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Republic of the Philippines)

Las Pias City


) s.s
AFFIDAVIT OF no DENIAL
I, , of legal age, single, Filipino, with residence and postal address at
No.xxx , after having been duly sworn in accordance with law depose and
state that:
1. I have applied for a loan in a banking institution;
2. Based on the verifications made by the bank, it appears that several
estafa cases were filed against a certain without any middle name;
3. I admit that I have pending criminal case before any court in the
Philippines;
4. I also attest that no criminal case has ever been filed against me
since birth;
5. I am executing this affidavit to attest to the truth of the foregoing
and for its submission to the bank where I applied for a loan.
FURTHER AFFIANT SAYETH NAUGHT.

Affiant
SUBSCRIBED AND SWORN to before me this 04 February 2009 at Las
Pias City, Philippines, affiant exhibiting her Community Tax Certificate No.
____________ issued on ______________ at _____________, Philippines.

Doc. No.
Book No. 1
Series of 2009

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