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Republic of the Philippines S. S.

Angeles City

AFFIDAVIT OF ATTACHMENT OF SIDECAR

I, OLIVER P. MATAMMU JR., of legal age, Filipino, single and a resident of Purok 5
Kalye 11 Old Pampang, Angeles City, after having been duly sworn to in accordance with law,
hereby voluntary depose and say:

1. That I bought a motorcycle from the Rusi Company located at Sta. Cruz, Porac,
Pampanga;

2. That said motorcycle is more particularly described as follows:

Make: RUSI Chassis No.: RFCPCJXJ6HB058588


Mv File No.: 0301-00000579905 COLOR: BLACK
Engine No: RF156FMIH4A0585 Body Type: MOTORCYCLE
88

4. That recently, I have attached a sidecar to said motorcycle unit, which attachment
was not included in the registration;

5. That I am executing this affidavit to change the Body Type of said motorcycle to
Motorcycle with Sidecar and attest to the truth of the foregoing and in support of my request
to change the entry in the Body Type section to Motorcycle with Sidecar in the motorcycle’s
OR/CR.

IN WITNESS HEREOF, I have hereunto signed my name below this 18th October 2018
at Angeles City.

OLIVER P. MATAMMU JR.


Affiant

SUBSCRIBED AND SWORN TO BEFORE ME this 18th October 2018, in Angeles City,
affiant exhibiting to me her Driver’s License ID No. C10-13-008282, valid until September 29,
2022 by the Land Transportation Office.

Doc. No. 1462;


Page No. 29;
Book No. XVII
Series of 2018.

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