SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I CLIFTON U. GANAY, of legal age, married, Filipino Citizen, retired
Court Judge of RTC, Agoo, La Union, and a resident of 101 Jugo St. 1 st Block,
Sagud Bahley, San Fabian, Pangasinan, constitute and appoint CHERRIE T.
TAEDO, of legal age, married and a resident of Tapuac District, Dagupan City,
to be my true and lawful attorney-in-fact, for me and in my name, place and stead,
to do the following act and things to wit:
1. to get/receive my check from PAG-IBIG, San Fernando City, La Union;
2. to sign any documents, and
3. to do other acts related therewith.
HEREBY GIVING AND GRANTING Attorney-In-Fact full power and
authority whatsoever requisite or necessary or proper to be done in and about the
premises as fully to all intents and purposes as I might or could lawfully do if
personally present and hereby ratifying and confirming all that my said Attorneyin-fact could lawfully do or cause to be done under and by virtue hereof.
IN WITNESS WHEREOF, I have hereunto set my hand this 5 th day of
September, 2012, at Agoo, La Union.
CLIFTON U. GANAY
Principal
OSCA ID#_________
CHERRIE T. TAEDO
Attorney-In-Fact
SIGNED IN THE PRESENCE OF:
_______________________________

_____________________

SUBSCRIBED AND SWORN to before me this 5th

at Agoo, La Union.

day of September, 2012,

_________________________

SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:
WE, CHERRIE TAEDO, ANICETA R. FANGON, ANGEL R. DUMPIT,
CELIA M. MANGAOANG, all of legal ages, married, Filipino Citizens,
employees of RTC, Agoo, La Union, constitute and appoint our co-employee
RUEL POSADAS, of legal age, married and a resident of Sto. Tomas, La Union,
to be our true and lawful attorney-in-fact, for us and in our name, place and stead,
to do the following act and things to wit:
4. to encash our checks;
5. to sign any documents, and
6. to do other acts related therewith.
HEREBY GIVING AND GRANTING Attorney-In-Fact full power and
authority whatsoever requisite or necessary or proper to be done in and about the
premises as fully to all intents and purposes as we might or could lawfully do if
personally present and hereby ratifying and confirming all that our said Attorneyin-fact could lawfully do or cause to be done under and by virtue hereof.
IN WITNESS WHEREOF, we have hereunto set our hands this 16 th day of
August, 2012, at Agoo, La Union.
CHERRIE T. TAEDO
Principal

ANICETA R. FANGON
Principal

CELIA M. MANGAOANG
Principal

ANGEL DUMPIT
Principal
RUEL POSADAS
Attorney-In-Fact

SIGNED IN THE PRESENCE OF:

_______________________________

_____________________

SUBSCRIBED AND SWORN to before me this 16 th day of August, 2012, at

Agoo, La Union.
_________________________

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF LA UNION
)S.S.
MUNICIPALITY OF A G O O
)
X-----------------------x
AFFIDAVIT OF LOSS
I, ROLANDO M. ABASOLO, 55 years old, single, Filipino Citizen,
and a resident of Barangay San Joaquin Norte, Agoo, La Union, after
having been duly sworn to in accordance with law, hereby depose and
say:
That I was issued a PHILHEALTH CARD No. 05-200746358-8
for the period beginning April 1, 2011 until March 31, 2012;
That I positively state that the said PHILHEALTH Card No. 05200746358-8 issued to me was lost from my possession due to
unforeseen and unavoidable circumstances;
That I exerted all my efforts to locate the same but in vain.
That I am executing this Affidavit to attest to the truthfulness that
the said Family Health Card No. 05-200746358-8 issued to me was
lost;
IN WITNESS WHEREOF, I have hereunto set my hand this 9 th day
of March, 2012 at Agoo, La Union.
ROLANDO M. ABASOLO
Affiant
SUBSCRIBED AND SWORN to before me this 9th day of
March, 2012 at Agoo, La Union.

_________________________

AU T H O R I Z AT I O N

I, MS. FRANCISCA E. DACPANO, of legal age, single, and a resident of

Barangay San Julian West, Agoo, La Union, authorized my nephew Gerome D. Panis to
receive the payment of Ashley Fontanilla the amount of P1,000.00 monthly, starting
July, 2012 until the amount of P22,712.00 has been fully paid.
Agoo, La Union, April 19, 2012.
FRANCISCA E. DACPANO
Principal
WITNESSES
__________________________

_________________________

PROMISSORY NOTE
I, ASHLEY FONTANILLA, of legal age, married, Filipino Citizen and a resident
of Barangay San Julian West, Agoo, La Union, promise to pay Ms. Francisca Dacpano
the sum of Twenty-Two Thousand Seven Hundred Twelve Pesos, Philippine Currency
(P22,712.00) representing the value of a set of jewelry (one twisted necklace weighing
3.8 grms and one pendant weighing 6.3 grms) with a value of P20,712.00 and which I
pawned without her knowledge plus interest in the amount of P2,000.00; that I will pay
her (Francisca Dacpano) by installment of P1,500.00 or more monthly, starting March
01, 2011.

Failure on my part to do so, she have the right to file a legal action against me.
Agoo, La union, January 30, 2012.

