Вы находитесь на странице: 1из 1

Republic of the Philippines)

Valenzuela City ) Ss.

AFFIDAVIT-AUTHORIZATION
KNOW ALL MEN BY THESE PRESENTS:

I, ALBERTO V. RABACAL, of legal age, married, Filipino citizen and


a resident of 67 Bahay Pari, Gen. T. De Leon, Valenzuela City, after
having been duly sworn to in accordance with law, do hereby depose
and state, that:

1. I am the lawful and registered owner of a Motorcycle more


particularly described as follows, to wit:

MV FILE: 1344-00000125942
PLATE NO.: TI7302
ENGINE NO.: XRM110ME-7062340
CHASSIS NO.: XRM12-055-062340
MAKE: HONDA
SERIES: XRM110J
BODY TYPE: MOTORCYCLE
MODEL 2005

2. I am authorizing ALLAN COMENDADOR, married, Filipino citizen


and a resident of 77 Bahay Pari, Gen. T. De Leon, Valenzuela
City, to use and drive the aforesaid motor cycle;

3. Allan Comendador is a duly licensed driver and have no


disqualification to drive a motor vehicle;

4. I am executing this Affidavit to attest to the truthfulness and


veracity of the foregoing narration of facts; and for whatever
legal intents and purposes it may well serve;

IN WITNESS WHEREOF, I have hereunto set my hand this _____ day


of March 2017 at Valenzuela City, Philippines.

ALBERTO V. RABACAL
Affiant
___________________________________

SUBSCRIBED AND SWORN to before me this ____ day of March


2017 at Valenzuela City, Philippines. Affiant, whom I personally know
through his valid identification card indicated below his name, signed
the document in my presence and avowed under penalty of law to the
whole truth of the contents of the foregoing document.

WITNESS MY HAND AND SEAL.

Doc. No.: ______;


Page No.: ______;
Book No.: ______;
Series of 2017.

Вам также может понравиться