AFFIDAVIT OF CHANGE BODY TYPE
OF MOTOR VEHICLE
I, LEA A. GALLEGOS of CHEERS TRADESTAR INC., of legal age, Filipino,
and a resident of Purok 6, Villa Gonzaga, City of Santiago, Isabela after having been sworn to
in accordance with the law, depose and say:
1. That, I am the registered owner of a motor vehicle registered with the Land
Transportation Office (LTO) specifically described as follows:
BODY TYPE : ALUMINUM VAN
MAKE : ISUZU
YEAR MODEL : 1988
ENGINE NUMBER : 4HF1186238
CHASSIS NUMBER : NPR66L7403533
PLATE NUMBER : CSU 951
MV FILE NUMBER : 0386-00000025773
C.R. NUMBER : 156953554
2. That, I caused and changed the Body Type of the aforesaid motor vehicle from
ALUMINUM VAN to DROPSIDE;
3. That, I intend to register the motor vehicle and hereby humbly request the Land
Transportation Office (LTO) to amend the motor vehicle registration and thereby
reflecting its new Body Type which is ALUMINUM VAN to DROPSIDE;
IN WITNESS WHEREOF, I hereunto have set my hand this ___________________
at ________________________.
LEA A. GALLEGOS
Affiant
SUBSCRIBED AND SWORN to before me, a Notary Public, personally appeared the
affiant, personally known to me and to me known to be the same person referred to in the
affidavit, signing her name in the affidavit in my presence avowing under the penalty of the
law to the whole truth of the contents of the said affidavit.
IN WITNESS WHEREOF, I hereunto have set my hand on these presents and affixed
hereon my seal this _____ day of __________________ at __________________________.
Doc No._______
Page No. ______
Book No. ______
Series of _______