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    Affidavit of Accident in Support of Insurance Claim: IN WITNESS WHEREOF, I Have Hereunto Set My Hand This 4

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    tet1986
    Alva Marie C. Aguas files an affidavit to support an insurance claim for damage to her brother Roy Aguas' vehicle. On July 2020, while parking the Toyota Vios in reverse at an SM parking lot, she did not notice a post and bumped into it, damaging the rear right bumper and cracking the right tail light. She executes this affidavit to attest to the truth of the incident in support of the insurance claim and for any legal purposes. The affidavit is notarized by Attorney Princess L. Buan on August 4, 2020 in Porac, Pampanga, Philippines.

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    Affidavit of Accident in Support of Insurance Claim: IN WITNESS WHEREOF, I Have Hereunto Set My Hand This 4

    Uploaded by

    tet1986
    34 views1 page
    Alva Marie C. Aguas files an affidavit to support an insurance claim for damage to her brother Roy Aguas' vehicle. On July 2020, while parking the Toyota Vios in reverse at an SM parking lot, she did not notice a post and bumped into it, damaging the rear right bumper and cracking the right tail light. She executes this affidavit to attest to the truth of the incident in support of the insurance claim and for any legal purposes. The affidavit is notarized by Attorney Princess L. Buan on August 4, 2020 in Porac, Pampanga, Philippines.

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    sample notarial documents 1

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    Accident Alva

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    Alva Marie C. Aguas files an affidavit to support an insurance claim for damage to her brother Roy Aguas' vehicle. On July 2020, while parking the Toyota Vios in reverse at an SM parking lot, she did not notice a post and bumped into it, damaging the rear right bumper and cracking the right tail light. She executes this affidavit to attest to the truth of the incident in support of the insurance claim and for any legal purposes. The affidavit is notarized by Attorney Princess L. Buan on August 4, 2020 in Porac, Pampanga, Philippines.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    34 views1 page

    Affidavit of Accident in Support of Insurance Claim: IN WITNESS WHEREOF, I Have Hereunto Set My Hand This 4

    Uploaded by

    tet1986
    Alva Marie C. Aguas files an affidavit to support an insurance claim for damage to her brother Roy Aguas' vehicle. On July 2020, while parking the Toyota Vios in reverse at an SM parking lot, she did not notice a post and bumped into it, damaging the rear right bumper and cracking the right tail light. She executes this affidavit to attest to the truth of the incident in support of the insurance claim and for any legal purposes. The affidavit is notarized by Attorney Princess L. Buan on August 4, 2020 in Porac, Pampanga, Philippines.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 1

    Republic of the Philippines )

    Porac, Pampanga ) S.S.

    Affidavit of Accident in Support of Insurance Claim


    I, ALVA MARIE C. AGUAS, of legal age, Filipino, and a resident
    of Brgy. Poblacion, Porac, Pampanga, after having been sworn to in
    accordance with law do hereby depose and say:

    1. I am the person who drove a vehicle registered under the


    name of my brother ROY AGUAS, particularly, Toyota Vios with Plate
    No. CAJ4947.

    2. Sometime on July 2020, at around 4:00 in the afternoon, I


    was about to park said vehicle in reverse motion when I did not notice a
    post stationed at SM parking lot. I bumped on the post causing damage
    to the rear right side bumper and a crack on the right side tail light.

    3. This Affidavit is executed to attest the veracity of the


    foregoing in support of an insurance claim for the damage sustained by
    the said vehicle and for whatever legal purpose this affidavit may serve.

    IN WITNESS WHEREOF, I have hereunto set my hand this 4 th


    day of August 2020 at Porac, Pampanga, Philippines.

    ALVA MARIE C. AGUAS


    Affiant
    DL No. C10-11-014477
                                       
                SUBSCRIBED AND SWORN to before me, 4th day of August
    2020 at Porac, Pampanga, Philippines affiant exhibited to me her
    competent evidence of identity above indicated.   

    ATTY. PRINCESS L. BUAN


    Notary Public Until December 31, 2020
    Commission No. 2018-730
    Roll of Attorneys No. 66219
    PTR No.: AC-1471505/ 01-07-20/Angeles City
    IBP No.: 113403/ 01-13-20/ Pampanga Chapter
    Unit 1-D PGD Bldg. Ortigas St. cor. Gen. Luna St.
    Poblacion, Porac, Pampanga

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