ASHLEY FONTANILLA
SIGNED IN THE PRESENCE OF:
_______________________________

_______________________________

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF LA UNION
)S.S.
MUNICIPALITY OF A G O O
)
X-----------------------x
AFFIDAVIT OF LOSS
I, GLORIA A. MAMARIL, of legal age, married, Filipino Citizen, and
a resident of Barangay Consolacion, Agoo, La Union, after having been
duly sworn to in accordance with law, hereby depose and say:
That I am a holders of SSS (ATM-PNB) and Senior Citizen ID
issued by the SSS and Senior Citizen ID Card of Agoo, La Union;
That I positively state that the said SSS (ATM-PNB) and Senior
Citizen ID issued to me by the SSS and Senior Citizen ID Card, Agoo,
La Union, were lost from my possession due to unforeseen and
unavoidable circumstances;
That I exerted all my efforts to locate the same but in vain.
That I am executing this Affidavit to attest to the truthfulness that
the said SSS (ATM-PNB) and Senior Citizen ID Card issued by the SSS
and Senior Citizen, Agoo, La Union, were lost;

IN WITNESS WHEREOF, I have hereunto set my hand this 22 nd

day of August, 2012 at Agoo, La Union.

GLORIA A. MAMARIL
Affiant
CTC No. ___________
Issued at Agoo, La Union
Issued on ______________

SUBSCRIBED AND SWORN to before me this 22nd

August, 2012 at Agoo, La Union.

day of

______________________________

REPUBLIC OF THE PHILIPPINES )

MUNICIPALITY OF A G O O
)S.S.
PROVINCE OF LA UNION
)
x- - - - - - - - - - - - - - - - - - - - - - - - - - x

AFFIDAVIT OF CONSENT
WE, GEROME D. PANES and MURITA F. PANES Spouses, of legal
ages, Filipino citizens and residents of Barangay San Antonino, Agoo, La Union,
after having been duly sworn to in accordance with law, hereby depose and say:
That we are the parents of FRANCINE NICHOLE F. PANES, who was
born on July 2, 2004, seven (7) years of age;
That we are allowing/permitting our daughter FRANCINE NICHOLE F.
PANES to travel to Hongkong together with Rosalin M. Parentila (Guardian) of
No. 4 Sto. Rosario Valley, Baguio City, Philippines, from December 9 to 12,
2011;
That Rosalin M. Parentila is the maternal aunt of Gerome D. Panes;
That we are executing this Affidavit to attest to the truth of the foregoing.
IN WITNESS WHEREOF, we have hereunto set our hands this 16 th day of
September 2011.
GEROME D. PANES
Affiant
CTC NO. 21270450
Issued at Agoo, La Union
Issued on March 14, 2011

MURITA F. PANES
Affiant
CTC No. 30522469
Issued at Agoo, La Union
Issued on September 16, 2011

SUBSCRIBED AND SWORN TO before me this 16th day of September

2011, AT Agoo, Ls Union.
_______________________
Notary Public
Doc. No. ____ ;
Page No. ____ ;
Book No. ____;

Series of 2011.
REPUBLIC OF THE PHILIPPINES )
MUNICIPALITY OF A G O O
)S.S.
PROVINCE OF LA UNION
)
x- - - - - - - - - - - - - - - - - - - - - - - - - - x
AF F I D AV I T
WE, SPOUSES RENATO C. MANGAOANG and CELIA M. MANGAOANG,
both of legal ages, married, Filipino Citizens and residents of Sta, East, Agoo, La Union,
after having been duly sworn to in accordance with law, hereby depose and say:
That we know personally the couple NICASIO C. MANGAOANG and LORETA
P. PARAS, who got married on March 28, 1994 at the Municipal Trial Court (MTC), Sto.
Tomas, La Union, solemnized by former Judge Benjamin D. Almazan.
That we further state that we are the sponsors of the said couple during their
wedding ceremony;
That we are executing this affidavit to attest to the truthfulness of all the foregoing
statement for all legal intents and purposes.
IN WITNESS WHEREOF, we have hereunto set our hands this 26 th day of June
2012, at Agoo, La Union.
RENATO C. MANGAOANG
Affiant
CTC No. 30546168
Issued at Sto. Tomas, La Union
Issued on January 12, 2012

CELIA M. MANGAOANG
Affiant
CTC No. 30609370
Issued at Agoo, La Union
Issued on February 29, 2012

SUBSCRIBED AND SWORN to before me this 26th day of June 2012 at Agoo, La
Union.
_______________________

REPUBLIC OF THE PHILIPPINES )

MUNICIPALITY OF A G O O
)S.S.
PROVINCE OF LA UNION
)
x- - - - - - - - - - - - - - - - - - - - - - - - - - x
AF F I D AV I T
WE, CHERRIE T. TAEDO and CRISTINA T. TAMAYO, both of legal ages,
married, Filipino Citizens and residents of 232-2 Balolong Apartment, Peralta Cmpd.,
Tapuac Dist., Dagupan City and #74 Longos Amangonan, San Fabian, Pangasinan,
respectively, after having been duly sworn to in accordance with law, hereby depose and
say:
That JENNIFER AQUINO and ERIKA MONIQUE AQUINO are the surviving
daughters of the late ERNESTO N. TERSOL.
That the two surviving daughters of the late ERNESTO N. TERSOL are in our
custody since he died.
That we are executing this affidavit to attest to the truthfulness of all the foregoing
statement for all legal intents and purposes.
IN WITNESS WHEREOF, we have hereunto set our hands this 23 rd day of
August 2011, at Agoo, La Union.
CHERRIE T. TAEDO
Affiant
CTC No. _____________
Issued at Agoo, La Union
Issued on ____________

CRISTINA T. TAMAYO
Affiant
CTC No. _________________
Issued at Agoo, La Union
Issued on ____________

SUBSCRIBED AND SWORN to before me this 23 rd day of August 2011 at Agoo,

La Union.

