Republic of the Philippines Municipality of Cebu Province of Cebu
I, , Filipino, of legal age, single with residence and post – office office address at B. R Rodriguez odriguez Street, Cebu Cebu City according to law law hereby depose and say: 1. That I am the owner of the parcel of land covering Lot No. 5789-A of the subdivision plan, Psd-54542, situated in Barangay Ocana, Municipality/City of Carcar, Province of Cebu containing an area of 10,197 square meters more or less and covered by issued by the Register of Deeds, Province of Cebu, City of Cebu; 2. That the above landholding has no tenant and is free from lines and encumbrances; 3. That this affidavit is executed in accordance with DAR Administrative Order No. 2, Series of 2009 as well as to show proof that my landholding has no tenant and is from liens and encumbrances as requirement to support my request for Certificate of DAR Clearance. In WITNESS WHEREOF, WHEREOF, I have hereunto affixed my signature this ______ day of __________,2014 at Cebu City, Philippines.
AFFIANT/S SAYETH NONE: _____________________ _____________________ Place _____________________ _____________________ Date
FRANCISCA S. VELASQUEZ Affiant
SUBSCRIBED AND SWORN to before me this _____ day of 2014 at __________________________; __________________________; affiant/s exhibiting his/her/their Community Tax Certificate No. _____________ issued at ______________________ on __________________, __________________, 2014.
NOTARY PUBLIC Doc. No. ______; Page No. ______; Book No. ______; Series of 2014;
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