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Affidavit of Damage To Vehicle
Affidavit of Damage To Vehicle
Quezon City
)
) S.S.
TOYOTA
CAMRY
SEDAN
1340-00000407896
3. I was driving the aforementioned vehicle along Quirino Avenue heading to Roxas
Boulevard. At the corner of Quirino Avenue and A. Mabini Street, I stopped,
after the traffic light turned red. When the traffic light turned green, I
signalled, and took a left turn. As I was approaching A. Mabini Street, a
speeding red Toyota Tamaraw with plate number OVA699, driven by Michelle C.
Tan of legal age residing in 85 Balintawak Street, Brgy. San Pedro, Pasig City, with
Non-Professional Drivers License No. NO2-80-233376, suddenly and recklessly
barged in. She was driving along the opposite side of Quirino Avenue (coming
from Roxas Boulevard), and took a hasty right turn toward A. Mabini Street,
unaware that I had already taken the left turn. Although I made a sudden
brake as I saw her vehicle coming in, she still bumped my car. Hence, both of our
vehicles sustained damages.
That said Driver's License has not been confiscated by the LTO, Police or other Traffic
Enforcers for any traffic violation;
4. A traffic enforcer, Matthew J. Lapuz, went quickly to the scene, and led me
5. Ms. Tan later acknowledged her recklessness, and asked for a settlement to
MICHELLE C. CHOA
Affiant
SUBSCRIBED AND SWORN TO before me this 16TH day of December 2014,
affiant exhibiting to me her Passport No. EA123666, issued by the Department of Foreign
Affairs in Manila on 12 December 2013, at the place before mentioned.