address at after having been sworn in accordance with the law hereby depose and state that:
1. I am a driver of a motor vehicle with plate no. which figured
in an accident,
2. Sometime last JULY 25, 2012 approximately Twelve o'glock in the
afternoon, I was a party to an accident whereby I accidently sideswiped a person in the name of while I was trying to avoid a collision between a bicycle,
3. Because of such incident, the vehicle that I was driving was
impounded by the authorities,
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 WHEREFOR, I have hereunto set my hands this day of
, 2012 in Naga City, Philippines.
SUBSCRIBED AND SWORN TO before me this day of ,2012
in the City of Naga, Affiant Exhibiting to me his issued on December 15, 2011 in Manila, Philippines.
Doc No. Page No. Notary Public Book No. Series of 2012