REPUBLIC OF THE PHILIPPINES)

LA TRINIDAD, BENGUET..)s.s

AFFIDAVIT OF EXPLANATION

I, _____________________, of legal age, married, Filipino Citizen and with

address at La Trinidad, Benguet, after having been duly sworn to in accordance
with law, do hereby depose and say that:

1. I am the owner/__________________ of that ______________

located at _________________

2. Sometime/On __________(date)___________, (EXPLANATION).

3. Finally, I am executing this affidavit for all legal intents and

purposes it may well serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this

_______________________ at La Trinidad, Benguet, Philippines.

___________________________
Affiant
ID No.
Valid Until:

SUBSCRIBED AND SWORN TO BEFORE ME this ____________________________ at

La Trinidad, Benguet. Affiant exhibited to me her/his __________ identification card
bearing the above information as competent proof of his/her identity.

Doc. No.________;
Page No. _______;
Book No. _______;
Series of 2023.