(Affidavit for Change of Color of Motor Vehicle) Republic of the Philippines) Province of ____________________)S.S. City/Municipality of _____________) x-----------x AF FI D AV I T I, _____________, Filipino, of legal age, (single / married / widow), and a resident of _____________, Philippines, after being sworn to in accordance with law, depose and state: 1.That I am the registered owner of a certain motor vehicle that is more particularly described as follows: Make:Motor No.: Type:Chassis No Color:Plate No.: 2.That the original color of the said motor vehicle was "_____________"; 3.That 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.That said change of color is not intended for any illegal or unlawful purpose but solely due to the foregoing reasons; 5.That 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. AFFIANT (JURAT)