REPUBLIC OF THE PHILIPPINES )
________________________________)
AFFIDAVIT
I, ________, of legal age, Filipino and with office address at
____________________, after having been duly sworn to in accordance with law, do hereby
depose and state:
1. That I am the duly authorized representative of _____________________ the registered
owner of a motor vehicle which is specifically described as follows:
Make and Body Type :
Engine No. :
Chassis No. :
MV File No. :
Plate No. :
2. That the registered body design of the aforesaid vehicle is Drop Side;
3. That I have caused the change of the body design of the said vehicle from Drop Side
to Flatbed;
4. That I am executing this affidavit to attest the foregoing facts and to inform the proper
authority to the change of body design of the said vehicle from Drop Side to Flat Bed.
IN WITNESS WHEREOF, I have hereunto set my hand this _____ day of _______
at ________________.
Affiant
SUBSCRIBED AND SWORN to before me this ________ day of __________ at
______________.
NOTARY PUBLIC
Doc. No. ____;
Page No. ____;
Book No. ____;
Series of 2018.