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Republic of the Philippines)

Province of Negros Oriental)s.s.


Municipality of Sibulan..…)

AFFIDAVIT OF OWNERSHIP

THAT I, ROCELINE B. JONSEWAR, of legal age, Filipino, married, and a


resident of Bongao, Valencia, Negros Oriental, after having been duly sworn to in
accordance with law, do hereby depose and manifest:

That I am an owner of a 29” POLYTRON MULTI SYSTEM Telivision with 181


channels; type 29PS2000 with Serial No. AB-00447/13 ;

That the purchase price of said Television was sixteen thousand Pesos (Php16,000)
Philippine Currency;

That this affidavit is executed freely and voluntarily and to attest the veracity and
truthfulness of the aforementioned statements and not to defraud any other third party.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ___day of


December 2007, at Sibulan, Negros Oriental.

ROCELINE B. JONSEWAR
(Affiant)

SUBSCRIBED AND SWORN to before me, this ___day of December 2007, at


Sibulan, Negros Oriental.
.

TIRSO F. BANQUERIGO
Circuit Trial Judge

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