Republic of the Philippines )

Province of Palawan ) S.S

City of Puerto Princesa City )

AFFIDAVIT OF WARRANTY

I, JEMADETTE C. SALISI, of legal age, Filipino, and a resident Bgy.

Mandaragat, Puerto Princesa City, Palawan after having been duly sworn to in
accordance with law, depose and say:

That I am the VENDEE of a certain vehicle described as follows:

MAKE : TOYOTA
SERIES : AVANZA 1.3 M/T
BODY TYPE : WAGON
ENGINE NO. : MA23361
CHASSIS NO. : MHKM1BE2FBK002078
MV FILE NO. : 11384-00000300596
CR NO. : 161236132

That I hereby guarantee that the signature of the Vendor is genuine, and if ever
question arises later on account of this sale, I assume FULL RESPONSIBILITY hereof
and the LTO PALAWAN Agency shall be free of any undertaking whatsoever.

IN WITNESS WHEREOF, I have hereunto signed this day of

_________________________, at the Puerto Princesa City, Palawan.

JEMADETTE C. SALISI
Affiant

SUBSCRIBED AND SWORN to before me this _________________________, at

Puerto Princesa City, Palawan.

Doc No.
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Book No.
Series of 2020