DEED OF ABSOLUTE SALE

KNOW ALL MEN BY THESE PRESENTS:
I, ELENA DANAO, of legal age, single, Filipino Citizen and a resident of
Barangay San Nicolas East, Agoo, La Union, for and in consideration of the sum of
TWENTY THOUSAND PESOS (P20,000.00), Philippine Currency, to me in hand paid
to my entire satisfaction by RICARDO DANAO, of legal age, married, Filipino citizen
and a resident of San Nicolas East, Agoo, La union, do hereby SELL, TRANSFER and
CONVEY 182 square meters unto said RICARDO DANAO, his heirs, assigns the parcel
of land (Agricultural particularly described as follows, to wit:
A
parcel
of
land
(Agricultural)
situated
at San Nicolas Este, Agoo, La Union, under Tax Declaration No. 2009-010034-00091, bounded on the North by 571, on the East by 52.54 ; on the South
by BRGY. ROAD and on the West by 56 ; containing and area of 364 square
meters, more or less and with an assessed value of P1,410.00.
That I hereby warrant my title over the land above-described with full right to
dispose of the same, free from all liens and encumbrances, and that henceforth, full right
of ownership and possession shall pertain to the vendee RICARDO DANAO;
That the property is not tenanted, hence does not fall under the provisions of R.A.
3844 or the Presidential Decree on Land Reform.
IN WITNESS WHEREOF, I have hereunto set our hands this __th day of
________, 2011 at Agoo, La Union, Philippines.

RICARDO DANAO
Vendee

ELENA DANAO
Vendor
SC I.D. No. __________

WITH THE CONFORMITY OF THE SIBLINGS:

Issued at _______________

_________________

On ________________

____________________
____________________

_______________

_________________
_________________
SIGNED IN THE PRESENCE OF:
_______________________________
_______________________________
REPUBLIC OF THE PHILIPPINES )
PROVINCE OF LA UNION
)S.S.
MUNICIPALITY OF A G O O
)
X - - - - - - - - - - - -- - - - - - - - - - - - X

ACKNOWLEDGMENT
BEFORE ME, this ___th day of ________, 2011 at Agoo, La Union, personally
appeared the above-named person who is known to me to be the same person who
executed the foregoing instrument and she acknowledged to me that the same is her free
act and voluntary deed.
WITNESS MY HAND AND NOTARIAL SEAL.
________________________
Notary Public
Doc. No. ____;
Page No.____;
Book No.____;
Series of 2011.

REPUBLIC OF THE PHILIPPINES )

MUNICIPALITY OF A G O O
)S.S.
PROVINCE OF LA UNION
)
x- - - - - - - - - - - - - - - - - - - - - - - - - - x
AFFIDAVIT OF LOSS OF OATHS OF OFFICE
I, CLIFTON U. GANAY, 63 years of age, widower, resident of 101 Jugo Street,
Tamiong, Barangay Sagud Bahley, Municipality of San Fabian, Province of Pangasinan,
after having been duly sworn to in accordance with law, hereby state and declare in
accordance with law.
That my residential house, which is a bungalow, was flooded on October 8-9,
2009 (in some parts of the house the flood was up to chest-high), which led to the loss of
papers including vital documents. This loss included several copies of oaths of office as
a Municipal Councilor of San Fabian, Pangasinan.
That no copies survived in the office of The Sangguniang Bayan of San Fabian,
Pangasinan.
That I served as elective Municipal Councilor of San Fabian, Pangasinan from
1972 to 1992.
Affiant sayeth none.
IN WITNESS WHEREOF, I have hereunto set my hand this 3 rd day of
January 2010 at Agoo, La Union.
CLIFTON U. GANAY
Affiant
OSCA ID No.02360
Issued on January 24, 2008
Issued at San Fabian, Pangasinan
SUBSCRIBED AND SWORN to before me this 3 rd day of January 2011 at Agoo,

La Union.
____________________________

DEED OF MORTGAGE
KNOW ALL MEN BY THESE PRESENTS
This Deed of Mortgage made and executed this ___th day of September 2009 at Agoo, La Union, by and
between TEOFILO MAMUYAC, VICENTE MAMUYAC, ALFREDO MAMUYAC AND DEMETRIA LOPEZ , both of
legal age and residents of Agoo, La Union, referred to herein as the MORTGAGORS and SR. MARY JOSEPHINE
DIFUNTORUM and SR. MARY AUGUSTE DACAPIAS, likewise of legal age, and residents of Agoo, La Union,
referred to herein as the MORTGAGEES:
WITNESSETH
That the Mortgagors are the surviving heirs of the late VICTORINO MAMUYAC situated at San Roque East,
Agoo, La Union, more particularly described and bounded as follows:
A parcel of land situated at Barangay San Roque East, Agoo, La union, bounded on the
North by 5282-5280; on the East by 5273-5280, on the South by 5274 and on the west
by 5283-5278, containing an area of 2093 square meters, more or less, under ARP NO.
037-00109 -Property Index No.008-02-037-01-090.
That for and in consideration of the sum of ONE HUNDRED TWENTY THOUSAND (P120,000.00) Philippine
Currency, receipt of which is hereby acknowledged by the Mortgagors to their complete satisfaction said Mortgagors do
hereby these present, CEDE, TRANSFER by way of Mortgage into the Mortgagors, herein their heirs, successors and
assigns the above-described parcel of land.
That it is the condition of this Mortgage that the Mortgagee shall take possession and cultivate the same until the
same will be redeemed by the Mortgagors.
IN WITNESS WHEREOF, we have hereunto set our hands this ___th day of September 2009, at Agoo, La
Union.
TEOFILO MAMUYAC
Mortgagor

VICENTE MAMUYAC
Mortgagor

CTC NO. ________

C NO. _______________

Issued at Agoo, La Union

Issued on ____________

Issued at Agoo, La Union

Issued on ________________

ALFREDO MAMUYAC
CTC NO. ____________
Issue at Agoo, La Union
Issued on ____________

DEMETRIA LOPEZ
CTC No.________________
Issued at Agoo, La Union
Issued on ___________________

_____________________ signed in the presence of: __________________

ACKNOWLEDGMENT
REPUBLIC OF THE PHILIPPINES

Agoo, La Union
)
X------------------------X

S.S.

