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AFFIDAVIT OF ATTACHED SIDECAR

I, JESIE SALVANTE MARQUEZ, of legal age, Filipino, married,


with postal and residence address at No. B 6 L 4 Ph 3 Brgy.
Malagasang 1-G, Imus City, Cavite, Philippines, after having been
duly sworn to in accordance with law, hereby depose and state that:

1. I am the registered owner of a motor vehicle, further described


as follows:

Make : Honda
Series : TMXS2G
Type : Tricycle with side car
Engine Number : KYA01E025066
Chassis Number : KYA01025057
MV File Number : 0401-000000234351
OR Number : 0438-000000076470
Certificate of Registration No. : 325661243

2. Recently, I have caused the attachment of a sidecar, which


attachment was included in the registration.

3. This affidavit is executed to change the Body Type of said


Motorcycle with Sidecar to Single without Sidecar and
attest to the truth of the foregoing facts and circumstances
and in support of my request to change the entry in the body
type section to Single without Sidecar in the vehicle’s OR/CR
with the Land Transportation Office.

IN WITNESS WHEREOF, I have hereunto set my hand this


22nd day of August 2023, at Imus City.

JESIE SALVANTE MARQUEZ


Affiant
LTO DRIVER LIC. No. N26-16-024789

SUBSCRIBED AND SWORN TO before me this 22nd day of


August 2023, at Las Piñas City,

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