REPUBLIC OF THE PHILIPPINES)

) s.s.

AFFIDAVIT OF WARRANTY

That I, JAYVIE BALTAZAR LACANILAO of legal age, Filipino and resident of

45 Josefina St. 4th Ave. Barangay 117 Caloocan City, after having been duly sworn in
accordance with law, hereby depose and state that:

I am the lawful owner of the motor vehicle which is more particularly described as
follows:

Make/Type : HONDA MOTORCYCLE

Motor No. : KF39E7034888
Chassis No. : MH1KF3973MK034544
Plate No. : 145UAT
File No. : 1303-00001138656

I am presently applying for a duplicate copy of my Certificate of Registration.

In my capacity registered owner, I hereby unconditionally warrant the absolute

title and ownership over the above-described motor vehicle, and I hereby declare that
the same is free from any liens, suits, claims or encumbrances whatsoever, or any
matter which may prove adverse thereto;

I hereby release the Land Transportation Office, its officials, staff and personnel
from any suits, claims, or liabilities which may arise from the approval of said application
for motor vehicle registration or any process or matter pertinent thereto, and in the vent
of any suit, or liability, I hereby undertake to defend such title, as well as assume, and
satisfy any such suits or claims resulting there from, without cost, charge or liability
whatsoever accruing to the Land Transportation Office, its officials, staff and personnel;

I am executing this affidavit to attest to the truth of the foregoing facts, to warrant
the title and ownership of the above-described motor vehicle, and for whatever legal
intents and purposes this may serve.

IN WITNESS WHEREOF, I have set my hand below this ____ day of

_____________________ 2021 in Batangas City.

JAYVIE BALTAZAR LACANILAO

Affiant

ACKNOWLEDGEMENT
 
Republic of the Philippines )
                                        ) S.S
 
BEFORE ME, personally appeared:
 
Known to me and to me known to be the same persons who executed the foregoing
instrument and acknowledged to me that the same is their free and voluntary act and
deed.
 
WITNESS MY HAND AND SEAL, on the date and place first above written.
                                                                  
                                                                                     Notary Public
 
Doc. No.______;
Page No. ______;
Book No.______;
Series of 20___.