Republic of the Philippines )

___________, ______________ )S.S.

AFFIDAVIT OF CHANGE COLOR

I, _____________________, of legal age, Filipino, and with address at

____________________________, _____________, after having been duly sworn to in
accordance with law, depose and state:

1. That I am the lawful owner of a motor vehicle which is more particularly

described as:

MAKE AND TYPE :____________________________

ENGINE NO. :____________________________
CHASSIS NO. :____________________________
PLATE NO. :____________________________
FILE NO. :____________________________
COLOR :____________________________

2. That due to wear and tear that caused the color of the aforementioned motor
vehicle having waned and faded, so I have caused and effected a change of the
same from its old color ____________________ to the new color
___________________;

3. That the painting job having been completed and the said motor vehicle is now
running on its new color _________________;

4. That I am executing this Affidavit in order to inform the authorities concerned,

particularly the Philippine National Police and Land Transportation Office relative
to the change of color of my said motor vehicle, so as to establish its new and
existing color and for all its legal intents and purposes.

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

________, _____ at the ________________, _______________, Philippines.

________________________
Affiant

SUBSCRIBED AND SWORN to before me this ___ day of ______ 2022 at the
_________________, _______________, affiant exhibited to me his ______ ID with
no. ___________________________, as competent proof of his identity.

Doc. No.__________
Page No._________
Book No._________
Series of 2022