REPUBLIC OF THE PHILIPPINES }

CITY OF } S.S.

AFFIDAVIT

I, RYAN Y. DELA CRUZ, of legal age, Filipino, single/married, and with residence
address at #2B ROMANS FRIENDLY CONCEPCION 1,MARIKINA CITY after having been
duly sworn to in accordance with law, depose and state that:

1. I am the owner of a certain motor vehicle more particularly described as follows:

MAKE : KAWASAKI
SERIES : BC175J
MV FILE : 1303-00000842130
ENGINE NO. : BC175AEBA0354
CHASSIS NO. : BC175J-B76517
DENOMINATION : MOTORCYCLE WITH SIDE CAR
YEAR MODEL : 2019
BODY TYPE : MTC

2. The original Denomination of said motor vehicle was “MOTORCYCLE WITH

SIDE CAR”;

3. However, I have decided to use the said motor vehicle to mode of PUBLIC
TRANSPORTATION;

4. By this, I have caused to change the Denomination of the said motor vehicle from
“MOTORCYCLE WITH SIDE CAR” as private use to “MOTORCYCLE WITH SIDE CAR” as
public transportation use;

5. I further attest that the change of the denomination is not intended to any illegal or
unlawful purpose but solely due to the foregoing reasons;

6. I am executing this Affidavit to attest the veracity of my foregoing statements and

for whatever legal purpose it may serve;

AFFIANT SAYETH NAUGHT.

IN WITNESS WHEREOF, I have hereunto set my hand this _______________ here

at____________________,Philippines.

RYAN Y. DELA CRUZ

Affiant

SUBSCRIBED AND SWORN to me this _________________ here

at______________________, Philippines affiant exhibiting to me his ID with
No._______________ bearing his photograph and signature as his proof of identification.

WITNESS MY HAND AND SEAL on the date and place first mentioned above.

Doc. No. ___;

Page No. ___;
Book No. ___;
Series of 2020.