REPUBLIC OF THE PHILIPPINES)

Province of La Union ) Sc.

Municipality of Tubao )

AFFIDAVIT OF CHANGE COLOR

KNOW ALL MEN BY THESE PRESENTS:

I, DOMAR BOADO OLARTE, of legal age, married, Filipino citizen and a

resident of Maoasoas Sur, Pugo, La Union, after having been duly sworn to in accordance
with law, do hereby depose and state, that:

1. I am the registered owner of the following vehicle which is more particularly

described as follows:

MAKE AND SERIES ----------- YAMAHA

TYPE OF BODY ----------------- MV w/o Side Car
MOTOR NO.: -------------------- G3E6E-0266851
SERIAL/CHASSIS NO. --------- MH3UG0740H0047209
Year Model: ------------------------- 2017
MV FILE NO.----------------------- 0101-00000426749

2. Just recently, I caused the change of the COLOR of the above-mentioned motor
vehicle from BLACK to GRAY;

3. The changes mentioned above were not aimed to conceal a crime or violation of
the Land Transportation Code, Traffic Laws and Regulations or the Revised
Penal Code of the Philippines, but was principally for personal reason and
satisfaction;

4. I am executing this Affidavit to attest to the truthfulness and veracity of the

foregoing narration of facts; and for whatever legal intents and purposes this may
well serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 14th day of June 2022
at Tubao, La Union, Philippines.

DOMAR BOADO OLARTE

Affiant
Prof DL No. A01-06-003484

SUBSCRIBED AND SWORN to before me this 14th day of June 2022 at Tubao, La
Union by the affiant appearing personally and who is known to me to be the same person
who executed this affidavit.

ATTY. JOONEE RANDYL E. RIVERA

Notary Public until December 31, 2022
Doc. No.: 43; Aspiras Highway, Francia Sur, Tubao, La Union
Page No.: 9; Roll No. 61766, TIN 929-347-628
Book No.: XXXVIII; PTR No. 6677008, 01-03-22, Tubao, LU
Series of 2022. IBP Life Member No. 012553; 01-02-14, SFLU
Commission No. ANC-2020-70
MCLE No. VII-0004258, 07/21/21