Republic of the Philippines))

La Trinidad, Benguet) s.s

x- - - - - - - - - - - - - - - - - - - - - -x

AFFIDAVIT OF LOSS OF CERTIFICATE OF REGISTRATION OF

MOTOR VEHICLE
I, PETER D. TURTEM, of legal age, married, Filipino citizen and a resident of
MB-460 Chinese Village, Puguis, La Trinidad, Benguet, Philippines, after having duly
sworn to in accordance with law, do hereby and depose and state THAT:

1. I am the owner and possessor of a Certificate of Registration (CR) No.:

______________ with an Official Receipt No. 1802364126 issued by the
Land Transportation Office (LTO). Said motor vehicle is particularly
described as follows, to wit:

File No: 138000000248371 Plate No.: XEB930

Make: Isuzu Classification: Private
Type: Elf Fuel: Diesel

2. To my recollection, sometime on 2018, when I was in my residence at Puguis,

La Trinidad, Benguet, I have kept my car documents together with some
important documents inside my car, when I look my documents inside my
car, purposely to renew my registration with the LTO. I noticed that my
Certificate of Registration (CR) was no longer inside my car which I kept it in
a folder for safe keeping. Then and there I tried to search immediately in the
premises to locate for the same but it was nowhere to be found thus, all my
efforts proved futile.

3. I have exerted due diligence to recover said Certificate of Registration but

such effort turned futile since the same was never found or cannot be located
until now. I am now of the honest belief that said Certificate of Registration
(CR) is already lost and beyond recovery;

4. The said Certificate of Registration was not confiscated by any Government

authority or law enforcement agency as a result of any violation of law nor
delivered or mortgaged to any person or entity for the satisfaction of any civil
obligation;

5. I am executing this Affidavit to attest to the truth of the foregoing facts and for
all legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 21st day of April
2022, at La Trinidad, Benguet, Philippines.

PETER D. TURTEM
Affiant
Driver Lic. No. A01-96-057835

SUBSCRIBED AND SWORN to before me a Notary Public for and in La

Trinidad, Benguet, Philippines this April 21, 2022, by the above Affiant, personally
known to me by competent evidence of his identity to be the same person who
personally signed before me the foregoing Affidavit.

ATTY. CYRUS C. CALAYA

Doc. No. 144; Notary Public until June 30, 20221
Page No. 30; PTR No. BGTCF 7309058; January 18,2022
Book No. V; IBP Lifetime No. 08051, at Pasig City
Series of 2022. Roll No. 52590, May 12, 2006; Manila
Sunburst Bldg., FA 224, Km. 4, La Trinidad, Benguet
1
As per Bar Matter 3795 dated September 28, 2021.