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Republic of the Philippines ) Province of________________ ) S.S.

City/Municipality of_________ ) x- - - - - - - - - - - - - - - - - - - - - -x

AFFIDAVIT FOR CHANGE OF BODY OF MOTOR VEHICLE


I, ________________, of legal age, (single/widow/married to _____________________), Filipino citizen, and a resident of _______________, Philippines, after being sworn to in accordance with law, depose and state: 1. That I am the registered owner of a certain motor vehicle that is more particularly described as follows: Make: _______________ Series: _______________ Type of Body: ________ Motor No. ____________ Chassis No. ___________ Year Model : __________ Color: _______________ Plate No. _____________ 2. That the original body type of the said motor vehicle was "____________"; 3. That to have more use of the said vehicle in my business, I have decided to change the body type of the said vehicle from "_____________" to "_____________"; 4. That the change of body type is not intended for any illegal or unlawful purpose but solely due to the foregoing reasons; 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 body type of the above-described motor vehicle on its Certificate of Registration. IN WITNESS WHEREOF, I have hereunto affixed my signature this ___ day of ___________, 20____ at Barangay ___________, __________, ____________, Philippines.

_____________________ Affiant

(NOTARIAL OATH)

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