Sei sulla pagina 1di 29

REPUBLIC OF THE PHILIPPINES) CITY OF BAGUIO

) S.S.

AFFIDAVIT OF ADJUDICATION OF ESTATE OF A DECEASED PERSON I, ENTENG SANTOS., of legal age, single and now residing at #66 Teachers Camp, Baguio City, Philippines, after having been sworn in accordance with law, depose and say: 1. That I am the only surviving son of ESTEBAN SANTOS., who died intestate in the City of Baguio, Philippines, on January 1, 2013 as evidenced by Death Certificate issued by the Civil Registrar of Baguio and certified by the National Statistics Office, Baguio City; 2. That said deceased left an estate consisting of a parcel of land measuring ONE HUNDRED TWENTY SQUARE METERS (120 sq.m.), located in the city of Baguio, and evidenced by Transfer Certificate of Title No. 122132 issued by the Registry of Deeds of Baguio; 3. That the said parcel of land is more particularly described as follows, to wit: A PARCEL OF LAND (LOT 29, BLK. 5 PSD-1-013437, BEING A PORTION OF PLAN PSU189706, L.R.C. REC. NO. 123) SITUATED AT RES. SEC. J IRISAN, CITY OF BAGUIO, ISLAND OF LUZON. BOUNDED ON THE NW., ALONG LINE 1-2 BY LOT 27; ONT THE SE., ALONG LINE 6-1 BY LOT 30, BLK. 5, BOTH PSD-1-013437. BEGINNING AT A POINT MARKED 1 OF LOT 29, BLK. 5 ON PLAN, BEING N. 82 DEG. 43 W., 173.93 M FROM TRIANGULATION STA. BOYD, BAGUIO TOWNSITE THENCE 68 DEG., 05E.M, 21.88 M. TO POINT 2; THENCE S. 32 DEG., 51 E., 4.00 M. TO POINT 3; THENCE S. 37 DEG., 47E TO POINT BEGINNING; CONTAINING AN AREA OF SEVEN HUNDRED EIGHTY SQUARE METERS. ALL POINTS REFERRED TO ARE INDICATED ON THE PLAN, MARKED ON THE GROUND BY P.S. CYL. CONC. MONS. (15X60 CM); BEARING TRUE DATE; DATE OF ORIGINAL SURVEY ONNovember 20, 1987; DATE OF SUBDIVISION SURVEY ON AUGUST 6, 1989, EXECUTED BY ENGR. JOSEPH K. WANG AND APPROVED ON JANUARY 11, 2011. 4. That said deceased left no debts;

5. That the net value of said estate is not more than TWO MILLION PESOS (P2,000,000.00), subject to estate and inheritance taxes; 6. That pursuant to Rule 74, Sec. 1 of the Rules of Court, I hereby adjudicate unto myself the above described real estate by means of this affidavit and hereby files the same with the Registry of Deeds of Baguio City, with the request that said adjudication be made effective without judicial proceedings as prescribed by the aforementioned Rules of Court.

IN WITNESS WHEREOF, I have hereunto set my hand this 18th day of November 2013, in the City of Baguio, Philippines.

ENTENG SANTOS Affiant

SUBSCRIBED AND SWORN to before me, in the City of Baguio, Philippines, this 18th day of November 2013, by Mr. Enteng G. Santos who exhibited to me his Passport No. EB1624535, as competent proof of his identity, and who is the same person who personally signed before me the foregoing affidavit and acknowledged that he executed the same.

Doc. No. 1 Page No. 1 Book No. 1 Series of 2013.

HOBART H. CHAN Notary Public for Baguio City Until December 31, 2014 123 Session Road, Baguio City PTR No. 123/Baguio City/12-31-14 Roll of Atty. No. 32570 IBP Lifetime Membership No. 999 MCLE Compliance No 9999

REPUBLIC OF THE PHILIPPINES) CITY OF BAGUIO

) S.S.

AFFIDAVIT OF SELF-ADJUDICATION

I, EMAN SANTOS, of legal age, Filipino, single and a resident of No. 123 Tacay Road, Baguio City, Philippines, after having been duly sworn in accordance with law, do hereby depose and say: 1. That I am the only daughter of GREGORY DEL PILAR who died intestate in Naguilian, Road, Baguio City, on April 13, 2013 as evidenced by Death Certificate issued by the City of Baguio, hereto attached as ANNEX A and made an integral part of this Affidavit; 2. That the said deceased left cash deposit in Bank of Philippine Islands, Inc., the amount of P300,000.00; 3. That the said deceased left no debts; 4. That pursuant to Rule 74, Sec. 1 of the Rules of Court, I hereby adjudicate unto myself the above described real estate by means of this Affidavit and hereby files the same with the Register of Deed of Baguio City with the request that the said adjudication be made effective without judicial proceeding as prescribed by the aforementioned Rules of Court. IN WITNESS WHEREOF, I have hereunto set my hand this 18th day of November 2013, in the City of Baguio, Philippines.

EMAN SANTOS Affiant

SUBSCRIBED AND SWORN to before me, in the City of Baguio, Philippines, 18th day of November 2013, by Mr. Enteng G. Santos who exhibited to me his Passport No. EB1624536, as competent proof of his identity, and who is the same person who personally signed before me the foregoing affidavit and acknowledged that he executed the same.

Doc. No. 2 Page No. 1 Book No. 1 Series of 2013.

HOBART H. CHAN Notary Public for Baguio City Until December 31, 2014 123 Session Road, Baguio City PTR No. 123/Baguio City/12-31-14 Roll of Atty. No. 32570 IBP Lifetime Membership No. 999 MCLE Compliance No 9999

REPUBLIC OF THE PHILIPPINES ) CITY OF BAGUIO

) S.S.

