Province of_________________)S.S.
City/Municipality of___________
x----------x
AFFIDAVIT
I, RYAN MARK EVA FABUL, Filipino, of legal age, single, and a resident of #55
RSG Condo Ermin Garcia St., Brgy. Pinagkaisahan, Quezon City, Philippines, after
being sworn in accordance with law, depose and state:
2. That on March 31, 2018, at around 7:30 AM, I was about to left turn heading
towards to the direction of Edsa/Cubao coming from Don Alfredo Eguia St.,
when a passenger jitney, with plate number CTV-251 (registered
owner/operator: Ernie Bautista), driven by LORENCE CADAGAN BAUTISTA,
approaching in a fast pace, suddenly bumped into the right front side portion to
the vehicle I was driving, thereby causing damage to the same;
3. The I caused pecuniary damage for the repair of the vehicle, including serious
inconvenience due to reckless driving of Mr. LORENCE BAUTISTA;
4. At first, Mr. Lorence Bautista was coordinating with me and in fact verbally
agreed upon that he will pay the damage sustained by the vehicle at the most
convenient term, after the confrontation before the investigating officer, PO3
Joel Y. Aviso of Station 10, PNP who documented the incident in the Blotter of
the Traffic Accident Investigation Report;
6. In view of the foregoing, I am executing this Affidavit to attest to the truth of the
foregoing and in support of charges for "RECKLESS IMPRUDENCE" resulting
in damaged of property against the driver of the said jitney or for whatever other
action that may be filed against the driver and/or registered owner of the said
vehicle and in support of claims against the insurer for the reimbursement of
the expenses incurred for the repair of the damage caused to the vehicle I was
driving.
SUBSCRIBED AND SWORN to before me, this 4TH day of September 2018 at
Quezon City. Affiant exhibited to me his/her identification document as indicated above
as proof of his/her identity.
Doc No.______
Page No._____ NOTARY PUBLIC
Book No._____
Series of 2018.