BR - HLURB

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.
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