AFFIDAVIT OF BIRTH BY TWO DISINTERESTED PERSONS


We, JUAN BARNABE and TSU CHAUN, both of legal age, single, Filipino citizens and residents of No. 1 Malvar Street, Trancovill , Baguio City, and No. 10 Malvar Street, Trancovill, Baguio City, Philippines respectively, after having been duly sworn to in accordance with law, hereby depose and say: 1. That we personally know one LUIS DE LEON, the son of the late JACK DE LEON, and JILL DE LEON, being our close friend and neighbor on the said locality; 2. That we know for the fact that he had been known to have been born and had been using as date of birthNovember 20, 1987 in all his records such as Baptismal Certificate, Voters Registration, School Records, Marriage Certificate and practically in all his legal transactions; 3. That upon securing a copy of his Certificate of Live Birth, both at the Local Civil Registrar of Baguio City and the National Statistics Office, he found out that he has no record in both agencies pertaining to his registration; 4. That we are executing this affidavit to the truth of the foregoing statements that LUIS DE LEON was born onNovember 20, 1987 explaining that the fact of his birth was not registered and establishing the fact that his true and real birth date isNovember 20, 1987 and for all legal purpose and intents it may deem serve. IN WITNESS WHEREOF, we hereunto affix our signatures this 18th day of November 2013 in the City of Baguio, Philippines.

JUAN A. BARNABE Affiant

TSU S. CHUAN Affiant

SUBSCRIBED AND SWORN to before me, in the City of Baguio this 18th day of November 2013, who has satisfactorily proven their identities through: Juan Barnabe, with Passport No. WW441255, valid until June 2, 2015. Tsu Chuan, with Professional Drivers License No. GH-778981, valid until April 18, 2015.

Doc. No. 3 Page No. 1 Book No. 1 Series of 2013.

HOBART H. CHAN Notary Public for Baguio City Until December 31, 2014 123 Session Road, Baguio City PTR No. 123/Baguio City/12-31-14 Roll of Atty. No. 32570 IBP Lifetime Membership No. 999 MCLE Compliance No 9999

REPUBLIC OF THE PHILIPPINES) CITY OF BAGUIO

) S.S.

AFFIDAVIT OF CONSENT FOR TRAVEL OF A MINOR ABROAD


We, spouses JOHN DELA CRUZ and JANE DELA CRUZ, both of legal age, Filipino citizens and residing at #44 Honeymoon Road, Baguio City, after having been duly sworn to according to law, hereby depose and state: 1. old; That we are the legitimate parents of GERMANE DELA CRUZ, who is 17 years

2. That our above-named son is scheduled to leave for Japan on January 1, 2014 for about a week vacation with our mother who resides at #4 Ikabuko St. Naniwa Village , Tokyo , Japan; 3. That since our said son is traveling alone and is still a minor; we hereby give our consent freely and voluntarily for him to travel to Japan on said date; 4. That while in Japan, our mother will shoulder his expenses during his stay thereat, while we are responsible for his round trip ticket fare from Manila to Narita, Japan and we guarantee that he will not be a public charge and will comply with all the laws and rules and regulations imposed upon transient visitors in Japan; 5. That we are executing this affidavit in order to attest to the truth of the foregoing circumstances and for the purpose of giving our parental consent to our son on account of his trip to Japan next month. IN WITNESS WHEREOF, we have hereunto set our hand this 18th day of November 2013 in the City of Baguio, Philippines.

JOHN F. DELA CRUZ Affiant

JANE D. DELA CRUZ Affiant

SUBSCRIBED AND SWORN to before me, in the City of Baguio this 18th day of November 2013, who has satisfactorily proven their identities through: John Dela Cruz, with Passport No. WW441254, valid until June 2, 2015. Juana Dela Cruz, with Professional Drivers License No. GH-778980, valid until April 18, 2015.

Doc. No. 4 Page No. 1 Book No. 1 Series of 2013.

HOBART H. CHAN Notary Public for Baguio City Until December 31, 2014 123 Session Road, Baguio City PTR No. 123/Baguio City/12-31-14 Roll of Atty. No. 32570 IBP Lifetime Membership No. 999

MCLE Compliance No 9999 REPUBLIC OF THE PHILIPPINES ) CITY OF BAGUIO ) S.S.

AFFIDAVIT OF DESISTANCE
I, JOHN PAUL IRETON of legal age, single and with residence address at #44 Honeymoon Road, Baguio City, after having been duly sworn to according to law, hereby deposes and states: 1. That I am the Private Complainant in Criminal Case No. 35667-R for violation of B.P. Blg. 22 otherwise known as the Bouncing Checks Law now pending before the Regional Trial Court, Baguio City, Branch 3; 2. That the accused HULK T. HOGAN has settled his obligations with me to my full satisfaction; 3. That due to the aforementioned reason, I freely and voluntarily pray for the FINAL DISMISSAL of the case against HULK T. HOGAN; 4. That I am no longer interested to pursue the case against said Heribert HULK T. HOGAN; 5. That I am now requesting the Office of the City Prosecutor of Baguio City and the Honorable Court, Regional Trial Court, Branch 3 of Baguio City to have the case withdrawn against HULK T. HOGAN; 6. That I am executing this Affidavit of Desistance to attest to the truth of all the foregoing facts, as well as, to withdraw my complaint against HULK T. HOGAN, and ultimately have the case against him be dismissed. IN WITNESS WHEREOF, I have set hereunto my signature 18th day of November 2013 in the City of Baguio, Philippines.

JOHN PAUL C. IRETON Affiant CERTIFICATION This is to certify that I have personally examined the affiant and I am convinced that he voluntarily executed his statement and understood the contents thereof.

DWAYNE R. JOHNSON Public Prosecutor

SUBSCRIBED AND SWORN to before me, in the City of Baguio, Philippines, this 18th day of November 2013, by affiants, who have satisfactorily proven their identity through Ferrari Jones, who is personally known to me and who personally knows the principals, that they are the same persons who executed and personally signed the foregoing affidavit before me and acknowledged that they executed the same.

Doc. No. 5 Page No. 1 Book No. 1 Series of 2013.

HOBART H. CHAN Notary Public for Baguio City Until December 31, 2014 123 Session Road, Baguio City PTR No. 123/Baguio City/12-31-14 Roll of Atty. No. 32570 IBP Lifetime Membership No. 999 MCLE Compliance No 9999

REPUBLIC OF THE PHILIPPINES ) CITY OF BAGUIO

) S.S.

