Republic of the Philippines )
City of Tacloban )s.c.
AFFIDAVIT
I AAA, Filipino, of legal age, and a resident of, McArthur, Leyte after having been
duly sworn to in accordance with law do hereby depose and say THAT:
1. I am the registered owner of a motor vehicle by virtue of a Deed of Sale executed
by BBB in favor of me, which is particularly described as follows:
Make: Hyundai Series: EON 0.8L GL MT
Engine No: xxxxxx Chassis No: xxxxx
2. Last December 2017, while my wife CCCC was driving the above-described motor
vehicle in Abuyog, Leyte, she met a slight vehicular accident that caused dents
and scratches on the front left side of the above-described vehicle;
3. Prior and during the said incident the above-described motor vehicles was painted
color blue;
4. I decided to secure the services of a professional to repair the said motor vehicle
sometime last February 2018, and included the repainting of the said motor vehicle
from blue to metallic red;
5. For this repair and repainting we secured the services of vvv Welding Shop owned
by vvv with business address at Tolosa, Leyte;
6. The said repair and repainting has been promptly finished last March 2018 and
now the above-described motor vehicle’s color is METALLIC RED despite the fact
that in the O.R. of the said motor vehicle the color indicated therein is Blue;
7. That I am executing this affidavit freely and voluntarily in order to establish the truth
of the foregoing facts and for whatever legal purpose this may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this
___________________ at Tacloban City, Philippines.
AAA
Affiant
Conforme:
vvv
SUSCRIBED AND SWORN to before me this _____________________________
at Tacloban City, Leyte, Philippines affiant exhibiting to me his ___________________ as
competent proof of his identity.
Doc No.
Page No.
Book No.
Series of 2018.