REPUBLIC OF THE PHILIPPINES

CAGAYAN DE ORO CITY

AFFIDAVIT OF ATTACHMENT OF SIDECAR

I, Anthony N. Santos , of legal age , Filipino, married and resident of 7 – 21 St Nazareth,

Cagayan de Oro city, after having been duly sworn to in accordance with law, hereby
voluntary depose and say:

That I am executing this affidavit to change the body type of said motorcycle to
MOTORCYCLE WITH SIDECAR in the motorcycle or/cr.

That said motorcycle is more particularly described as follows:

Make : Yamaha Chassis No : PA0RE3210M0199612

Model : 2021 Color : Black
Engine No : E3W7E 0200464 Body Type : Mc

In witness of, I have here unto affixed my signature this ______ day of ___________ at Cagayan
de city.

Anthony N. Santos

__Kristian Dale L. Dabatian__ Affiant

Owner

Subscribed and sworn to me this __________ day of ___________ 20____ in the city /Municipality
of ________________________, affiant exhibited to me his /her Res. Cert. No. ___________________.

Doc. No ._______________

Page No.________________

Book. No._______________

Series No._______________