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REPUBLIC OF THE PHILIPPINES CITY OF PASIG) S.S.

AFFIDAVIT I, Juan Tamad, of legal age, single/married to ____, and a resident of #8 Mayaman St. Million Vill., Makati City, after having been duly sworn in accordance with law, hereby depose and say that: 1. That I am the true and lawful owner of a certain motor vehicle which is more particularly described as follows: MAKE: SERIES: TYPE OF BODY: YEAR MODEL: MOTOR NO: SERIAL/CHASSIS NO. PLATE NO: FILE NO:

2. Sometime in June of this year, I was looking for the original Certificate of Registration of my car but to my surprise, said Owners original Copy could not be found; 3. That I took pains to look for said Certificate of Registration, but to no avail; 4. That I am executing this affidavit to attest to the truth of the foregoing and to request from the Land Transportation Office of Manila City, a copy of said Certificate of Registration. Further affiant sayeth naught. IN WITNESS WHEREOF, I have hereunto affixed my signature this 3rd day of March, 2009 at Pasig City, Philippines. ________________________ (signature of affiant over printed name) JURAT

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