REPUBLIC OF THE PHILIPPINES)

CITY OF CAGAYAN DE ORO ) S.S.

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AFFIDAVIT OF CHANGE COLOR OF VEHICLE

I, MALAKAS, of legal age, Filipino, married and a resident of Blk 5 Lot 12,
Phase 3, NHA Kauswagan, Cagayan de Oro City, after having been duly sworn to
in accordance with law, depose and state THAT:

1. I am the driver of a utility vehicle registered in the name of COMMISSION ON

HIGHER EDUCATION that is more particularly described as follows:
Make:
Type:
Engine No.:
Chassis No.:
Color: White
Plate No.:
2. The original color of the said utility vehicle was “WHITE”;
3. When the paint of the above-described utility vehicle had faded, I had its color
repainted to “Beige” such that the color of the said utility vehicle was changed
from “White” to “Beige”;
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 utility vehicle on
its Certificate of Registration.

IN WITNESS WHEREOF, I have hereunto set my hand this 19th of

September, 2019 in Cagayan de Oro City, Philippines.

MALAKAS
Affiant

SUBCRIBED AND SWORN TO before me this 19th of September, 2019 in

Cagayan de Oro City, Philippines, affiant exhibiting to me his ID asvalid proof of
identification.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2019.