Republic of the Philippines)

Province of S.S.
City/Municipality of _________)
x-----------x

AFFIDAVIT OF PAINTER
I, RICHARD GONZALES, Filipino, of legal age, and a resident of Atulayan
Sur,Tuguegarao City, Philippines, after being sworn to in accordance with
law, depose and state:

1. That I am the painter of a motor vehicle which is particularly described

as follows:

Make & type: Honda Civic Chassis No: SR41930142

Motor No: PH15-100125 Plate No: TGZ 716

MV File: 1320-0000006820A Year Model: 1993

Color: Silver Gray

2. The said color of the said motor vehicle was “Silver Gray”;

3. when the paint of the above- described motor vehicle had faded, the
owner had its color repainted to “Red” such that the motor vehicle was
change from “Silver Gray” to “Red”;

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 Certification of Registration.

IN WITNESS WHEREOF, I have hereunto set my hand this ___________at

Tuguegarao City, Philippines.

SUBSCRIBED AND SWORN to before me this ____day of _______, 20__in

________________ Philippines

RICHARD GONZALES

Affiant