Republic of the Philippines
City of Davao ))S.S.
x-------------------------------------x
AFFIDAVIT OF CHANGE COLOR
I, ______, of legal age, Filipino, single, and a resident of Davao City, after
having been duly sworn to in accordance with law, do hereby depose and state
that:
1. I am the registered owner of a motor vehicle which is particularly
described as follows:
Make and type: Honda / Sedan
Mv File No.: 1112-00000140244678
Chassis No.: PADES56701V000950567
Plate No.: 7
Year Model: 2001
Engine No.: PJGJKL-1001785
Color: T. Metallic
2. The original color of said motor vehicle was “T. Metallic”;
3. However, I had its color repainted to “Red”, such that the color of the
said motor vehicle was changed from “T. Metallic” to “Red”;
4. Said change of color is not intended for any illegal or unlawful
purpose;
5. I am executing this affidavit to attest to the truth of the foregoing and
in support of the application for the change of color of the above-
described motor vehicle on its Certificate of Registration;
IN WITNESS HEREOF, I have hereunto set my hand this 2 nd day of
July 2015, in Davao City, Philippines.
_____
Affiant
SUBSCRIBED AND SWORN to before me this 2 nd day of July 2015, at Davao
City, Philippines; Affiant exhibiting to me his Driver’s License No. 123456 as his
competent evidence of identity.
Doc. No. ____;
Page No. ____;
Book No. ____;
Series of 2015.