REPUBLIC OF THE PHILIPPINES ) 

Ozamiz City. . . . . . . . . . . . . . S.S.

AFFIDAVIT OF UNDERTAKING

I, LEONARDO JR. B. SUMAYLO, of legal age, married, Filipino with postal address at Trigos,
Ozamiz City, after having been sworn in accordance with the law hereby depose and state that:

That I am the registered owner of a certain motor vehicle, more particularly describe as to wit;

Make: SKYGO
Type of Body: TC HIRE
Year Model: 2017
Chassis No.: LX8PCK502HE006650
Engine No.: 161FMJH1455743
Plate no.:
MV File no. 1001-00000252477
Certificate of Registration No. 292703180
Official Receipt No. 1718816702

That the said Motorized Tricycle is under FRANCHISE NO. M.T.O.P 3441-2020 CAB NO. 3251 with
the Local Government Unit of Ozamiz City;

That I shall present the Original Certificate of Registration/ Official Receipt issued by the Land of
Transportation office and pay the three (3) years penalty for the renewal of the said Franchise
within 30 days;

I am executing this undertaking to attest to the truth of the foregoing facts and for whatever
purpose it may serve;

IN WITNESS WHEREFORE, I have hereunto set my hands this 18th day of January 2023 in
Ozamiz City, Philippines.

LEONARDO JR. B. SUMAYLO

Affiant

SUBSCRIBED AND SWORN TO before me this 18th day of January, 2023 in the City of Ozamiz.
Affiant exhibiting to me his Drivers’ License with no. ________________.