Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 1

Republic of the Philippines]

City of Dipolog----------------]S.S

AFFIDAVIT
I, FLORA L. VILLAROSA, Filipino, of legal age, single and a resident of
Poblacion, Siayan, Zamboanga del Norte, after having been duly sworn in
accordance with law, hereby depose and state that:

That I am the registered owner of FLV PRIVATE EMISSION TESTING


CENTER located at 96 Mirasol, San Roque, Cubao Quezon City;

That DELTA MOTOR SALES CORPORATION owned the land where my


business was located at 96 Mirasol, San Roque, Cubao Quezon City;

That there is a mutual agreement between DELTA MOTOR SALES


CORPORATION and FLV PRIVATE EMISSION TESTING CENTER to allow us
to use a portion of their land for my business and the monthly rental is based on
the monthly share of income.

That I am executing this affidavit to declare the truth of the foregoing facts
and for whatever legal purpose it may serve.

IN WITNESS HEREOF, I hereto affixed my signature, this ___ day of


December, 2021 at Dipolog City, Philippines

FLORA L. VILLAROSA
Affiant

SUBSCRIBED TO AND SWORN to before me this ______day of December


2021 at Dipolog City, Philippines, by affiant, who is personally known to me and
who presented her TIN: 181-349-890 and who is the same person who personally
signed before me the foregoing affidavit and acknowledge that she executed the
same.

Doc. No.______;
Page No.______;
Book No.______;
Series of 2021

You might also like