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REPUBLIC OF THE PHILIPPINES )S.S.

AFFIDAVIT OF WARRANTY

I , MA. ASUNCION MARTIRES of legal age, Filipino, and residing at 5 FUGA ST. TIERRA
NUEVA VILL. ALABANG MUNTINLUPA__ after having been duly sworn to according to law
hereby depose and state;

That I am the owner of one Motor Vehicle registered __MITSUBISHI______________ by


way of Deed of Absolute Sale most particularly described as follows:

MAKE : MITSUBISHI________________
BODY TYPE : L-300______________________
ENGINE NO. : 4D56A-H5280________________
CHASSIS NO. : PAEL039PYW_____________
PLATE NO. : WDG992___________________
MV FILE NO. : 1308-187879_______________

That the signature of the Vendor appearing on the Deed of Absolute Sale
executed in my favor, differs from the other records filed at Land
Transportation Office.

That upon serenity and comparison the signatures still did not tally with
her signatures, I honestly executing this affidavit to attest that the
signatures appearing in both documents are true. Signatures of some
individuals sometimes differ after a certain period of time;

That I hereby warrant and release all the officers and the Land
Transportation Office free from all liabilities and responsibility for the
said motor vehicle;

That I am executing this affidavit of WARRANTY to show confirm for a


fact that the signatures appearing on both documents were signed by one
person and therefore I set the LTO free from any liability in this regard.

IN WITNESS WHEREOF, I have hereunto set my hand this _________ th day of


________________________________ at ________________________________, Philippines.

MA. ASUNCION MARTIRES


AFFIANT

SUBSCRIBED AND SWORN to before me this ___________ day


___________________, in __________________________, Philippines.

Doc No. ;
PAGE NO. ; Notary Public
BOOK NO. ;
SERIES OF 20____.

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