2024 Affidavit of Vehicular Accident

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Republic of the Philippines}

Binan, Laguna }s.s

AFFIDAVIT OF VEHICULAR ACCIDENT

I, , of legal age, married and with residence address at after having been
duly sworn to according to law, hereby depose and state:

1. That I am the registered owner of a motor vehicle which is specifically described as follows:

MODEL :
MOTOR NO. :
CHASSIS NO. :
COLOR :
PLATE NO. :

1. I am the owner of a [Car Make, Model, Year, and Plate Number] (hereinafter referred to as "the
vehicle"), which was parked at the [Name of Parking Lot] located in Quezon City, Philippines, on
[Date and Time].
2. On the aforementioned date and time, I parked my vehicle at the said parking lot and duly secured
it. I affirm that at the time of parking, the vehicle was in good condition and free from any
damages.
3. After a lapse of approximately [Duration], I returned to the parking lot to retrieve my vehicle.
Upon reaching my parked location, I was shocked and dismayed to discover that my vehicle had
sustained damages consistent with a hit-and-run incident. The damages include [Description of
damages].
4. I immediately inspected the surrounding area, but unfortunately, I could not locate any witnesses
or obtain information regarding the responsible party.
5. I affirm that I did not, in any way, contribute to the damages incurred by my vehicle. The incident
was entirely beyond my control, and I bear no liability for the damages sustained.
6. I hereby attest to the truthfulness of the foregoing statements and affirm that I am executing this
affidavit to attest to the facts stated herein for the purpose of supporting any necessary legal
actions related to the hit-and-run incident involving my vehicle.

7. That I am executing this affidavit in order to attest to the truth of the foregoing circumstances
and for the purpose of reporting the matter to my insurance office for insurance claims.

IN WITNESS WHEREOF, I have hereunto set my hand this day of , 2013 at the City
of .

Affiant

SUBSCRIBED AND SWORN to before me this day of 2013, affiant exhibited a competent
proof of their Identity:
Govt. Issued I.D. Valid Until

Notary Public
Doc. No. ;
Page No. ;
Book No. ;
Series of 2013.

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