Republic of the Philippines )

PROVINCE OF XXX )s.s.

AFFIDAVIT OF CHANGE BODY

OF A MOTOR VEHICLE

I, SALVADOR PEDRO, of legal age, Filipino citizen, and a resident of

XXXa, after having been duly sworn in accordance with law, do hereby
depose and state that:

1. I am the same person executing this Instrument;

2. I hereby certify that I bought a motor vehicle from XXX which is

more particularly described as follows, to wit:

Type of Vehicle - - - - - - - - - UTILITY VEHICLE

Classification - - - - - - - - - PRIVATE
Denomination - - - - - - - - - UV
Make - - - - - - - - - ISUZU
Series - - - - - - - - - ELF
Body Type - - - - - - - - - DROPSIDE
Year Model - - - - - - - - - 2001
Color - - - - - - - - - YELLOW
Plate Number - - - - - - - - - XX123

3. I am intending to change the body of the above-described motor

vehicle under my preference and according to the standards of the
authorities;

4. I am executing this Instrument to certify to the veracity and

truthfulness of the foregoing statements and for whatever legal
purposes it may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 7 th day

of November, 2018 hereat XXX

SALVADOR PEDRO
Affiant

SUBSCRIBED AND SWORN TO before me this 7th day of November, 2018

hereat XXXX;

Doc. No. 455; Notary Public

Page No. 92 ;
Book No. 15 ;
Series of 2018.