You are on page 1of 1

AFFIDAVIT OF ENGINE

I, RICARDO PO, authorized representative of LEYTE UNITED TRADING, of


legal age, married and resident of 104 P. Burgos St. Tacloban City, after being duly
sworn to according to the law do hereby depose and say:

That I am the owner of a vehicle and I caused the changing of the engine
of a motor vehicle more particularly described as follows:

Make: FUSO
Type: TRACTOR HEAD
Motor No: 8M22-S42951S
Chassis No: FV513H-500315
Plate No: RHL-680
File Number: 0386-179632

That the Change engine of the above vehicle will be changed from 8M22-
S42951S to 8M21-010047. That the changing of the engine will be effective upon
one approval of the application by the lawful authority.

That I am executing this affidavit in order to attest to the truth of the


foregoing statements and to other legal intents and purposes.

Affiant further sayeth none:

____________________
Affiant

SUBSCRIBED AND SWORN TO before me this March 5, 2010 at


Olongapo City, Philippines. Affiant exhibited to me this his/ her residence
certificate above-noted.

Doc. No. ___________


Page No. ___________
Book No. ___________
Series No. ___________

You might also like