P. 1
Affidavit of Damage

Affidavit of Damage

Views: 13,202|Likes:
Published by api-17234030

More info:

Published by: api-17234030 on Sep 29, 2009
Copyright:Attribution Non-commercial


Read on Scribd mobile: iPhone, iPad and Android.
download as DOC, PDF, TXT or read online from Scribd
See more
See less





Affidavit of Damage

I, , of legal age, single and residing at Sta Rita Olongapo City, after having been duly sworn to in accordance with law, do hereby depose and say;

That I am the authorized driver of Pacific Metalworks Corporation with a certain motor vehicle more particularly described as follows:

Make and Type : Daewoo Motor Number Serial Number Plate Number : D2366-100047 : KN3NAP7MILK001096 : MCT 282

MV File Number : 1248-8953

That I am holder of Professional Driver’s License with license Number: C09-95-052135.

That on August 26, 2008, I was driving the truck when I accidentally slightly hit Toyota Fortuner with plate number ZLK 892 which is present at premises of PAMECO that had caused it’s damage at the right side corner of the car;

That the accident and incident was not reported to the police and ;

That I am executing this affidavit to attest to the truth of the foregoing facts to whatever legal purpose it may serve.

Affiant Further Sayeth Naught


Subscribed and Sworn to before me this 27th day of August in Marikina City, Philippines.

You're Reading a Free Preview

/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->