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    Affidavit of Loss Plate

    Uploaded by

    lucky
    This affidavit of loss was sworn by Ryan Rendal, a driver for Keramix Specialty Products Inc. Rendal states that on August 5, 2020 the rear license plate of the truck he was driving, a Racal Dionysus with engine and chassis numbers provided, was lost somewhere in Olongapo City despite diligent search efforts. Rendal executes this affidavit to attest to the truth of the loss and support an application for a new license plate.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Affidavit of Loss Plate

    Uploaded by

    lucky
    131 views2 pages
    This affidavit of loss was sworn by Ryan Rendal, a driver for Keramix Specialty Products Inc. Rendal states that on August 5, 2020 the rear license plate of the truck he was driving, a Racal Dionysus with engine and chassis numbers provided, was lost somewhere in Olongapo City despite diligent search efforts. Rendal executes this affidavit to attest to the truth of the loss and support an application for a new license plate.

    Original Description:

    AFFIDAVIT OF LOSS PLATE

    Original Title

    AFFIDAVIT OF LOSS PLATE

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    © © All Rights Reserved

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    This affidavit of loss was sworn by Ryan Rendal, a driver for Keramix Specialty Products Inc. Rendal states that on August 5, 2020 the rear license plate of the truck he was driving, a Racal Dionysus with engine and chassis numbers provided, was lost somewhere in Olongapo City despite diligent search efforts. Rendal executes this affidavit to attest to the truth of the loss and support an application for a new license plate.

    Copyright:

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

    Affidavit of Loss Plate

    Uploaded by

    lucky
    This affidavit of loss was sworn by Ryan Rendal, a driver for Keramix Specialty Products Inc. Rendal states that on August 5, 2020 the rear license plate of the truck he was driving, a Racal Dionysus with engine and chassis numbers provided, was lost somewhere in Olongapo City despite diligent search efforts. Rendal executes this affidavit to attest to the truth of the loss and support an application for a new license plate.

    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 )
    Province of ____________________) S.S.
    City/Municipality of ______________)

    AFFIDAVIT OF LOSS

    I, Filipino, of legal age, single, and a resident of Mabuhay Textile, Malinta,


    Valenzuela City, Philippines, after being duly sworn in accordance with law, depose and
    state:
    That I am the Driver of a Utility Vehicle/Elf, under the ownership of Keramix Specialty
    Products Inc. more particularly described as follows:
    Make & Series: Isuzu
    Engine No. : 4BE1-152725
    Chassis No. : ENKR-20050256-C
    Plate No. : ZGJ749

    That on or about August 1, 2020 , somewhere in Bocaue, Bulacan the rear license
    plate of the said utility vehicle was lost;
    That despite diligent search and efforts to locate the said license plate, I could not
    find the same such that I now believe that they are now lost beyond recovery.
    As such, I am executing this Affidavit of Loss to attest to the truth of the foregoing
    and to support the application for the issuance of a new one in lieu of the one that was lost.
    IN WITNESS WHEREOF, I have hereunto set my hand this _____________ at
    _____________, Philippines.

    Affiant
    DL No. _________________

    SUBSCRIBED AND SWORN TO before me this _________________ at


    ________________________. Affiant exhibited to me her competent evidence of identity
    written immediately below his name.

    Notary Public

    Doc. No. ____;


    Page No. ____;
    Book No. ____;
    Series of 2020.
    Republic of the Philippines )
    Province of ____________________) S.S.
    City/Municipality of ______________)

    AFFIDAVIT OF LOSS

    I, RYAN RENDAL, Filipino, of legal age, single, and a resident of Mabuhay Textile,


    Malinta, Valenzuela City, Philippines, after being duly sworn in accordance with law, depose
    and state:
    That I am the Driver of a Truck, under the ownership of Keramix Specialty Products
    Inc. more particularly described as follows:
    Make & Series: RACAL DIONYSUS
    Engine No. : YC4D12021D12F8G00008
    Chassis No. : LWU5PM3C9GKM00150
    Plate No. : CAH-2396

    That on or about August 5, 2020 , somewhere in Olongapo City the rear license
    plate of the said utility vehicle was lost;
    That despite diligent search and efforts to locate the said license plate, I could not
    find the same such that I now believe that they are now lost beyond recovery.
    As such, I am executing this Affidavit of Loss to attest to the truth of the foregoing
    and to support the application for the issuance of a new one in lieu of the one that was lost.
    IN WITNESS WHEREOF, I have hereunto set my hand this _____________ at
    _____________, Philippines.

    RYAN RENDAL
    Affiant
    DL No. _________________

    SUBSCRIBED AND SWORN TO before me this _________________ at


    ________________________. Affiant exhibited to me her competent evidence of identity
    written immediately below his name.

    Notary Public

    Doc. No. ____;


    Page No. ____;
    Book No. ____;
    Series of 2020.

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