Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

HLURB MC No.

Series of 200____
Annex ____
REGISTRATION STATEMENT
(Single Proprietorship)
I, _______________________________, Filipino, of legal age, single/married to
_____________________, with residence address at ________________________________,
after being sworn to in accordance with the law do hereby and state the following:
1. That I am engaged in the business of ____________________________, with
capitalization of _______________________________.
2. That
I
am
the
owner
of
certain
parcel(s)
if
land
situated
at
_________________________ covered by TCT No. (s) _________________________
comprising an aggregate area of __________________________ sq.m.
3. That I am developing said parcel(s) of land into a _______________________________
(Type of Project)
hereinafter called _______________________________________________________.
(Name of Project)
4. That I, as owner, and ____________________________________ as Developer for the
(Name of Developer)
project;
5. That I, as owner, and _________________________________ as Developer, undertake
(Name of Developer)
to established and develop said project in accordance with the plans as approved by the
_________________________________________________;
(Approving Institution)
6. That my authorized broker/s shall be _________________________________________
______________________________________________________________________
______________________________________________________________________.
7. That I bind myself to comply with all the rules and regulations pertaining to this project
and shall be held liable for all the facilities, improvements, infrastructures and similar
forms of development.
_______________________
Affiant
Republic of the Philippines )
_______________________ ) S.S.
SUBSCRIBED AND SWORN to before me this of ___________________ 20___ in the
City/Province of ______________________, affiant exhibited to me his/her Residence
Certificate No. ________________ issued at _________________ on ______________ 20__.
Doc. No.
Page No.
Book No.
Series of

_____
_____
_____
_____

_______________________
Notary Public

You might also like