AFFIDAVIT OF DISCREPANCY OF DATE OF BIRTH

I, FREDDIE A. MERCURY, of legal age, single, Filipino and a resident of #44 Honeymoon Road, Baguio City, Philippines, having been duly sworn in accordance with law, hereby depose and state: 1. That in my Certificate of Live Birth as recorded in the Office of the Civil Registrar of Baguio City, Philippines and Secondary Student Permanent Record at Baguio City National High School, it is stated that I was born on 6 August 1989 at Honeymoon Road, Baguio City, Philippines; 2. That my relatives, acting on the honest belief that I was born on 6 August 1988, had used 6 August 1988 as my birth date in all pertinent school records when they processed my enrollment at the University of the Cordilleras in Baguio City; 3. That when I filled up my voters registration record required by the Commission on Election last May 2010, I had inadvertently and erroneously written the date of my birth as 6 August 1988 instead of 6 August 1989; 4. That I am executing this Affidavit of Discrepancy to attest to the truth of the foregoing facts and to explain the discrepancy in my Certificates of Live Birth, Secondary Student Permanent Record, Transcript of Records and Voter Registration Form as regards to my date of birth; 5. Further, I am declaring that from this date hereon I would be using my true and correct date of birth of 6 August 1989 in all my papers, records and other documents. IN WITNESS WHEREOF, we have hereunto set our hand this 19th day of November 2013 in the City of Baguio, Philippines.

FREDDIE A. MERCURY Affiant SUBSCRIBED AND SWORN to before me, in the City of Baguio, Philippines, this 19th day of November 2013, by Mr. Freddie Mercury who exhibited to me his Passport No. EB1624510, as competent proof of his identity, and who is the same person who personally signed before me. Doc. No. 6 Page No. 2 Book No. 1 Series of 2013. HOBART H. CHAN Notary Public for Baguio City Until December 31, 2014 123 Session Road, Baguio City PTR No. 123/Baguio City/12-31-14 Roll of Atty. No. 32570 IBP Lifetime Membership No. 999 MCLE Compliance No 9999

REPUBLIC OF THE PHILIPPINES} DONE: IN THE CITY OF BAGUIO } S.S. x ------------------------------------------- x AFFIDAVIT OF DISCREPANCY OF DATE OF MARRIAGE OF PARENTS

I, FRED A. MERCURY , of legal age, Filipino citizen, single, and a resident of of #44 Honeymoon Road, Baguio City, Philippines having been duly sworn in accordance with law, do hereby depose and state: 1. That I was born to the spouses TOMAS G. MERCURY and TERESA A. MERCURY onNovember 29, 1973 in Baguio General Hospital, Baguio City Philippines as evidenced by the Certificate of Live Birth issued by the Civil Registrar of Baguio City; 2. That however, in the said Certificate of Live Birth, the date of marriage of my parents was erroneously written as "May 8,1960 instead of the true and correct date May 28, 1960" as evidenced by the Certificate of Marriage of my parents issued by the Civil Registrar of Baguio City, hereto attached as Annex "A"; 3. That said discrepancy in my Certificate of Live Birth was an error done inadvertentlyhat I execute this Affidavit of Discrepancy to attest to the truth of the foregoing facts 4. That I execute this Affidavit of Discrepancy to attest to the truth of the foregoing facts

IN WITNESS WHEREOF, we have hereunto set our hand this 19th day of November 2013 in the City of Baguio, Philippines.

FRED A. MERCURY Affiant SUBSCRIBED AND SWORN to before me, in the City of Baguio, Philippines, this 19th day of November 2013, by Mr. Fred Mercury who exhibited to me his Passport No. EB1624511, as competent proof of his identity, and who is the same person who personally signed before me.

Doc. No.7 Page No. 2 Book No. 1 Series of 2013.

HOBART H. CHAN Notary Public for Baguio City Until December 31, 2014 123 Session Road, Baguio City PTR No. 123/Baguio City/12-31-14 Roll of Atty. No. 32570 IBP Lifetime Membership No. 999 MCLE Compliance No 9999

REPUBLIC OF THE PHILIPPINES ) CITY OF BAGUIO

) S.S.

AFFIDAVIT OF DISCREPANCY OF MIDDLE NAME


I, FREDRICK A. MERCURY, of legal age, single, Filipino and a resident of #44 Honeymoon Road, Baguio City, Philippines, having been duly sworn in accordance with law, hereby depose and state: 1. That I am the child of spouses TOMAS G. MERCURY and TERESA A. MERCURY; 2. That in my Certificate of Live Birth as recorded in the Office of the Civil Registrar of Baguio City, Philippines, my middle name was erroneously written as "ARIZIBALA" instead of my true and correct middle name of "AZIRIBALA"; 3. That my true middle name TORPE is the maiden name of my mother; 4. That since childhood, I had been using the name FREDDIE AZIRIBALA MERCURY particularly in my scholastic records, transaction documents and in all my identification cards;

5. That the names DIEGO AZIRIBALA SILANG III and DIEGO ARIZIBALA SILANG III refer to one and the same person; 5. That I am executing this affidavit to attest to the truth of the foregoing facts and to clarify the discrepancy between the name in my Certificate of Live Birth and in my scholastic records in support of my application for the Nurses Licensure Exam this June 2013; and 6. I am further executing this affidavit for all legal intents it may serve.

IN WITNESS WHEREOF, we have hereunto set our hand this 19th day of November 2013 in the City of Baguio, Philippines.

FREDRICK A. MERCURY Affiant SUBSCRIBED AND SWORN to before me, in the City of Baguio, Philippines, this 19th day of November 2013, who exhibited to me his Passport No. EB1624512, as competent proof of his identity, and who is the same person who personally signed before me.

Doc. No. 8 Page No. 2 Book No. 1 Series of 2013.

HOBART H. CHAN Notary Public for Baguio City Until December 31, 2014 123 Session Road, Baguio City PTR No. 123/Baguio City/12-31-14 Roll of Atty. No. 32570 IBP Lifetime Membership No. 999 MCLE Compliance No 9999

REPUBLIC OF THE PHILIPPINES ) CITY OF BAGUIO

) S.S.

