the vehicle. The affiant executed this affidavit to support an insurance claim for the substantial dent and scratches caused by the impact.

Uploaded by

Marvin De Paz
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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AFFIDAVIT

I, __________________, of legal age, married, and with residence at


____________________________________, after having been duly sworn in accordance
with law, hereby depose and state:

1. I am a licensed non-professional driver and the owner of the Toyota Avanza


motor vehicle with plate number _____________.

2. On _________________________, I was parking my vehicle inside my residence


when I miscalculated and accidentally hit the gate and posts in my garage. The
impact left a substantial dent and scratches at the ______________________.

3. I am executing this Affidavit to support my application for insurance claim.

IN WITNESS WHEREOF, I have executed this Affidavit on _______________ in


______________________.

AFFIANT
Affiant

SUBSCRIBED AND SWORN before me in _______________ this


_______________, affiant having exhibited to me her LTO Driver’s License No.
________________.

Doc No. _____;


Page No. _____;
Book No. _____;
Series of 2020.

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