REPUBLIC OF THE PHILIPPINES)

CITY OF CEBU……………………..)S.S.

AFFIDAVIT OF NO CONSENT

I, _______________________________________, of legal age, Filipino and a resident of

________________________________________________Cebu City, Philippines, after having
been duly sworn to in accordance with the law, depose and say;

1. ______a. That I am the owner of the house constructed in the above-

mentioned address.
______b. That I am the renter of the house owned by
______________________________, constructed in the above-mentioned
address.

2. That by virtue of this Affidavit, I hereby make it known that I am an

applicant under the Let There Be Light Program (LTBL Program) of the
Cebu City Government.

3. That one of the requirements of the LTBL Program is the Lot Owner’s
Consent.

4. That I cannot provide the said requirement since

______a. the lot owner is an absentee lot owner.
______b. the lot owner is not known by me nor by my neighbors.
______c. others (please specify): __________________________________________
_____________________________________________________________________.

5. That I have exerted efforts to obtain the consent of the owner, to no avail.

6. That I am executing this Affidavit in order to attest to the veracity of the

foregoing facts and for whatever legal purposes this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this _____ day of

____________ at Cebu City, Philippines.

________________________________
AFFIANT

SUBSCRIBED AND SWORN to before me this ____ day of _______________ in Cebu City,
Philippines. Affiant exhibited to me his/her ID No. ___________________ as competent
evidence of identity.

Doc. No. ______;

Page No. _____;
Book No. ______;
Series of 2019.