Republic of the Philippines)

Province of Leyte
) SS
City of Tacloban
)

AFFIDAVIT RE:
CHANGE OF BODY TYPE
I, ROGELIO B. AVISO, of legal age, Filipino citizen and a resident
of Tacloban City, after being sworn according to law, depose and state:
THAT--I am the owner and possessor of a motor vehicle particularly
described as follows:
MAKE/SERIES/YEAR
BODY TYPE
ENGINE No.
CHASSIS No.
PLATE NO.
Cert. of Registration
MV FILE NO.

:
:
:
:
:

ISUZU SERIES 4 1999

VAN
4DR5-290590
SPMM-8994396-C
HVP734
:
2826108-5 dated 01/17/2006
:
0844-00000029466

There was an error in the registration of the said vehicle, as the

body type purportedly is a VAN when in truth and in fact, the
appearance and the actual body type is that of a JITNEY.
This affidavit is executed to attest to the truth of the above facts
for the purpose of CHANGE OF BODY TYPE and for whatever legal
purpose this may serve.
IN WITNESS WHEREOF, we have hereunto set our hands this
14 April 2009 at Tacloban City, Philippines.

ROGELIO B. AVISO
SUBSCRIBED AND SWORN to before me this 14 APRIL 2009 at
Tacloban City, affiant exhibiting to me as competent evidence of identity his
drivers license No. H02-76-009263 valid until 02-16-2012.
Doc. No.
213
Page No.
43
Book No.
56
SERIES OF 2009