Affidavit of Change Color

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REPUBLIC OF THE PHILIPPINES)

CITY OF MALOLOS ) S.S.


x------------------------------------x

AFFIDAVIT OF CHANGE COLOR

I, ___________________, of legal age, Filipino, (single/married/widow)


and a resident of _______________________________, after having been
duly sworn to in accordance with law, depose and state THAT:

1. I am the registered owner of a motor vehicle which is particularly described


as follows:

Make & Type : ______________


Motor Number : ______________
Chassis Number : ____________
Plate Number : ______________
MV File No. : ________________
Year Model :_________________
Color : _____________________

2. The original color of the said motor vehicle was "_____________";

3. When the paint of the above-described motor vehicle had faded, I had its
color repainted to "_________" such that the color of the said motor vehicle
was changed from "_________" to "________";

4. Said change of color is not intended for any illegal or unlawful purpose but
solely due to the foregoing reasons;

5. I am executing this Affidavit to attest to the truth of the foregoing and in


support of the application for the change of color of the above-described
motor vehicle on its Certificate of Registration.

IN WITNESS WHEREOF, I have hereunto set my hand


this ___________________ in Pasay City, Metro Manila, Philippines.

____________________
Affiant
ID No. _____________

SUBCRIBED AND SWORN TO before me


this ___________________ in _________________, Philippines, affiant
exhibiting to me his/her competent evidence of identity by way of
__________________ issued at ______________
on __________________.

Doc. No. _____;


Page No. _____;
Book No. _____;
Series of 2013.

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