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    Affidavit of Mutilated Plate - LTO - Patrick Santos

    Uploaded by

    Vanessa Mallari
    1. Patrick Lawrence S. Santos executed an affidavit to inform the Land Transportation Office that the plate number of his Nissan Navarra vehicle with plate number CAR 5587 was damaged and mutilated due to a collision with another vehicle on July 11, 2020. 2. Santos affirms that he is executing the affidavit to comply with requirements for issuance of a new plate number and to attest to the truth of his statements. 3. The affidavit was signed by Santos on September 16, 2020 in San Fernando, Pampanga, Philippines.

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    Affidavit of Mutilated Plate - LTO - Patrick Santos

    Uploaded by

    Vanessa Mallari
    3K views1 page
    1. Patrick Lawrence S. Santos executed an affidavit to inform the Land Transportation Office that the plate number of his Nissan Navarra vehicle with plate number CAR 5587 was damaged and mutilated due to a collision with another vehicle on July 11, 2020. 2. Santos affirms that he is executing the affidavit to comply with requirements for issuance of a new plate number and to attest to the truth of his statements. 3. The affidavit was signed by Santos on September 16, 2020 in San Fernando, Pampanga, Philippines.

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    Affidavit of Mutilated Plate_LTO_Patrick Santos

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    1. Patrick Lawrence S. Santos executed an affidavit to inform the Land Transportation Office that the plate number of his Nissan Navarra vehicle with plate number CAR 5587 was damaged and mutilated due to a collision with another vehicle on July 11, 2020. 2. Santos affirms that he is executing the affidavit to comply with requirements for issuance of a new plate number and to attest to the truth of his statements. 3. The affidavit was signed by Santos on September 16, 2020 in San Fernando, Pampanga, Philippines.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    3K views1 page

    Affidavit of Mutilated Plate - LTO - Patrick Santos

    Uploaded by

    Vanessa Mallari
    1. Patrick Lawrence S. Santos executed an affidavit to inform the Land Transportation Office that the plate number of his Nissan Navarra vehicle with plate number CAR 5587 was damaged and mutilated due to a collision with another vehicle on July 11, 2020. 2. Santos affirms that he is executing the affidavit to comply with requirements for issuance of a new plate number and to attest to the truth of his statements. 3. The affidavit was signed by Santos on September 16, 2020 in San Fernando, Pampanga, Philippines.

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

    REPUBLIC OF THE PHILIPPINES)

    __________________________________) S.S.

    AFFIDAVIT OF MUTILATED PLATE

    I, PATRICK LAWRENCE S. SANTOS, of legal age, Filipino, and a resident


    of Blk 39 Lot 5, Sicampo St., Holy Angel Village, Phase 4, Telebastagan, San
    Fernando, Pampanga, after being sworn in accordance with law, hereby depose
    and state that –

    1. I am the owner of one Nissan Navarra motor vehicle with plate


    number CAR 5587;

    2. On 11 July 2020 while driving said motor vehicle, another vehicle


    suddenly hit my car;

    3. Due to the collision, the plate number of my vehicle was mutilated


    and damaged;

    4. It is in this regard that I execute this affidavit to inform the Land


    Transportation Office of the fact of damage and mutilation caused to my
    vehicle’s plate number;

    5. I further execute this affidavit in compliance with and/or for


    purposes of satisfying the requirements for the issuance of a new plate;

    6. Finally, I am executing this affidavit to attest the truth and


    veracity of the foregoing statements and for all legal intents and purposes it
    may serve;

    7. Affiant sayeth naught.

    IN WITNESS WHEREOF, I have hereunto affixed my signature this 16 th


    day of September 2020 at San Fernando, Pampanga, Philippines.

    PATRICK LAWRENCE S. SANTOS


    Affiant

    ACKNOWLEDGMENT

    REPUBLIC OF THE PHILIPPINES)


    ) S.S

    BEFORE ME, a Notary Public in and favor ______, personally appeared


    _________, with __________ issued on ________ as competent proof of identify,
    known to me and to me known to be the same person who executed the
    foregoing instrument and acknowledged before me as his free and voluntary act
    and deed.

    WITNESS MY HAND AND SEAL, this _______ day of 2020.

    Doc. No. ____;


    Page No. ____’
    Book No. ____;
    Series of 2020.

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