REPUBLIC OF THE PHILIPPINES )

CITY OF TACLOBAN
) S.S.
JOINT AFFIDAVIT FOR RE-STAMPING
We, ______________________________ and ______________________________,
both
of
legal
age,
Filipino
and
residents
of
__________________________________________________
and
__________________________________________________, respectively, after having
been sworn to in accordance with law, do hereby depose and say:
That I, ______________________________ am the owner of a motor vehicle
more particularly described as follows;
Make
Type
Engine No.
Chassis No.
Plate No.

:
:
:
:
:

____________________
____________________
____________________
____________________
____________________

That I, ______________________________, am a mechanic with business

address at __________________________________________________, wherein my
usual business is rebuilding and remachining motors/chassis;
That I, ______________________________ brought my motorvehicle into the
establishment
of
_________________________
for
a
rebuild
on
_________________________;
That the said motorvehicle contained the following stampings on the
engine/chassis pad, _________________________ that is already defaced;
That in the course of the rebuild, ______________________________
witnessed the stamping being ground off;
That after the rebuild, _________________________ witnessed the following
engine/chassis information stamped on the pad, in the same place/in the
same fashion/with as close to the same stamps that was defaced which is
now stamped as _________________________;
That after the rebuild, ____________________ delivered the engine/chassis
to _________________________ and installed the said engine/chassis on the
above-mentioned motorvehicle;
That we are executing this affidavit to attest to the truth of all the
foregoing facts and for whatever legal purpose this may serve;
IN WITNESS WHEREOF, we have hereunto set our hands and affixed
our signature this _____ day of ____________________ 2015 at Tacloban City,
Philippines.
______________________________
Affiant
_________________________
_________________________

______________________________
Affiant
_________________________
_________________________

SUBSCRIBED AND SWORN to before us this ____ day of ___________,

2016 in the City of Tacloban.

Doc. No.
;
Page No.
;
Book No.
;
Series of 2016.