Scribd
Upload
81 views4 pages

Affidavit of Lost

This affidavit details the loss of official vehicle registration documents belonging to Megumi Aguilos Masuko. [1] Masuko owned a motor vehicle registered under her name. [2] The official receipt and certificate of registration issued by the Land Transportation Office were misplaced despite efforts to locate them. [3] Masuko swears the documents were not transferred, encumbered, or confiscated and accepts responsibility if they are misused.

Uploaded by

Erikha Araneta
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
81 views4 pages

Affidavit of Lost

This affidavit details the loss of official vehicle registration documents belonging to Megumi Aguilos Masuko. [1] Masuko owned a motor vehicle registered under her name. [2] The official receipt and certificate of registration issued by the Land Transportation Office were misplaced despite efforts to locate them. [3] Masuko swears the documents were not transferred, encumbered, or confiscated and accepts responsibility if they are misused.

Uploaded by

Erikha Araneta
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
You are on page 1/ 4

REPUBLIC OF THE 

PHILIPPINES)

CITY OF MUNTINLUPA) S.S.

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

  

AFFIDAVIT OF LOSS OR/CR 

 I, MEGUMI AGUILOS MASUKO, of legal age, Filipino,

widow and a resident of 104 Makiling Ayala Alabang,

Muntinlupa, 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 Muntinlupa 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 2023.

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy