AFFIDAVIT

I, DDDDDDDDDDDDDDDDD, of legal age, married to FFFFFFFFFFFFFFFFF, Filipino citizen and a

resident of Pagdalagan Norte, San Fernando City, La Union, after having been duly sworn to in
accordance with law, depose and say:

That I am the owner of a newly constructed building located at FFFFFFFFFFFFFFFFFFFFFF;

That I applied for a building permit in January 10, 2001 under Bldg. Permit FFFFFFFFFFFFFFFFF;

That due to financial constraint the construction of the building was done in staggered
construction. I was only finished and occupied in 2008;

That this affidavit is executed to attest to the truth of all the foregoing facts and likewise for all
legal intents and purposes;

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of July, 2011 at San
Fernando City, La Union.

FFFFFFFFFFFFFFFFFFF
Affiant
SSS ID No. 0D

REPUBLIC OF THE PHILIPPINES )

CITY OF SAN FERNANDO, LU ) S.S

SUBSCRIBED AND SWORN to before me, this 5 th day of July, 2011 affiant having exhibited to me
her SSS ID No. as indicated below her signature.

Doc. No.
Page no.
Book No. IV
Series of 2011

AFFIDAVIT

I, DDDDDDDDDDDDDDDDD, of legal age, married to FFFFFFFFFFFFFFFFF, Filipino citizen and a

resident of Pagdalagan Norte, San Fernando City, La Union, after having been duly sworn to in
accordance with law, depose and say:

That I am the owner of a newly constructed building located at FFFFFFFFFFFFFFFFFFFFFF;

That I applied for a building permit in January 10, 2001 under Bldg. Permit FFFFFFFFFFFFFFFFF;
 That due to financial constraint the construction of the building was done in staggered
construction. I was only finished and occupied in 2008;

That this affidavit is executed to attest to the truth of all the foregoing facts and likewise for all
legal intents and purposes;

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of July, 2011 at San
Fernando City, La Union.

FFFFFFFFFFFFFFFFFFF
Affiant
SSS ID No. 0D

REPUBLIC OF THE PHILIPPINES )

CITY OF SAN FERNANDO, LU ) S.S

SUBSCRIBED AND SWORN to before me, this 5 th day of July, 2011 affiant having exhibited to me
her SSS ID No. as indicated below her signature.

Doc. No.
Page no.
Book No. IV
Series of 2011

AFFIDAVIT

I, DDDDDDDDDDDDDDDDD, of legal age, married to FFFFFFFFFFFFFFFFF, Filipino citizen and a

resident of Pagdalagan Norte, San Fernando City, La Union, after having been duly sworn to in
accordance with law, depose and say:

That I am the owner of a newly constructed building located at FFFFFFFFFFFFFFFFFFFFFF;

That I applied for a building permit in January 10, 2001 under Bldg. Permit FFFFFFFFFFFFFFFFF;

That due to financial constraint the construction of the building was done in staggered
construction. I was only finished and occupied in 2008;

That this affidavit is executed to attest to the truth of all the foregoing facts and likewise for all
legal intents and purposes;

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of July, 2011 at San
Fernando City, La Union.
 FFFFFFFFFFFFFFFFFFF
Affiant
SSS ID No. 0D

REPUBLIC OF THE PHILIPPINES )

CITY OF SAN FERNANDO, LU ) S.S

SUBSCRIBED AND SWORN to before me, this 5 th day of July, 2011 affiant having exhibited to me
her SSS ID No. as indicated below her signature.

Doc. No.
Page no.
Book No. IV
Series of 2011

AFFIDAVIT

I, DDDDDDDDDDDDDDDDD, of legal age, married to FFFFFFFFFFFFFFFFF, Filipino citizen and a

resident of Pagdalagan Norte, San Fernando City, La Union, after having been duly sworn to in
accordance with law, depose and say:

That I am the owner of a newly constructed building located at FFFFFFFFFFFFFFFFFFFFFF;

That I applied for a building permit in January 10, 2001 under Bldg. Permit FFFFFFFFFFFFFFFFF;

That due to financial constraint the construction of the building was done in staggered
construction. I was only finished and occupied in 2008;

That this affidavit is executed to attest to the truth of all the foregoing facts and likewise for all
legal intents and purposes;

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of July, 2011 at San
Fernando City, La Union.

FFFFFFFFFFFFFFFFFFF
Affiant
SSS ID No. 0D

REPUBLIC OF THE PHILIPPINES )

CITY OF SAN FERNANDO, LU ) S.S
 SUBSCRIBED AND SWORN to before me, this 5 th day of July, 2011 affiant having exhibited to me
her SSS ID No. as indicated below her signature.

Doc. No.
Page no.
Book No. IV
Series of 2011

AFFIDAVIT

I, DDDDDDDDDDDDDDDDD, of legal age, married to FFFFFFFFFFFFFFFFF, Filipino citizen and a

resident of Pagdalagan Norte, San Fernando City, La Union, after having been duly sworn to in
accordance with law, depose and say:

That I am the owner of a newly constructed building located at FFFFFFFFFFFFFFFFFFFFFF;

That I applied for a building permit in January 10, 2001 under Bldg. Permit FFFFFFFFFFFFFFFFF;

That due to financial constraint the construction of the building was done in staggered
construction. I was only finished and occupied in 2008;

That this affidavit is executed to attest to the truth of all the foregoing facts and likewise for all
legal intents and purposes;

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of July, 2011 at San
Fernando City, La Union.

FFFFFFFFFFFFFFFFFFF
Affiant
SSS ID No. 0D

REPUBLIC OF THE PHILIPPINES )

CITY OF SAN FERNANDO, LU ) S.S

SUBSCRIBED AND SWORN to before me, this 5 th day of July, 2011 affiant having exhibited to me
her SSS ID No. as indicated below her signature.

Doc. No.
Page no.
Book No. IV
Series of 2011

AFFIDAVIT

I, DDDDDDDDDDDDDDDDD, of legal age, married to FFFFFFFFFFFFFFFFF, Filipino citizen and a

resident of Pagdalagan Norte, San Fernando City, La Union, after having been duly sworn to in
accordance with law, depose and say:

That I am the owner of a newly constructed building located at FFFFFFFFFFFFFFFFFFFFFF;

That I applied for a building permit in January 10, 2001 under Bldg. Permit FFFFFFFFFFFFFFFFF;

That due to financial constraint the construction of the building was done in staggered
construction. I was only finished and occupied in 2008;

That this affidavit is executed to attest to the truth of all the foregoing facts and likewise for all
legal intents and purposes;

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of July, 2011 at San
Fernando City, La Union.

FFFFFFFFFFFFFFFFFFF
Affiant
SSS ID No. 0D

REPUBLIC OF THE PHILIPPINES )

CITY OF SAN FERNANDO, LU ) S.S

SUBSCRIBED AND SWORN to before me, this 5 th day of July, 2011 affiant having exhibited to me
her SSS ID No. as indicated below her signature.

Doc. No.
Page no.
Book No. IV
Series of 2011

AFFIDAVIT
 I, DDDDDDDDDDDDDDDDD, of legal age, married to FFFFFFFFFFFFFFFFF, Filipino citizen and a
resident of Pagdalagan Norte, San Fernando City, La Union, after having been duly sworn to in
accordance with law, depose and say:

That I am the owner of a newly constructed building located at FFFFFFFFFFFFFFFFFFFFFF;

That I applied for a building permit in January 10, 2001 under Bldg. Permit FFFFFFFFFFFFFFFFF;

That due to financial constraint the construction of the building was done in staggered
construction. I was only finished and occupied in 2008;

That this affidavit is executed to attest to the truth of all the foregoing facts and likewise for all
legal intents and purposes;

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of July, 2011 at San
Fernando City, La Union.

