REPUBLIC OF THE PHILIPPINES)

QUEZON CITY ) S.S.

AFFIDAVIT OF CHANGE COLOR

OF MOTORVEHICLE

I, BLUJAY CONSTANTINO PINEDA, of legal age, Filipino, and with

address at No. 5075 A Bernardo Compound B Juan Ugong Valenzuela City,
Philippines, after having been duly sworn to in accordance with law, hereby
depose and state;

1. I am the registered owner of a motor vehicle which is particularly

described as follows:

Make & Type : Yamaha/MC

Series : NMAX 2DPK
Motor Number : G3E4E-1303928
Chassis Number : MH3DG31B0K0016833
MV File No. : 1366-00000273740
Year Model : 2019
Color : Blue Gray

2. The original color of the said motor vehicle was " Blue/Gray ";

3. When the paint of the above-described motor vehicle had faded, I had
its color repainted to "WHITE" such that the color of the said motor
vehicle was changed from " Blue/Gray " to "WHITE";

4. 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.

IN WITNESS WHEREOF, I have hereunto set my hand this 19 th day of

August 2020 at Quezon City, Philippines.

BLUJAY CONSTANTINO PINEDA

Affiant

SUBSCRIBED AND SWORN to before me this 19th day of August 2020 at

Quezon City, Philippines. Affiant exhibiting to his CTC/ID
No._______________________ issued on ________________ issued at
___________________.

Doc. No.: _______ NOTARY PUBLIC

Page No.: _______
Book No.: _______
Series of 2020
REPUBLIC OF THE PHILIPPINES)
MANILA ) S.S.

AFFIDAVIT OF LOSS

I, MARVIN B. FRANCISCO, of legal age, Filipino, and with address at

221 Taal Bocaue, Bulacan, after having been duly sworn to in accordance with
law, hereby depose and state;

That I am the holder of ATM CARD issued by EASTWEST BANK and

POSTAL ID;

That unfortunately the above-mentioned ATM CARD and POSTAL ID

were lost on January 9, 2015 when it was accidentally lost together with my
wallet and despite diligent effort to locate the same but effort found futile;

That I am executing this affidavit in order to attest the truth of the

foregoing facts and for all legal intents it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 13 th day of

January 2015 at Manila, Philippines.

MARVIN B.
FRANCISCO
Affiant

SUBSCRIBED AND SWORN to before me this 13 th day of January 2015

at Manila, Philippines.

Doc. No.: _______ NOTARY PUBLIC

Page No.: _______
Book No.: _______
Series of 2015