Affidavit for Change of Body of Motor Vehicle

Republic of the Philippines)

Province of ________________)S.S.
City/Municipality of _____________)
x-------------x

AFFIDAVIT

I, _____________, Filipino, of legal age, (single / married / widow), 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:Motor No.:

Type:Chassis No.:

Series: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 set my hand this _____________ in

_____________, Philippines.

AFFIANT

(JURAT)