VERIFICATION
I, ________________(name)__________________, of legal age, Filipino, and with address at _______________________________, after being duly sworn in accordance with law, depose and state that:
IN WITNESS WHEREOF, I have signed this instrument on _______________________.
| AFFIANT | CTC No. | Date Issued | Place Issued |
SUBSCRIBED AND SWORN to before me this ___ day of _______ 2006, affiants, personally known to and appearing before me, exhibited to me their Community Tax Certificate Numbers as indicated above. Affiants appearing before me personally known and known to me personally.
Doc. No.
Page No.
Book No.
Series of 2006.
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