FFFFFFFFFFFFFFFFFFF
Affiant
SSS ID No. 0D

REPUBLIC OF THE PHILIPPINES )

CITY OF SAN FERNANDO, LU ) S.S

SUBSCRIBED AND SWORN to before me, this 5 th day of July, 2011 affiant having exhibited to me
her SSS ID No. as indicated below her signature.

Doc. No.
Page no.
Book No. IV
Series of 2011

AFFIDAVIT

I, DDDDDDDDDDDDDDDDD, of legal age, married to FFFFFFFFFFFFFFFFF, Filipino citizen and a

resident of Pagdalagan Norte, San Fernando City, La Union, after having been duly sworn to in
accordance with law, depose and say:

That I am the owner of a newly constructed building located at FFFFFFFFFFFFFFFFFFFFFF;

That I applied for a building permit in January 10, 2001 under Bldg. Permit FFFFFFFFFFFFFFFFF;

That due to financial constraint the construction of the building was done in staggered
construction. I was only finished and occupied in 2008;
 That this affidavit is executed to attest to the truth of all the foregoing facts and likewise for all
legal intents and purposes;

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of July, 2011 at San
Fernando City, La Union.

FFFFFFFFFFFFFFFFFFF
Affiant
SSS ID No. 0D

REPUBLIC OF THE PHILIPPINES )

CITY OF SAN FERNANDO, LU ) S.S

SUBSCRIBED AND SWORN to before me, this 5 th day of July, 2011 affiant having exhibited to me
her SSS ID No. as indicated below her signature.

Doc. No.
Page no.
Book No. IV
Series of 2011

AFFIDAVIT

I, DDDDDDDDDDDDDDDDD, of legal age, married to FFFFFFFFFFFFFFFFF, Filipino citizen and a

resident of Pagdalagan Norte, San Fernando City, La Union, after having been duly sworn to in
accordance with law, depose and say:

That I am the owner of a newly constructed building located at FFFFFFFFFFFFFFFFFFFFFF;

That I applied for a building permit in January 10, 2001 under Bldg. Permit FFFFFFFFFFFFFFFFF;

That due to financial constraint the construction of the building was done in staggered
construction. I was only finished and occupied in 2008;

That this affidavit is executed to attest to the truth of all the foregoing facts and likewise for all
legal intents and purposes;

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of July, 2011 at San
Fernando City, La Union.
 FFFFFFFFFFFFFFFFFFF
Affiant
SSS ID No. 0D

REPUBLIC OF THE PHILIPPINES )

CITY OF SAN FERNANDO, LU ) S.S

SUBSCRIBED AND SWORN to before me, this 5 th day of July, 2011 affiant having exhibited to me
her SSS ID No. as indicated below her signature.

Doc. No.
Page no.
Book No. IV
Series of 2011

AFFIDAVIT

I, DDDDDDDDDDDDDDDDD, of legal age, married to FFFFFFFFFFFFFFFFF, Filipino citizen and a

resident of Pagdalagan Norte, San Fernando City, La Union, after having been duly sworn to in
accordance with law, depose and say:

That I am the owner of a newly constructed building located at FFFFFFFFFFFFFFFFFFFFFF;

That I applied for a building permit in January 10, 2001 under Bldg. Permit FFFFFFFFFFFFFFFFF;

That due to financial constraint the construction of the building was done in staggered
construction. I was only finished and occupied in 2008;

That this affidavit is executed to attest to the truth of all the foregoing facts and likewise for all
legal intents and purposes;

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of July, 2011 at San
Fernando City, La Union.

FFFFFFFFFFFFFFFFFFF
Affiant
SSS ID No. 0D

REPUBLIC OF THE PHILIPPINES )

CITY OF SAN FERNANDO, LU ) S.S
 SUBSCRIBED AND SWORN to before me, this 5 th day of July, 2011 affiant having exhibited to me
her SSS ID No. as indicated below her signature.