AFFIDAVIT OF DISCREPANCY OF SURNAME

I, FREDIE MERCURY, of legal age, Filipino, married and a resident of No. 44, Honeymoon Road, Baguio City, Philippines, having been duly sworn in accordance with law, hereby depose and state: 1. That on December, 2012, I was issued a Philippine Passport with passport number PPEB1624536 in which my true surname MERCURY" was stated; 2. That before the expiration of the aforementioned passport on April 9, 2013, I had applied with Philippine Embassy in Manila for the issuance of a new passport and on April 9, 2013, I was issued a new Philippine passport with Passport No. PP-56789; 3. However, in the said new passport my surname had been erroneously misspelled as MERCURI; 4. That I execute this Affidavit of Discrepancy to attest to the truth of the foregoing facts and to explain the discrepancy, from MERCURY to MERCURI, of my surname in my Philippine Passport.

IN WITNESS WHEREOF, we have hereunto set our hand this 19th day of November 2013 in the City of Baguio, Philippines.

FREDIE A. MERCURY Affiant SUBSCRIBED AND SWORN to before me, in the City of Baguio, Philippines, this 19th day of November 2013, by Mr. Fredie A. Mercury who exhibited to me his Postal ID No. 4082345, valid until September 11, 2015 as competent proof of his identity, and who is the same person who personally signed before me the foregoing affidavit and acknowledged that he executed the same.

Doc. No. 9 Page No. 2 Book No. 1 Series of 2013.

HOBART H. CHAN Notary Public for Baguio City Until December 31, 2014 123 Session Road, Baguio City PTR No. 123/Baguio City/12-31-14 Roll of Atty. No. 32570 IBP Lifetime Membership No. 999 MCLE Compliance No 9999

REPUBLIC OF THE PHILIPPINES ) CITY OF BAGUIO

) S.S.

AFFIDAVIT OF GUARDIANSHIP

I, DIEGO C. LANG, of legal age, widower, and residing at No. 44 Honeymoon Road, Baguio City, Philippines, after having been duly sworn to in accordance with law, hereby depose and state: 1. That I am the father of my daughter GABIE A. LANG by my deceased wife, GABRIELA C. LANG, who died onNovember 20, 2013; 2. That by reason of the death of my above-named wife, I henceforth become the father and guardian of my said daughter as she is still a minor having been born on March 2, 2008; 3. That I am executing this affidavit in order to attest to the truth of the foregoing circumstances and for the purpose of securing an educational insurance for my said daughter in my capacity as her guardian. IN WITNESS WHEREOF, I have hereunto set my hand this 19th day of November 2013 in the City of Baguio, Philippines.

DIEGO C. LANG Affiant SUBSCRIBED AND SWORN before me in the City of Baguio on this 19 th day of November 2013, affiant exhibiting before me his Postal ID No. 4082351, valid until September 11, 2015 at Baguio City.

Doc. No. 10 Page No. 2 Book No. 1 Series of 2013.

HOBART H. CHAN Notary Public for Baguio City Until December 31, 2014 123 Session Road, Baguio City PTR No. 123/Baguio City/12-31-14 Roll of Atty. No. 32570 IBP Lifetime Membership No. 999 MCLE Compliance No 9999

REPUBLIC OF THE PHILIPPINES ) CITY OF BAGUIO

) S.S.

AFFIDAVIT OF ILLEGITIMACY
I, MANNY L. QUEZON, of legal age, married, Filipino Citizen and resident of # 1 Malvar street, Trancovill Baguio City, after having duly sworn accordance with law do hereby depose and say: 1. That I am the biological father of NOELLE URORA who was born out of wedlock on May 2, 2008 at Baguio City; 2. That NOELLE URORA is the daughter of MARIA A. URORA; 3. That I am executing this affidavit to attest to the truth of the foregoing statements and for all intents it may deem serve. IN WITNESS WHEREOF, I have hereunto affixed my signature this 20th day of November 2013 in the City of Baguio, Philippines.

MANNY L. QUEZON Affiant SUBSCRIBED AND SWORN before me in the City of Baguio on this 20th day of November 2013, affiant exhibiting before me his Postal ID No. 4082353, valid until September 11, 2015 at Baguio City.

Doc. No. 11 Page No. 3 Book No. 1 Series of 2013.

HOBART H. CHAN Notary Public for Baguio City Until December 31, 2014 123 Session Road, Baguio City PTR No. 123/Baguio City/12-31-14 Roll of Atty. No. 32570 IBP Lifetime Membership No. 999 MCLE Compliance No 9999

REPUBLIC OF THE PHILIPPINES ) CITY OF BAGUIO

) S.S.

AFFIDAVIT OF LEGITIMATION

I, JUAN F. CRUZ and JUANA DELA-CRUZ, spouses of legal ages, Filipino citizens, and residents of No. 2 Malvar street, Trancovill Baguio City, Philippines, having been duly sworn in accordance with law, hereby depose and state: 1. That we are the biological parents of JUJUAN DELA who was born on May 28, 2012, and the fact of his birth could be proved by his Certificate of Live Birth which copy is attached as Annex A and made an integral part of this joint affidavit; 2. That on the date of his birth at the Baguio General Hospital, Baguio City on May 28, 2012, we have not yet contracted our marriage; hence, his name was registered as JUJUAN DELA in the Local Civil Registry (LCR) of Baguio City; 3. That on April 9, 2013, we contracted our marriage in Magsaysay, Baguio City as evidenced by our Marriage Certificate hereto attached as Annex B; 4. That being the biological parents of JUJUAN DELA, we hereby recognize him as our legitimate son; 5. That we are executing this affidavit to attest to the truth of all the foregoing recitals for all legal intents and purposes, as well as to request the LCR of Baguio City to cause the necessary correction in the Certificate of Live birth of our son JUJUAN DELA adopting the family name CRUZ . IN WITNESS WHEREOF, we have hereunto set our hands this 20th day of November 2013 in the City of Baguio, Philippines.

JUAN F. CRUZ Affiant

JUANA DELA-CRUZ Affiant

SUBSCRIBED AND SWORN to before me, in the City of Baguio this 18th day of November 2013, who has satisfactorily proven their identities through: Juan Cruz, with Passport No. WW441250, valid until June 2, 2015. Juana Dela-Cruz, with Professional Drivers License No. GH-778987, valid until April 18, 2015.

Doc. No. 12 Page No. 3 Book No. 1 Series of 2013.

