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Republic of the Philippines)

Mandaue City……………) S.S.

Affidavit of Undertaking

I, ________________, of legal age, Filipino, and presently residing in


Liloan, Cebu, after having been duly sworn in accordance with law, hereby
depose and say:

1) That I am the registered owner of a Suzuki FW110D Motorcycle with


Certificate of Registration (C.R.) No. ______________, Official Receipt
(O.R.) No. ___________ and Plate No. ____________;

2) That my motorcycle has been impounded pursuant to the prosecution


of the accused in People v. _____________ before the Regional Trial
Court-Branch ___ of Mandaue City for violations of Sections 5 and 11
Republic Act No. 9165. I was riding my abovementioned motorcycle
when apprehended for the offense charged. Consequently, the said
motor vehicle has been impounded at the Liloan Police Station being in
custodia legis;

3) That I have moved for the release of my motorcycle before the


Honorable Court;

4) That should the motorcycle be released to my possession, I hereby


undertake to immediately surrender it upon order of the Honorable
Court for proper administration of justice.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 8th day


of March 2021 in Mandaue City, Philippines.

_______________________
Affiant

SUBSCRIBED AND SWORN to before me this 8th day of March 2021 in


Mandaue City, Philippines.

Public Attorney’s Office-Mandaue City

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