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REPUBLIC OF THE PHLILIPPINES )

PROVINCE OF SULTAN KUDARAT ) S.S.


MUNICIPALITY OF ISULAN )
x- - - - - - - - - - - - - - - - - - - - - - - - - - - X

AFFIDAVIT OF CHANGE ENGINE

RAFAEL F. FLAUTA, JR., represented by ELLEN JOY L. FLAUTA, of legal


age, Filipino, single, and a resident of Salvador St., Kalawag I, Isulan, Sultan
Kudarat, after having been duly sworn to in accordance with law do hereby depose
and say:

1. That I am the legal owner and possessor of a motor vehicle particularly


described as:

Make & Type- - - - - - - - -- - - - HYUNDAI/VAN


Serial/Chassis No. - - - - - - - KMJFD37FPSU203361
Engine No. - - -- - - - - - - - - - - - D4BFS022521
Color - - - - - - - - - - - - - - - - - - - BLACK/GRAY
Plate No - - - - - - - - - - - - - - - - RBA793

2. That I caused the change of the engine of the above-described motor


vehicle from D4BFS022521 to D4BAR840843.

3. That EDWIN MAGBANUA of JUVY MARIN AUTO REPAIR SHOP was


the one who changed the ENGINE of the above-described motor vehicle;

4. That I execute this affidavit to attest to the truth of the above facts and
circumstances and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 9 th day of March,


2011 at Isulan, Sultan Kudarat.

ELLEN JOY L. FLAUTA


Affiant
TIN: 936-194-547

SUBSCRIBED AND SWORN to before me this 9th day of March, 2011 at


Isulan, Sultan Kudarat.

ARNOLD H. ARMADA
Doc No. 146; Notary Public
Page No: 31; Until December 31, 2011
Book No. 105; PTR NO.1325644/11-15-10/Isulan
Series of 2011. IBP NO.738585/03-22-10/Isulan
ROLL NO. 38861/3-14-1994

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