REPUBLIC OF THE PHILIPPINES)

CITY OF SURIGAO ) S. S.
X- - - - - - - - - - - - - - - - - - - - - X

AFFIDAVIT OF NO COMPLAINT

I, ________________________, of legal age, married and a resident of

__________________________________, after having been duly sworn to in
accordance with the law,hereby depose and state:

1. That I am the owner of a portion of Lot No. ____________ of an area of

_______________ square meters and Lot No. _____________ with an area
of _____________ square meters to construct a homestay over the said
properties;

2. That I established ____________________ to cater the needs of foreign

and local tourists frequenting the famous Siargao Island;

3. That this undertaking requires a sworn statement that there is no

adverse claim on the same parcels of land subject to development;

4. That I affirm and declare that there is neither complaint from the
adjacent property owners and inhabitants nor pending complaint for
any cause or nature particularly with the law enforcement officers on
the same parcels of land;

5. That I am executing this affidavit to attest to the truth of theforegoing

facts and for whatever legal purpose this may serve.

AFFIANT FURTHER SAYETH NAUGHT.

IN WITNESS WHEREOF, I have hereunto set my hand this

_________day of _______________ 2018 at Surigao City, Philippines.

_______________________________
Affiant

SUBSCRIBED AND SWORN to before me this ________day of

_______________ 2018 at Surigao City, Philippines.

Doc. No. _______;

Page No. _______;
Book No. _______;
Series of 2018.