REPUBLIC OF THE PHILIPPINES }
CITY OF TAGBILARAN S.S }
AFFIDAVIT OF TRANSFER, WAIVER, FORFEITURE AND QUITCLAIM
I, JOHN KIRBY COLARINES, Filipino, of legal age, single and a resident of
Catagbacan Norte, Loon, Bohol, after having been duly sworn in accordance with law,
hereby depose and say:
1. That I was the previous buyer of a motor vehicle, which is more particularly
described as follows:
MV File No. : 1372-00000207468
Plate Number : WHE386
Engine Number : 4D56A-J8793
Chassis Number : PAEL039PYXB-021372
Denomination : Utility Vehicle
Make : Mitsubishi
Series : L300
Body Type : Aluminium Van
Year Model : 1999
2. That I HEREBY FORMALLY TRANSFER, WAIVE, FORFEIT AND
QUITCLAIM, my claims for ownership, possession, shares, rights, interests and
participation over the above-described motor vehicle, in favor of ROLAND
LATONIO FERMO, Filipino, of legal age, and a resident of 1206 Rizal Ave.,
Extension, Cogon, Pardo, Cebu City;
3. That I hereby further declare that this transfer , waiver , forfeiture and quitclaim
of rights, interests and participation over the above-described motor vehicle, is
my free and voluntary act and deed ;
4. That I am executing this Affidavit of Transfer, Waiver, Forfeiture and Quitclaim , in
order to formally establish and attest to the foregoing facts, for all legal intents
and purposes ;
IN WITNESS WHEREOF, we have hereunto set our hands this 25 th day of
February 2020 in the City of Tagbilaran, Bohol, Philippines.
JOHN KIRBY COLARINES
Affiant
TIN 472-409-145-000
SUBSCRIBED AND SWORN to before me this 25th day of February 2020 in the
City of Tagbilaran, Bohol, Philippines, affiant exhibiting to me his competent evidence
of identity as indicated below his name.
Doc. No. __ ATTY. DAVID S. MAULAS REA, REB, MBA
Page No. __ Maulas and Lagura Law Offices
Book No. __ Castelcelo Bldg, JS. Torralba cor Gallares St, Tagbilaran City, Bohol
Series of 2020 Notary Public Comm. Until Dec. 31, 2020
NCS No. 2019-70
Roll No. 72293; IBP No. 088451
PTR No. 7958108; TIN 283-956-522
MCLE Compliance Number (Temporarily Exempt)