Affidavit Loss
Affidavit Loss
Affidavit Loss
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AFFIDAVIT OF LOSS
Make/Type:
Series:
Chasis No.:
Engine No.:
Plate No.:
C.R. No.:
O.R. No.:
MV File No.:
Page 1 of 2
5. This affidavit is being executed to support my request for the release
of the impounded vehicle;
___________________________
Affiant
Doc. No.
Page No.
Book No.
Series of:
Page 2 of 2