Republic of the Philippines}

Province of Cotabato }s.s

Kidapawan City }
x-------------------------------------x

AFFIDAVIT
(Change Unit)

I, ROLAND TAYONA ENOC of legal age, Filipino, single, and resident of Purok 3-B,
Magsaysay Kidapawan City, after having been duly sworn to in accordance with law, do hereby depose
and state the following:

That I am the registered owner of One Unit of utility vehicle bearing Plate No. KC78238;

That the aforesaid unit/motorcycle which has a franchise but already unserviceable and beyond
repair and I decided to change its unit to Kawasaki bearing Plate No.                   , Chassis No.
; Engine No. , Color: ;

That I undertake not to sell or rent to own the unit the Kawasaki TC Hire bearing Plate No.

That I am executing this affidavit to attest to the truthfulness of the fact and for whatever legal
purposes that this statement may serve.

IN WITNESS WHEREOF, I have hereunto set my hand below this 13th day of June 2019 at
Kidapawan City, Philippines.

ALEJANDRO IAN SAMBAS LIM ARIEL SUHAYON

Affiant Fabricator/Builder
SSS ID NO. 09-2320992-0 DRIVER’S LICENSE NO. MO0616001715

SUBSCRIBED AND SWORN to before me this 17th day of June 2019 at Kidapawan City,
Cotabato, Philippines.

ATTY. OSCAR D. BAYOG

Doc. No. 115; Notary Public
Page No. 23; Until December 31, 2020
Book No. 01; Roll No.18081
Series of 2019. P O.R. No.1009201/9-4-2015
O.R. No. 1012991/12-15-2015
PTR No. 1767632/1-15-19
MCLE Compliance No. V-0024411:Valid until April 14,
2020
2/F GSP Building, Quirino Drive, Kidapawan City
Notarial Com. No. 132-2019