Вы находитесь на странице: 1из 1

Sample Format of Impounding Receipt

Republic of the Philippines


Department of the Interior and Local Government
PHILIPPINE NATIONAL POLICE
______________________________________
_______________________

Date:________________________

IMPOUNDING RECEIPT
Description of the MV:

Make/Type : _______________________________________________

Chassis No. : _______________________________________________

Motor No. : _______________________________________________

Plate No. : _______________________________________________

Color : _______________________________________________

CR/OR NO. : _______________________________________________

LTO File No. : _______________________________________________

Registered Owner: _______________________________________________

Address : _______________________________________________

VIOLATIONS:
1. ___________________________________________________
2. ___________________________________________________
3. ___________________________________________________

Subject MV was apprehended by Anti-Carnapping Operatives of this office for violation/s as stated above
on_________________ at about______ along the vicinity of _______________________and same was brought to
HQS TMG, Camp Crame, Quezon City, for safekeeping subject for the investigation/verification and proper
disposition.

Note: Subject MV shall only be released upon presentation of its pertinent original documents and upon
notation/approval of the ADI.

APREHENDING OFFICERS:

Team Leader: ________________


________________
________________
________________
Conformed:

_____________________
Owner/Driver/Possessor

Вам также может понравиться