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Republic of the Philippines)

DONE:In the City of Baguio)S.S.


AFFIDAVIT OF CHANGE COLOR
I, WILBUR B. KILONGAN, of legal age, married, Filipino citizen and with
residence and postal address at Lubon, Tadian, Mt. Province, Philippines, after
having been duly sworn to in accordance with law hereby depose and state that;
1.

I am the owner of that motor vehicle bearing Plate No. THX 572
more particularly described as follows, to wit:
ENGINE NO.
CHASSIS NO.
MV FILE NO.
BODY TYPE
PLATE NO.

4D56-BS0315
L069WQZJL-02572
1372-00000129294
VAN
THX 572

2.

The original color of the aforementioned vehicle is RED in its


Certificate of Registration;

3.

Consequently, I wish to change the original color of my motor


vehicle from RED to WHITE in our private shop Kabunyan
Shop, situated at Cruz, La Trinidad, Benguet;

4.

Finally, I am executing this affidavit to attest to the veracity and


truthfulness of the foregoing declaration and for all legal intents
and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto affix my signature this 19 th day


of February 2013 at Baguio City, Philippines.
WILBUR B. KILONGAN
Affiant
SUBSCRIBED AND SWORN TO BEFORE me this 19th day of February
2013 at Baguio City, Philippines. Affiant Dario M. Catanes personally appeared
known to me and to me known to me to be the same person who acknowledge to
me that the same is his free and voluntary act and deed.
Doc. No. ____
Page No. ____
Book No. XVII
Series of 2013