Reservation Form (Page 4 of 6) in pdf

Reservation Form Page 4

Republic of the Philippines

City of Mandaluyong

AFFIDAVIT OF UNDERTAKING

I, ___________________________________ of legal age, Filipino, Single/Married, with

residence address at _______________________________________________________________

After having duly sworn in accordance with law, depotes and states:

1. That I am Pag-IBIG member who wishes to purchase a residential house and lot under

the “Pag-IBIG Fund Acquired Assets Disposal Program ” (Circular 308) which

property is described and identified as Blk___Lot___Ph_________________________

______________________________;

2. That I am buying and accepting the subject property on “AS IS WHERE IS” basis

knowing for a fact that the same is presently occupied by the original borrower/buyer’s

of rights/illegal occupants;

3. That any payment or deposit made with the Pag-IBIG Fund in connection with my

purchase of the said property, the same shall be forfeited in accordance with the

Purchase Offer Form;

4. That I fully understand the contents of the foregoing affidavit and had been explained

to me in dialect/language known to me;

5. That I am executing this affidavit to attest the truth and veracity of that foregoing and

for whatever purpose this may serve.

IN WITNESS THEREOF, I affixed my signature this ____ day of _______________, 2014

____________.

____________________________

Signature over Printed Name

Reservation Form Page 4