Co Dropping and Subst

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Form No.

001-TD
Revised as of 2/24/2021
Republic of the Philippines
Department of Transportation
LAND TRANSPORTATION FRANCHISING AND REGULATORY BOARD
East Avenue, Diliman, Quezon City

PETITION FOR DROPPING AND SUBSTITUTION OF UNIT/S

Denomination_______________
No. of Unit/s ________________
Route/Area of Operation____________________________

NAME OF APPLICANT: _______________________________ CASE NO. __________


Authorized Representative:

HOME/BUSINESS ADDRESS: _________________________________________________

TELEPHONE NUMBER: _______________ EMAIL ADDRESS: ________________

CITIZENSHIP: ______________________

AUTHORIZED UNIT DETAILS:

MAKE MOTOR NO. CHASSIS NO. PLATE NO. YR. MODEL


_______ __________________ _________________ __________ _________

NEW UNIT DETAILS

MAKE MOTOR NO. CHASSIS NO. PLATE NO. YR. MODEL


_______ __________________ _________________ __________ _________

ATTACHMENTS:
Valid Government ID of Applicant (Annex ____)
and/or Authorized Representative

For Corporation/Partnership and Cooperative


Board Resolution/Sec. Certificate (Annex ____)
of Authorized Signatory to sign and/or
file the Petition

Additional attachments:
LTO OR/CR (old) unit/s (Annex ____)
LTO OR/CR or Sales Invoice
and Delivery Receipt of New Unit (Annex ____)
Bank Conformity (If unit is encumbered or
original OR/CR is in the possession of
Financial Institution) (Annex ____)
Motor Vehicle Inspection of New Unit (Annex ____)
Return Receipt of Plate License (Annex ____)

If w/o RRPL
LTO Certification of No Hire Plate issued (Annex ____)

If Plate License is Lost / Carnapped


Affidavit of Loss of Plate (Annex ____)
PNP Certification / PNP Alarms (Annex ____)
LTO Certification of No Alarms & Apprehension (Annex ____)

I hereby CERTIFY under oath that the information provided in the Petition are true and correct.
I/We, further CERTIFY that any false representation hereby made shall automatically cause the denial of
the Petition, without prejudice to other penalties as may be determined by the Board.

_____________________
Petitioner

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