Affidavit of Change of Motor

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

REPUBLIC OF THE PHILIPPINES )

PROVINCE OF ORIENTAL MINDORO ) S. S.


CITY OF CALAPAN )

AFFIDAVIT OF CHANGE OF MOTOR REGISTRATION

I, ____________, of legal age, Filipino, married, and presently residing at


______________________, after having been duly sworn to in accordance with law, depose
and states:

1. I am the owner of a certain registered motor vehicle, which I inherited from my


deceased father through intestate succession, with theparticular description as
follows, to wit:

MAKE: Honda
BODY: Sedan
SERIES: Civic
MODEL: 1998
PLATE NO.: UTS 101
Serial/Chassis No.: US15- 2B3509
MV FILE No.: 2477- 33438

2. However, its motor part has been recently junked, and in its stead was replaced by
Motor No. C240300014.

3. I therefore have executed this Affidavit to attest the truth I mentioned herein and for
whatever legal purposes it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 30th day of January 2014
in Imus City, Cavite, Philippines.

SASHA GREY
Affiant
Philippine Passport No. 123456
valid until January 13, 2018

SUBCRIBED AND SWORN TO before me this _______________ in Calapan City,


Oriental Mindoro, affiant exhibiting to me her competent evidence of identity indicated below
her above- stated name.

Doc. No. _____;


Page No. _____;
Book No. _____;
Series of 2014.

You might also like