Professional Documents
Culture Documents
I, KNEIL IVAN V. MERCADO, of legal age, Filipino and a resident of BLK2 1LT2
PUEBLOGILLO FCIE LANGKAAN II DASMARINAS CAVITE, having duly sworn in
accordance with law, hereby depose and state:
1. I Am the lawfully owner of the vehicle with Certificate of Registration
number 12271814 and MV file no. 1240-596383.
2. In the LTO system the details/information of the vehicle said are blank.
3. I hereby certify and affirm that the blank on the details/information on
my Certificate of Vehicle are stated below.
MAKE : HONDA MOTOR NO. : NC23E-1700627
SERIES : CB400 PB1 SERIAL/CHASSIS NO.: NC31-1400619
TYPE OF BODY : MOTORCYCLE PLATE NO. : 5355-MD
YEAR MODEL : 1996 MV FILE NO. : 1240-596383
PISTON DISPLACEMENT : 400CC C.R. NO. : 12271814
4. I executed this affidavit to attest to the truth of the foregoing facts and
for whatever lawful purposes this may serve.
IN WITNESS WHEREFORE, I hereto affixed my signature this ____ day of
_____________ 20___ in ___________, _____________.
SUBSCRIBED AND SWORN to before me by the affiant with Driver’s License I.D.
No. D16-11-010667 issue on ___________ in LTO ___________________.