HOBART H. CHAN Notary Public for Baguio City Until December 31, 2014 123 Session Road, Baguio City PTR No. 123/Baguio City/12-31-14 Roll of Atty. No. 32570 IBP Lifetime Membership No. 999 MCLE Compliance No 9999

REPUBLIC OF THE PHILIPPINES ) CITY OF BAGUIO

) S.S.

AFFIDAVIT OF LOSS
I, EMILY O. JACINTO, of legal age, Filipino, single and a resident of No. 3 Malvar street, Trancovill Baguio City, Philippines, after having been duly sworn in accordance with law, hereby depose and state: 1. That on November 9, 2013 I was issued a Philippine Passport by the Department of Foreign Affairs in Baguio City; 2. That on the same day, I left my envelope, containing the said passport, in the waiting area of the said agency and realized that it was lost; 3. That despite diligent search and efforts to locate the said passport, I could not find the same such that I now believe that it is now lost beyond recovery; 4. As such, I am executing this Affidavit of Loss to attest to the truth of the foregoing and to support the application for the issuance of new one in lieu of the one which was lost. IN WITNESS WHEREOF, I have set hereunto my signature this 20th day of November 2013 in the City of Baguio, Philippines

EMILY O. JACINTO Affiant SUBSCRIBED AND SWORN before me in the City of Baguio on this 20th day of November 2013, affiant exhibiting before me his Postal ID No. 4082355, valid until September 11, 2015 at Baguio City.

Doc. No. 13 Page No. 3 Book No. 1 Series of 2013.

HOBART H. CHAN Notary Public for Baguio City Until December 31, 2014 123 Session Road, Baguio City PTR No. 123/Baguio City/12-31-14 Roll of Atty. No. 32570 IBP Lifetime Membership No. 999 MCLE Compliance No 9999

REPUBLIC OF THE PHILIPPINES ) CITY OF BAGUIO

) S.S.

AFFIDAVIT OF LOSS
I, THEODORE A. LONZO, of legal age, Filipino, single and a resident of No. 4 Malvar street, Trancovill Baguio City, Philippines, having been duly sworn in accordance with law, hereby depose and state: 1. That I am the owner of a Nokia cell phone model 2600c with unit number 0262164121 under account number 11201987; 2. That on the 9th day of April 2013, with a number of books and packages I was carrying while getting out of my car, my said cell phone must have slipped from my pocket because upon arrival at my office, I hurriedly tried to get my said cell phone from my pocket but the said cellphone was not there anymore; 3. That after diligent search inside my car and the stairs and elevator used going up my office; my said cell phone was nowhere to be found; 4. That I am executing this affidavit in order to attest to the truth of the foregoing circumstances and for the purpose of reporting the loss to the Globe business center. IN WITNESS WHEREOF, I have hereunto set my hand this 20th day of November 2013 in the City of Baguio, Philippines.

THEODORE A. LONZO Affiant SUBSCRIBED AND SWORN before me in the City of Baguio on this 20th day of November 2013, affiant exhibiting before me his Postal ID No. 4082356, valid until September 11, 2015 at Baguio City.

Doc. No. 14 Page No. 3 Book No. 1 Series of 2013.

HOBART H. CHAN Notary Public for Baguio City Until December 31, 2014 123 Session Road, Baguio City PTR No. 123/Baguio City/12-31-14 Roll of Atty. No. 32570 IBP Lifetime Membership No. 999 MCLE Compliance No 9999

REPUBLIC OF THE PHILIPPINES ) CITY OF BAGUIO

) S.S.

AFFIDAVIT OF NON-OPERATION OF BUSINESS

I, PEDRO KADANGYAN, of legal age, Filipino, married and a resident of No. 5, Honeymoon Road, Baguio City, Philippines, having been duly sworn in accordance with law, hereby depose and state: 1. That I am the President of GAYABA GROUP OF COMPANIES, a corporation duly organized and existing under the laws of the Philippines with principal office at #18 Bagayo Bldg., Session Rd., Baguio City; 2. That said corporation was incorporated on November 7, 1982 and acquired by the undersigned with the purchase of its corporate property in the above address sometime on June 2012 but has not yet commenced its operation in view of the slump in the real estate industry in the country; 3. That the stockholders and directors of the corporation are contemplating on reviving its operation in the near future when the opportune time comes; 4. That this affidavit is being executed in order to attest to the truth of the foregoing circumstances and for the purpose of complying with the reportorial requirements of the Securities and Exchange Commission. IN WITNESS WHEREOF, I have hereunto set my hand this 20th day of November 2013 in the City of Baguio, Philippines. PEDRO KADANGYAN Affiant

SUBSCRIBED AND SWORN before me in the City of Baguio on this 20th day of November 2013, affiant exhibiting before me his Postal ID No. 4082357, valid until September 11, 2015 at Baguio City. Doc. No. 15 Page No. 3 Book No. 1 Series of 2013. HOBART H. CHAN Notary Public for Baguio City Until December 31, 2014 123 Session Road, Baguio City PTR No. 123/Baguio City/12-31-14 Roll of Atty. No. 32570 IBP Lifetime Membership No. 999 MCLE Compliance No 9999

REPUBLIC OF THE PHILIPPINES ) CITY OF BAGUIO

) S.S.

AFFIDAVIT OF NON-TENANCY
I, NANCY REYES, of legal age, single, Filipino Citizen and a resident of # 6 Malvar street, Trancovill Baguio City, after having been duly sworn to in accordance with law hereby depose and say: 1. That I am the owner of several parcels of land located at Buyagan, La Trinidad, Benguet more particularly described as follows; A parcel of vegetable land located at Buyagan, La Trinidad, Benguet bounded on the North by Audrey A. Jahn; on the East by Peter A. Angelo; and on the West by Dwayne A. Apil; Containing an area of THREE THOUSAND FIVE HUNDRED FOURTEEN SQUARE METERS, covered by TAX DECLARATION N0; 00-0695A; ARP No-00-0033. 2. That said parcels of land are not tenanted but are owner cultivated and not covered under Operation Land Transfer; 3. That I am executing this Affidavit to attest to the truth of the foregoing statements. IN WITNESS WHEREOF, I have set hereunto my signature this 21st day of November 2013 in the City of Baguio, Philippines.