Before me Notary Public for and in the Province of La Union, personally appeared TEOFILO MAMUYAC,
VICENTE MAMUYAC, ALFREDO MAMUYAC and DEMETRIA LOPEZ , known to me and to me known to be the
same persons who executed the foregoing instrument and acknowledge to me that the same are their voluntary act and
deed.
WITNESS MY HAND AND SEAL this ___th day of September 2009, at Agoo, La Union.

Notary Public

DEED OF MORTGAGE
KNOW ALL MEN BY THESE PRESENTS
This Deed of Mortgage made and executed this 1st day of SEPTEMBER, 2011 at Agoo, La Union, by
and between SPS. SATURNINIO A. FANGON and ANICETA R. FANGON, both of legal age and residents of
Barangay San Antonino, Agoo, La Union, referred to herein as the MORTGAGORS and RAMON JARATA
BALLESTEROS, likewise of legal age, widow and residents of Barangay Consolacion, Agoo, La Union,
referred to herein as the MORTGAGEE:
WITNESSETH
That the Mortgagors are the owner of a parcel of land situated at San Antonino, Agoo, La Union, more
particularly described and bounded as follows:
A parcel of land situated at Barangay San Antonino, Agoo, La union, bounded
on the North by Barangay San Juan; on the East by 04, on the South by Barangay
San Juan and on the west by 01, containing an area of 4,808 square meters, more
or less, under Tax Declaration No. 2009-01-0017-00570-Property Identification
No. 008-01-0017-011-02.
That for and in consideration of the sum of EIGHTY THOUSAND PESOS (P80,000.00) Philippine
Currency, receipt of which is hereby acknowledged by the Mortgagors to their complete satisfaction said
Mortgagors do hereby these present, CEDE, TRANSFER by way of Mortgage into the Mortgagors, herein
their heirs, successors and assigns the above-described parcel of land.
That it is the condition of this Mortgage that the Mortgagee shall take possession and cultivate the same
until the same will be redeemed by the Mortgagors.
IN WITNESS WHEREOF, we have hereunto set our hands this 1st day of SEPTEMBER 2011, at
Agoo, La Union.
SATURNINO A. FANGON
Mortgagor
CTC No. _______________
Issued at Agoo, La Union
Issued on _______________
SIGNED IN THE PRESENCE OF:
_________________________
ACKNOWLEDGMENT
REPUBLIC OF THE PHILIPPINES )
MUNICIPALITY OF AGOO
) S.S.
PROVINCE OF LA UNION
)

ANICETA R. FANGON
Mortgagor
CTC No. 21273327
Issued at Agoo, La Union
Issued on April 28, 2011
__________________________

X - - - - - - - - - - - - - - - - - - - - - - - - - - -X
Before me Notary Public for and in the Province of La Union, personally appeared SPS. SATURNINO
A. FANGON and ANICETA R. FANGON, known to me and to me known to be the same persons who
executed the foregoing instrument and acknowledge to me that the same are their voluntary act and deed.
WITNESS MY HAND AND SEAL this 1st day of SEPTEMBER 2011, at Agoo, La Union.
__________________________
Notary Public
Doc. No. ____;
Page No. ____;
Book No.____;
Series of 2011.

LEVI CLYDE R. ALMALVEZ

Manager-BC Holder Relation Office
Gen. Luna cor. Sta. Potenciana Sts. Instramuros 1002
P.O. Box 510 CPO Manila
Fr. Sis. Aniceta R. Fangon
No. 18 Barangay San Antonino, Agoo,
La Union -2404

RESTY R. YANZON
Reinstatement (Local III)
Gen. Luna cor. Sta. Potenciana Sts. Intramuros 1002
P.O. Box 510 CPO Manila
March 23, 2009
Levi Clyde R. Almalvez
Manager-BC Holder Relation Office
Resty R. Yanzon
Reinstatement (Local III)
Gen. Luna cor. Sta. Potenciana Sts. Intramuros 1002
P.O. Box 510 CPO Manila
Dear Sirs:
Respectfully forwarded to your good Office the Application for
Reinstatement of Benefit
Certificate (BC) duly accomplished and signed by my husband over his printed name.
Also attached herewith is a Xerox copy of the Official Receipt (OR) No. 1621422 dated March 23,
2009, evidencing the payment/contribution of my husband (Saturnino A. Fangon) in the amount
of P2,920.01 due 10/28/2008-04/27/2009 (2 qtrs.) issued and duly signed by Cristino OfiazaFraternal Counselors of Agoo, La union.
Attached also is a Xerox copy of the Official Receipt No.1582019 dated September 30, 2008
representing his payment last October 28, 2008, sir.
With regards to the original copy of temporary receipt, sir, sorry to

inform you that they were

already lost.
Thank you very much.
Truly yours,
Sis. ANICETA R. FANGON
No. 18 Brgy. San Antonino.
Agoo, La Union - 2504
Levi Clyde R. Almalvez
Manager-BC Holder Relation Office
Resty R. Yanzon
Reinstatement (Local III)
Gen. Luna cor. Sta. Potenciana Sts. Intramuros 1002
P.O. Box 510 CPO Manila
Dear Sirs:
This is in connection with your letter dated January 24, 2009 which my husband received on February 13,
2009, regarding the Benefit Certificate No. 87942 (ACCT No. 00663206) of my husband (Saturnino A.
Fangon) due to the fact that the cash value of his Certificate was already exhausted due to Application of
Automatic Contribution Loan (ACL) and/or the cash value was not sufficient to cover his unpaid
contribution or no payment has been received to settle his cash loan and your Office declare the above
numbered insurance coverage as no longer in force effective July 28, 2008.
Sir, may I ask for a RECONSIDERATION on that matter if possible because I made payment to the late
brother Ric Basillo when he was still alive. What I know, sir, is he is remitting the said payment to your
Office, hindi pala. He issued temporary receipt to me when I made payment to him but I found out that the
said payment was not remitted. Katulad din sa akin. Naistop yung insurance ko kasi hindi niya pala inirimit
yung bayad sa Office niyo, sir.
Sir, I need your advised on what I am going to do because my husband was insured for more than ten (10)
years already.
Thank you very much.
Agoo, La Union, February 13, 2009.

