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REPUBLIC OF THE PHILIPPINES)

CITY OF PUERTO PRINCESA )SS.

AFFIDAVIT OF UNDERTAKING

I, GLADY M. NAVATOS, JR., of legal age, married, and a resident of Bgy.


Alfonso XIII, Bliss, Quezon, Palawan, after being duly sworn in accordance with law,
hereby depose and say:

1. That I am the owner an TOYOTA HIACE COMMUTER, more particularly


described as follows:

MV File: 0403-00000137353
Make: TOYOTA
Plate No.: N/A
Color: WHITE
Engine No.: 1KD2769740
Chassis No.: JTFJT02P0H0008365
Year Model: 2018
CR No.: 325972135
OR No.: 1468674395

2. That the above-described TOYOTA HIACE COMMUTER is currently


impounded at Puerto Princesa City Police Station 2 at Sports Complex. Bgy. Tiniguiban,
Puerto Princesa City;

3. That I am requesting for the release of the above-described TOYOTA HIACE


COMMUTER, and as per records, said property was already photographed and
inventoried by the police custodians;

4. That should the said vehicle be needed in the course of the hearing/trial of this
case, I undertake to deliver and surrender it to the custody of the proper government
agency or court; and

5. That this affidavit is executed in order to attest this affidavit in order to attest the
truth of the foregoing facts and for whatever legal purpose this may serve.

AFFIANT FURTHER SAYETH NAUGHT.

IN WITNESS WHEREOF, I have hereunto set my hand this _________ day of


________, 20____, at Puerto Princesa City.

GLADY M. NAVATOS, JR.


Affiant

SUBSCRIBED AND SWORN TO before me this _________ day of ________,


20____ at Puerto Princesa City, Philippines, the Affiant being personally known to me.

Doc. No. ______


Page No. ______
Book No. ______
Series of 2021

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