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Affidavit - Lost Plate

The document is an affidavit from an individual in the Philippines stating that their vehicle's license plate was damaged or detached after parking on November 4, 2024. The affiant confirms that the plate was intact before parking and is requesting a replacement plate due to the damage. The affidavit is executed for legal purposes and includes a section for notarization.

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danny dayan
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0% found this document useful (0 votes)
17 views1 page

Affidavit - Lost Plate

The document is an affidavit from an individual in the Philippines stating that their vehicle's license plate was damaged or detached after parking on November 4, 2024. The affiant confirms that the plate was intact before parking and is requesting a replacement plate due to the damage. The affidavit is executed for legal purposes and includes a section for notarization.

Uploaded by

danny dayan
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
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Republic of the Philippines )

______________________) S.S.

AFFIDAVIT

I, _______________, Filipino, of legal age, single and with residence and postal
address at _____________________________________, after having duly sworn to in
accordance with law, do hereby depose and state:
1. That I am the owner/driver of a vehicle with plate number ____________;

2. That sometime on 04 November 2024, I parked my vehicle at Bonifacio St.


South Signal, Taguig City at approximately ___________;

3. That the following morning, on 05 November 2024, I discovered that the


plate number of my vehicle was damaged and/or detached;

4. That the plate was intact and in good condition prior to parking the
vehicle;

5. That I am executing this affidavit to attest to the truthfulness of the


foregoing facts for whatever legal purpose this may serve and to formally
request the issuance of a replacement plate number for my vehicle due to
the damage sustained by the original one.
IN WITNESS WHEREOF, I have hereunto affixed my hands this _____day of
____________________ at ________________________________, Philippines.

__________________
Affiant

SUBSCRIBED AND SWORN TO BEFORE ME on the date and place above


written, affiant exhibiting to me his ID No. _______________________ issued by
_________________________________.

Doc. No. ______; NOTARY PUBLIC


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

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