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REPUBLIC OF THE PHILIPPINES )

CITY OF TACLOBAN ) S.S.

AFFIDAVIT OF NEW OPERATOR

I, SHELLA MARIE VILLAMOR BATICA, of legal age, Filipino with postal


address at Brgy. Sulod, Basey, Samar, after having been sworn in accordance
with the law hereby depose and state that:

1. I am the vendee of a certain motor vehicle including its


corresponding Land Transportation Franchising & Regulatory Board (LTFRB)
franchise, describe as follows:

Make : NISSAN URVAN VX


Type : VAN
Engine No. : TD27877665
Chassis No. : TVP4LEFE24A39123
Plate No. : HVU 231
LTFRB Case No. : 2014-4140
Route : TACLOBAN CITY – BASEY
Vice Versa

2. I had paid the full consideration of TWO HUNDRED TWENTY


THOUSAND (P220,000.00) PESOS, Philippine Currency, to the Vendor,
ROBERTO F. VILLAMOR, of legal age, Filipino and a resident of B6 L9
Greatwoods Highland Subdivision, BPS Molino III, Bacoor, Cavite;

3. Being the new owner and possessor of the said vehicle I take full
responsibility of such ownership and possession for each and every
claim/obligation whatsoever that may arise in relation to the subject vehicle, and
corresponding use of documents therein;

4. I am executing this undertaking to attest to the truth of the


foregoing.

IN WITNESS WHEREFORE, I have hereunto set my hand this


_______________ in Tacloban City, Philippines.

SHELLA MARIE VILLAMOR BATICA


Affiant

SUBSCRIBED AND SWORN TO before me this _______________ in


Tacloban City, Philippines, affiant exhibiting to me his competent identification
being __________________________________________________.

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2018.

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