Affidavit of Undertaking - Vehicle

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REPUBLIC OF THE PHILIPPINES )

MUNICIPALITY OF DIFFUN ) S.S.


PROVINCE OF QUIRINO)

AFFIDAVIT OF UNDERTAKING

I, LEONARD SORIANO BAUTISTA, of legal age, single, Filipino with


postal address at Villa Pena , Cabarroguis, Quirino, after having been duly sworn to
an oath in accordance with the law hereby depose and state that:

1. I am a driver of a motor vehicle which figured in a an accident;


2. Sometimes last May 07, 2019 approximately 9:30 am, I was a party to an
accident whereby I accidently sideswipes a van,
3. Because of such incident, the vehicle that I was driving was impounded by
the authorities and presently in the custody of PNP DIFFUN;
4. I hereby undertake to produce said vehicle upon request of the authorities if
such will be needed for further proceedings or investigation;
5. This affidavit is being executed to support my request for the release of the
impounded vehicle;
6. I am executing this undertaking to attest to the truth of the foregoing.

IN WITNESS WHEREOF, I have hereunto set my hands this 16 th day of


May, 2019 at Diffun, Quirino.

LEONARD SORIANO BAUTISTA


Affiant
DRIVER’S ID NO. B07-18-001999

SUBSCRIBED AND SWORN TO before me this 16th day of May, 2019 at


Diffun, Quirino.

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