PRLS.0005.01 Housing and Land Use Regulatory Board Bicol Region Field Office 3rd Floor, Insular Bldg.,Rizal St. Legazpi City Diliman, Quezon City Republic of the Philippines ) _____________________ ) S. S. AFFIDAVIT I, _________________________________ of legal age, single/married with residences and postal address at ___________________________________________ after being sworn to in accordance with law hereby depose and say: 1.) That I am the _____ (position) of_____(name of corporation)________, owner/developer of _________ (name of project)_______________ located at _____________________________________________________________. 2.) That we have a pending application for Certificate of Registration and License to Sell for the abovementioned project. 3.) That to the best of my knowledge, there is no other project under such name under Presidential Decree No. 957 and EO No. 648. 4.) That in the event that a project does not exist, located In the same province as our project and is registered with the HLURB or with the NHA under a name similar to our proposed name, we are willing to recognize its prior right over and above our application. 5.) That I am executing this affidavit to signify our willingness to change the name of our proposed project to another name so as not to effect the vested rights and/or interest of the previous registered project. AFFIANT FURTHER SAYS NOTHING _____________________________________, ______________________, Philippines. __________________________ Affiant SUBSCRIBED AND SWORN to before me this ___ day of _________, 20___, Affiant exhibiting to me his/her Residence Certificate No.__________ issued in ___________ on ____________. NOTARY PUBLIC Doc. No. Page No. Book No. Series of : : : : _______ _______ _______ _______