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Republic of the Philippines ) City of Angeles City )

AFFIDAVIT
I, JHOBELL LACANLALE
Owner

, of legal age, residing at after having been sworn

ANGELES CITY
Postal Address

in accordance with law, do hereby depose and sayeth; 1 That I am the owner of the
RESIDENTIAL BUILDING
Proposed Project

PROPOSED TWO (2) STOREY

located at

CUAYAN, ANGELES CITY Location of Proposed Building/Structure

to be Erected/Renovated/Repaired/Altered/Modified/Change of Occupancy

with total area of

134.47 m
Total Area

2 That the verified estimated value of the building/structure to be erected/ renovated/ Repaired/Altered/Modified/Change of Occupancy is ONE MILLION THREE HUNDRED
Amount in words

FIFTY FOUR THOUSAND

Php 1,354,000.00
Amount in figures

That I declare, under the penalties of perjury, the above information are verified by me, and to the best of my knowledge are true and correct or based on authentic documents.

WINSTON FRANKLYN OKRAFO-SMART


Affiant

SUBSCRIBED AND SWORN TO BEFORE ME, a Notary Public for the City of Angeles City this day of 2012, the affiant exhibit with his/her valid until that he/she is the same person who personally signed the foregoing document and acknowledgement that he/she executed the same.

NOTARY PUBLIC

Republic of the Philippines ) City of Angeles City )

AFFIDAVIT
I,
Authorized Representative
Postal Address

, of legal age, residing at after having been sworn

in accordance with law, do hereby depose and sayeth; 1 That I am the authorized representative of the of
Proposed Project Name of Owner

located at
Location of Proposed Building/Structure to be Erected/Renovated/Repaired/Altered/Modified/Change of Occupancy

with total area of


Total Area

2 That the verified estimated value of the building/structure to be erected/ renovated/ Repaired/Altered/Modified/Change of Occupancy is
Amount in words Amount in figures

That I declare, under the penalties of perjury, the above information are verified by me, and to the best of my knowledge are true and correct or based on authentic documents.

MYRNA PANGILINAN
Affiant

SUBSCRIBED AND SWORN TO BEFORE ME, a Notary Public for the City of Angeles City this day of 2012, the affiant exhibit with his/her valid until that he/she is the same person who personally signed the foregoing document and acknowledgement that he/she executed the same.

NOTARY PUBLIC

, residing at

d by me, and

e foregoing

Republic of the Philippines ) City of Angeles City )

AFFIDAVIT
I,
Authorized Representative
Postal Address

, of legal age, residing at after having been sworn

in accordance with law, do hereby depose and sayeth; 1 That I am the authorized representative of the of
Proposed Project Name of Owner

located at
Location of Proposed Building/Structure to be Erected/Renovated/Repaired/Altered/Modified/Change of Occupancy

with total area of


Total Area

2 That the verified estimated value of the building/structure to be erected/ renovated/ Repaired/Altered/Modified/Change of Occupancy is
Amount in words Amount in figures

That I declare, under the penalties of perjury, the above information are verified by me, and to the best of my knowledge are true and correct or based on authentic documents.

Affiant

SUBSCRIBED AND SWORN TO BEFORE ME, a Notary Public for the City of Angeles City this day of 2012, the affiant exhibit with his/her valid until that he/she is the same person who personally signed the foregoing document and acknowledgement that he/she executed the same.

NOTARY PUBLIC

, residing at

d by me, and

e foregoing

Republic of the Philippines ) City of Angeles City )

AFFIDAVIT
I,
Owner
Postal Address

, of legal age, residing at after having been sworn

in accordance with law, do hereby depose and sayeth; 1 That I am the owner of the located at
Proposed Project Location of Proposed Building/Structure

to be Erected/Renovated/Repaired/Altered/Modified/Change of Occupancy

with total area of


Total Area

2 That the verified estimated value of the building/structure to be erected/ renovated/ Repaired/Altered/Modified/Change of Occupancy is
Amount in words Amount in figures

That I declare, under the penalties of perjury, the above information are verified by me, and to the best of my knowledge are true and correct or based on authentic documents.

Affiant

SUBSCRIBED AND SWORN TO BEFORE ME, a Notary Public for the City of Angeles City this day of 2012, the affiant exhibit with his/her valid until that he/she is the same person who personally signed the foregoing document and acknowledgement that he/she executed the same.

NOTARY PUBLIC

# NAME OF OWNER/REPRESENTATIVE 1 MARIUS GARCIA/PILA REALTY & DEV'T CORP 2 IRENE CO 3 OLIVE WIEGEL 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50

TOTAL AREA AMOUNT Date issued 693 sqm 6,802,000.00 4-Jun-12 33.88 181,000.00 4-Jun-12 68.8 730,000.00 4-Jun-12

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