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Republic of the Philippines)

Province of ____________ ) S.S.


City of ___________ )
x----------------------------x

AFFIDAVIT OF UNDERTAKING

I, __________________, of legal age, Filipino, married, and


a resident of _________________________, under oath, hereby
depose and state that:

1. I am the same person executing this Affidavit of


Undertaking;

2. I am the owner of a Honda motorcycle, more particularly


described as:

MAKE: SUZUKI ENGINE NO: ___________


PLATE NO: ____________ CHASSIS NO:
_______________
FILE NO: ________________

as evidenced by Certificate of Registration issued by the Land


Transportation Office and Official Receipt in the name of one
_________________ which are hereto attached as Annexes “A”
and “B”;

3. I acquired the same motorcycle through installment from


_____________ on November 11, 2017 since it was a repossessed
property from its previous owner, _____________. Appended
hereto are copies of the Delivery Receipt, Acknowledgement
Receipt and a Certificate of Sale issued by the said company as
Annexes “D”, “D-1” and “D-2”, respectively;

4. On December 16, 2017, the said motorcycle was involved


in a motornapping incident which caused the police officers of
_______________ to take over its custody on 17 December 2017
pending the investigation thereof;

5. I earnestly seek to obtain possession of the aforesaid


motorcycle and custody, I undertake to present and bring it to the
Honorable City Prosecutor’s custody whenever required to.

AFFIANT SAYETH FURTHER NAUGHT.

1
IN WITNESS WHEREOF, I have signed this 19th day of
December 2017 in the ___________________.

___________________________
Affiant

SUBSCRIBED AND SWORN to before me this 19th day of


December 2017 in the _________________, affiant exhibiting to
me his Voter’s ID No. ___________________ issued at
_______________.

_____________________________
Attorney

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