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REPUBLIC OF THE PHILIPPINES )

PROVINCE OF BENGUET ) SS.


CITY OF BAGUIO )

AFFIDAVIT OF CHANGE COLOR

I, EDWARD B. PEÑARANDA, of legal age, single, Filipino and with


residence at 59A Purok 9, Irisan, Baguio City, under oath, depose and say that:

1. I am the registered owner of a motorcycle (without Side Car) which


is particularly described as follows:

MAKE…………………………. ……… YAMAHA


MOTOR NO…………………………………….. G3E6E-0245183
SERIAL/CHASSIS NO…………… ….. MH3UG0740G0042175
CR NO. ……………………………….. 273542813
COLOR ………………………………… WHITE

2. I had personally caused the change of the color of the above-


described motorcycle from WHITE to MULTI-COLOR;

3. That I am executing this affidavit attest to the truth of my


foregoing statements and to comply with the rules and regulations
of the Land Transportation Office anent the change of COLOR of a
motorcycle.

IN WITNESS WHEREOF, I have hereunto affixed my name and signature


this 9th day of March, 2020, at Baguio City, Philippines.

EDWARD B. PEÑARANDA
Affiant

SUBSCRIBED AND SWORN TO BEFORE ME, this 9th day of March,


2020, at Baguio City, Philippines, the affiant exhibiting to me his Driver’s
License bearing License No. A08-19-002354 and valid until 6-25-2023 and the
same person who executed this instrument.

MODESTO T. ANDONG
Notary Public
Commission No. 35-NC-20-R/Until: Dec. 31, 2021
PTR No. 4431796/12-05-2019/Baguio City (for 2020)
IBP No. 05394/11-14-2019 (for 2020)
Roll No. 31289/5-15-81/Manila
Doc. No. 172; MCLE COMPLIANCE No. VI-0000192/June 14, 2016
Page No. 35; BIR TIN No. 121-017-652
Book No. 42; No. 19, 2nd Floor Old Market Bldg.,
Series of 2020. Magsaysay Ave., Baguio City, Philippines

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