Affidavit of Change of Body Design

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REPUBLIC OF THE PHILIPPINES )

PROVINCE OF PAMPANGA ) S.S.


MUNICIPALITY OF GUAGUA )
x------------------------------------------ x

AFFIDAVITOF CHANGE OF BODY DESIGN


(RE: Motor Vehicle)

I, _________________________ of legal age,marriedFilipino citizen and


resident of __________________, Pampanga, Philippines after having been duly sworn
in accordance with law, hereby depose and state:

That I am the registered owner of a motor vehicle, which is more particularly


described as follows:

Make - _____________
Type - _____________
Motor No. - _____________
Serial/Chassis No. - _____________
Plate No. - _____________

That the present body design of my said vehicle was____________

That I desire to change the body design of my said motor vehicle


from_______________________to __________________________;

That said motor vehicle was not involved to any vehicular accident causing its
change of the body design;

I am executing this Affidavit to attest to the truth and veracity of all the
foregoing and to inform the LAND TRANSPORTATION OFFICE (LTO) causing its
Change of Body Design and that for any legal purposes this may serve.

AFFIANT FURTHER SAYS NOT.

____________________________
Affiant

SUBSCRIBED AND SWORN before me this _____ day of ____________,


2017 at Guagua, Pampanga. Affiant exhibited to me his/her
____________________________ bearing his/her picture and signature thereon.

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