REPUBLIC OF THE PHILIPPINES)

CITY OF IDLOILO )
X-------------------------------------------X

JOINT AFFIDAVIT FOR CHANGE OF BODY DESIGN

I, __ SALVACION D. AMIHAN_____ of legal age, Filipino and a resident of

BRGY. SAN ISIDRO, LA PAZ, ______Iloilo City, Philippines, do hereby depose and say:

That I am the registered owner of a motor vehicle described as _SUZUKI SUPER

CARRY PICK-UP__with Motor No. _______E08AN1029066________and Chassis
No.___MA3DA33T5K0119393___. File No. __0601-00000550133___and Temp. Plate No.
___060110__ paid under OR No. __1488349575____in the amount of_ 8, 287.18___.

That I decide to change the body design of my said motor vehicle from CARRY PICK-
UP__ into a ___CARRY PICK-UP W/ STAKE______ type.

That I have engaged the service of a mechanic and body builder by profession into of
____GLENN D. FEBRIO___ with a shop located at _____AVESCOR MOTORS ILOILO____
to change the body design from __ CARRY PICK-UP __to ___ CARRY PICK-UP WITH
STAKE ___type.

That the job of a mechanic and body builder was already completed and ready for
registration with the LTO Office.

That we are executing this affidavit in order to attest the above stated facts and to secure
a Clearance from PNP TRAFCOM. Camp Delgado, Iloilo City.

IN WITNESS WHEREOF; I have hereunto set my hand this __________ day of

___________________2017 in the City of Iloilo, Philippines.

__ GLENN D. FEBRIO__ __ SALVACION D. AMIHAN__

Welder Owner

SUBSCRIBED AND SWORN to before me is ___________ day

of___________________ 2017 in the City of Iloilo, Philippines.

Doc. No. ___________,

Page No. ___________,
Book No. ___________,
Series of ___________,