Very truly yours,

ANICETA R. FANGON
(Wife)

2000, at Agoo, La Union;

That we further state that the date of marriage of his parents as appearing in his Certificate of
Live Birth is August 10, 1998;
That we further state that the true and correct date of marriage of his parents is August 7, 1998
and not August 10, 1998;
That we are executing this affidavit to attest to the truthfulness of all the foregoing and for all
legal intents and purposes it may serve.

IN WITNESS WHEREOF, we have hereunto set our hands this

Agoo, La Union.
RODOLFO D. DANAO
Affiant
CTC NO. 19062797
Issued at Agoo, La Union
Issued on December 11,2008

23rd

day of January 2009 at

FREDDY B. ASPIRAS
Affiant
CTC NO. 19076137
Issued at Agoo, La Union
Issued on December 11. 2008

SUBSCRIBED AND SWORN to before me this 23rd day of January 2009 at Agoo, La Union.

REPUBLIC OF THE PHILIPPINES )

MUNICIPALITY OF A G O O
)S.S.
PROVINCE OF LA UNION
)
x- - - - - - - - - - - - - - - - - - - - - - - - - - x
AFFIDAVIT OF TWO
DISINTERESTED PERSON
WE, __________________ and _______________, both of legal ages, married,
both Filipino Citizens and residents of Barangay __________________________, after
having been duly sworn to in accordance with law, hereby depose and say:
That we know personally the son of SPOUSES_________________ and
_____________ by the name of MANUEL M. CARREON, who was born on August 19,
1971, at _____________________,he
being our barangay mates at Barangay
_______________________; for so many years;
That we further state that the name as appearing in his Certificate of Live Birth is
MANUEL M. CARREON; which he had been using up to the present.
That apparently, we further state that all the documents that he had been signing
he put his signature as MANUEL M. CARREON and not NOEL M. CARREON. These
names MANUEL M. CARREON and NOEL M CARREON refers to one and the same
person;
That we further state that since childhood, he have been usually known in the
community as MANUEL M. CARREON.
That we are executing this affidavit to attest to the truthfulness of all the foregoing
statement for all legal intents and purposes.
IN WITNESS WHEREOF, we have hereunto set our hands this ___th day of
____ 2010, at Agoo, La Union.
_____________________
Affiant
CTC No. _____________
Issued
Issued on ____________

_____________________
Affiant
CTC No. ____________
Issued at
Issued on ____________

SUBSCRIBED AND SWORN to before me this 5 th day of July 2010 at Agoo, La

Union.

REPUBLIC OF THE PHILIPPINES )

MUNICIPALITY OF A G O O
)S.S.
PROVINCE OF LA UNION
)
x- - - - - - - - - - - - - - - - - - - - - - - - - - x
AF F I D AV I T
I, MARIA CONCEPCION A. FANGON, of legal age, widow, Filipino Citizen and
a resident of Barangay San Nicolas East, Agoo, La Union, after having been duly sworn
to in accordance with law, hereby depose and say:
That I am the mother of Cerilo F. Fangon, who was born on February 9, 1965 at
Agoo, La Union;
That I further state that my name as appearing in his Birth Certificate is
CONCEPCION A. FAGON instead of MARIA CONCEPCION A. FANGON; which
name I had been using in all my records;
That apparently, I further state that all the documents that I had been signing I put
my signature as MARIA CONCEPCION A. FANGON and not CONCEPCION A.
FAGON. These names MARIA CONCEPCION A. FANGON and CONCEPCION A.
FAGON refers to one and the same persons;
That I further state that since childhood, I have been usually known in the
community as MARIA CONCEPCION A. FANGON.
That I am executing this affidavit to attest to the truthfulness of all the foregoing
statement for all legal intents and purposes.
IN WITNESS WHEREOF, we have hereunto set our hands this 8 th day of October
2010, at Agoo, La Union.

MARIA CONCEPCION F. FANGON

Affiant
SUBSCRIBED AND SWORN to before me this 8 th day of October 2010 at Agoo,
La Union.

REPUBLIC OF THE PHILIPPINES )

MUNICIPALITY OF A G O O
)S.S.
PROVINCE OF LA UNION
)
x- - - - - - - - - - - - - - - - - - - - - - - - - - x
AF F I D AV I T

I, LOLITA L. MILAN, of legal age, married, Filipino citizen and a

resident of Barangay San Nicolas East, Agoo, La Union, after having been duly
sworn to in accordance with law hereby depose and say:
That I am an owner before of a Parlor Shop located at Barangay Sta.
Barbara, Agoo, La Union;
That I was issued a Business Permit by the Municipality of Agoo, Agoo,
La Union;
That I further state that the said Business Permit of mine was no longer in
my name because it was already sold to another person;
That I positively state that the said Business Permit in my name was
already cancelled.
That I am executing this Affidavit to attest to the truthfulness that the said
Business Permit was already cancelled and it was no longer in my name;
IN WITNESS WHEREOF, I have hereunto set my hand this 19 th day of
October 2010 at Agoo, La Union.

LOLITA L. MILAN
Affiant
CTC NO. 22661410
Issued at Agoo, La Union
Issued on February 16, 2010

SUBSCRIBED AND SWORN to before me this ___th day of October,

2010.

