Affidavit of Change in Motor Vehicles

Did your car undergo a repainting or major change in body type? You need to declare these changes to the Land Transportation Office by way of an Affidavit of Change in Color or Affidavit of Change in Body Type. Below is a sample of the Affidavit.

AFFIDAVIT OF CHANGE OF COLOR AND CHANGE OF BODY

I, _______________, of legal age, Filipino, single/married and a resident of ______________________ after having been duly sworn to in accordance with law, depose and state THAT:

1. I am the registered owner of a motor vehicle which is particularly described as follows:  

            Make & Type              :           ___________

            Engine Number           :           ___________

            Chassis Number          :           ___________

            Plate Number              :           ___________

            MV File No.                 :           ___________

            Year Model                 :           ___________

Color                           :           ___________

2. The original color of the said motor vehicle was "___________";

3. That recently, I had the motor vehicle’s color repainted to "___________" such that the color of the said motor vehicle was changed from "___________" to "___________";

4. The original body type of the said motor vehicle was "___________";

5. That on ___________, the said motor vehicle has figured in an accident and that the body cannot be restored to its original type and to have more use of the said vehicle, I have decided to change the body type of the said vehicle from "___________" to "___________";

6. The change of body type and the change of color are not intended for any illegal or unlawful purpose but solely due to the foregoing reasons;

7. I am executing this Affidavit to attest to the truth of the foregoing and in support of the application for the change of color and change of body type of the above-described motor vehicle on its Certificate of Registration.

IN WITNESS WHEREOF, I have hereunto set my hand this ___________ at ___________, Philippines.

Affiant ID No. ___________

 SUBCRIBED AND SWORN TO before me this ___________, in ___________, Philippines, affiant exhibiting to me her competent evidence of identity by way of her ___________ Identification Card.

Doc. No. _____;

Page No. _____;

Book No. _____;

Series of ______.

You can also download a .doc version of the Affidavit here.

Affidavit of Discrepancy and Affidavit of Two Disinterested Persons

It might come as a surprise for some people when they discover that the name that they have been using is not the same with the name their birth certificates indicate. If that happens, some public and private offices often require that the person concerned issue an Affidavit of Discrepancy and additionally requiring two other disinterested persons to attest to the identity of the person who has discrepancy in his name.

In the example below, a certain JOHNNY DELA CRUZ later on discovers that his Birth Certificate indicates that his name is actually JUAN DELA CRUZ.

AFFIDAVIT OF DISCREPANCY

            I, JUAN C. DELA CRUZ, of legal age, single, and a resident of Davao City, after having been duly sworn to in accordance with law, hereby depose and say:

            That since I was young, I have been using the name “JOHNNY C. DELA CRUZ;”

That I am also known by my family and friends as “JOHNNY C. DELA CRUZ”;

That recently, I applied for membership with the Philippine Health Insurance Corporation (PhilHealth) and as a requirement for such application, I was made to submit my Birth Certificate;

That when I requested for a copy of my Birth Certificate from the National Statistics Office, I was surprised that my name as reflected on the official document is “JUAN C. DELA CRUZ” (A copy of the Birth Certificate is hereto appended as ANNEX “A” and forms an integral part hereof);

That I attest that “JOHNNY C. DELA CRUZ” and “JUAN C. DELA CRUZ” is one and the same person;

That from now on, I will be using my true and correct name, JUAN C. DELA CRUZ.

            That I am executing this affidavit in order to attest to the truth of the facts aforementioned, and for any legal purpose this may serve.

            IN WITNESS WHEREOF, I have hereunto set my hand this this _____________ at ____________.

JUAN C. DELA CRUZ

                        Affiant

Witnesses:

                                                                                                                                               

            SUBSCRIBED AND SWORN to before me this this _____________ at ____________,, affiant exhibiting to me his PhilHealth ID No. ________________.

                                                                                   

Doc No. ___;                                                                           Notary Public

Page No. ___;                                                             

Book No. ___;                                                             

Series of _____.                       

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

            WE, WITNESS ONE and WITNESS TWO, both of legal age, both single, and residents of Davao City, after having been duly sworn to in accordance with law, hereby depose and say:

            That we personally known “JOHNNY C. DELA CRUZ” because we are family friends and we have known him for more than 30 years;

That we also personally know that “JOHNNY C. DELA CRUZ” has been using that name since he was a child;

That we personally know that from available records, his authenticated Birth Certificate indicates that his name is “JUAN C. DELA CRUZ”;

That we attest that “JOHNNY C. DELA CRUZ” and “JUAN C. DELA CRUZ” is one and the same person;

            That we are executing this affidavit in order to attest to the truth of the facts aforementioned, and for any legal purpose this may serve.

            IN WITNESS WHEREOF, I have hereunto set my hand this this _____________ at ____________.

                        WITNESS ONE                                         WITNESS TWO

                        ID/CTC No.                                                  ID/CTC No.                           

                        Issued on                                                      Issued on                             

                        Issued at                                                       Issued at                               

            SUBSCRIBED AND SWORN to before me this _____________ at ____________, affiants exhibiting to me their competent evidence of identity written below their names.

                                                                                   

Doc No. ___;                                                                           Notary Public

Page No. ___;                                                             

Book No. ___;                                                             

Series of _____.                       

Affidavit of Support

Here's an example of an Affidavit of Support that you can use when availing of maternity packages. This Affidavit is usually required by hospitals before they will approve the maternity packages available for mothers giving birth, depending on the latter's needs and capacity to pay.

AFFIDAVIT OF SUPPORT

                I, __________________________________(name), ____ years old, single/married and a resident of _______________________________________(address), after having been duly sworn to in accordance with law, hereby depose and say:

1.      That I am a member of Philippine Health Insurance Corporation with PHILHEALTH ID No. ___________________(write number if applicable);

2.    That I am the mother/father/sibling/partner of ____________________________(name of pregnant woman), who is currently ____years old. A copy of her Birth Certificate is hereto appended as Annex A and forms an integral part hereof;

3.       That ________________________(name of pregnant woman) is unmarried and unemployed and that  I am the one supporting her;

4.       That _________________________ is ________ months pregnant and is due to give birth on _______________ at _______(name of hospital);

5.       That _____________________ (name of pregnant woman) is one of the beneficiaries in my membership with Philippine Health Insurance Corporation;

6.       That I am executing this affidavit to attest to the veracity of the foregoing facts and for whatever purpose not contrary to law.

                IN WITNESS WHEREOF, I have hereunto set my hand this _____________ (date) at _______________________ (place).

                                                                                          ________________________

                                                                                                 Name of Affiant

                SUBSCRIBED AND SWORN TO before me this ___________________ (date), at ______________________ (place), affiant exhibiting his Philhealth ID No. _______________ as his competent evidence of identity.

                                                                                           Notary Public

Doc. No. ___;

Page No. ___;

Book No. ___;

Series of _____.

Judicial Affidavit Sample

With all the buzz going around about Judicial Affidavits, lawyers and law office staff have been scrambling to find where they could get samples of the Judicial Affidavit.

Here's how I do it:

Judicial Affidavit Sample by swexie

The full version includes the Attestation Clause.

Want a free version? Click here and leave me a comment below with your email address.