Affidavit of Discrepancy LTO

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REPUBLIC OF THE PHILIPPINES )

PROVINCE OF PAMPANGA )
CITY OF SAN FERNANDO ) Ss.

AFFIDAVIT OF DISCREPANCY
I, ELBERTO FULLON GABAD JR., of legal age, Filipino citizen, and a resident of #48 Ilo-ilo
St., Payatas B., Quezon City, after having been duly sworn to in accordance with law, hereby
depose and state:

1. That I am the registered owner of a motorcycle which is more particularly described as


follows:

MAKE/SERIES : SUZUKI / GA150DAJ


ENGINE NO. : G429804867
CHASSIS NO. : NG4CA104862
YEAR MODEL. : 2016
MV FILE NO. : 1303-00000699316
PLATE NO. : 443NFE

2. That I overlooked the registration process for the above-mentioned motorcycle. Hence,
the denomination appearing on the Certificate of Registration and Official Receipt of the
motorcycle issued by the Land Transportation Office (LTO) was MOTORCYCLE WITH
SIDECAR instead of MOTORCYCLE (without SIDECAR), which is true and correct one;

3. That the said discrepancy may have been caused by inadvertence or through an honest
mistake during the accomplishment thereof;

4. That I am executing this affidavit in order to attest to the truth of the foregoing
statements and for whatever legal purposes it may serve;

IN WITNESS WHEREOF, I have hereunto affixed my signature this _____day of


____________ 2022 in the City of San Fernando, Pampanga.

ELBERTO FULLON GABAD JR.


Affiant

SUBSCRIBED AND SWORN to before me this ____ day of ____________ 2022 in the City
of San Fernando, Pampanga.

Doc. No. ________


Page No. ________
Book No. ________
Series of 2022.

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