REPUBLIC OF THE PHILIPPINES)

CITY OF DAVAO) S.S.

X-------------------------------------x

AFFIDAVIT OF DECLARATION OF OWNERSHIP

I, _______________________________________, of legal age, Filipino, ____________,

and presently residing at _____________________________________________________,
after having been duly sworn to in accordance with law, depose and
state:

1. That said Corporation is the owner of certain parcel of land, more

particularly described as follows:
(Technical Description of Property)
2. That the said aforementioned Transfer Certificate of Title over
said property includes and contains all the permanent
improvements and buildings located and situated thereon;
3. That I execute this Affidavit to attest and declare the truth of the
foregoing facts and for whatever legal purposes that this Affidavit
may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this _____ day of

__________ 20____ in ____________, __________, Philippines.

Affiant

SUBSCRIBED AND SWORN TO before me this _____ day of _________ at

________________ affiant exhibited to his/her competent evidence of
identity by way of _________________ issued on ____________ ____, 20____ and
valid until ____________ ____, 20____ in _______________, Philippines.

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