The document is an affidavit listing various types of affidavits:
1. Affidavit of adjudication of estate of deceased person
2. Affidavit of self-adjudication
3. Affidavit of birth by two disinterested persons
4. Affidavit of consent for travel of a minor abroad
The affidavit provides summaries of 4 sample affidavits - for adjudicating an estate, self-adjudication of property, establishing birth details, and providing consent for a minor to travel abroad. It outlines the purpose and contents of each type of affidavit.
The document is an affidavit listing various types of affidavits:
1. Affidavit of adjudication of estate of deceased person
2. Affidavit of self-adjudication
3. Affidavit of birth by two disinterested persons
4. Affidavit of consent for travel of a minor abroad
The affidavit provides summaries of 4 sample affidavits - for adjudicating an estate, self-adjudication of property, establishing birth details, and providing consent for a minor to travel abroad. It outlines the purpose and contents of each type of affidavit.
The document is an affidavit listing various types of affidavits:
1. Affidavit of adjudication of estate of deceased person
2. Affidavit of self-adjudication
3. Affidavit of birth by two disinterested persons
4. Affidavit of consent for travel of a minor abroad
The affidavit provides summaries of 4 sample affidavits - for adjudicating an estate, self-adjudication of property, establishing birth details, and providing consent for a minor to travel abroad. It outlines the purpose and contents of each type of affidavit.
1. AFFIDAVIT OF ADJUDICATION OF ESTATE OF DECEASED PERSON
2. AFFIDAVIT OF SELF-ADJUDICATION 3. AFFIDAVIT OF BIRTH BY TWO DISINTERESTED PERSONS 4. AFFIDAVIT OF CONSENT FOR TRAVEL OF A MINOR ABROAD 5. AFFIDAVIT OF DESISTANCE 6. AFFIDAVIT OF DISCREPANCY OF DATE OF BIRTH 7. AFFIDAVIT OF DISCREPANCY OF DATE OF MARRIAGE OF PARENTS 8. AFFIDAVIT OF DISCREPANCY OF MIDDLE NAME 9. AFFIDAVIT OF DISCREPANCY OF SURNAME/FAMILY NAME 10. AFFIDAVIT OF GUARDIANSHIP 11. AFFIDAVIT OF ILLEGITIMACY 12. AFFIDAVIT OF LEGITIMATION 13. AFFIDAVIT OF LOSS OF PASSPORT 14. AFFIDAVIT OF LOSS OF PERSONAL PROPERTY 15. AFFIDAVIT OF NON-OPERATION OF BUSINESS 16. AFFIDAVIT OF NON-TENANCY 17. AFFIDAVIT OF TRANSFEREE 18. AFFIDAVIT OF TRANSFEROR 19. AFFIDAVIT OF OWNERSHIP WITH UNDERTAKING 20. AFFIDAVIT OF OWNERSHIP OF PERSONAL PROPERTIES 21. FOR CONTRACT OF PLEDGE 22. AFFIDAVIT OF PUBLICATION 23. AFFIDAVIT OF SUPPORT 24. AFFIDAVIT OF TRANSFER 25. AFFIDAVIT OF WITHDRAWAL
1. AFFIDAVIT OF ADJUDICATION OF ESTATE OF DECEASED PERSON
REPUBLIC OF THE PHILIPPINES} DONE: IN THE CITY OF BAGUIO} S.S. x ------------------------------------------- x
AFFIDAVIT OF ADJUDICATION OF ESTATE OF DECEASED PERSON
I, Sam Pinto, of legal age, Filipino citizen, single and now residing at 2J Morning Star Rd., Lower Lourdes, Baguio City, Philippines, after having been duly sworn in accordance with law, do hereby depose and say:
1. That I am the only surviving daughter of one, named Travis G. Cruz who dies intestate in Aurora Hill, Baguio City, on November 12, 2013 as evidenced by the Death Certificate issued by the Civil Registrar of Baguio City hereto attached as ANNEX A and made an integral part of this Affidavit;
2. That the said deceased left deposits in the Bank of the Philippine Islands, in the amount of One Million Pesos (P1,000,000.00);
3. That the said deceased also left a lot located at 6D Morning Star Rd., Lower Lourdes, Baguio City, Philippines wherein is located a two-storey house, with an area of FOUR HUNDRED (400) SQUARE METERS more or less, covered by Transfer Certificate Title No. 0653909 of the Register of Deeds of Baguio City;
4. That the said deceased left no debts nor any LAST WILL AND TESTAMENT;
5. That pursuant to Rule 74, Sec. 1 of the Rules of Court, I hereby adjudicate unto myself the above described real and personal property by means of this Affidavit and hereby files the same with the Register of Deeds of Baguio City with the request that the said adjudication be made effective without judicial proceeding prescribed by the aforementioned Rules of Court.