REPUBLIC OF THE PHILIPPINES )

MUNICIPALITY OF A G O O
)S.S.
PROVINCE OF LA UNION
)
x- - - - - - - - - - - - - - - - - - - - - - - - - - x
AF F I D AV I T
WE, RICARDO DANAO, of legal age, married, Filipino Citizen and ELENA
DANAO, likewise of legal age, single, Filipino citizen and residents of Agoo, La Union,
after having been duly sworn to in accordance with law, hereby depose and say:
That we know personally the daughter of the late BERNARDO L. FANGON and
CATALINA ABLAO by the name of MARIA CONCEPCION A. FANGON, who was
born on March 23, 1943, at Bacnotan, La Union, she being our barangay mates at
Barangay San Nicolas East, Agoo, La Union; for so many years;
That we further state that her name as appearing in her Voters ID is
CONCEPCION A. FANGON; but in truth and in fact she was using the name MARIA
CONCEPCION A. FANGON in all her records;
That apparently, we further state that all the documents that she had been signing
she put her signature as MARIA CONCEPCION F. FANGON and not CONCEPCION
F. FANGON. These names MARIA CONCEPCION A. FANGON and CONCEPCION
F. FANGON refers to one and the same persons;
That we further state that since childhood, she have been usually known in the
community as MARIA CONCEPCION F. FANGON.
That we are executing this affidavit to attest to the truthfulness of all the foregoing
statement for all legal intents and purposes.
IN WITNESS WHEREOF, we have hereunto set our hands this 25 th day of May
2009, at Agoo, La Union.
RICARDO DANAO
Affiant

ELENA DANAO
Affiant

SUBSCRIBED AND SWORN to before me this 25th day of June 2010 at Agoo,
La Union.

REPUBLIC OF THE PHILIPPINES )

MUNICIPALITY OF A G O O
)S.S.
PROVINCE OF LA UNION
)
x- - - - - - - - - - - - - - - - - - - - - - - - - - x
AF F I D AV I T
WE, SPS. SATURNINO A. FANGON and ANICETA R. FANGON, both of legal ages, Filipino Citizens
and residents of Barangay San Antonino, Agoo, La Union, after having been duly sworn to in accordance with
law, hereby depose and say:
That we know personally the daughter of SPS. ERNESTO R. DANAO (d) and EVELYN O. AGTARAP
by the name of ELMA AGTARAP DANAO, who was born on May 10, 1977 at Agoo, La Union, they being our
barangaymate at Barangay San Antonino, Agoo, La Union, for so many years;
That we further state that the spelling of the family name of her mother as appearing in her Certificate of
Live Birth is EVELYN O. AGTURAP instead of EVELYN O. AGTARAP;
That apparently, we further state that in all the documents that she had been using, she used the family
name of her mother as EVELYN AGTARAP and not EVELYN AGTURAP which she had been using up to the
present.
That we are executing this affidavit to attest to the truthfulness of all the foregoing statement for all legal
intents and purposes.
IN WITNESS WHEREOF, we have hereunto set our hands this 15th day of July 2009, at Agoo, La
Union.
SATURNINO A. FANGON
Affiant
CTC NO. 25359295
Issued at Agoo, La Union
Issued on July 15, 2009

ANICETA R. FANGON
Affiant
CTC NO. 17079106
Issued at Agoo, La Union
Issued on February 20, 2009

SUBSCRIBED AND SWORN to before me this 15th day of July 2009 at Agoo, La Union.

REPUBLIC OF THE PHILIPPINES)

MUNICIPALITY OF A G O O
) S.S.

PROVINCE OF LA UNION
)
X-----------------------x
AFFIDAVIT OF WAIVER OF RIGHTS
I, ELENA DANAO, of legal age, single, Filipino citizen and resident of
San Nicolas East, Agoo, La Union, after having been duly sworn to in
accordance with law, hereby depose and say;
That I am the absolute owner of parcel of land (Residential/Agricultural)
described as follows:
A parcel of land (Agricultural/Residential) located at San
Nicolas Este, Agoo, La Union, under Tax Declaration No. 200901-0034-00091 bounded on the North by 57-52.54, on the East
by. . ., on the South by BRGY. ROAD-56 and on the West by . . .
containing an area of 364/400 square meters and with an
assessed value of P1,410.00/P72,000.00.
That I am waiving my rights of not claiming back the said property
because the said parcel of land (Agricultural/Residential) was already given to
my elder brother Ricardo Danao;
That I am executing this Affidavit of Waiver of Rights to substantiate the
truth that the said parcel of land (Agricultural/Residential) was already given to
my elder brother Ricardo Danao.
IN WITNESS WHEREOF, I have hereunto set our hands this ___th day
of April, 2011 at Agoo, La Union.
ELENA DANAO
Affiant
WITH THE CONFORMITY OF THE SIBLINGS:
1._____________________4.__________________
2._____________________5.__________________
3._____________________6.__________________
SUBSCRIBED AND SWORN to before me this __th day of August, 2009
at Agoo, La Union
____________________
Notary Public
Doc. No.____;
Page No.____;
Book No. ___;
Series of 2011.

