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Joint Affidavit: Change - Body Design

This joint affidavit documents the change of body design of a motor vehicle owned by Ta-Ala Farms, Inc. Brion P. Ta-Ala, the authorized representative of Ta-Ala Farms, Inc., and Rey Estimar affirm that the body design of the Fuso Wing Van Truck with plate number ADK 4205 has been changed from a "canopy wing van" to a "chick van truck". They executed this joint affidavit to attest to the change and request clearance from the PNP for the modification.

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333 views1 page

Joint Affidavit: Change - Body Design

This joint affidavit documents the change of body design of a motor vehicle owned by Ta-Ala Farms, Inc. Brion P. Ta-Ala, the authorized representative of Ta-Ala Farms, Inc., and Rey Estimar affirm that the body design of the Fuso Wing Van Truck with plate number ADK 4205 has been changed from a "canopy wing van" to a "chick van truck". They executed this joint affidavit to attest to the change and request clearance from the PNP for the modification.

Uploaded by

Rodsheen
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
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REPUBLIC OF THE PHILIPPINES

CITY OF BACOLOD -------------------) S.S


x----------------------------------------------x

JOINT AFFIDAVIT
Change _Body Design_

I, BRION P. TA-ALA, representative of TA-ALA FARMS, INC, of legal age, Filipino Citizen,
and resident of Felisa Rd. Mansilingan, Bacolod City, Philippines and REY ESTIMAR, of legal age,
Filipino Citizen, and a resident of Bacolod City, Negros Occidental, Philippines after having been
duly sworn to in accordance with law, do hereby depose and say;

1. That I BRION P. TA-ALA is the AUTHORIZED representative of TA-ALA FARMS, INC., with
postal and business address at Felisa Rd. Mansilingan, Bacolod City, Negros Occidental,
which is the registered owner of motor vehicle more particularly, described follows

Make & Type : TRUCK/FUSO/WING VAN TRUCK


Motor Number : 6M61-008027
Chassis Number : FK61HS-750009
Plate Number : ADK 4205

2. That I have change the body design of the MOTOR VEHICLE of TA-ALA FARMS, INC address
Brgy. Felisa Rd. Mansilingan Bacolod City, (Philippines) Negros Occidental Philippines;

3. That I have change the body design of the aforementioned motor vehicle from
____CANOPY WING VAN_____ TO _______CHICK VAN TRUCK_________

4. That I have hired the services of REY ESTIMAR, of Bacolod City, Philippines;

5. That we both executing this JOINT affidavit to attest to the fact and veracity of the
foregoing and request the PNP for the necessary clearance for us.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ______ day of


____________ 201_ at _______________, Philippines.

__BRION P. TA-ALA__ ____REY ESTIMAR___


Affiant

SUBSCRIBED AND SWORN TO before me this ____ day of _________, 201_ at


________________________, Philippines.

Doc. No. _____,


Page No._____,
Book No._____,
Series of 201__,

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