REPUBLIC OF THE PHILIPPINES)

_________________________) S.S.
x------------------------------------x
  

AFFIDAVIT FOR CHANGE OF BODY

OF MOTOR VEHICLE

 I, EDWIN P. CAÑAVERAL, of legal age, Filipino, (single/married/widow) and a

resident of Block 10, Portugal Street, Brgy. Sta. Ana, Taytay Rizal, after having
been duly sworn to in accordance with law, depose and state THAT:

1. I am the registered owner of a motor vehicle which is particularly described as

follows:
    
             Make & Type : HINO WING VAN
             Motor Number : E13CUC-11532
             Chassis Numbe : FR1EXY-12142
             Plate Number : ______________
             MV File No. : 1301-00001298898
Year Model : 2017____________
         Color : Blue_____________

2. The original body type of the said motor vehicle was "WING VAN";

3. To have more use of the said vehicle in my business, I have decided to change
the body type of the said vehicle from "WING VAN" to "TANKER";

4. The change of body type 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 body type of the above-
described motor vehicle on its Certificate of Registration.

IN WITNESS WHEREOF, I have hereunto set my hand

this ___________________ in __________,
_____________, Philippines.

____________________
Affiant
SSS ID No. 339429435-4

 SUBCRIBED AND SWORN TO before me this ___________________ in

_________________, Philippines, affiant exhibiting to me his/her competent
evidence of identity by way of __________________ issued at
______________ on __________________.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2020.