REPUBLIC OF THE PHILIPPINES)

MUNICIPALITY OF A G O O
) S.S.
PROVINCE OF LA UNION
)
X-----------------------x

AFFIDAVIT OF WAIVER OF RIGHTS

WE, TEOFILO MAMUYAC, VICENTE MAMUYAC, ALFREDO
MAMUYAC and DEMETRIA LOPEZ, both of legal age, widow/married
respectively Filipino citizens and residents of Agoo, La Union, respectively, after
having been duly sworn to in accordance with law, hereby depose and say;
That we are the surviving heirs of the late VICTORINO MAMUYAC, who
died on ________________ at Agoo, La Union, as evidenced by his Certificate
of Death;
That the late VICTORINO MAMUYAC left a parcel of land described as
follows:
A parcel of land LOCATED AT Barangay San Roque East, Agoo, La
Union, containing an area of 1,575 square meters, more or less,
classified as Agricultural Land, under ARP NO. 037-00106.
That we are waiving our rights of not claiming back the said property
because the said parcel of land was already given as the share to our late sister
GERTRUDES MAMUYAC when our late father Victorino Mamuyac was still
alive;

FIDAVIT OF WAIVER OF RIGHTS

PAGE 2,
X - - - - - - - - - - - - - - - - - - -- - - - - - X
That we are executing this Affidavit of Waiver of Rights to substantiate the
truth that the said parcel of land is the share of our late sister Gertrudes

Mamuyac.
IN WITNESS WHEREOF, we have hereunto set our hands this ___th day
of August 2009 at Agoo, La Union.
TEOFILO MAMUYAC
(Affiant)

VICENTE MAMUYAC
(Affiant)

ALFREDO MAMUYAC
(Affiant)

DEMETRIA LOPEZ
(Affiant)

SUBSCRIBED AND SWORN to before me this __th day of Auguast,

2009 at Agoo, La Union
____________________
Notary Public
Doc. No.____;
Page No.____;
Book No. ___;
Series of 2009.

REPUBLIC OF THE PHILIPPINES)

MUNICIPALITY OF A G O O
) S.S.
PROVINCE OF LA UNION
)
X-----------------------x
AFFIDAVIT OF WAIVER OF RIGHTS

WE, HEIDI S. RESUELLO, wife of the late EMILIO T. RESUELLO, EMILIO S. RESUELLO
II, ETHELBERT S. RESUELLO, ELDREN S. RESUELLO and ETHELYN S. RESUELLO, are of
legal ages, Filipinos and all residents of No. 40 P. St .Edsa, Caloocan City, after having been duly
sworn to in accordance with law, hereby depose and say:
That we are the surviving heirs of the late EMILIO RESUELLO who died on March 27, 2008
at PGH Hospital, Manila;
That the late Emilio T. Resuello left a parcel of land described as follows:
A parcel of land (Lot No. 24335 of the Cadastral Survey San
Carlos), situated in the Barrio of Balaya, Municipality of San
Carlos. Bounded on the NE. by Lot No.24337; on the SW. y
a road; on the SW. by Lots Nos. 24334 and on the NW. by ot
No. 24336, containing an area of two thousand four hundred
Forty four (2,444) square meters, more or less, under TCT No
12957.
That we are waiving our rights of not claiming back the said property because it was only
placed in the name of said Emilio T. Resuello by the late Domingo Resuello, Sr., (father of the late
Emilio T. Resuello) when he was still alive;
That the truth is that the real and true owner of the said parcel of land above-mentioned is
ANICETA RESUELLO FANGON, the biological daughter of the late Doroteo T. Resuello.
That we are executing this Affidavit of Waiver of Rights to substantiate the truth that the true
owner of the said property is ANICETA RESUELLO FANGON, who is a resident of Agoo, La Union.

Page 2,
Affidavit of Waiver of Rights
x---------- - - - - - - - - - - - - -x
IN WITNESS WHEREOF, we have hereunto set our hands this ___th day of ____________, 2008 at
_______________________
HEIDI S. RESUELLO
Affiant
CTC No. __________________
Issued at Caloocan City
Issued on __________________

EMILIO S. RESUELLO II
Affiant
CTC No. _________________
Issued at Caloocan city
Issued on _________________

ETHELBERT S. RESUELLO
Affiant
CTC NO. __________________
Issued at Caloocan City
Issued on ___________________

ELDREN S. RESUELLO
Affiant
CTC No. ________________
Issued at Caloocan City
Issued on ________________

ETHELYN S. RESUELLO
Affiant
CTC No. ________________
Issued at ________________
Issued on ________________
SUBSCRIBED

AND

SWORN

to

before

this

____th

day

of

___________,2008

at

_______________________.

_________________________
Notary Public
Doc. No. ____;
Page No. ____;
Book Bo.____;
Series of 2008.

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF LA UNION
)S.S.
MUNICIPALITY OF A G O O
)
X-----------------------x
AFFIDAVIT OF LOSS
I, MARIA CONCEPCION F. FANGON, of legal age, widow, Filipino
Citizen, and a resident of Barangay San Nicolas East, Agoo, La Union,
after having been duly sworn to in accordance with law, hereby depose
and say:
That I was issued a Passbook which I could not remember the
number by the Agoo Rural Bank, Agoo, La Union;
That I positively state that the said Passbook issued to me by the
said Agoo Rural Bank was lost from my possession last December 6,
2010 due to unforeseen and unavoidable circumstances;
That I exerted all my efforts to locate the same but in vain.
That I am executing this Affidavit to attest to the truthfulness that
the said Passbook issued by the said Agoo Rural Bank was lost;

IN WITNESS WHEREOF, I have hereunto set my hand this 9 th day

of December, 2010 at Agoo, La Union.
MARIA CONCEPCION F. FANGON
Affiant
Control No. 2294
Issued on March 6,2009

SUBSCRIBED AND SWORN to before me this 9th day of

December, 2010 at Agoo, La Union.
______________________________

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF LA UNION
)S.S.
MUNICIPALITY OF A G O O
)
X-----------------------x
AFFIDAVIT OF LOSS
I, FREDDIE R. DELA CRUZ, of legal age, married, Filipino Citizen, a
PNP-Highway Patrol Group I assigned at Aringay, La Union and a
resident of Barangay San Nicolas East, Agoo, La Union, after having
been duly sworn to in accordance with law, hereby depose and say:
That I am a member of the PNP-Highway Patrol Group for more
than five (5) years;
That on or about 9:00 PM of August 15, 2010 when I parked my
car outside our house coming from my work and was alighted, I noticed
that my wallet was missing/lost including all my important documents,
like PNP ID, OR/CR of Toyota Corolla with Plate No. UHV 326, Firearms
LO of cal. 45, AFPSLAI ID, Drivers license, HPG ID, Original MR/LO of
Cal. 9 MM and PNP check.
That I positively state that all the documents mentioned above
were lost from my possession last August 15 , 2010 due to unforeseen
and unavoidable circumstances;
That I exerted all my efforts to locate the same but in vain.
That I am executing this Affidavit to attest to the truthfulness that
all the above mentioned documents were lost;

IN WITNESS WHEREOF, I have hereunto set my hand this 26 th

day of August, 2010 at Agoo, La Union.

