I, EDZEL N. REYES, of legal age, Filipino citizen, and presently residing at 19 Alton Street Area A, Batasan Hills Quezon City, driver of SMART VAN, after having been duly sworn to in accordance with law, do hereby depose and state:
1. That I am a duly licensed driver with Driver's License No.N02-08-017-
406 which is valid until 2017-07-10:
2. That on October 10, 2016, at around 7:00 am , I was driving a motor
vehicle owned and registered in my name which is more particularly described as follows:
Make: Mitsubishi Motor No: 4D56AAL8001
Series: L 300 EXCEED Chassis No.: PAEL55MVFB017519 Body Type:CAB CHASSIS Plate No.: ADB 7761 Year Model:2015 MV FILE no.: 1303-00000135662
3. That while I was slowlyturning around the vehicle on my right side, in
a street near Maligaya Elementary School, the van suddenly hit the roof of one store. That said roof is overlapping in the street, causing the roof to touch and hit the upper right side of the van that I am driving.
4 That I am executing this Affidavit to attest to the truth of the forgoing
and in support of the claim against the insurer for the repair of the damage caused to my vehicle.
IN WITNESS WHEREOF,I have hereunto set my hand this___________in
Quezon City, Philippines.
_______________________________ EDZEL N. REYES Affiant
SUBSCRIBED AND SWORN to before me this_______________ in
the City of Quezon, Philippines, affiant exhibiting to me her competent evidence of identity by way of Driver's License No.N02-08-017-406 which is valid until 2017-07-10 issued at Quezon City, Philippines.