AFFIDAVIT

Republic of the Philippines)

Province of Cavite) S.S.)
City Of Tagaytay
x---------x

I, LEXTER JOSEPH G. FABRE, of legal age, Filipino, married, and with

present residence and postal address at B31 L11 Villa Apolonia, Naic, Cavite
after being duly sworn to in accordance with law, hereby depose and state:

That sometime last 2011, my Driver’s License was confiscated by the Land
Transportation Office while I was driving a motorcycle due to the following
violations: “Unregistered MV” and “Unlicensed Driver”;

That after the incident, I was issued a ticket (TOP) by the LTO as evidenced
by the copy attached herewith;

That due to the lapse of time, such motorcycle has not been in good working
condition and that I was not able to use it anymore, as evidenced by the
photographs of the motorcycle;

That I did not register it anymore as it was totally defective and not in
running condition;

That the OR/CR of that motorcycle was lost also;

That I am executing this affidavit in good faith and without any intention to
defraud or deceive;

As such, I am executing this Affidavit to attest to the truth of the foregoing

specifically to redeem the Driver’s License and for other reliefs as may be
just and equitable.

IN WITNESS WHEREOF, I have hereunto set my hand this 18th day

of January 2018 at Tagaytay City, Philippines.

LEXTER JOSEPH G. FABRE

ID Presented:BIR TIN No. 307-728-078-000

SUBSCRIBED AND SWORN TO BEFORE ME, a Notary Public for and

in the Province of Cavite this 18th day of January 2018. Affiant personally
came who is known to me as the same person who signed the foregoing
instrument before me and avowed under penalty of law to the whole truth of
the contents of said instrument.

Doc. No.______
Page No. ______
Book No. _____
Series of 2018