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REPUBLIC OF THE PHILIPPINES) CITY OF PASAY ) S.S.

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AFFIDAVIT FOR CHANGE OF BODY OF MOTOR VEHICLE


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 Color : _____________________ 2. The original body type of the said motor vehicle was "_____________"; 3. To have more use of the said vehicle in my business, I have decided to change the body type of the said vehicle from "_____________" to "_____________"; 4. The change of body type 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 body type of the above-described motor vehicle on its Certificate of Registration. IN WITNESS WHEREOF, I have hereunto set my hand Model :_________________

this ___________________ in Pasay City, Metro Manila, Philippines.

____________________ Affiant SSS ID No. _____________

SUBCRIBED identity by

AND way

SWORN of

TO before

me

this ___________________ in issued at ______________

_________________, Philippines, affiant exhibiting to me his/her competent evidence of __________________ on __________________. Doc. No. _____; Page No. _____; Book No. _____;

Series of 2013.