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VERIFICATIONCERTIFICATION

REPUBLIC OF THE PHILIPPINES)


City of Escalante, Neg. Occ.
)SS.
x - - - - - - - - - - - - - - - - - - ---------x
I, WILLIAM V. SARATOBIAS, of legal age, Filipino, and a resident of Brgy.
Jonob-jonob, Escalante City, Negros Occidental, Philippines after being sworn to in
accordance with law, hereby depose and say:
That I am the Complainant in the above-titled case; That I have caused the
preparation of the above complaint and I have read the same and knows the contents
thereof; That the allegations contained therein are true and correct of my own personal
knowledge and based on authentic records.
That I further certify that: (a) I have not theretofore commenced any other action or
proceeding or filed any claim involving the same issues or matter in any court, tribunal, or
quasi-judicial agency and (b) to the best of my knowledge, no such action or proceeding is
pending therein; (c) if I should thereafter learn that the same or similar action or proceeding
has been filed or is pending before the Supreme Court, the Court of Appeals, or any other
tribunal or quasi-judicial agency, I undertake to report such fact within five (5) days
therefrom to the court or agency wherein the original pleading and sworn certification
contemplated herein have been filed.
IN WITNESS WHEREOF, I have hereunto set my hand this _____________ at
Escalante City, Philippines.
WILLIAM V. SARATOBIAS
Affiant
SUBSCRIBED AND SWORN to before me, this _________________, by the
affiant
who
exhibited
to
me
his
government
issued
ID
_____________________________as proof of his identity with his recent photo and
signature thereon and I am satisfied that he is the same person who executed this
instrument freely and voluntarily.
Escalante City, Negros Occidental, Philippines.
Doc. No. ______;
Page No. ______;
Book No. ______;
Series of 2016

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