REPUBLIC OF THE PHILIPPINES)
BAGUIO CITY) SS
AFFIDAVIT
(RE: Change Body Design of a Motor Vehicle)
I, Padrion, of legal age, single, Filipino Citizen, A resident at Philippines, under
oath declare and state that:
1. I am the owner of the motor vehicle as evidenced by the Deed of Sale a copy of
which is attached, particularly described as follows:
MAKE and ENGINE No.:
SERIES:
BODY TYPE: MTC CHASIS No.: B
CR No. : 00 MV FILE No.: 138021
2. I modified the old body design Motorcycle with sidecar of the afore described
motor vehicle to MOTORCYCLE WITHOUT SIDE CAR. Thus, the body type of
the above-described motor vehicle is now a “MOTORCYLCE”;
3. I am executing this affidavit to support my request for the issuance of a new
Certificate of Registration with the correction of the body type of the said motor
vehicle from MOTORCYCLE WITH SIDE CAR to MOTORCYCLE with the Land
Transportation Office;
4. Hence, I am executing this affidavit to attest to the veracity of all the foregoing
statements and for all legal intents and purposes it may serve.
IN WITNESS WHEREOF, I hereunto set my hand this 23rd day of September 2024
at Baguio City, Philippines.
Driver’s License No.
BEFORE ME this 23rd day of September 2024 in Baguio City, personally appeared the
above party with her proof of the aforementioned License as indicated above;
Known to me and to me known to be the same person who represented himself
to have executed the foregoing instrument in my presence and he acknowledged before
me that the same is her true, free and voluntary act and deed.
WITNESS MY HAND AND SEAL on the date and place first above written.
Doc. No. ______;
Page No. ______;
Book No. ______;
Series of 2024