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Affidavit of Loss - Or-Cr

This affidavit details the loss of official vehicle registration documents including the OR and CR. It provides identifying details of the vehicle and states that the documents were misplaced despite efforts to locate them. The affiant claims the documents were not transferred, encumbered, or confiscated. They take responsibility for any illicit use and sign to attest to the truth of the statements in support of a request for duplicate registration documents from the LTO.

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6K views2 pages

Affidavit of Loss - Or-Cr

This affidavit details the loss of official vehicle registration documents including the OR and CR. It provides identifying details of the vehicle and states that the documents were misplaced despite efforts to locate them. The affiant claims the documents were not transferred, encumbered, or confiscated. They take responsibility for any illicit use and sign to attest to the truth of the statements in support of a request for duplicate registration documents from the LTO.

Uploaded by

Red
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)

QUEZON CITY ) S.S.


x----------------------------x

AFFIDAVIT OF LOSS OR/CR

I, ___________________, of legal age, Filipino, (single/married/widow) and a


resident of _______________________________, after having been duly
sworn to in accordance with law, depose and state THAT:

1. I am the registered owner of a motor vehicle which is particularly described as


follows:

Make & Type : ______________


Motor Number : ______________
Chassis Number : ____________
Plate Number : ______________
MV File No. : ________________
Year Model/Color : ___________

2. As proof of ownership of the above-described vehicle I was issued by the Land


Transportation Office, Official Receipt (OR) and Certificate of Registration
(CR);

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 MVRR/MVMRR/OR/CR with
the Land Transportation Office (LTO).
IN WITNESS WHEREOF, I have hereunto set my hand
this ___________________ in Quezon City, Metro Manila, Philippines.

____________________
Affiant
SSS ID No. _____________

SUBCRIBED AND SWORN TO before me this ___________________ in


_________________, Philippines, affiant exhibiting to me his/her
competent evidence of identity by way of __________________ issued at
______________ on __________________.

Doc. No. _____;


Page No. _____;
Book No. _____;
Series of 2018.

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