REPUBLIC OF THE PHILIPPINES )
CITY OF PASAY ) S.S.
x------------------------------------x
AFFIDAVIT OF CHANGE COLOR
I, ___________________, of legal age, Filipino, (single/married/widow) and a resident of _______________________________, after having been duly sworn to in accordance with law, depose and state THAT:
1. I am the registered owner of a motor vehicle which is particularly described as follows:
Make & Type : ______________
Motor Number : ______________
Chassis Number : ____________
Plate Number : ______________
MV File No. : ________________
Year Model :_________________
Color : _____________________
Color : _____________________
2. The original color of the said motor vehicle was "_____________";
3. When the paint of the above-described motor vehicle had faded, I had its color repainted to "_________" such that the color of the said motor vehicle was changed from "_________" to "________";
4. Said change of color is not intended for any illegal or unlawful purpose but solely due to the foregoing reasons;
5. I am executing this Affidavit to attest to the truth of the foregoing and in support of the application for the change of color of the above-described motor vehicle on its Certificate of Registration.
IN WITNESS WHEREOF, I have hereunto set my hand this ___________________ in Pasay City, Metro Manila, Philippines .
____________________
Affiant
SSS ID No. _____________
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SUBCRIBED AND SWORN TO before me this ___________________ in _________________, Philippines, affiant exhibiting to me his/her competent evidence of identity by way of __________________ issued at ______________ on __________________.
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2013.