NANCY REYES Affiant SUBSCRIBED AND SWORN before me in the City of Baguio on this 21st day of November 2013, affiant exhibiting before me his Postal ID No. 4082358, valid until September 11, 2015 at Baguio City.

Doc. No. 16 Page No. 4 Book No. 1 Series of 2013.

HOBART H. CHAN Notary Public for Baguio City Until December 31, 2014 123 Session Road, Baguio City PTR No. 123/Baguio City/12-31-14 Roll of Atty. No. 32570 IBP Lifetime Membership No. 999 MCLE Compliance No 9999

REPUBLIC OF THE PHILIPPINES ) CITY OF BAGUIO ) S.S.

AFFIDAVIT OF TRANSFEREE
I, JUAN DELA CRUZ, single, of legal age, Filipino citizen and a resident of No. 7 Malvar street, Trancovill Baguio City, Philippines, after having been sworn to in accordance with law do hereby depose and state that: 1. My total aggregate landholdings, including the parcel of land containing a land area of ONE HUNDRED FIFTY SQUARE METERS, located at Km 3, La Trinidad, Benguet, that I acquired from BEN ALANGSAB, thru a Deed of Absolute Sale of a Registered Land covered by Doc. No. 50; Page No. 10; Book No. I; Series of 2011 of the Notarial Registry of Atty. PETER DWAYNE A. ANGELO of Baguio City, Philippines, dated March 31, 2013, does not exceed FIVE hectares; 2. That I am executing this affidavit in compliance with Department of Agrarian Reforms Administrative Order No. 1-89, as well as to show proof that my total aggregate land holdings, including the portion of land I acquired from BEN ALANGSAB, does not exceed five hectares; IN WITNESS WHEREOF, I have hereunto set my hand this 21st day of November, in the City of Baguio, Philippines.

JUAN DELA CRUZ Affiant

SUBSCRIBED AND SWORN before me in the City of Baguio on this 21st day of November 2013, affiant exhibiting before me his Postal ID No. 4082359, valid until September 11, 2015 at Baguio City.

Doc. No. 17 Page No. 4 Book No. 1 Series of 2013.

HOBART H. CHAN Notary Public for Baguio City Until December 31, 2014 123 Session Road, Baguio City PTR No. 123/Baguio City/12-31-14 Roll of Atty. No. 32570 IBP Lifetime Membership No. 999 MCLE Compliance No 9999

REPUBLIC OF THE PHILIPPINES ) CITY OF BAGUIO ) S.S.

AFFIDAVIT OF TRANSFEROR

I, BEN ALANGSAB, single, of legal age, Filipino citizen and a resident of No. 8 Malvar street, Trancovill Baguio City, Philippines, after having been sworn to in accordance with law do hereby depose and state that: 1. My total aggregate landholdings, including that parcel of land containing a land area of ONE HUNDRED FIFTY SQUARE METERS, located at Km 3, La Trinidad, Benguet, that I sold to JUAN DELA CRUZ, thru a Deed of Absolute Sale of a Registered Land covered by Doc. No. 50; Page No. 10; Book No. I; Series of 2011 of the Notarial Registry of Atty. PETER DWAYNE A. ANGELO of Baguio City, Philippines, dated March 31, 2013, does not exceed FIVE hectares; 2. I am executing this affidavit in compliance with Department of Agrarian Reforms Administrative Order no. 1-89, as well as to show proof that my total aggregate land holdings, including the portion of land I sold to JUAN DELA CRUZ does not exceed five hectares; IN WITNESS WHEREOF, I have hereunto set my hands this 21st day of November 2013, in the City of Baguio, Philippines.

BEN ALANGSAB Affiant SUBSCRIBED AND SWORN before me in the City of Baguio on this 21st day of November 2013, affiant exhibiting before me his Postal ID No. 4082360, valid until September 11, 2015 at Baguio City.

Doc. No. 18 Page No. 4 Book No. 1 Series of 2013.

HOBART H. CHAN Notary Public for Baguio City Until December 31, 2014 123 Session Road, Baguio City PTR No. 123/Baguio City/12-31-14 Roll of Atty. No. 32570 IBP Lifetime Membership No. 999 MCLE Compliance No 9999

REPUBLIC OF THE PHILIPPINES ) CITY OF BAGUIO

) S.S.

AFFIDAVIT OF OWNERSHIP WITH UNDERTAKING


I, JUANA DELA CRUZ, of legal age, Filipino, single and a resident of # 11 Malvar street, Trancovill Baguio City after having been duly sworn to in accordance with law hereby depose and say that: 1. I am the absolute and legal owner of a GSM handset described as follows: Make/Model: NOKIA 2600C Black International Mobile Equipment Identification (IMEI):

354350003717668l

2. That on March 7, 2013, I executed an Affidavit of Ownership and Loss with Undertaking and filed the same with the National Telecommunication Commission to authorize said commission and all CMTS to block the said GSM handset for the reason that said cellular phone was stolen from me by unidentified person/s; 3. However, on April 9, 2013, I was able to retrieve the said GSM handset through a common friend; 4. I hereby request/authorize the National Telecommunication Commission and all CMTS carriers to unblock the said GSM Handset; 5. I hereby undertake to hold free from any responsibility or shall not hold NTC and the above-mentioned carriers liable for whatever claims, loss or damages or any party may institute by reason of NTCs action to unblock the afore-mentioned unit; 6. In support of this request and as proof of my ownership of said cell phone unit, I attached hereto a photocopy of the following documents: A. Social Security System Identification Card Number 1213 B. Professional Drivers License No. 0528 C. Employment Identification Card D. Police Report 7. I am executing this affidavit to attest to the truth of the foregoing facts.

IN WITNESS WHEREOF, I have set hereunto my signature this 21st day of November 2013 in the City of Baguio, Philippines.

JUANA DELA CRUZ Affiant

SUBSCRIBED AND SWORN before me in the City of Baguio on this 21st day of November 2013, affiant exhibiting before me his Postal ID No. 4082361, valid until September 11, 2015 at Baguio City.

Doc. No. 19 Page No. 4 Book No. 1 Series of 2013.

