Republic of the Philippines)

City of Zamboanga-----------)S.S.
x--------------------------------x

AFFIDAVIT OF CHANGE COLOR

I, ORYZA B. LAJARANI, of legal age, Filipino, married and a resident of

Enriquez Dr., Sta Catalina, Zamboanga City, Philippines, after being duly sworn
to in accordance with law, hereby depose and state:

That I am the registered owner of a certain motor vehicle, which is more

particularly described as follows:

Make : ISUZU HILANDER CROOSSWIND XUV

Motor Number : PD2878
Chassis Number : PABTBR54F22008117
Plate Number : LEE-838
MV File No. : 1112-149635
Year Model : 2002
Color : YELLOW TO BLACK
Body Type : WAGON

That the original color of the said motor vehicle was “YELLOW/BLACK”;

That for reason that the paint of the aboved-described motor vehicle had faded,
and in order to give it a new look, I commissioned Boy Ramirez- a
mechanic/painter to paint it to Maroon/Black. Such that the color of the said
motor vehicle was changed from “YELLOW/BLACK” to “MAROON/BLACK”;

That the change of color is not intended for any illegal or unlawful purpose but
solely due to the foregoing reasons;

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 aboved-described motor
vehicle on its Certificate of Registration.

IN WITNESS WHEREOF, I have hereunto set my hand on this 05th day of

____________, 2018 at Zamboanga City, Philippines.

ORYZA B. LAJARANI
Affiant

SUBSCRIBED AND SWORN to before me on this 05th day of April, 2018,

in the City of Zamboanga, Philippines, Affiant exhibited to me her ID
No.____________ issued on ___________ at Zamboanga City.

ATTY. LANOEL S. LAJA

Notary Public
Until December 31, 2019
Doc No. _____ Notarial Commission No. 18-2018
Page No. ____ Roll No. 65138; 06/ 17/ 2016
Book No. ____ IBP Lifetime No.31251;02/02/2018
SERIES OF 2018 PTR No. 1636619; 01/04/2018, Zamboanga City