You are on page 1of 2

REPUBLIC OF THE PHILIPPINES )

QUEZON CITY, Metro Manila ) S.S.

AFFIDAVIT OF CORRECTION

I, DR. JAIME RENE V. PEREZ DE TAGLE, of legal age, Filipino,


and with residence and postal address at No. 15D Avelino Street,
Xavierville II Loyola Heights, Quezon City, after having been sworn in
accordance with law, hereby depose and state that:

1. I am the legal owner of a 2007 Toyota Fortuner 4X4 DSL


bearing plate number ZFL-585;

2. As a consequence of the said ownership, a Certificate of


Registration was issued by the Land Transportation Office;

3. However, the address stated therein is No. 34 Quezon


Street, Xavierville III Loyola Heights, Quezon City. Further, the name
of my former wife Josefina M. Perez de Tagle also appeared therein;

4. The truth of the matter is that my correct is at at No. 15D


Avelino Street, Xavierville II Loyola Heights, Quezon City, and, that my
marriage with Josefina M. Perez de Tagle had already been dissolved.

5. I am executing this sworn statement in compliance with the


requirements of the Land Transportation Office and for other legal and
lawful purposes.

IN WITNESS WHEREOF, I have hereunto set my hand this


10th day of June 2014 at Quezon City, Philippines.

DR. JAIME RENE V. PEREZ DE TAGLE


Affiant

SUBSCRIBED AND SWORN to before me this ______ day of


August 2013 at Quezon City, affiant exhibiting to me his government
issued Identification Card with his signature and photograph.

NOTARY PUBLIC

Doc No. _______;


Book No. _______;
Page No. _______;
Series of 2014.

REPUBLIC OF THE PHILIPPINES )


QUEZON CITY, Metro Manila ) S.S.

AFFIDAVIT OF WARRANTY/UNDERTAKING

I, DR. JAIME RENE V. PEREZ DE TAGLE, of legal age, Filipino, and


with residence and postal address at No. 15D Avelino Street, Xavierville II
Loyola Heights, Quezon City, after having been sworn in accordance with law,
hereby depose and state that:

1. I am the legal owner of a 2007 Toyota Fortuner 4X4 DSL bearing


plate number ZFL-585. Attached and marked as Annex “A” is a copy of the
Certificate of Registration of the said vehicle showing the details and
informations pertinent to the said vehicle.

2. I am presently applying for correction of the aforesaid


motor vehicle with the LAND TRANSPORTATION OFFICE (LTO).

3. I n m y c a p a c i t y a s owner, I hereby
unconditionally warrant the absolute title and ownership over
t h e a b o v e d e s c r i b e d m o t o r vehicle, and I hereby declare that the
same is free from any liens, suits, claims or encumbrances whatsoever, or
any matter which may prove adverse thereto.

4. I hereby release the Land Transportation Office, its


officials, staff and personnel from any suits, claims or liabilities which
may arise from the approval of the said application for motor vehiclere
gistration or any process or matter pertinent thereto and in the
event of any suit, claim or liability, I hereby undertake to defend such
title, as well as assume and satisfy any such suits or claims resulting
therefrom, without cost, charge or liability whatsoever accruing to
the Land Transportation Office, its officials, staff and personnel;

5. I am executing this affidavit to attest to the truth of the


foregoing facts, for warrant the title and ownership of the above-
described motor vehicle, and for whatsoever legal intents and purposes it
may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 10th day


of June 2014 at Quezon City, Philippines.

DR. JAIME RENE V. PEREZ DE TAGLE


Affiant

SUBSCRIBED AND SWORN to before me this ______ day of August


2013 at Quezon City, affiant exhibiting to me his government issued
Identification Card with his signature and photograph.

NOTARY PUBLIC

Doc No. _______;


Book No. _______;
Page No. _______;
Series of 2014.