HOBART H. CHAN Notary Public for Baguio City Until December 31, 2014 123 Session Road, Baguio City PTR No. 123/Baguio City/12-31-14 Roll of Atty. No. 32570 IBP Lifetime Membership No. 999 MCLE Compliance No 9999

REPUBLIC OF THE PHILIPPINES ) CITY OF BAGUIO

) S.S.

AFFIDAVIT OF OWNERSHIP OF PERSONAL PROPERTIES FOR CONTRACT OF PLEDGE


I, LUIS A. REYES, of legal age, Filipino, single and a resident of No. 12 Malvar street, Trancovill Baguio City, Philippines, having been duly sworn in accordance with law, hereby depose and state: 1. I am the absolute and legal owner of a tablet described as follows: Make/Model: SAMSUNG GALAXY Silver International Mobile Equipment Identification (IMEI): 354350003717668l 2. That I intend to deliver the said personal property as a collateral to secure the loan that I am applying for from Gayaba Lending Corporation; 3. That I hereby warrant title and ownership over the above-mentioned personal property and I will defend the possession of the Pledge from eviction; 4. That I execute this Affidavit of Ownership to attest to the truth of the aforementioned facts and in support of my application for a loan and for any other legal purposes that this Affidavit could serve. IN WITNESS WHEREOF, I have hereunto set my hand this 21st day of November 2013 in the City of Baguio, Philippines.

LUIS A. REYES Affiant SUBSCRIBED AND SWORN before me in the City of Baguio on this 21st day of November 2013, affiant exhibiting before me his Postal ID No. 4082362, valid until September 11, 2015 at Baguio City.

Doc. No. 20 Page No. 4 Book No. 1 Series of 2013.

HOBART H. CHAN Notary Public for Baguio City Until December 31, 2014 123 Session Road, Baguio City PTR No. 123/Baguio City/12-31-14 Roll of Atty. No. 32570 IBP Lifetime Membership No. 999

REPUBLIC OF THE PHILIPPINES} DONE: IN THE CITY OF BAGUIO } S.S. x ------------------------------------------- x AFFIDAVIT OF PUBLICATION I, BERNADETH GIANNE T. CENZON, single, of legal age, Filipino citizen, with residence and postal address at No. 71 Lower Liwanag, Loakan, Baguio City, Philippines, after having been duly sworn in accordance with law, do hereby depose and say: 1. That I am an authorized representative of the Midland Courier, a weekly newspaper, which is a legal newspaper of general circulation and it is now and has been for more than thirty days prior to the date of publication of the hereinafter referred to, published in the English language continuously as weekly newspaper and it is now and all during all of said time was printed at Hamada Publishing, Baguio City; 2. That the notice in the exact form annexed was published in the regular issues of the Midland Courier which was regularly distributed to its subscribers during the period stated in the annexed Notice of Judicial Settlement of the Estate of Jenson V. Segoma; 3. That the notice was published on September 30,November 7 and 14, 2013; 4. That the amount of the fee charged in the foregoing publishing in the amount of Php3,000.00 has been paid in full. IN WITNESS WHEREOF, I have hereunto set my hand this 22nd day of November 2013, in the City of Baguio, Philippines. _______________________________ BERNADETH GIANNE T. CENZON Affiant SUBSCRIBED AND SWORN before me in the City of Baguio on this 21st day of November 2013, affiant exhibiting before me his Postal ID No. 4082363, valid until September 11, 2015 at Baguio City.

Doc. No. 21 Page No. 5 Book No. 1 Series of 2013.

HOBART H. CHAN Notary Public for Baguio City Until December 31, 2014 123 Session Road, Baguio City PTR No. 123/Baguio City/12-31-14 Roll of Atty. No. 32570 IBP Lifetime Membership No. 999 MCLE Compliance No 9999

REPUBLIC OF THE PHILIPPINES} DONE: IN THE CITY OF BAGUIO } S.S. AFFIDAVIT OF SUPPORT I, DOMINIC T. FUENTEBELLA, married to LETTY CASSIE R. FUENTEBELLA, of legal age, former Filipino citizen, now a U.S. citizen, with permanent address at 335 Lexington Avenue, New York, USA and temporary Philippine address at # 28 Quezon Hill, Baguio City, Philippines, after having been sworn to in accordance with law, do hereby depose and state that: 1. I am the brother of MIA LORIE T. FUENTEBELLA, with pending application for Student Visa with the Department of Immigration and Citizenship of Canada; 2. I am willing to extend my whole hearted support for her studies in Canada, I being her brother and have the financial capability to provide all her needs during the period of her studies; 3. At present, I am maintaining a bank account with BDO Banking Corporation located in Session Road Branch in Baguio City, Philippines under passbook savings account number 18-14-57937-4 and Time Deposit Account Number COD 789981 with an amount of Two Million Five Hundred Twenty One Thousand Seven Hundred Fifty Pesos and Twentyeight centavos (Php2,521,750.28) where I can source out all needed expenses that my sister may use during her studies should her application be granted; 4. In relation to the support, I have authorized MIA LORIE T. FUENTEBELLA to withdraw any amount from my bank account which she needs during the period of her studies. Attached to this affidavit is a copy of the said authorization marked as annex A to form an integral part hereof; 5. Aside from my savings mentioned in paragraph 3 of this affidavit, my other source of income where I can source out additional financial support to MIA LORIE T. FUENTEBELLA are from my salaries and earnings in the United States; 6. I shall provide any other support that she may need other than money should it be necessary or as maybe further required by the Canadian Government during the period of her studies in said country; 7. I am executing this affidavit to attest the truth of the foregoing facts and to support the application of MIA LORIE T. FUENTEBELLA, my sister, for the issuance of her student visa and for all legal intents this affidavit may lawfully serve. IN WITNESS WHEREOF, I have hereunto set my hand this 22nd day of November 2013, in Baguio City, Philippines. ___________________________ DOMINIC T. FUENTEBELLA Affiant

SUBSCRIBED AND SWORN before me in the City of Baguio on this 22nd day of November 2013, affiant exhibiting before me his Postal ID No. 4082365, valid until September 11, 2015 at Baguio City.

Doc. No. 22 Page No. 5 Book No. 1 Series of 2013.

