Professional Documents
Culture Documents
AFFIDAVIT
AFFIDAVIT
AFFIDAVIT OF LOSS
Make:
Model:
Color:
Chassis Number:
Engine Number:
Plate Number:
2. That the said motorcycle had been duly registered under my name in the Land
Transportation office in _________________;
3. That the Certificate of Registration of said motorcycle were among those that was lost
on _______________ during the___________________;
6. That I am executing this affidavit to attest to the truthfulness of the foregoing facts and
circumstances and to use the same for request of re-issuance of a new Certificate of
Registration.
________________________
(Signature of Affiant)