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    Affidavit of Damage To Vehicle

    Uploaded by

    Marilen Roque
    The affiant parked their vehicle outside their home in Caloocan City, Philippines at 1:00 PM on August 6, 2015. Upon returning at 2:00 PM, they noticed dents and damage to the rear left portion and left side of the vehicle. They are filing this affidavit to attest to the truth of the events and to support an insurance claim for the repair of the damage caused to the vehicle.

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    Affidavit of Damage To Vehicle

    Uploaded by

    Marilen Roque
    42K views2 pages
    The affiant parked their vehicle outside their home in Caloocan City, Philippines at 1:00 PM on August 6, 2015. Upon returning at 2:00 PM, they noticed dents and damage to the rear left portion and left side of the vehicle. They are filing this affidavit to attest to the truth of the events and to support an insurance claim for the repair of the damage caused to the vehicle.

    Original Description:

    for insurance claim

    Original Title

    Affidavit of Damage to Vehicle

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    The affiant parked their vehicle outside their home in Caloocan City, Philippines at 1:00 PM on August 6, 2015. Upon returning at 2:00 PM, they noticed dents and damage to the rear left portion and left side of the vehicle. They are filing this affidavit to attest to the truth of the events and to support an insurance claim for the repair of the damage caused to the vehicle.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    42K views2 pages

    Affidavit of Damage To Vehicle

    Uploaded by

    Marilen Roque
    The affiant parked their vehicle outside their home in Caloocan City, Philippines at 1:00 PM on August 6, 2015. Upon returning at 2:00 PM, they noticed dents and damage to the rear left portion and left side of the vehicle. They are filing this affidavit to attest to the truth of the events and to support an insurance claim for the repair of the damage caused to the vehicle.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Republic of the Philippines )

    Caloocan City

    )S.S.

    AFFIDAVIT of VEHICLE DAMAGE

    I, ______, of legal age, Filipino citizen, single, and a resident of ____,


    after being sworn to in accordance with law, depose and state that:
    1 I am a duly licensed driver with Driver's License No. __;
    2 I am an authorized driver of a ___with Plate No. ___ which is owned
    by ____;
    3 Last August 6, 2015, at about 1:00 in the afternoon, I parked the said
    motor vehicle outside our house at ____Caloocan City. After having
    lunch at about 2:00p.m., I went to check the said vehicle. I noticed
    that the rear left portion of said motor vehicle as well as the left side
    of its body had been damaged. The motor vehicle has dents on the
    said parts.
    4 I am executing this Affidavit to attest to the truth of the foregoing
    facts and in support of the claim against the insurer for the repair of
    the damage caused to said vehicle and for all legal purposes it may
    serve.
    IN WITNESS WHEREOF, I have hereunto set my hand this 11 th
    day of August, 2015 in Caloocan City, Philippines.

    Affiant

    SUBSCRIBED AND SWORN to before me this 11th day of August,


    2015 in Caloocan City, Philippines.

    Doc No. : ______


    Page No.:______
    Book No.:______
    Series of 2015.

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