VERIFICATION

I, JOAQUIN M. PONCIANO, of legal age, Filipino, with residence at 25

Maria Clara Street, Tuguegarao City, Cagayan, after having been duly sworn in
accordance with law, do hereby state that:

1. I am the plaintiff/petitioner [or defendant/respondent] in the above-

captioned case.

2. I have caused the preparation by my counsel of said complaint/petition

[or answer].

3. I have read the allegations therein contained, and that the same are
true and correct of my personal knowledge or based on authentic records.

IN WITNESS WHEREOF, I have hereunto affixed my signature on this

______________________ at ______________________.

JOAQUIN M. PONCIANO
Plaintiff

SUBSCRIBED AND SWORN TO BEFORE ME this ______________________ at

______________________, by Affiant who personally appeared before me,
exhibiting to me his ______________________ issued on
______________________ at ______________________.

FÉLIX PARDO DE TAVERA

Notary Public
Commission No. _____
Valid until _____
Roll of Attorneys No. _____
IBP No. _____/[date of issue]/[place of issue]
PTR No. _____/[date of issue]/[place of issue]
MCLE No. _____/[date of issue]/[place of issue]

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 20___.