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    Affidavit of Loss CR: I, Nikki Lou U. Densing, of Legal Age, Filipino, Single and A

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    Maeven E. Tubayan
    Nikki Lou U. Densing has lost the official receipt and certificate of registration for her Honda motorcycle. She swears in this affidavit that the documents were misplaced despite efforts to find them, and that they were not transferred, encumbered, or confiscated. She takes responsibility if the lost documents are used improperly, and executes this affidavit to support her request for duplicate copies from the Land Transportation Office.

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    Affidavit of Loss CR: I, Nikki Lou U. Densing, of Legal Age, Filipino, Single and A

    Uploaded by

    Maeven E. Tubayan
    102 views2 pages
    Nikki Lou U. Densing has lost the official receipt and certificate of registration for her Honda motorcycle. She swears in this affidavit that the documents were misplaced despite efforts to find them, and that they were not transferred, encumbered, or confiscated. She takes responsibility if the lost documents are used improperly, and executes this affidavit to support her request for duplicate copies from the Land Transportation Office.

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    Nikki Lou U. Densing has lost the official receipt and certificate of registration for her Honda motorcycle. She swears in this affidavit that the documents were misplaced despite efforts to find them, and that they were not transferred, encumbered, or confiscated. She takes responsibility if the lost documents are used improperly, and executes this affidavit to support her request for duplicate copies from the Land Transportation Office.

    Copyright:

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

    Affidavit of Loss CR: I, Nikki Lou U. Densing, of Legal Age, Filipino, Single and A

    Uploaded by

    Maeven E. Tubayan
    Nikki Lou U. Densing has lost the official receipt and certificate of registration for her Honda motorcycle. She swears in this affidavit that the documents were misplaced despite efforts to find them, and that they were not transferred, encumbered, or confiscated. She takes responsibility if the lost documents are used improperly, and executes this affidavit to support her request for duplicate copies from the Land Transportation Office.

    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)
    CITY OF CAGAYAN DE ORO      ) S.S.
    x----------------------------x
      

    AFFIDAVIT OF LOSS CR 

     I, Nikki Lou U. Densing , of legal age, Filipino, single and a
    resident of #28 Zone 8 Cugman, Cagayan de Oro City, 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 :  HONDA MOTORCYCLE
      Motor Number : XRM18026270             
    Chassis Number : XRM18EO26281
                 Plate Number : 9111KV
                 MV File No. : 
                 Year Model/Color : :XRM OR FRAME/RED

    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 Cagayan de Oro
    City, 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 2021.

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