0 оценок0% нашли этот документ полезным (0 голосов)
336 просмотров2 страницы
Juan Dela Cruz files an affidavit to document damage that has occurred to his vehicle, a 2016 Toyota Vios, on multiple occasions between January and May 2018. The affidavit details that in January 2018 he backed into a rock causing damage. In February 2018 he found scratches and dents on the parked car but did not see who caused it. In March 2018 the front side was scraped and dented while parked. In May 2018 the rearview mirror was hit while driving but he did not notice the damage until later. The affidavit is being submitted to support an insurance claim for the repair costs.
Исходное описание:
sample narration of incidents re damage to vehicle
Juan Dela Cruz files an affidavit to document damage that has occurred to his vehicle, a 2016 Toyota Vios, on multiple occasions between January and May 2018. The affidavit details that in January 2018 he backed into a rock causing damage. In February 2018 he found scratches and dents on the parked car but did not see who caused it. In March 2018 the front side was scraped and dented while parked. In May 2018 the rearview mirror was hit while driving but he did not notice the damage until later. The affidavit is being submitted to support an insurance claim for the repair costs.
Juan Dela Cruz files an affidavit to document damage that has occurred to his vehicle, a 2016 Toyota Vios, on multiple occasions between January and May 2018. The affidavit details that in January 2018 he backed into a rock causing damage. In February 2018 he found scratches and dents on the parked car but did not see who caused it. In March 2018 the front side was scraped and dented while parked. In May 2018 the rearview mirror was hit while driving but he did not notice the damage until later. The affidavit is being submitted to support an insurance claim for the repair costs.
I, JUAN DELA CRUZ, of legal age, Filipino, single, residing at
10000 J. Dela Cruz Street, Brgy. Salapan, San Juan City, after being duly sworn to in accordance with law, hereby depose and state:
1. That I am a duly licensed driver with Non-Professional
Driver’s License No. N04-96-000000 which is valid until 30 November 2021.
2. That I am the authorized driver of a Mica Blue 2016 Toyota
Vios with conduction number YU 0808, registered in the name of my brother-in-law, RICKY MARTIN, more particularly described as follows:
MAKE : Honda Engine No. : 1NZZ111111
Series : Vios 1.6G Gas M Chassis No.: NCP1500000003 Body Type: Sedan Conduction No: YU 1961
3. That on or about noon of 20 January 2018, while I was
backing at a friend’s house in Sto. Tomas, Batangas, I hit a big rock causing damage to the left side near the back wheel and rear end of the above-mentioned car.
4. That on or about 10:00 in the morning, 16 February 2018,
while my vehicle was parked outside our residence in Brgy. Salapan, San Juan City, I noticed when I went out that the car had scratches near the gas tank, a dent (before the roof), as well as scratches on the left side body. Unfortunately, I did not see who caused the said damage.
5. That on or about 11 March 2018, I saw the paint on the
right front side of the car scraped and the lower portion dented, as well as my side skirt damaged. Unfortunately, I did not see who caused it because it happened when the car was parked in Kamuning, Quezon City.
6. On or about 8:00 p.m. of 25 May 2018, I got bumped by
another vehicle hitting my right rearview mirror and scratches but I did not realize that I incurred such damages until I parked the car. The incident happened along A. Bonifacio Avenue, Quezon City.
7. That I am executing this Affidavit to attest to the truth of
the foregoing and in support of the claim against the insurer for the repair of the damage caused to my vehicle. IN WITNESS WHEREOF, I have hereunto set my hand this ______ day in ______________, Metro Manila, Philippines.