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Affidavit of Loss OR CR

The document is an affidavit of loss for a vehicle registration and ownership documents. It details the vehicle description and states that the documents were misplaced despite efforts to find them and were not transferred or used illegally. It requests duplicate documents from the Land Transportation Office.

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57 views2 pages

Affidavit of Loss OR CR

The document is an affidavit of loss for a vehicle registration and ownership documents. It details the vehicle description and states that the documents were misplaced despite efforts to find them and were not transferred or used illegally. It requests duplicate documents from the Land Transportation Office.

Uploaded by

drew bar
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)
CITY OF MAKATI            ) 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 Makati 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 2013.

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