Doc. No.
Page no.
Book No. IV
Series of 2011

AFFIDAVIT

I, DDDDDDDDDDDDDDDDD, of legal age, married to FFFFFFFFFFFFFFFFF, Filipino citizen and a

resident of Pagdalagan Norte, San Fernando City, La Union, after having been duly sworn to in
accordance with law, depose and say:

That I am the owner of a newly constructed building located at FFFFFFFFFFFFFFFFFFFFFF;

That I applied for a building permit in January 10, 2001 under Bldg. Permit FFFFFFFFFFFFFFFFF;

That due to financial constraint the construction of the building was done in staggered
construction. I was only finished and occupied in 2008;

That this affidavit is executed to attest to the truth of all the foregoing facts and likewise for all
legal intents and purposes;

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of July, 2011 at San
Fernando City, La Union.

FFFFFFFFFFFFFFFFFFF
Affiant
SSS ID No. 0D

REPUBLIC OF THE PHILIPPINES )

CITY OF SAN FERNANDO, LU ) S.S

SUBSCRIBED AND SWORN to before me, this 5 th day of July, 2011 affiant having exhibited to me
her SSS ID No. as indicated below her signature.

Doc. No.
Page no.
Book No. IV
Series of 2011
 AFFIDAVIT

I, DDDDDDDDDDDDDDDDD, of legal age, married to FFFFFFFFFFFFFFFFF, Filipino citizen and a

resident of Pagdalagan Norte, San Fernando City, La Union, after having been duly sworn to in
accordance with law, depose and say:

That I am the owner of a newly constructed building located at FFFFFFFFFFFFFFFFFFFFFF;

That I applied for a building permit in January 10, 2001 under Bldg. Permit FFFFFFFFFFFFFFFFF;

That due to financial constraint the construction of the building was done in staggered
construction. I was only finished and occupied in 2008;

That this affidavit is executed to attest to the truth of all the foregoing facts and likewise for all
legal intents and purposes;

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of July, 2011 at San
Fernando City, La Union.

FFFFFFFFFFFFFFFFFFF
Affiant
SSS ID No. 0D

REPUBLIC OF THE PHILIPPINES )

CITY OF SAN FERNANDO, LU ) S.S

SUBSCRIBED AND SWORN to before me, this 5 th day of July, 2011 affiant having exhibited to me
her SSS ID No. as indicated below her signature.

Doc. No.
Page no.
Book No. IV
Series of 2011

AFFIDAVIT

I, DDDDDDDDDDDDDDDDD, of legal age, married to FFFFFFFFFFFFFFFFF, Filipino citizen and a

resident of Pagdalagan Norte, San Fernando City, La Union, after having been duly sworn to in
accordance with law, depose and say:
 That I am the owner of a newly constructed building located at FFFFFFFFFFFFFFFFFFFFFF;

That I applied for a building permit in January 10, 2001 under Bldg. Permit FFFFFFFFFFFFFFFFF;

That due to financial constraint the construction of the building was done in staggered
construction. I was only finished and occupied in 2008;

That this affidavit is executed to attest to the truth of all the foregoing facts and likewise for all
legal intents and purposes;

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of July, 2011 at San
Fernando City, La Union.

FFFFFFFFFFFFFFFFFFF
Affiant
SSS ID No. 0D

REPUBLIC OF THE PHILIPPINES )

CITY OF SAN FERNANDO, LU ) S.S

SUBSCRIBED AND SWORN to before me, this 5 th day of July, 2011 affiant having exhibited to me
her SSS ID No. as indicated below her signature.