FREDDIE R. DELA CRUZ
Affiant
CTC NO. 29451714
Issued at Agoo, La Union
Issued on August 25, 2010
SUBSCRIBED AND SWORN to before me this _____day of August
2010 at Agoo, La Union.
______________________________

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF LA UNION
)S.S.
MUNICIPALITY OF A G O O
)
X-----------------------x
AFFIDAVIT OF LOSS
I, RONALD C. MONTEMAYOR, 21 years old, single, Filipino Citizen
and a resident of Barangay San Joaquin Norte, Agoo, La Union, after
having been duly sworn to in accordance with law, hereby depose and
say:
That I am a driver by profession for more than five (5) years;
That I was issued a Professional Drivers License by the Land
Transportation Office (LTO), Agoo, La Union.
That I positively state that the said Professional Drivers License
was lost from my possession last June 15 , 2010 together with some
other documents due to unforeseen and unavoidable circumstances;
That I exerted all my efforts to locate the same but in vain.
That I am executing this Affidavit to attest to the truthfulness that
the said Professional Drivers License was lost;

IN WITNESS WHEREOF, I have hereunto set my hand this 21 st day

of June, 2010 at Agoo, La Union.

RONALD C. MONTEMAYOR
Affiant
CTC NO.
Issued at Agoo, La Union
Issued on June 21, 2010

SUBSCRIBED AND SWORN to before me this 21 st

2010 at Agoo, La Union.

day of June

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF LA UNION
)S.S.
MUNICIPALITY OF A G O O
)
X-----------------------x
AFFIDAVIT OF LOSS
I, SOLEDAD ESTACIO DACPANO, 62 age, widow, Filipino Citizen
and a resident of Barangay San Julian West, Agoo, La Union, after
having been duly sworn to in accordance with law, hereby depose and
say:
That I am a holder of a SENIOR CITIZEN and I was issued an I.D.
No. which I could not remember the number by the Office for Senior
Citizen Affair, Agoo, La Union;
That I positively state that the said SENIOR CITIZEN ID was lost
from my possession last January 17, 2011 at around 5:00 oclock in
the afternoon inside our house on top of the refrigerator together with
some other documents due to unforeseen and unavoidable
circumstances;
That I exerted all my efforts to locate the same but in vain.

That I am executing this Affidavit to attest to the truthfulness that

the said SENIOR CITIZEN ID was lost;
IN WITNESS WHEREOF, I have hereunto set my hand this 21 st day
of January 2011 at Agoo, La Union.

SOLEDAD ESTACIO DACPANO

Affiant
CTC NO. 29465739
Issued at Agoo, La Union
Issued on January 10, 2011
SUBSCRIBED AND SWORN to before me this 21 ST day of January
2011 at Agoo, La Union.
______________________________________

Notary Public

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF LA UNION
)S.S.
MUNICIPALITY OF A G O O
)
X-----------------------x
AFFIDAVIT OF LOSS
I, MARIA CONCEPCION F. FANGON, of legal age, widow, Filipino Citizen and a resident of

Barangay San Nicolas East,, Agoo, La Union, after having been duly sworn to in
accordance with law, hereby depose and say:
That I am a holder of a SENIOR CITIZEN ID No. 1805534 which was issued by the
Office for Senior Citizen Affair, Agoo, La Union;

That I positively state that the said SENIOR CITIZEN ID No. 1805534 was lost from
my possession last May 8, 2009 together with some other documents due to unforeseen
and unavoidable circumstances;
That I exerted all my efforts to locate the same but in vain.
That I am executing this Affidavit to attest to the truthfulness that the said SENIOR
CITIZEN ID No. 1805534 was lost;

IN WITNESS WHEREOF, I have hereunto set my hand this ____day of ________ 2009
at Agoo, La Union.

MARIA CONCEPCION F. FANGON

Affiant
CTC NO. 19077746
Issued at Agoo, La Union
Issued on January 7, 2009

SUBSCRIBED AND SWORN to before me this _____ day of ______ 2009 at Agoo, La
Union.

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF LA UNION
)S.S.
MUNICIPALITY OF A G O O
)
X-----------------------x
AFFI DA VIT
I, APOLLO U. FANGON, of legal age, married, Filipino Citizen and a resident of Barangay

San Antonino, Agoo, La Union, after having been duly sworn to in accordance with law,
hereby depose and say:

That I am a holder of a FAMILY HEALTH CARD NO. 05-200276350-8;

That the said FAMILY HEALTH CARD NO. 05-200276350-8 was lost from my
possession last May 8, 2009 together with some other documents due to unforeseen and
unavoidable circumstances;
That I exerted all my efforts to locate the same but in vain.
That I am executing this Affidavit to attest to the truthfulness that the said FAMILY
HEALTH CARD NO. 05-200276350-8 was lost;

IN WITNESS WHEREOF, I have hereunto set my hand this 28th day of November
2008 at Agoo, La Union.

APOLLO U. FANGON
Affiant
CTC NO. ____________
Issued at Agoo, La Union
Issued on ______________

SUBSCRIBED AND SWORN to before me this ____th day of November 2008 at Agoo,
La Union.
________________________