Affidavit Form - Republic Of The Philippines
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1PRLD.0005.02
Housing and Land Use Regulatory Board
Housing and Land Use Regulatory Board
Expanded National Capital Region Field Office
Northern Tagalog Field Office
th
6
Floor, Sunnymede IT Center,
3rd Flr., Insular Life Bldg. Dolores St.,
1614 Quezon Avenue, South Triangle, Quezon City
San Fernando, Pampanga
Republic of the Philippines )
_____________________ ) S. S.
AFFIDAVIT
I, _________________________________ of legal age, single/married with residences
and postal address at ___________________________________________ after being sworn
to in accordance with law hereby depose and say:
1.) That I am the _____
of_____
________,
(position)
(name of corporation)
owner/developer of
_________
_______________
located at
(name of project)
_____________________________________________________________.
2.) That we have a pending application for Certificate of Registration and License to
Sell for the abovementioned project.
3.) That to the best of my knowledge, there is no other project under such name under
Presidential Decree No. 957 and EO No. 648.
4.) That in the event that a project does not exist, located in the same province as our
project and is registered with the HLURB or with the NHA under a name similar to
our proposed name; we are willing to recognize its prior right over and above our
application.
5.) That I am executing this affidavit to signify our willingness to change the name of
our proposed project to another name so as not to effect the vested rights and/or
interest of the previous registered project.
AFFIANT FURTHER SAYS NOTHING
_____________________________________, ______________________, Philippines.
__________________________
Affiant
SUBSCRIBED AND SWORN to before me this ___ day of _________, 20___, Affiant exhibiting
to me his/her Residence Certificate No.__________ issued in ___________ on ____________.
NOTARY PUBLIC
Doc. No.
:
_______
Page No.
:
_______
Book No.
:
_______
Series of
:
_______
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