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Republic of the Philippines )

C i t y of T a g u m. . . . . . .)
Province of Davao del Norte) S.s.
X - - - - - - - - - - - - - - - - - - -x

AFFIDAVIT CHANGE COLOR

I, ________________________________ , of legal age, Filipino


and a resident of _________________________________________ ,
after having been duly sworn to in accordance with law, hereby
depose and say:

1. That I am the registered owner/vendee of a motor vehicle


particularly described, as follows, to wit:

Make -
Type of Body -
Plate No. -
Motor No. -
Chassis No -
CR No. -

2. I desire to change the color of said vehicle from _________


_________________ to _______________________________;

3. That I am executing this affidavit to attest to the truth of the


foregoing facts and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this


________ day of _________________________ , at Tagum City,
Philippines.

____________________
Affiant

SUBSCRIBED AND SWORN to before me this ____ day of


_____________________________ at Tagum City, Philippines.
Republic of the Philippines )
C i t y of T a g u m. . . . . . .)
Province of Davao del Norte)S.s.
X - - - - - - - - - - - - - - - - - - -x

AFFIDAVIT CHANGE BODY

I, ________________________________ , of legal age, Filipino


and a resident of _________________________________________ ,
after having been duly sworn to in accordance with law, hereby
depose and say:

1. That I am the registered owner/vendee of a motor vehicle


particularly described, as follows, to wit:

Make -
Type of Body -
Plate No. -
Motor No. -
Chassis No -
CR No. -

2. I desire to change the body of said vehicle from ________


_________________ to __________________________ to be built/
attached by a mechanic;

3. That I am executing this affidavit to attest to the truth of the


foregoing facts and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this


________ day of _________________________ , at Tagum City,
Philippines.

____________________
Affiant

SUBSCRIBED AND SWORN to before me this ____ day of


_____________________________ at Tagum City, Philippines.
Republic of the Philippines )
Province of Davao del Norte)S.s.
C i t y of T a g u m. . . . . . )
X-----------------x

AFFIDAVIT

I, PATRICK NORMAN C. DEMA-ALA, of legal age, Filipino


and a resident of 486 Quezon Blvd., Panabo City, Philippines, after
having been duly sworn to in accordance with law, hereby depose
and say:

1. That I am presently employed as driver I of the Office of


Philippine Councilor’s League, Sangguniang Panlalawigan, Provincial
Capitol, Tagum City under Board Member Allan R. Dujali;

2. That as driver I was entrusted one (l) unit motor vehicle


registered in the name of the Province of Davao del Norte,
particularly described, as follows, to wit:

Make- TOYOTA REVO


Type of Body- WAGON
Motor No.- 7K-0274087
Serial/Chassis No.-KF80-8009205
CR No.- 42914801;

3. That sometime on March 4, 2003 at about 6:30 A.M. while I


was driving said vehicle out of our garage, it accidentally sideswiped
the cemented post of the gate of our house due to insufficient
clearance which caused damage to the right side signal light;

4. That I am executing this affidavit to attest to the truth of the


foregoing facts and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this


________ day of March, 2003, at Tagum City, Philippines.

PATRICK NORMAN C. DEMA-ALA


Affiant
SUBSCRIBED AND SWORN to before me this ____ day of
March, 2003 at Tagum City, Philippines.

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