REPUBLIC OF THE PHILIPPINES)

CITY OF MANILA ) ss

AFFIDAVIT OF CHANGE OF COLOR

I, JEROME BO GONZALES, of legal age, and with address at 775

Sevilla St., Binondo, Manila, after having been duly sworn according to
law, hereby depose and say that:

1. 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. The original color of the said motor vehicle was _______;

3. When the paint of the above-described motor vehicle had faded, we
had its color repainted to _______ such that the color of the said
motor vehicle was changed from ________ to __________;
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 Clearance.

IN WITNESS WHEREOF, I have hereunto set my hand this

February 27, 2020, at City of Manila, Philippines.

JEROME BO GONZALES
Affiant

SUBSCRIBED AND SWORN to before me this February 27, 2020, at

City of Manila, Philippines, affiant exhibiting to me his identification
details as follows –

Doc. No. _____;

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