Affidavit of Discrepancy

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AFFIDAVIT OF DISCREPANCY

I, ANGELITO D. TUMATOM, of legal age, Filipino and a resident of PALMARIO


ST TONSUYA MALABON CITY, having duly sworn in accordance with law,
hereby depose and state:
1. I Am the lawfully owner of the vehicle with Certificate of Registration
number 21852033 and MV file no. 0244-00009511860.
2. In the LTO system the details/information of the vehicle said are blank.
3. I hereby certify and affirm that the blank on the details/information on
my Certificate of Vehicle are stated below.
MAKE              : YAMAHA MOTOR NO.              : 3UU000390
SERIES            : FZR1000 SERIAL/CHASSIS NO.: JYA3UUC06LA000390
TYPE OF BODY : MOTORCYCLE PLATE NO.                : BE2999
YEAR MODEL   : 2000 MV FILE NO.            : 0244-00009511860
PISTON DISPLACEMENT : 1000CC C.R. NO.                   : 21852033

4. I executed this affidavit to attest to the truth of the foregoing facts and
for whatever lawful purposes this may serve.
IN WITNESS WHEREFORE, I hereto affixed my signature this ____ day of
_____________ 20___ in ___________, _____________.

ANGELITO D. TUMATOM
Affiant

SUBSCRIBED AND SWORN to before me by the affiant with Driver’s License I.D.
No. N04- 93-280136 issue on ___________ in LTO ___________________.

Doc. No. _______:


Page No._______:
Book No._______:
Series of 20____

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