Affidavit of Change of Body Design

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 5

REPUBLIC OF THE PHILIPPINES )

PROVINCE OF PAMPANGA )S S
MUNICIPALITY OF GUAGUA )
x____________________________x

AFFIDAVIT OF CHANGE OF BODY DESIGN


(RE: Motor Vehicle)

I, _____________________________ of legal age, single/married, Filipino citizen


and resident of ________________________________________ after having been duly
sworn in accordance with law, hereby depose and state.

That I am the registered owner of a motor vehicle, which is more particularly


described as follows:

Make - _______________________________
Motor No. - _______________________________
Serial Chassis No. - _______________________________
Color - _______________________________

That the body design as the aforesaid motor vehicle was changed and/or converted
from single motorcycle to motorcycle with sidecar.

That the change of the body design was started sometime on


_____________________________.

That I desire to report the change of body design of the aforementioned motor
vehicle to the proper authorities of the Land Transportation Office.

I am executing this Affidavit to attest to the truth of the foregoing and further to
effect the registration of the said vehicle under its new denomination.

AFFIANT FURTHER SAYS NOT.

__________________________
Affixed

SUBSCRIBED AND SWORN before me this _____ day of _________________,


2021 at Guagua, Pampanga.

Doc No.: __________


Page No.:__________
Book No.: _________
Series of _________
DEED OF SALE

KNOW ALL MEN BY THESE PRESENTS:

That I, ___________________________________ of legal age, with postal


address at ____________________________________________________________.
For and consideration of the amount of
_____________________________________________________________________
(Php _______________________) of which is hereby acknowledge have sold,
transferred and conveyed and by these presents do sell, transfer and
convey unto _____________________ with postal address at
____________________________________________________his/her successors
and assign that certain motor vehicle, which is described as follows:

MAKE & TYPE :


MODEL :
ENGINE NO. :
MV FILE NO. :
CHASSIS NO. :

Of which property I am the absolute owner.


That the buyer shall take assume all civil and / or criminal
liabilities in the use of said vehicle either for private or business use.
That the buyer has full knowledge of the condition of the vehicle
upon purchase thereof.
That the unit subject of sale is not covered with warranty and
conveyed on AS-IS basis only.
That the seller is not liable for whatever unseen defects that may be
discovered after execution of the Deed of Sale and delivery unit.

IN WITNESS WHEREOF, I have hereunto affixed my hand this


_____ day of _____________, 20_____ in _____________________, Philippines.

______________________ ____________________
VENDEE VENDOR

SIGNED IN THE PRESENCE OF

____________________

REPUBLIC OF THE PHILIPPINES)


CITY OF ________________________)S.S.

This day personally appeared before me _________________________


with Community Tax Cert. No. ___________________ issued on __________
at _____________________ and acknowledge to me that the same is his/her
free and voluntary act and deed.

Doc. No.: _________


Page No.: _________
Book No.: __________
Series of __________
REPUBLIC OF THE PHILIPPINES )
PROVINCE OF PAMPANGA )S S
MUNICIPALITY OF GUAGUA )
x____________________________x

AFFIDAVIT OF CHANGE COLOR


(RE: Motor Vehicle)

I, _____________________________ of legal age, single/married, Filipino citizen and


resident of _________________________, Pampanga, Philippines after having been duly sworn
in accordance with law, hereby depose and state.

That I am the registered owner of a motor vehicle, which is more particularly described
as follows:

Make : __________________________
Type : __________________________
Motor No. : __________________________
Serial/Chassis No. : __________________________
Plate No. : __________________________
Color : __________________________
Official Receipt No. : __________________________
Certificate of Registration : __________________________

That the present color of my said vehicle is ___________

That I desire to change the color of my said motor vehicle from _____________ to
______________.

That said motor vehicle was not involved to any vehicular accident causing its change of
color from ___________________ to _________________.

I am executing this Affidavit to attest to the truth and veracity of all the foregoing and to
inform the LAND TRANSPORTATION OFFICE (LTO) causing its change of color from
__________________ to ________________ and that for any legal purposes this may serve.

AFFIANT FURTHER SAYS NOT.

_______________________
Affiant

SUBSCRIBED AND SWORN before me this ___________ day of ________________,


2021 at Guagua, Pampanga.

Doc No.: __________


Page No.:__________
Book No.: _________
Series of __________
REPUBLIC OF THE PHILIPPINES )
GUAGUA, PAMPANGA )S.S.

AFFIDAVIT OF LOSS

I, _______________________________________, of legal age, Filipino Citizen,


with residence at _______________________________________________________ after
having been duly sworn in accordance with law, do hereby depose and state.

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

MAKE AND TYPE : ____________________________________


MOTOR NO. : ____________________________________
CHASSIS NO. : ____________________________________
PLATE NO. : ____________________________________
FILE NO. : ____________________________________

2.) That the original ________________________________ which was issued by


the LAND TRANSPORTATION OFFICE of the above-mentioned vehicle was lost when I
went to ___________________________________________________________ I found out
that my wallet was missing and I tried to locate and find it, but to no avail;

3.) That the said _________________________________ was not mortgaged to


any leading institution as collateral and was never confiscated by any government authorities
for violation of traffic rules and regulations;

4.) That I am willing to undertake and assume full responsibility in the event of any
third party claim against the motor vehicle and shall defend my right over the same;

5.) That I hold the LAND TRANSPORTATION OFFICE free from any form of
obligation and absolving the former and its personnel from any liabilities arising thereto and
warrant said _______________________________ free from all liens and encumbrances;
and

6.) That I am executing this Affidavit to attest the truth of the foregoing facts and to
inform the government agencies concerned regarding the loss of the aforementioned
documents.

IN WITNESS WHEREOF, I have hereunto set my hand this ___________ day of


_____________________ at Guagua, Pampanga.

_____________________
AFFIANT

Identification Document _______________________________________

SUBSCRIBED AND SWORN to before me on this ________________ day of


_____________________ at Guagua, Pampanga. Affiant exhibited to me his Identification
Document stated below his name.

Doc No.: ________


Page No.:________
Book No.: _______
Series of 20______
REPUBLIC OF THE PHILIPPINES )
GUAGUA, PAMPANGA )S.S.

AFFIDAVIT OF CHANGE COLOR

I, _______________________________________, of legal age, Filipino Citizen,


residing at _______________________________________________________ after having
been duly sworn in accordance with law, do hereby depose and state.

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

MAKE AND TYPE : ____________________________________


MOTOR NO. : ____________________________________
CHASSIS NO. : ____________________________________
PLATE NO. : ____________________________________
FILE NO. : ____________________________________
COLOR : ____________________________________

2.) That due to tear and wear that caused the color of the aforementioned motor
vehicle having waned and faded, so I have caused and effected a change of the same from its
old color _____________________ to new color ______________________;

3.) That the painting job having been completed and the said motor vehicle is now
running on its new color _______________________________; and

4.) That I am executing this Affidavit in order to inform the authorities concern,
particularly the Philippine National Police and Land Transportation Office relative to the
change of color of my said motor vehicle, so as to establish its new and existing color and for
all its legal intents and purposes.

IN WITNESS WHEREOF, I have hereunto set my hand this _____________ day of


_______________________ at Guagua, Pampanga.

_____________________
AFFIANT

Identification Document _______________________________________

SUBSCRIBED AND SWORN to before me on this ________________ day of


_____________________ at _______________, Pampanga. Affiant exhibited to me his
Identification Document stated below his name.

Doc No.: ________


Page No.:________
Book No.: _______
Series of 20______

You might also like