Scribd
Upload
57 views2 pages

Affidavit For Change of Color Thru Mechanic - Sample

1) Ejerson O. Sarong owns a Yamaha motorcycle with engine and chassis numbers 477-901798 and plate number GI6602 that was originally black. 2) The paint on the motorcycle had faded, so he had it repainted gray by mechanic Boy Ramirez to give it a new look. 3) Sarong signed an affidavit to attest that the only purpose of the color change from black to gray was due to the faded paint and to support an application to change the color on the vehicle's registration certificate.

Uploaded by

Daisy Jean Caballes
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
57 views2 pages

Affidavit For Change of Color Thru Mechanic - Sample

1) Ejerson O. Sarong owns a Yamaha motorcycle with engine and chassis numbers 477-901798 and plate number GI6602 that was originally black. 2) The paint on the motorcycle had faded, so he had it repainted gray by mechanic Boy Ramirez to give it a new look. 3) Sarong signed an affidavit to attest that the only purpose of the color change from black to gray was due to the faded paint and to support an application to change the color on the vehicle's registration certificate.

Uploaded by

Daisy Jean Caballes
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 2

REPUBLIC OF THE 

PHILIPPINES )
PROVINCE OF AGUSAN DEL SUR )
CITY OF BAYUGAN                ) S.S.
x------------------------------------x

AFFIDAVIT OF CHANGE COLOR

  I, EJERSON O. SARONG , of legal age, Filipino, married and a resident of P-2, Yakal St.,
Taglatawan, Bayugan City, Agusan del Sur, after having been duly sworn to in accordance with law,
depose and state THAT:

1. That I am the registered owner of a certain motor vehicle which is particularly described
as follows:

Make: YAMAHA
Type of Body: MOTORCYCLE
Engine No.: 477-901798
Chassis No.: 477-901798
Plate No.: GI6602

2. That the original color of the said motor vehicle was “BLACK";

3. That for the reason that the paint of the above-described motor vehicle had faded, and in
order to give it a new look, I commissioned Boy Ramirez-a mechanic/painter to paint it to
Gray. Such that the color of the said motor vehicle was changed from "BLACK" to "GRAY";

4. That said change of color is not intended for any illegal or unlawful purpose but solely due
to the foregoing reasons;

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 WHEREOF, I have hereunto set my hand this _____ day of ____________,


2016 in Bayugan City, Agusan del Sur, Philippines.

ELADIO G. BALAYO JR.


Affiant
Driver’s License ID No. L02-93-087353

  SUBCRIBED AND SWORN TO before me this ____ day of ____________, 2016 in Bayugan


City, Agusan del Sur, Philippines.

ATTY. GERARDO M. LABASTILLA


Notary Public
Doc. No. _______ Until December 31, 2018
Page No. _______ PTR No: 6393046; 01-11-2016
Book No. _______ IBP No. 1001608; 12-15-2015
Series of 2016. ROLL NO. 49777
All in Agusan del Sur

You might also like