REPUBLIC OF THE PHILIPPINES……….

)
CITY OF DUMAGUETE………………………..…)
PROVINCE OF NEGROS ORIENTAL..)

JOINT AFFIDAVIT OF CONSENT

WE, ______________, of legal ages, all married and residents of __________________,

Negros Oriental, respectively, after having been sworn to in accordance with law, depose and
say, THAT:

1. We are the heirs of the late _______________ who passed away on 22 July 2017.
Upon his death we inherited a parcel of land with improvements known as Lot No.
__________ covered by Original Certificate of Title No_______________ situated at
_______________, Negros Oriental. Attached is a copy of the Death Certificate and
Original Certificate of Title No. _________ marked as Annexes A and B;

2. We jointly give our consent to our sister, _____________ for the transfer of name of
NORECO II electric connection with account number ________ registered under the
name of our late father __________, and be transferred and registered under the name
_______________;

3. We are executing this Affidavit to attest to the veracity of our statements and for
whatever legal purpose this may serve.

IN WITNESS WHEREOF, we have hereunto set our hands this ____________ in the
City of Dmaguete, Negros Oriental, Philippines.

Affiant

SUBSCRIBE AND SWORN to before me _________________, in

Dumaguete City, Negros Oriental, Philippines.

Doc No._____;
Page No.____;
Book No.____;
Series 2020.