Republic of the Philippines)

City of ________________)
x----------------------------x

AFFIDAVIT OF CHANGE COLOR

I, ______________________, of legal age, Filipino, single/married, and a

___________________________________________________, Philippines, after being duly sworn to the
accordance with the law, hereby depose and state:2

That I am the registered owner of a certain motor vehicle, which is more particularly describe as follows:
Make :
Plate Number :
Motor Number :
Chassis Number :
Year Model :
Body Type : SEDAN
Color : RUBY RED

That the original color of the said motor vehicle was “RED”

That for the reason that the paint of the aboved-described motor vehicle had faded, and in order to give it
a new look, I commissioned, ______________________, a painter/mechanic to paint it to Gray. Such that
the color of the said motor vehicle was change from “RED” to “GRAY”.

That the change of color is not intended for any illegal or any unlawful purpose but soley due to foregoing
reasons;

That I am executing this affidavit to attest the truth of the foregoing and in support of the application for
change o color of the above-described motor vehicle on its Certificate of Registration

IN WITNESS WHEREOF, I have here unto set my hand on this ____ th day of July, 2021 at
____________City, Philippines

___________________________ ___________________________
Painter Affiant

SUBSCRIBE AND SWORN to before me on this _____ th day of July 2021, in the City of
_________________, Philippines, Affiant exhibited to me her ID No. _____________ issued
on___________ at _______________

Doc No. ________

Page No. ________
Book No. _______
SERIES OF 2021