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Deed of Sale Loss

Nestor M. Perez, Jr. files an affidavit of loss for the deed of sale documents for his 2001 Toyota Revo. He states that the official receipt and certificate of registration were misplaced despite efforts to locate them. He assumes responsibility if the documents are used for illicit purposes and binds himself criminally and civilly liable for any third party claims arising from reissuance of the documents. The affidavit is sworn before a notary.

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Nesty Perez III
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81 views1 page

Deed of Sale Loss

Nestor M. Perez, Jr. files an affidavit of loss for the deed of sale documents for his 2001 Toyota Revo. He states that the official receipt and certificate of registration were misplaced despite efforts to locate them. He assumes responsibility if the documents are used for illicit purposes and binds himself criminally and civilly liable for any third party claims arising from reissuance of the documents. The affidavit is sworn before a notary.

Uploaded by

Nesty Perez III
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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REPUBLIC OF THE PHILIPPINES )

METRO MANILA ) SSS


QUEZON CITY )

AFFIDAVIT OF LOSS OF DEED OF SALE


I, Nestor M. Perez. Jr. of legal age, Filipino, married and a resident of#25 Taurus Street
Carmel 5 Subdivision Tandang Sora Quezon City , after having been duly sworn to pursuant to
law, depose and say:
1. That I am the registered owner of the motor vehicle described below as, to wit:
Make & Type : Toyota Revo 2001 GL Model
Plate Number : VTP 444
Serial / CHASSIS NO: RF80-3023109
O.R. NO: 1384361204
C.R. NO: 74729790
2. That , as proof of ownership of the above described vehicle I was issued by the Land
Transportation Office, Official Receipt (OR) as proof of payment and Certificate of Registration
(CR);
3. That the said documents, including the deed of sale from the Central Bank of the
Philippines, while in my possession were misplaced and could no longer be located inspite of
exerting efforts of locating them;
4. That the said documents were not in the possession of any bank institutions or lending
companies by reason of encumbrances or chattel mortgage of the subject motor vehicle;
5. That the said documents were not confiscated by any governments authorities in
violation of R.A. 4136 and other related laws;
6. That I shall assume responsibility or liability if in any event I will use these documents for
whatever illicit transactions;
7. That I am executing this affidavit to attest to the veracity of my statements and to
support the same in its requests for duplicate copies of the lost OR/CR at the Land
Transportation Office (LTO) where it has a hand over subject.
8. That I bind myself criminally, civilly and administratively liable and will assume full
responsibility for any 3rd party claim, and hereby hold the Land Transportation Office or any of
its employees free from any liability arising from any claim for damages as a result of the
approval of the registration of the motor vehicle and or issuance of replacement certificate or
registration.
IN WITNESS HEREOF, I have hereunto set my hand this _____________ in Tandang Sora,
Quezon City
________________________
Affiant
Res. Cert. No. _____________
Issued at _________________
On _________________ 2019
SUBSCRIBED AND SWORN to before me this _______________ in Quezon City,
Philippines, affiant exhibited to me her residence certificate, number of which is clearly written
as above indicated.

Doc. No. _______;


Page No. _______;
Book No. _______;
Series of 2019.

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