Doc. No.
Page no.
Book No. IV
Series of 2011

AFFIDAVIT

I, DDDDDDDDDDDDDDDDD, of legal age, married to FFFFFFFFFFFFFFFFF, Filipino citizen and a

resident of Pagdalagan Norte, San Fernando City, La Union, after having been duly sworn to in
accordance with law, depose and say:

That I am the owner of a newly constructed building located at FFFFFFFFFFFFFFFFFFFFFF;

That I applied for a building permit in January 10, 2001 under Bldg. Permit FFFFFFFFFFFFFFFFF;

That due to financial constraint the construction of the building was done in staggered
construction. I was only finished and occupied in 2008;

That this affidavit is executed to attest to the truth of all the foregoing facts and likewise for all
legal intents and purposes;
 IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of July, 2011 at San
Fernando City, La Union.

FFFFFFFFFFFFFFFFFFF
Affiant
SSS ID No. 0D

REPUBLIC OF THE PHILIPPINES )

CITY OF SAN FERNANDO, LU ) S.S

SUBSCRIBED AND SWORN to before me, this 5 th day of July, 2011 affiant having exhibited to me
her SSS ID No. as indicated below her signature.

Doc. No.
Page no.
Book No. IV
Series of 2011

AFFIDAVIT

I, DDDDDDDDDDDDDDDDD, of legal age, married to FFFFFFFFFFFFFFFFF, Filipino citizen and a

resident of Pagdalagan Norte, San Fernando City, La Union, after having been duly sworn to in
accordance with law, depose and say:

That I am the owner of a newly constructed building located at FFFFFFFFFFFFFFFFFFFFFF;

That I applied for a building permit in January 10, 2001 under Bldg. Permit FFFFFFFFFFFFFFFFF;

That due to financial constraint the construction of the building was done in staggered
construction. I was only finished and occupied in 2008;

That this affidavit is executed to attest to the truth of all the foregoing facts and likewise for all
legal intents and purposes;

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of July, 2011 at San
Fernando City, La Union.

FFFFFFFFFFFFFFFFFFF
Affiant
SSS ID No. 0D
REPUBLIC OF THE PHILIPPINES )
CITY OF SAN FERNANDO, LU ) S.S

SUBSCRIBED AND SWORN to before me, this 5 th day of July, 2011 affiant having exhibited to me
her SSS ID No. as indicated below her signature.

Doc. No.
Page no.
Book No. IV
Series of 2011

AFFIDAVIT

I, DDDDDDDDDDDDDDDDD, of legal age, married to FFFFFFFFFFFFFFFFF, Filipino citizen and a

resident of Pagdalagan Norte, San Fernando City, La Union, after having been duly sworn to in
accordance with law, depose and say:

That I am the owner of a newly constructed building located at FFFFFFFFFFFFFFFFFFFFFF;

That I applied for a building permit in January 10, 2001 under Bldg. Permit FFFFFFFFFFFFFFFFF;

That due to financial constraint the construction of the building was done in staggered
construction. I was only finished and occupied in 2008;

That this affidavit is executed to attest to the truth of all the foregoing facts and likewise for all
legal intents and purposes;

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of July, 2011 at San
Fernando City, La Union.

FFFFFFFFFFFFFFFFFFF
Affiant
SSS ID No. 0D

REPUBLIC OF THE PHILIPPINES )

CITY OF SAN FERNANDO, LU ) S.S

SUBSCRIBED AND SWORN to before me, this 5 th day of July, 2011 affiant having exhibited to me
her SSS ID No. as indicated below her signature.
Doc. No.
Page no.
Book No. IV
Series of 2011

AFFIDAVIT

I, DDDDDDDDDDDDDDDDD, of legal age, married to FFFFFFFFFFFFFFFFF, Filipino citizen and a

resident of Pagdalagan Norte, San Fernando City, La Union, after having been duly sworn to in
accordance with law, depose and say:

That I am the owner of a newly constructed building located at FFFFFFFFFFFFFFFFFFFFFF;

That I applied for a building permit in January 10, 2001 under Bldg. Permit FFFFFFFFFFFFFFFFF;

That due to financial constraint the construction of the building was done in staggered
construction. I was only finished and occupied in 2008;

That this affidavit is executed to attest to the truth of all the foregoing facts and likewise for all
legal intents and purposes;

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of July, 2011 at San
Fernando City, La Union.

