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REPUBLIC OF THE PHILIPPINES)

CAINTA RIZAL )S.S.

AFFIDAVIT
(Attachment of Side Car to Motorcycle)

I, JOEL R. ABRIGO, married, of legal age, Filipino, and with residential


address at #127 Sitio Victoria Brgy. San Juan Cainta, Rizal, after having been duly
sworn to in accordance with law, do hereby depose and say that:

1. I am the legal owner of a motorcycle, more particularly described as follows:

Make : HONDA
Body Type : MOTORCYCLE
Model Code : CCG125WHF TMX125 ALPHA
Conduction Sticker :
Engine Number : KSW00E264054
Chassis Number : KSW00263555
Color : RED

2. That I bought the said motorcycle on January 23, 2017, from Motortrade
Topline Inc located at Ilog Pugad National Road Brgy. San Juan Taytay, Rizal;

3. That after purchase, I have attached a side car to said motorcycle; and

4. That I am attesting as to the truth of the foregoing, specifically for the


purpose of including the fact of said attachment of side car to the
motorcycles initial LTO registration, and for whatever legal purpose that this
may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 24th day


of January, 2017 at Cainta, Rizal.

JOEL R. ABRIGO
Affiant

SWORN AND SUBSCRIBED to me this 24th day of January 2017 at Cainta


Rizal, affiant exhibited to me his Bureau of Internal Revenue TIN ID with No.
123-335-932.
Doc. No. 189;
Page No. 39;
Book No. III;
Series of 2017.

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