REPUBLIC OF THE PHILIPPINES)

DONE: IN THE CITY OF BAGUIO) SS

X ------------------------------------------X

AFFIDAVIT
I, REYNALDO E. PARTIBLE of legal age, Filipino citizen, and a resident of #20 Avelino
St, Baguio City , after having been duly sworn to in accordance with law, depose and say:

1.That I am the owner of a motor vehicle more particularly described as follows:

MAKE . . . YAMADA
MOTOR NO.. . . 4 P3 -006932
CHASSISS NO. . . . MH34P30016K006921
PLATE NO. . . . 9706AJ

2. That I personally contacted a private mechanic/painter to caused the change of color of the above
described motor vehicle from NOT INDICATED to BLUE with BLACK;

3. That I executing this affidavit to attest to the truth of the foregoing statements particularly to
request the concerned government office to cause the correction of the records as well as the entry in
the Certificate of Registration of the above motor vehicle in order to reflect the current color thereof as
disclosed above, and for all legal intents and purposes this instrument may well serve.

AFFIANT FURTHER SAYETH NAUGHT.

REYNALDO E. PARTIBLE
Affiant

SUBSCRIBED AND SWORN to before me this 21 th day of JUNE 2017 in Baguio City,
Philippines. Affiant presenting competent proof of identification indicated under her typewritten name.

Doc. No. ___, Page No. ____

Book No. ___, Series of 2017.