Scribd
Upload
77 views

Affidavit Vehicle Accident.

The affiant declares that they are the assignee of a 2014 Toyota Vios that was parked outside their workplace. When returning to their car that evening, the affiant noticed it had sustained damage. No one witnessed the incident. The affiant is signing this affidavit to attest to the facts surrounding the damage to their vehicle.

Uploaded by

Marie Jade Ebol Araneta
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
77 views

Affidavit Vehicle Accident.

The affiant declares that they are the assignee of a 2014 Toyota Vios that was parked outside their workplace. When returning to their car that evening, the affiant noticed it had sustained damage. No one witnessed the incident. The affiant is signing this affidavit to attest to the facts surrounding the damage to their vehicle.

Uploaded by

Marie Jade Ebol Araneta
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 1

Republic of the Philippines )

City of ) S.S
X ------------------------------ X

AFFIDAVIT
I, _________________________, of legal age, single and residing at
_________________________, after having duly sworn to under oath hereby declares:

1. That I am the assignee of a 2014 Toyota Vios ___________ registered under


the name of __________________ and which motor vehicle is more
particularly described as follows:

Make/Model : TOYOTA VIOS 1.3J MT-AV


Plate No. :
Chassis No. :
Engine No. :
Color :

2. That on _______________, I reported to work and parked my car outside


the premises of __________________. That at about 6:30 in the evening
of the same date, when I went ___________________directly to the place
where I parked the car, I noticed that the car sustained damages, specifically
___________________,

3. That I inquired from the guards on duty if they saw any untoward incident, but
unfortunately, nobody witnessed the incident;

4. That at that time of the incident, I was not able to report to the Police
authorities, hence, no sketch and measurement was done;

5. That I am executing this affidavit to attest to the foregoing narration of facts and
for whatever legal purposes and intents this may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 14th day of


July, ______________, Philippines.

Affiant

Signed in the presence of:

SUBSCRIBED AND SWORN TO BEFORE me this ___________________,


Affiant having presented her LTO Valid ID with _______________ which will expire on
________________, for identification purposes.

You might also like