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Republic of the Philippines )

Province of South Cotabato) S.S


City of Koronadal )
X----------------------------------------X

AFFIDAVIT OF NO MORTGAGE

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


_______________________, after having been duly sworn to in accordance with law,
hereby depose and state that:

1. I am the owner (or duly authorized representative of (name of owner), the


owner) of a parcel of land covered under Transfer Certificate of Title No.
____________more particularly described as follows:

(description of land)

2. I have settled all obligations secured by the said parcel of land;

3. The said land is not mortgaged to any individual or corporation when the
contract of lease with Lapanday Foods Corporation took effect;

4. I am executing this affidavit to attest to the truth of all the foregoing


statements and for whatever purposes it may serve best;

IN WITNESS WHEREOF, I have hereunto set my hand this


_________________, in the City of Koronadal, South Cotabato, Philippines.

____________________
Affiant

SUBSCRIBED AND SWORN to before me this __________________, in the


City of Koronadal, South Cotabato, Philippines with affiants exhibiting to me his
identification card, written below his name, with his photograph appearing thereon
sufficient to establish his identity.

Doc. No.
Page No.
Book No.
Series of 2014.

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