Affidavit of Accident

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REPUBLIC OF THE PHILIPPINES) City of Caloocan City AFFIDAVIT OF ACCIDENT 1, MISSY A. GUERRA, of legal age, married, Filipino citizen, and a resident at Phase 2, Block 2 Lot 33, Diamond St., Celina Homes 1, Camarin, Caloocan City, after having duly sworn accord to law, depose and say: I am the owner of a 2017 Suzuki Ertiga with Plate No. NBK 3283 which I acquired last November 2017; Last June 05, 2022, at around 7 o’clock in the morning, as we were about to go to church, I noticed that our car was hit while it was parked outside our house. The left portion of the rear bumper, was damaged; Tam executing this affidavit for purposes of attesting to the truth of the foregoing, and for whatever legal purpose it may serve. Thave exercised all due diligence beforehand of the said incident so as to avoid the occurrence of the same, however, it would seem that said incident was inevitable; IN WITNESS WHEREOF, | have hereunto affixed my signature this 20" day of June 2022, in the City of Caloocan, Philippines. MISSY A. Affiant SUBSCRIBED AND SWORN TO Before me a Notary Public this 20" day of June 2022, in the City of Caloocan, Philippines, Series of 2022

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