REPUBLIC OF THE PHILIPPINES)

__________________________________) S.S.

AFFIDAVIT OF EXPLANATION

I, ______, of legal age, Filipino and with postal address at ______, after
being sworn in accordance with law, hereby depose and state that –

1. I am the new owner of one __________with Plate No. NEO172,

covered by Certificate of Registration No. ___ and Official Receipt No. _______

2. The aforesaid motor vehicle is still registered in the name of the

previous owner, _______;

3. Based on the records of the Land Transportation Office, the

previous owner had violations in _____ with penalties which remain unpaid in
the amount of _____

4. As the new owner of said motor vehicle, I undertake to pay the

amount of penalties and charges that will be imposed to be able to proceed
with the renewal of its registration;

5. Finally, I am executing this affidavit to attest the truth and veracity

of the foregoing statements and for all legal intents and purposes it may serve;

6. Affiant sayeth naught.

IN WITNESS WHEREOF, I have hereunto affixed my signature this

________at _______.

Affiant

SUBSCRIBED AND SWORN to before me, this _____ at ______, affiant

exhibiting to me his valid ID bearing his photograph and signature as competent
evidence of his identity.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2022.