REPUBLIC OF THE PHILIPPINES
CITY OF OLONGAPO CITY )S.S.
AFFIDAVIT OF MECHANIC
Change Body/ Change Color / Engine
I, of legal age, Filipino, single / married and
with postal address at , after
having been duly sworn to in accordance with the law, do hereby depose and say :
1. That my profession is an auto mechanic with an auto repair shop at
.
2. That Mr. / Mrs. _____ of legal age,
Filipino and with residence and postal address at .
to change the body design / color of his / her motor vehicle which is particularly described
as follows:
Make / Type : ______________________
Motor No. : ______________________
Chassis No. : ______________________
Plate No. : ____________________
Color : ____________________
File No : ____________________
3. That the Body Design / Color / Engine was change from to
.
4. That all the components parts used therein were acquired from legal sources.
5. That I am executing this affidavit in order for the owner to registered the said motor
vehicle to Land Transportation Office.
AFFIANT SAYETH NAUGHT.
Rep. By:
OWNER MECHANIC
SUBSCRIBED AND SWORN to before me this ___ day of ____, 2018 at ___________City, affiant
Exhibiting to me his / her CTC No.______________ issued on ___________at _______________.
DOC. NO……………………..
PAGE NO…………………….
BOOK NO……………………
SERIES OF 2019......................