‘Pursuant RA 10883 oF The Sena ay 1. Body Type 2 Make & Moder ‘3. Year Model | 4. Color [iste No Conduction Stoker TTT ee “OR No, 40, LTO CC No. CSR No. Gt ‘Acquired from/CurrentiRegistered Owner, 12 Last Name First Name “Mile Name ‘Qualiner 13, Complete Aaaress, 12 change Chassis to |S Change Engine to "NEW REGISTERED OWNER 15, Last Name First Name "Mice Name ‘Quatiner 10, Complete Address, ‘Aopen Sinatre Over Pins Name [i "FOR OFFICE USE i “Recaved by ‘Dato Recened Processed by contac: All information collected or obtained during the process of application will be dealt with utmost security and protection {from threats, vulnerabilities and risks in compliance with the guidelines prescribed by the National Privacy Commission (NPC), By signing this form, you acknowledged that you have read the privacy policy, the terms and conditions therein and that you understand and agrees with them, ENQUIRY HOTLINE: 02-634-7296 EMAIL: Mvedcrame@gmail.com ADDRESS: Camp 8gon Rafael T Crame, Quezon CityPNP MOTOR VEHICLE CLEARANCE REQ ‘A ORIGINAL REGISTRATION ‘rand New 2) Ong! Sales note Bonaha TO Cantmaton Creer Cree of Stock Repo 3 SjStonl ot Engine & Chassis Numbare {Tra aporey/ sree prove’ may route ote supeoring document reosesh 2. imported (Brand New) Original LTO Confirmation Certificate or Certficate of Stock Report (csr) }Original Certicate of Payment (CP) from Bureau of Customs (BOC) «Informal Eniry from Bureau of Customs (BOC) {Billo Laging fom Bureau of Customs (80C) ‘2)Stoncil of Engine & Chassis Numbers 1) Commercial invoice ‘)Packing List (The agency! service provider may require oer supporting documents if needed) 3. Imported 2nd Hand CBU ‘Origa LTO Confemation Cortiicate or Certicate of Stock Report (csr) yOnginal Bureau of Customs (BOC) Certicate of Payment €) ntrmal Entry from Bureau af Customs (BOC) {5} of Laing from Bureau of Customs (80C) '2)Physicalnpecion Report from PNP HPG and PNP Crime Lab (The agency service provider may require oer supporting documents it ‘noedes) 4. imported 2nd Hand CKD ‘Original LTO Contemation Certicate or Cerfleate of Stock Report (CSR) ofthe Engine and Chassis r Body b)Original Bureau of Customs (BOC) Cericate of Paymant 6) Informal Entry from Bureau of Customs (BOC). {Billo Ladin from Bureau of Customs (80C) ‘2)Physical Inspection Report from PNP HPG and PNP Crime Lab 1 Onginal Afigavit of Rebul (uy notarized and to be executed by the owner) (The agency/ service provider may require other supporting ‘documents f needed) 5 imported Voluntary Payment Categor) *)Ggal B0c Canacat Payment Sonahal LTO Corton Cotae or Crete of Stck Repot sn Shs napacton Report rom PNP HP and PNP Cine Lab {The aperey! ervee prove’ may route ote suppering decent reeses) 6.Assemble (Rebuilt) 23) Original Sales Invoice ofthe engine and chassis b}Onginal LTO Confrmation Cerificate or Cartficate of Stock Report (CSR) ofthe Engine and Chassis or Body ©) Original Mavi of Rebu (uly notarized and to be executed by the owner ‘SF enginechassis was requied from a private persan or company, ‘ginal deed of sale of the engine and chassis ‘®)Original Certfeate of Registation and LTO Official Receipt covering the acquired enginelchassie 1) Physical Inspection Report, HP. ‘9)Bepartment of Trade Industry (OT) Certiication of Rebuilder (The agency! service provider may require otter supporting documents it heeded) 7. Acquired thru Bidding 42)Orginal Sales Invorces,f applicable b)Cenicate of Award ©) Physical Inspection Report (Macro-Etching examination) from HPG fang Crise {)Cortifeate of Assignment of LTO Number if tampered (The agency service provider may require over supporting documents it needed) uo: The HEG-IVCD uy cogs vao your prsanaiimaon,parclaty a5 may wide sonstve personal nfamaten sch 3s your gndergovanmen od (Ds te Upon string of is cue yov acknowl and age tourna may be anstered io and processed te Pipes flowing lege sd equity starr fr data protcn that ay ferro your caren or justo. Cay 1B. TRANSFER OF OWNERSHII {Original Deed of Sale of Wirt of Execution rom court authorizing the ta byOrginal LTO Centeate of Registration and Offeal Receipt ©) Forthe folewng ereurstences epplvant should submit the flowing ‘sddtional eaurersens SL teh acta ome G2) chile mas acauted Tom 2 Compenyleoporation, submit Scertary's Cortfeate, Original Copy 25) Wine sale was made frough @ representative, submit Special Bower of Atorney. Orginal Copy (24) ranefer's omg facilated by another person not the owner or ih SPA, Suomk an aficavt auihorzing another person To Feat ine vanster af ovmershp in hilnor behatt 8) MY was aoqured fom the urance Company. Certification frm the faarance company at subject MV was no declared & {Gal ossiwrecked por ose <)ehvaal inspection Repo (Maze Eichng Examination) tor HPC fd Crime ab. (The. agency! service provider may reque other Stoperting documents needed) . CHANGE OF ENGINE/CHASSIS. $)Sroinal Sales vse of te enginechassis 8) ongial E16 Contmaon Cacate oc CSR fe engoeichassis ©}Onginal fcavt of Change enginelchasss (ly notarized Sind to'be execcted by the camer 4) enginechessis was acqured rom a private person or Sompatyleerporaton,subri nga Deed f Sl, hongial E10 Corkicate of Regan and Oil Receipt Soyerng the scaured enginelchasis fy Bhyseal nspecton Report. HE (tha agency! sarvice provider may require otver supporting documents if heeeesh D. CHANGE OF COLOR Singnal Afcavit of Stange of cole (duly notarized and {Be execstesisgned bythe owner). }Griginal Certeate of Regetation and LTO Offi Receipt (the agen sve roe ay requ ciesoporangancunets Cancellaton/Release feed E CHANGE OF BODY DESIGN S)Gngmnat Atif orange bacy sign (ly notarized Srtthe eecedianad tema 0 TO Ota Receipt S)Ongial Cevieate of Regtation €} Physteal inspection Report HES {fhe agency! service prove’ may require other supporting documents it rroxewrwe, SRST ae wae ett Heese CEE etemeee ¢}Physcal napecton Report WEG Seco soa eget ght ng onan ae ged aaa CONSIST Ereee io G asconpeuece SISA en cnet Soares RES tS ater oot mt cas Ieee ro stenme SEER EES wesau nt pent ieeeireme wean is fakunicaeremsioneea on ee areanaca er eee Sisteckan aa Seer ER ceremonies is SCHEDULE OF FEES (tobe pat any Landbank of he Phippines (LBP) Branches or tough ink aePsta)