REPUBLIC OF THE PHILIPPINES)
CITY OF TAGBILARAN )S.S.
x- - - - - - - - - - - - - /
AFFIDAVIT OF CHANGE OF REGISTRATION OF MOTOR VEHICLE
(FROM VEHICLE FOR HIRE TO PRIVATE)
I, ___________, Filipino, of legal age, married and resident of __________, Philippines,
after having been duly sworn to in accordance with law hereby depose and say:
1. That I am the owner/operator of a certain motor vehicle which is more particularly
described as follows, to wit:
Type of body : ____________
Make : ____________
Motor No. : ____________
Serial/Chassis No. : _____________
MV File No. : _____________
Plate No. : _____________
CR No. : _____________
OR No. : _____________
2. That on May 25, 2014 as per Decision, I was granted a Certificate of Public
Convenience by the Land Transportation Franchising and Regulatory Board
(LTFRB-Region 7), Cebu City; thus, the above-described motor vehicle was issued
authorization to operate the same as VEHICLE FOR HIRE;
3. That subsequently, I filed a Petition for the Dropping of the registration of the motor
vehicle from FOR HIRE to PRIVATE. Consequently, LTFRB-Region VII granted
the Petition on March 9, 2020 as per Order for Dropping;
4. That the registration of the foregoing motor vehicle has been changed from
VEHICLE FOR HIRE to PRIVATE;
5. That I execute this affidavit freely and voluntarily to attest to the truth of the
foregoing fact stated herein and for whatever legal intents and purposes this may
serve;
IN WITNESS WHEREOF, I have hereunto set my hand this 7 th day of July, 2020 in the
City of Tagbilaran, Bohol, Philippines.
________________
Affiant
PDL No. __________
Issued by: __________
SUBSCRIBED AND SWORN TO BEFORE ME, this 7 th day of July, 2020 in the City of
Tagbilaran, Bohol, Philippines.
Doc. No. 214;Book No. IX;
Page No. 44; Series of 2020.