Republic of The Philippines) Province of Occidental Mindoro) S.S Municipality of Sablyan) Affidavit of Storage

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REPUBLIC OF THE PHILIPPINES)

PROVINCE OF OCCIDENTAL MINDORO)S.S


MUNICIPALITY OF SABLYAN)

AFFIDAVIT OF STORAGE
I, JUAN DELA CRUZ , Filipino, of legal age, married and a resident of Barangay
Buenavista, Sablayan, Occidental Mindoro, after having sworn in accordance
with the law, hereby depose and states:

1. That he/she is the owner of a motor vehicle described as follows:

VEHICLE INFORMATION

Year Make

Model Body Style

VIN No. License Plate #

that the above motor vehicle has been stored at (Name of Village, Town, or City)
for the year or years of ________ to _______ and has not been used during this
(Specific Dates) time;

2. That the vehicle has not been titled or licensed during the years stated
in this affidavit;

3. I am executing this affidavit to attest to the truth of the foregoing


statements and for whatever legal purpose it may serve.

AFFIANT FURTHER SAYETH NAUGHT.

____________________
Affiant

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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