Republic Of the Philippines) Santa Cruz, Laguna ) ss. AFFIDAVIT OF DAMAGED/DESTROYED LICENSE PLATE OF MOTORVEHICLE We, CESAR V. RIZALDO and LORETA SANDICHO, Filipino citizens, of legal age and residents of Brgy. Palasan, Santa Cruz, Laguna after having been sworn in accordance with law hereby depose and state: That we are the lawful owners of a certain motor vehicle described as follows: Motorvehicle Information Make/Type ISUZU Jitney Year Model 1991 Engine Number 141655 Chassis Number SPMM-46809-91C Plate Number DJJ-368 MV-File Number 0476-5B-28888- 91 Classification/Fuel Private / Diesel That over the years, the license plate number at the back of the vehicle was gradually and continuously damaged and destroyed by rust and other natural elements which now eventually rendered it no longer fit for further use in operating the vehicle. Thus, there is a need to replace the said License Plate numbered DJJ-368 by the Land Transportation Office (LTO). Copy of the damaged and destroyed license plate is hereto attached for immediate reference. That I am executing this affidavit to attest to the truth of the foregoing and to request the LTO-Pila, Laguna District Office for issuance of a new License Plate No. DUJ-368 to replace the old plate which was badly damaged/destroyed/dilapidated. IN WITNESS WHEREOF, we hereto affixed our signatures this 31 July 2013 in Santa Cruz, Laguna. _________________________. CESAR V. RIZALDO LORETA SANDICHO Affiant Affiant SUBSCRIBED AND SWORN to before me, by the following affiants who exhibited their respective proof of identification, hereunder specified, to wit: Cesar V. Rizaldo with ________________I.D. No. ______________ issued at ________________ on _____________; and Loreta Sandicho with ________________I.D. No. ______________ issued at ________________ on ______________. WITNESS MY HAND AND NOTARIAL SEAL, this 31 July 2013 in Santa Cruz, Laguna. ATTY. EMMANUEL E. SANDICHO NOTARY PUBLIC UNTIL 31 DECEMBER 2014 Doc. No. _______; IBP No. 905396, 02 January 2013, Laguna Page No. _______; PTR No. 534868, 02January 2013, Laguna Book No. _______; Roll No. 42246, admitted on 09 May 1997 Series of 2013. MCLE Compliance Period No. IV-00012117

Affidavit of Plate Damage-Destruction

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Republic Of the Philippines) Santa Cruz, Laguna ) ss.

AFFIDAVIT OF DAMAGED/DESTROYED LICENSE PLATE OF MOTORVEHICLE

We, CESAR V. RIZALDO and LORETA SANDICHO, Filipino citizens, of legal age and residents of Brgy. Palasan, Santa Cruz, Laguna after having been sworn in accordance with law hereby depose and state:

That we are the lawful owners of a certain motor vehicle described as follows:

Motorvehicle Information Make/Type ISUZU Jitney Year Model 1991 Engine Number 141655 Chassis Number SPMM-46809-91C Plate Number DJJ-368 MV-File Number 0476-5B-28888-91 Classification/Fuel Private / Diesel

That over the years, the license plate number at the back of the vehicle was gradually

and continuously damaged and destroyed by rust and other natural elements which now eventually rendered it no longer fit for further use in operating the vehicle. Thus, there is a need to replace the said License Plate numbered DJJ-368 by the Land Transportation Office (LTO). Copy of the damaged and destroyed license plate is hereto attached for immediate reference.

That I am executing this affidavit to attest to the truth of the foregoing and to request

the LTO-Pila, Laguna District Office for issuance of a new License Plate No. DUJ-368 to replace the old plate which was badly damaged/destroyed/dilapidated.

IN WITNESS WHEREOF, we hereto affixed our signatures this 31 July 2013 in Santa Cruz, Laguna. _________________________. CESAR V. RIZALDO LORETA SANDICHO Affiant Affiant SUBSCRIBED AND SWORN to before me, by the following affiants who exhibited their respective proof of identification, hereunder specified, to wit:

Cesar V. Rizaldo with ________________I.D. No. ______________ issued at ________________ on _____________; and

Loreta Sandicho with ________________I.D. No. ______________ issued at ________________ on ______________.

WITNESS MY HAND AND NOTARIAL SEAL, this 31 July 2013 in Santa Cruz, Laguna. ATTY. EMMANUEL E. SANDICHO NOTARY PUBLIC UNTIL 31 DECEMBER 2014 Doc. No. _______; IBP No. 905396, 02 January 2013, Laguna Page No. _______; PTR No. 534868, 02January 2013, Laguna Book No. _______; Roll No. 42246, admitted on 09 May 1997 Series of 2013. MCLE Compliance Period No. IV-00012117