Province of ____________________)S.S. City/Municipality of _____________) x-----------x AFFIDAVIT 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 Color:Plate No.: 2.That the original color of the said motor vehicle was "_____________"; 3.That when the paint of the above-described motor vehicle had faded, I had its color repainted to "_____________"such that the color of the said motor vehicle was changed from "_____________" to "_____________" 4.That said change of color 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 color of the abovedescribed motor vehicle on its Certificate of Registration. AFFIANT