You are on page 1of 1

Republic of the Philippines)

Province of Leyte
) SS
City of Tacloban
)

AFFIDAVIT TO CHANGE UNIT


From HONDA MC: Plate # HV-9710 to Plate # IR4330

I, RELLA A. LABASBAS, of legal age, Filipino citizen, married


and a resident of B10, L9, King George St., Kassel Homes Subdivision,
Naga-Naga, Tacloban City, after being sworn according to law, depose
and state: THAT--1. I am the operator of a motorcab for hire (MCH) with Police
Number 0237 issued by the Tacloban City Permits and Licenses
Division, and run by a Honda TC unit with Plate No. HV-9710 and
covered by Certificate of Registration No. 74001982 dated 12-10-03 of
the LTO in my name.
2. However, I am now changing the old Honda TC unit with Plate
No. HV-9710 with a new Honda MC unit with Plate No. IR4330 covered
by Certificate of Registration No. 2303193-4 dated 3/13/2006 of the
LTO in my name.
3. This affidavit is executed to attest to the truth of the above
changing of Honda MC unit with Plate No. HV-9710 to Honda MC unit
with Plate No. IR4330 of the MCH with Police No. 0237, and for
whatever legal purpose this may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this 20
April 2006 at Tacloban City, Philippines.
RELLA A. LABASBAS
Affiant
SUBSCRIBED AND SWORN to before me this 20 April 2006 at
Tacloban City, affiant exhibiting to me her CTC No. 23313787 issued
on 1-3-06 at Tacloban City, Philippines.
Doc. No. ___
Page No. ___
Book No. 49
SERIES OF 2006

You might also like