Scribd
Upload
204 views2 pages

AFFIDAVIT OF CHANGE OF Body

1. Valeriano Pangilinan owns a 2016 black Honda motorcycle registered under his name. 2. The original registration listed the vehicle as a motorcycle without a sidecar, but he has since modified it by attaching a sidecar to transport his family privately. 3. He has sworn this affidavit to support changing the vehicle's registration denomination to reflect the sidecar addition, which was done for family transportation and not for any illegal purpose.

Uploaded by

Kristelle Quibuyen
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
204 views2 pages

AFFIDAVIT OF CHANGE OF Body

1. Valeriano Pangilinan owns a 2016 black Honda motorcycle registered under his name. 2. The original registration listed the vehicle as a motorcycle without a sidecar, but he has since modified it by attaching a sidecar to transport his family privately. 3. He has sworn this affidavit to support changing the vehicle's registration denomination to reflect the sidecar addition, which was done for family transportation and not for any illegal purpose.

Uploaded by

Kristelle Quibuyen
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 IlocosNorte )
City of Batac )S.S.

AFFIDAVIT OF CHANGE
(Motor Vehicle)

I, VALERIANO PANGILINAN y SABADO, of legal age, married,


Filipino citizen, and a resident of Brgy. Maglaoi Centro,
Batac City, IlocosNorte, Philippines, 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 which is
particularly described as follows:
Make & Type : Honda Motorcycle Motor Number :
KYA01E040582
Chassis Number : KYA01040516 Plate Number :
MV File No. :0101-00000364457 Year Model
: 2016
Color : Black Denomination :
Motorcycle w/o sidecar
CR No. : 273592933

2. The original denomination of the said motor vehicle was


MOTORCYCLE WITHOUT SIDE CAR however due to the necessity
of a private service for my family, I had to modify the
said motorcycle attaching therewith a side car made of
aluminum;

4. Said change is not intended for any illegal or unlawful


purpose but solely due to the foregoing reason;

5. I am executing this Affidavit to attest to the truth of


the foregoing and in support of the application for the
renewal of the Certificate of Registration and for the
change of denomination of the above-described motor
vehicle on its Certificate of Registration.

IN WITNESS WHEREOF, the affiant hereunto set his hand


this __________________ in Batac City, IlocosNorte,
Philippines.

VALERIANO S. PANGILINAN
Affiant

SUBSCRIBED AND SWORN to before me this __________________ at


Batac City, Philippines; affiant exhibiting to me his LTO
Driver’s License with No. A04-10-001918 and I am satisfied
that he voluntarily executed the same and understood the
contents thereof.

Doc. No. ______


Page No. ______
Book No. ______
Series of 2018

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy