REPUBLIC OF THE PHILIPPINES)

Province of Sorsogon ) S.S.

Municipality of Gubat )

AFFIDAVIT OF OWNERSHIP

I, XXX, Filipino, of legal age, residing at Brgy. Balud Del Sur, Gubat,
Sorsogon, after having been sworn in accordance with law hereby depose and
state that:

1. I am the owner of the residential house located at Roxas St., Brgy.

Balud Del Sur, Gubat, Sorsogon;

2. I do hereby declare that I am the lawful owner of the said residential

house, hence, I am applying for the change of the account and billing name for
the above-mentioned address with SORECO II from __________ to herein
affiant, ---------; and

3. I execute this affidavit to establish the truth of the foregoing facts

and for whatever legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this February 28,

2020 in Gubat, Sorsogon, Philippines.

XXX
Affiant

SUBSCRIBED AND SWORN to before me, this February 28, 2020 in

Gubat, Sorsogon, Philippines with affiant exhibiting to me his competent
evidence of identity bearing his signature and photograph by way of SSS ID No.
123456789.

Doc. No. _____;

Page No. ____;
Book No. ____;
Series of 2020.