Affidavit of Change of Body Design
Affidavit of Change of Body Design
Affidavit of Change of Body Design
PROVINCE OF PAMPANGA )S S
MUNICIPALITY OF GUAGUA )
x____________________________x
Make - _______________________________
Motor No. - _______________________________
Serial Chassis No. - _______________________________
Color - _______________________________
That the body design as the aforesaid motor vehicle was changed and/or converted
from single motorcycle to motorcycle with sidecar.
That I desire to report the change of body design of the aforementioned motor
vehicle to the proper authorities of the Land Transportation Office.
I am executing this Affidavit to attest to the truth of the foregoing and further to
effect the registration of the said vehicle under its new denomination.
__________________________
Affixed
______________________ ____________________
VENDEE VENDOR
____________________
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. : __________________________
Color : __________________________
Official Receipt No. : __________________________
Certificate of Registration : __________________________
That I desire to change the color of my said motor vehicle from _____________ to
______________.
That said motor vehicle was not involved to any vehicular accident causing its change of
color from ___________________ to _________________.
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 color from
__________________ to ________________ and that for any legal purposes this may serve.
_______________________
Affiant
AFFIDAVIT OF LOSS
1.) That I am the owner of a certain motor vehicle, which is more particularly
described as follows:
4.) That I am willing to undertake and assume full responsibility in the event of any
third party claim against the motor vehicle and shall defend my right over the same;
5.) That I hold the LAND TRANSPORTATION OFFICE free from any form of
obligation and absolving the former and its personnel from any liabilities arising thereto and
warrant said _______________________________ free from all liens and encumbrances;
and
6.) That I am executing this Affidavit to attest the truth of the foregoing facts and to
inform the government agencies concerned regarding the loss of the aforementioned
documents.
_____________________
AFFIANT
1.) That I am the owner of a certain motor vehicle, which is more particularly
described as follows:
2.) That due to tear and wear that caused the color of the aforementioned motor
vehicle having waned and faded, so I have caused and effected a change of the same from its
old color _____________________ to new color ______________________;
3.) That the painting job having been completed and the said motor vehicle is now
running on its new color _______________________________; and
4.) That I am executing this Affidavit in order to inform the authorities concern,
particularly the Philippine National Police and Land Transportation Office relative to the
change of color of my said motor vehicle, so as to establish its new and existing color and for
all its legal intents and purposes.
_____________________
AFFIANT