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Form No.1--Affidavit for Change of Body of Motor Vehicle

(Affidavit for Change of Body of Motor Vehicle)

Republic of the Philippines)
Province of ________________)S.S.
City/Municipality of _____________)
x - - - - - - - - - - - - - x


I, _____________, Filipino, of legal age, (single / married / widow), and a resident of _____________, Philippines, after being sworn to in accordance with law, depose and state:

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

Make:Motor No.:

Type:Chassis No.:

Series:Plate No.:

2. That the original body type of the said motor vehicle was "____________";

3. That to have more use of the said vehicle in my business, I have decided to change the body type of the said vehicle from "_____________" to "_____________";

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

5. That I am executing this Affidavit to attest to the truth of the foregoing and in support of the application for the change of body type of the above-described motor vehicle on its Certificate of Registration.

IN WITNESS WHEREOF, I have hereunto set my hand this _____________ in _____________, Philippines.





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