FFFFFFFFFFFFFFFFFFF
Affiant
SSS ID No. 0D

REPUBLIC OF THE PHILIPPINES )

CITY OF SAN FERNANDO, LU ) S.S

SUBSCRIBED AND SWORN to before me, this 5 th day of July, 2011 affiant having exhibited to me
her SSS ID No. as indicated below her signature.

Doc. No.
Page no.
Book No. IV
Series of 2011
 AFFIDAVIT

I, DDDDDDDDDDDDDDDDD, of legal age, married to FFFFFFFFFFFFFFFFF, Filipino citizen and a

resident of Pagdalagan Norte, San Fernando City, La Union, after having been duly sworn to in
accordance with law, depose and say:

That I am the owner of a newly constructed building located at FFFFFFFFFFFFFFFFFFFFFF;

That I applied for a building permit in January 10, 2001 under Bldg. Permit FFFFFFFFFFFFFFFFF;

That due to financial constraint the construction of the building was done in staggered
construction. I was only finished and occupied in 2008;

That this affidavit is executed to attest to the truth of all the foregoing facts and likewise for all
legal intents and purposes;

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of July, 2011 at San
Fernando City, La Union.

FFFFFFFFFFFFFFFFFFF
Affiant
SSS ID No. 0D

REPUBLIC OF THE PHILIPPINES )

CITY OF SAN FERNANDO, LU ) S.S

SUBSCRIBED AND SWORN to before me, this 5 th day of July, 2011 affiant having exhibited to me
her SSS ID No. as indicated below her signature.

Doc. No.
Page no.
Book No. IV
Series of 2011

AFFIDAVIT

I, DDDDDDDDDDDDDDDDD, of legal age, married to FFFFFFFFFFFFFFFFF, Filipino citizen and a

resident of Pagdalagan Norte, San Fernando City, La Union, after having been duly sworn to in
accordance with law, depose and say:

That I am the owner of a newly constructed building located at FFFFFFFFFFFFFFFFFFFFFF;

 That I applied for a building permit in January 10, 2001 under Bldg. Permit FFFFFFFFFFFFFFFFF;

That due to financial constraint the construction of the building was done in staggered
construction. I was only finished and occupied in 2008;

That this affidavit is executed to attest to the truth of all the foregoing facts and likewise for all
legal intents and purposes;

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of July, 2011 at San
Fernando City, La Union.

FFFFFFFFFFFFFFFFFFF
Affiant
SSS ID No. 0D

REPUBLIC OF THE PHILIPPINES )

CITY OF SAN FERNANDO, LU ) S.S

SUBSCRIBED AND SWORN to before me, this 5 th day of July, 2011 affiant having exhibited to me
her SSS ID No. as indicated below her signature.

Doc. No.
Page no.
Book No. IV
Series of 2011

AFFIDAVIT

I, DDDDDDDDDDDDDDDDD, of legal age, married to FFFFFFFFFFFFFFFFF, Filipino citizen and a

resident of Pagdalagan Norte, San Fernando City, La Union, after having been duly sworn to in
accordance with law, depose and say:

That I am the owner of a newly constructed building located at FFFFFFFFFFFFFFFFFFFFFF;

That I applied for a building permit in January 10, 2001 under Bldg. Permit FFFFFFFFFFFFFFFFF;

That due to financial constraint the construction of the building was done in staggered
construction. I was only finished and occupied in 2008;

That this affidavit is executed to attest to the truth of all the foregoing facts and likewise for all
legal intents and purposes;

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of July, 2011 at San
Fernando City, La Union.
 FFFFFFFFFFFFFFFFFFF
Affiant
SSS ID No. 0D

REPUBLIC OF THE PHILIPPINES )

CITY OF SAN FERNANDO, LU ) S.S

SUBSCRIBED AND SWORN to before me, this 5 th day of July, 2011 affiant having exhibited to me
her SSS ID No. as indicated below her signature.