HOBART H. CHAN Notary Public for Baguio City Until December 31, 2014 123 Session Road, Baguio City PTR No. 123/Baguio City/12-31-14 Roll of Atty. No. 32570 IBP Lifetime Membership No. 999 MCLE Compliance No 9999

REPUBLIC OF THE PHILIPPINES} CITY OF BAGUIO } S.S.

AFFIDAVIT OF TRANSFER We, GINNY W. MARTIN, single, of legal age, Filipino citizen, and with residence and postal address at #21 Monterrazas Village, Itogon, Benguet and HARRY JAMES P. GUZMAN, single, of legal age, Filipino citizen, and with residence and postal address at #95 PNB Village, Marcos Highway, Baguio City, after having been duly sworn in accordance with law, do hereby depose and state that: 1. The land I,GINNY W. MARTIN, sold in favor of HARRY JAMES P. GUZMAN, with an area of ONE HUNDRED FORTY (140) SQUARE METERS more or less, located at West Buyagan, La Trinidad, Benguet by virtue of that Absolute Deed of Sale of Registered Land entered as Doc. No. 10; Page No. 2; Book No. I; Series of 2012, of the Notarial Registry of Atty. HERMIONE G. QUINTIN of Baguio City, Philippines, dated April 21, 2012 is my retention area of not more than five (5) hectares; 2. I, HARRY JAMES P. GUZMAN, own an aggregate landholding, including the land area of ONE HUNDRED FORTY (140) SQUARE METERS that I am acquiring from GINNY W. MARTIN, which is not more than five (5) hectares; 3. That this affidavit is executed in compliance with the DAR Administrative Order No. 01, Series of 1989 as well as to show proof that the land subject of the above-mentioned transaction is a retention area or portion of a retention area not exceeding five (5) hectares. IN WITNESS WHEREOF, we have hereunto set our hands this 22nd day of November 2013, in the City of Baguio, Philippines. __________________ GINNY W. MARTIN Affiant _________________________ HARRY JAMES P. GUZMAN Affiant

SUBSCRIBED AND SWORN to before me, in the City of Baguio 22nd day of November 2013, by Ginny W. Martin and Harry James P. Guzman, who has satisfactorily proven their identities through: Ginny W. Martin, with Passport No. WW441245, valid until June 2, 2015. Harry James P. Guzman, with Professional Drivers License No. GH-778942, valid until April 18, 2015.

No. 23 Page No. 5 Book No. 1 Series of 2013.

HOBART H. CHAN Notary Public for Baguio City Until December 31, 2014 123 Session Road, Baguio City PTR No. 123/Baguio City/12-31-14 Roll of Atty. No. 32570 IBP Lifetime Membership No. 999 MCLE Compliance No 9999

REPUBLIC OF THE PHILIPPINES} CITY OF BAGUIO } S.S. AFFIDAVIT OF WARRANTY I, SHANE STEVEN F. GARCIA, Filipino citizen, of legal age, single, and a resident of #43 St. Patrick Subd., San Carlos Heights Baguio City, Philippines, after having been duly sworn in accordance with law, do hereby depose and say: 1. That I am the actual buyer of that motor vehicle which is specifically described as follows: Motor Vehicle MAKE/TYPE Honda Civic MOTOR NO. 27M89-MMND7213 CHASSIS NO. KLMDBCW721D121253 PLATE NO.. CDY-114 2. That the fact of purchase is evidenced by that Deed of Sale of Motor Vehicle dated August 21, 2012 whereby HOWIE D. MANZANO is the vendor and I am the vendee as entered in the notarial register of Atty. LEE RYAN MERCEDES as Doc. No. 14, Page No. 3, Book No. 1 , and Series of 2012, a copy of said Deed of Sale is hereto attached for reference; 3. That I hereby attest to the authenticity of said Deed of Sale and the genuineness of the transaction and in furtherance thereof, I hereby release the officers and staff of the Land Transportation Office from any liability which may occur in the event that there is any flaw or legal infirmities in said transaction; 4. That I am executing this affidavit in order to attest to the veracity of the foregoing circumstances and as a warranty on the authenticity and genuineness of the above mentioned transaction. IN WITNESS WHEREOF, I have hereunto affixed my signature this day of 29th day of November 2012 at Baguio City, Philippines. _________________________ SHANE STEVEN F. GARCIA Affiant SUBSCRIBED AND SWORN before me in the City of Baguio on this 22nd day of November 2013, affiant exhibiting before me his Postal ID No. 4082366, valid until September 11, 2015 at Baguio City.

Doc. No. 24 Page No. 5 Book No. 1 Series of 2013.

HOBART H. CHAN Notary Public for Baguio City Until December 31, 2014 123 Session Road, Baguio City PTR No. 123/Baguio City/12-31-14 Roll of Atty. No. 32570 IBP Lifetime Membership No. 999 MCLE Compliance No 9999

REPUBLIC OF THE PHILIPPINES} CITY OF BAGUIO } S.S. AFFIDAVIT OF WITHDRAWAL I, MARIO H. NALITO, of legal age, Filipino, single and a resident of No. 36 City Camp, Baguio City, Philippines, having been duly sworn in accordance with law, hereby depose and state: 1. That I filed my candidacy for Kagawad in our barangay for this coming Barangay Election to be held on September 2, 2013; 2. That my Certificate of Candidacy was duly admitted by the Commission on Election, Baguio City; 3. That since I had changed my plan and not to run as Barangay Kagawad, I am now withdrawing my candidacy for Barangay Kagawad; 4. That I am executing this Affidavit of Withdrawal for the purpose of signifying my intention of withdrawing from the position I am running for and for all legal intents it may serve. IN WITNESS WHEREOF, I hereunto affix my signature this 22nd day of November 2013 at Baguio City, Philippines.

MARIO H. NALITO Affiant SUBSCRIBED AND SWORN before me in the City of Baguio on this 22nd day of November 2013, affiant exhibiting before me his Postal ID No. 4082367, valid until September 11, 2015 at Baguio City. No. 25 Page No. 5 Book No. 1 Series of 2013. HOBART H. CHAN Notary Public for Baguio City Until December 31, 2014 123 Session Road, Baguio City PTR No. 123/Baguio City/12-31-14 Roll of Atty. No. 32570 IBP Lifetime Membership No. 999 MCLE Compliance No 9999

Potrebbero piacerti anche