Afdvt Change Color PICK-UP (My) HJD

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REPUBLIC OF THE PHILIPPINES)

ILOILO CITY )S.S.


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AFFIDAVIT
(Change Color of Motor Vehicle)

I, ATTY. HECTOR J. DIAZ, of legal age, single, Filipino and a resident of


Magdalo St., LaPaz, Iloilo City, under oath, hereby depose and state, THAT:
1. I, ATTY. HECTOR J. DIAZ, am the bonafide buyer of a motor vehicle
registered under PCI(BDO) Leasing & Finance, Inc., who sold said motor vehicle to
Monsanto Philippines, Inc., and who in turn sold the same to their employee, Josel A.
Demetria, and who likewise sold the same motor vehicle to me, under a Deed of Sale
Motor Vehicle of which motor vehicle I am now the true and absolute owner, being more
particularly described as follows:

Make/Year Model: MITSUBISHI/2007 Series: L200


STRADA GLS 4x4
Type: PICK-UP Plate No.: FFZ 125
Engine No.: 4D56-UCAH4060 Chassis No.:
MMBJNKB407D041095

2. The original color of the above-described motor vehicle was “SEL/TITANIUM


GRAY MICA”;

3. When the paint of the above-described motor vehicle had faded, I had it
repainted and took charge of repainting it from the original color “SEL/TITANIUM
GRAY MICA” to “RED” such that the color of the said motor vehicle is now changed
from “SEL/TITANIUM GRAY MICA” to the current color “RED”;

4. The said repainting/change of color is not intended for any illegal or unlawful
purpose but purely for aesthetic and preservation purposes only; and

5. That 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 the City of Iloilo, Philippines.

ATTY. HECTOR J. DIAZ


Affiant

SUBCRIBED TO AND SWORN before me this ___________ in the City of


Iloilo, Affiant exhibiting to me his Competent Evidence of Identity: IBP Roll of Attorneys
No. 49839.

Doc. No.: ____ ;


Page No.: _____;
Book No.: _____;
Series of 2017.

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