Republic of the Philippines )
City of Iloilo ) s.s.
x-------------------------------------x
JOINT AFFIDAVIT
OF CHANGE OF COLOR OF MOTOR VEHICLE
I, DONNA ANTOINETTE A. CASIO, of legal age, Filipino, married, and a resident of
New Road, Brgy. Mongpong, Roxas City, Capiz and ADRIAN RAPHAEL A. ESPINOSA, of
legal age, Filipino, and a resident of 63 E. Lopez St. Jaro, Iloilo City, after having been duly
sworn to in accordance with law, hereby depose and state that:
1. I, DONNA ANTOINETTE A CASIO, am the registered owner of a certain motor
vehicle particularly described as follows:
Make: HONDA Engine No.: P6DD1-P402069
Body Type: SEDAN Chassis No.: PADEK3520XV102031
Color: GOLD-SILVER Plate No.: DTR495
2. The original color of the said motor vehicle was “Gold-Silver”;
3. When the paint of the above-described motor vehicle fade, I had its color repainted
to “Battleship Gray” such that the color of the motor vehicle was changed from
“Gold-Silver” to “Battleship Gray”;
4. The said paint job was done by ADRIAN RAPHAEL A. ESPINOSA;
5. The change of color is not intended for any illegal or unlawful purpose but solely due
to the foregoing reasons;
6. 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 and for whatever legal purpose this may serve.
IN WITNESS WHEREOF, the affiants have affixed their signatures on
September 18, 2020 at Iloilo City, Philippines.
DONNA ANTOINETTE A. CASIO ADRIAN RAPHAEL A. ESPINOSA
Valid ID: TIN No. 283-553-387 Valid ID: Driver’s License No. F03-17-001905
Issued by: Bureau of Internal Revenue Issued by: Land Transportation Office
SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and for the City of
Iloilo this September 18, 2020, the affiants personally came and appeared with their
competent proof of their identities, bearing their photographs and signatures, as indicated
above. I am satisfied that they understood the foregoing statements of this Affidavit and that
they voluntarily and knowingly executed the same based on their personal knowledge.
Doc No. ____;
Page No. ____;
Book No. ____;
Series of 2020.