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AFFIDAVIT OF ADJOINING OWNERS

I_ _____________________________________

_ Of legal age, Filipino and a resident of

being duly sworn and oath to hereby depose and

say :

That I am one of the adjoining owners of lot bounded on the ____ _ of the lot owned by __ ___ with Tax Declaration No. ___and Lot No. _ _ located at _
__ .

That ___ ___ owned the said lot above and has continous possession for over a period of FIVE(5) years.

In WITNESSED WHEREOF, I hereby set my hand this __

__ day of _

2012.

_ _ Adjoining Owner

SUBSCRIBE AND SWORN TO BEFORE ME, this _________ day of ___________ , 2012 at _________ _ _____ _,Philippines. The affiant exhibited before me this Community Tax Certificate No. _______________ ,Issued on _ __________________ __ at _ ________________________ _.

Doc. No. ______________ Page No._______________ Book No._______________ Series of _______________

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