Republic of the Philippines )

Province of Masbate ) S.S.

City of Masbate )
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AFFIDAVIT OF DETACH

I, WILFREDO COL SR., of legal age, Filipino, married and a resident of

BANACUD,CALASUCHE,MILAGROS,MASBATE, under oath depose and say, that:

1. That I am the registered owner of a Motor vehicle described as follows:

Make : YAMAHA
Color : BLACK
Motor No. : E3W7EO146197
Chassis No. : PAORF3211K Ok146020
Plate No. : 050102
File No. : 0501-428497

2. That the motor vehicle is registered at LTO, Region 5 New Registration Unit;

3. That I detach a sidecar to my motor vehicle for Private use only;

4. That I execute this affidavit so I could register my motor vehicle at LTO, Masbate
City.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 11 th day of

September, 2023 at Masbate City, Philippines.

WILFREDO COL SR.

Affiant

SUBSCRIBED AND SWORN to before me this 11th day of September, 2023 at

Masbate City, Philippines.