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REPUBLIC OF THE PHILIPPINES )S.S.

AFFIDAVIT OF WARRANTY

I JOHN MARC RIZARDE LANZAROTE, of legal age, Filipino, and residing at 109
BASA COMPOUND ZAPOTE LAS PINAS CITYafter having been duly sworn to according
to law hereby depose and state;

That I am the owner of one Motor Vehicle registered by way of Deed of Absolute Sale
most particularly described as follows:

MAKE : __YAMAHA_______________________
BODY TYPE : __MOTORCYCLE_______________
ENGINE NO. : _G3P2E-0194288______________________
CHASSIS NO. : _PA0SG7810N0023190__________
PLATE NO. : __ 199QHD________________________
MV FILE NO. : __1801-353694____________________

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 _______ day of


______________________________ at _________________________, Philippines.

JOHN MARC RIZARDE LANZAROTE


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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