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REPUBLIC OF THE PHILIPPINES)

PROVINCE OF AKLAN ) S.S.


MUNICIPALITY OF KALIBO )
X---------------------------------------X

AFFIDAVIT OF BUILDING SIDECAR

I, JEOVIE R. SUCGANG, of legal age, Filipino citizen and a resident of


Mangan, Banga, Aklan, after having been duly sworn to in accordance with law, do
hereby depose and say:

That I am the registered owner and possessor of a motorcycle, particularly


described as follows:

Make : YAMAHA
Series : YAMAHA YTX125
Model Year : 2018
Engine No : E3W7E0107498
Chassis No : PAORE3210J0107188
Color : BLACK

That I have asked NELSON S. BAUTISTA, welder in Bautista Metal Craft


located at Nalook, Kalibo, Aklan, to attach a side car in the said motorcycle.

That I am executing this affidavit to include the sidecar in the registration of


the above-described motor vehicle with the Land Transportation Office and to
attest to the truth of the foregoing statements.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


_________________ at Kalibo, Aklan, Philippines.

JEOVIE R. SUCGANG NELSON S. BAUTISTA


Affiant Affiant
License No: D18-15-009995 SSS I.D. No. 33-2022136-2

SUBSCRIBED AND SWORN to before me this ________________at Kalibo, Aklan,


Philippines.

ROWENA MAE N. MENCIAS


Notary Public
Doc. No. _____ Refindor Bldg., Capitol Site, Estancia, Kalibo
Page No._____ Aklan; Roll No. 62828; PTR No. 6334460, Kalibo,
Book No. V Aklan, January 4, 2019; IBP No. 1072173, Kalibo,
Series of 2019. Aklan, January 4, 2019; MCLE Compliance No. V-
0015889; Notarial Commission No. 8 (2018-2019)

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