AFFIDAVIT OF CHANGE CHASSIS

I, ANGELITO D. TUMATOM, legal age, Single, Filipino Citizen with residence

address at PALMARIO ST TONSUYA MALABON CITY, after being first duly sworn in
accordance with the law depose and say that:
1. The lawful owner of a certain motor vehicle more particularly described as follows:

MAKE/SERIES YAMAHA FZR1000

MOTOR NO. 3UU000390
CHASSIS NO. JYA3UUC06LA000390
MV FILE NO. 0244-00009511860
PLATE NO. BE2999

2. That I Caused the change of the chassis of the above-described motor vehicle from
JYA3UUC06LA000390 to 3GM-027687.

3. That I execute this affidavit of attest to the truth of the above facts and
circumstances and for whatever legal purpose it may serve.

IN WITNESS WHEREOF. I have hereunto set my hand this ________ day of

________, __________ at _________________, _____________________.

ANGELITO D. TUMATOM
Affiant

SUBSCRIBED AND SWORN TO BEFORE ME this_____day of ________at

____________________, _______________________.

NOTARY PUBLIC
Doc. No.:_____
Page No.:_____
Book No.:_____
Series of 20___