AFFIDAVIT OF LOSS WITH WARRANTY

Notice is hereby given that EUGENIO B. MALIC was the owner of one (1) units of 1997 NISSAN SEDAN motor vehicle
with Plate No. FDZ-984; Serial No. CLFULVAA32A59588; MV File No. 0620-00000088332; Motor No. VQ20-131942A; CR No. 22575100-2 and OR No. 1864701160. That the owner’s copy of Certificate of Registration of the said vehicle was lost and despite of diligent efforts exerted by the owner to locate the said LTO CR, it could no longer be found and considered as loss, executed this AFFIDAVIT OF LOSS WITH WARRANTY on June 8, 2021 and entered as per Doc. 412, Page No. 84, Book No. CXV, Series of 2021 of notarial registry of Atty. Judgee Earl Ross D. Del Castillo, a notary public
for and in the City of Roxas, Province of Capiz.

The Capiz Times Publishing,
June 7, 14 & 21 2021