Doc. No.
Page no.
Book No. IV
Series of 2011

AFFIDAVIT

I, DDDDDDDDDDDDDDDDD, of legal age, married to FFFFFFFFFFFFFFFFF, Filipino citizen and a

resident of Pagdalagan Norte, San Fernando City, La Union, after having been duly sworn to in
accordance with law, depose and say:

That I am the owner of a newly constructed building located at FFFFFFFFFFFFFFFFFFFFFF;

That I applied for a building permit in January 10, 2001 under Bldg. Permit FFFFFFFFFFFFFFFFF;

That due to financial constraint the construction of the building was done in staggered
construction. I was only finished and occupied in 2008;

That this affidavit is executed to attest to the truth of all the foregoing facts and likewise for all
legal intents and purposes;

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of July, 2011 at San
Fernando City, La Union.

FFFFFFFFFFFFFFFFFFF
Affiant
SSS ID No. 0D
REPUBLIC OF THE PHILIPPINES )
CITY OF SAN FERNANDO, LU ) S.S

SUBSCRIBED AND SWORN to before me, this 5 th day of July, 2011 affiant having exhibited to me
her SSS ID No. as indicated below her signature.

Doc. No.
Page no.
Book No. IV
Series of 2011

AFFIDAVIT

I, DDDDDDDDDDDDDDDDD, of legal age, married to FFFFFFFFFFFFFFFFF, Filipino citizen and a

resident of Pagdalagan Norte, San Fernando City, La Union, after having been duly sworn to in
accordance with law, depose and say:

That I am the owner of a newly constructed building located at FFFFFFFFFFFFFFFFFFFFFF;

That I applied for a building permit in January 10, 2001 under Bldg. Permit FFFFFFFFFFFFFFFFF;

That due to financial constraint the construction of the building was done in staggered
construction. I was only finished and occupied in 2008;

That this affidavit is executed to attest to the truth of all the foregoing facts and likewise for all
legal intents and purposes;

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of July, 2011 at San
Fernando City, La Union.

FFFFFFFFFFFFFFFFFFF
Affiant
SSS ID No. 0D

REPUBLIC OF THE PHILIPPINES )

CITY OF SAN FERNANDO, LU ) S.S

SUBSCRIBED AND SWORN to before me, this 5 th day of July, 2011 affiant having exhibited to me
her SSS ID No. as indicated below her signature.
Doc. No.
Page no.
Book No. IV
Series of 2011

AFFIDAVIT

I, DDDDDDDDDDDDDDDDD, of legal age, married to FFFFFFFFFFFFFFFFF, Filipino citizen and a

resident of Pagdalagan Norte, San Fernando City, La Union, after having been duly sworn to in
accordance with law, depose and say:

That I am the owner of a newly constructed building located at FFFFFFFFFFFFFFFFFFFFFF;

That I applied for a building permit in January 10, 2001 under Bldg. Permit FFFFFFFFFFFFFFFFF;

That due to financial constraint the construction of the building was done in staggered
construction. I was only finished and occupied in 2008;

That this affidavit is executed to attest to the truth of all the foregoing facts and likewise for all
legal intents and purposes;

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of July, 2011 at San
Fernando City, La Union.

FFFFFFFFFFFFFFFFFFF
Affiant
SSS ID No. 0D

REPUBLIC OF THE PHILIPPINES )

CITY OF SAN FERNANDO, LU ) S.S

SUBSCRIBED AND SWORN to before me, this 5 th day of July, 2011 affiant having exhibited to me
her SSS ID No. as indicated below her signature.

Doc. No.
Page no.
Book No. IV
Series of 2011