Professional Documents
Culture Documents
Affidavit - Vehicular Accident-5
Affidavit - Vehicular Accident-5
Affidavit - Vehicular Accident-5
) s.s.
C I T Y O F M A N I L A )
AFFIDAVIT
I, JUAN DELA CRUZ, Filipino, of legal age, single, with address at c/o DII
Building, Km. 123 KAMOTE ROAD, Muntinlupa City, after having been sworn to in
accordance with law, hereby depose and state:
Notary Public
Until December 31, 1998
PTR No. F-000000/Mla. 1-5-98
Doc. No. ;
Page No. ;
Book No. VI;
Series of 1998.
REPUBLIC OF THE PHILIPPINES )
) s.s.
C I T Y O F M A N I L A )
AFFIDAVIT
1. That sometime in the evening of October 25, 1998, I went to Star City in
Cultural Center Complex along Roxas Boulevard with my nephews and nieces;
2. That I was then driving one Honda City model 1998 with Plate No.
DTW-158 and registered under the name of CALIFORNIA CLOTHING, INC.;
3. That I parked the car in the designated parking area across Philtrade
Center since the other parking lots were already filled;
4. That after securing my car, I went to Star City;
5. That around 11:00 p.m., we finally went back to the car and went straight
home;
6. That the following morning I noticed that there are some dents on the
hood of the ca which weren’t there when we left for Star City;
7. That most likely the dents were sustained when the car was parked at the
Star City the previous night which I did not notice at that time since it was nighttime;
8. That damaged consisted of depressions/dents on the hood and a deep
scratch on the right fender, near the edge of the hood;
9. That I am executing this affidavit to attest to the truth of the foregoing
statements and for all legal intents and purposes.
VICTORIA D. BARIAS
Affiant
FERDINAND M. MANGAHAS
Notary Public
Until December 31, 1998
PTR No. F-502733/Mla. 1-5-98
Doc. No. 685;
Page No. 29;
Book No. VII;
Series of 1998.