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Affidavit of Damage To Vehicle Cannibalized Vehicle
Affidavit of Damage To Vehicle Cannibalized Vehicle
AFFIDAVIT
That I am the true and registered owner of a certain motor vehicle, more particularly described as
follows:
_____________
Motor No.:_____________
Chassis No.:_____________
Plate No.:_____________
That I am a duly licensed driver with Professional Driver's License No._______________, which
is valid until ______________.
That after an_____________later, when I returned to the said vehicle, I was surprised as I
arrived to find the___________of my motor vehicle stolen and my car vandalized. There were
scratches on the front right side of it, with its paintwork damaged and needs repair.
That I am executing this Affidavit to attest to the truth of the foregoing and in support of my
claim on the insurance of the said motor vehicle.
AFFIANT
(JURAT)