Scribd
Upload
379 views1 page

Affidavit-Of-Loss OR - CR MOtorcycle

The document is an affidavit of loss filed by Rachel Velasco regarding her lost vehicle registration documents. She details her ownership of a Honda vehicle and that the registration certificate was lost despite efforts to find it. She promises not to use the lost documents for any illegal purposes and is requesting a duplicate registration from the Land Transportation Office.

Uploaded by

manilabayprogrammalvar
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
379 views1 page

Affidavit-Of-Loss OR - CR MOtorcycle

The document is an affidavit of loss filed by Rachel Velasco regarding her lost vehicle registration documents. She details her ownership of a Honda vehicle and that the registration certificate was lost despite efforts to find it. She promises not to use the lost documents for any illegal purposes and is requesting a duplicate registration from the Land Transportation Office.

Uploaded by

manilabayprogrammalvar
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
You are on page 1/ 1

Republic of the Philippines) of

Batangas )s.s.
X X

AFFIDAVIT OF LOSS

I, RACHEL C. VELASCO, Filipino, married, of legal age, resident of Brgy. San Juan,
Batangas, Philippines, after having been sworn by law hereby depose and state that:

1. I am the registered owner of motor vehicle which is particularly describe as follows;

Make & Type: HONDA (MTC)


Motor Number: 040107
Chassis Number: KYA10060946
Plate Number: 126DVI
MV File No. : KYA10E060934

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


Registration (CR) with the number of 35571891-5 by the Land Transportation
Office;

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 Certificate of Registration with the Land
Transportation Office (LTO).

SUBSCRIBED AND SWORN to before me on this 8th day of April 2024, in Malvar,
Batangas Philippines.

RACHEL C. VELASCO
Affiant
Issued ID: PAG-IBIG ID
MID NO. 1210-0504-9963

Doc. No. ;
Page No. ;
Book No.
; Series of 2024.

You might also like