IN WITNESS WHEREOF, I have hereunto set my hand this 20 th day of November 2013, in the City of Baguio, Philippines.
_______________________ Sam Pinto Affiant
JURAT 2. AFFIDAVIT OF SELF-ADJUDICATION
REPUBLIC OF THE PHILIPPINES} DONE: IN THE CITY OF BAGUIO } S.S. x ------------------------------------------- x
AFFIDAVIT OF SELF-ADJUDICATION
I, Sam Pinto, of legal age, Filipino citizen, single and now residing at 2J Morning Star Rd., Lower Lourdes, Baguio City, Philippines, after having been duly sworn in accordance with law, do hereby depose and say:
1. That I am the only son of Glade A. Pinto who died intestate in the City of Baguio, on September 3, 2013 as evidenced by Death Certificate issued by the Civil Registrar of Baguio, hereto attached as ANNEX A and made an integral part of this Affidavit;
2. That said deceased left an estate consisting of a parcel of land measuring ONE THOUSAND (1,000) SQUARE METERS, located at Mary Hills Road, Loakan Proper, Baguio City covered by Transfer Certificate Title No. CC- 19876 of the Registry of Deeds of Baguio City;
3. That the said parcel of land is more particularly described as follows to wit;
LOT 21 (LRC) CC-19876
A parcel of land (Lot 21 of Subdivision plan LRC) CC- 19876 being a portion of the parcel of land described on TS- V-789D, l\LRC Rec. No. TS sales Pat.) situated in Res. Sec. City of Baguio, island of Luzon, Philippines. Bounded on the N.E point 5 to 7 y Subdivision Road (1, 000 m. Wide); on the SW., points 5 to 1 by Lot 2, of the Subdivision Plan; and on the NW., points 1 to 2 by Lot 9, Block 2. Beginning at point marked I on plan, being N 43 deg 21 deg E, 321.70 m. from the main gate.
thence N 25 deg. 00E, 40.00 m to point 2; thence E 23 deg. 00E, 32.00 m to point 3; thence N 52 deg. 13E, 11.00 m to point 4; thence S 75 deg. 00E, 456.00 m to point 5; thence N 53 deg. 00E, 13.00 m to point of beginning;
containing an area of ONE THOUSAND 1000 SQUARE METERS, more or less. All points referred to are indicated on the Plan and marked on the ground as follows; Points 1 to 4 by OLD points and the rest by PS cyl conc. Mons. 100 x 213 cm; bearings true; date of Original Survey, April 2 1982 and that of Subdivision Survey executed by Gilbert M. Gunnawa, a Geodetic Engineer on April 12, 1990.
4. That the said deceased left NO DEBTS nor any LAST WILL AND TESTAMENT;
5. That pursuant to Rule 74, Section 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 Deeds of Baguio City with the request that said adjudication be made effective without the judicial proceeding as prescribed by the aforementioned Rules of Court.
IN WITNESS WHEREOF, I have hereunto set my hand this 20 th day of November 2013, in the City of Baguio, Philippines.
_______________________ Sam Pinto Affiant
JURAT
3. AFFIDAVIT OF BIRTH BY TWO DISINTERESTED PERSONS
REPUBLIC OF THE PHILIPPINES} DONE: IN THE CITY OF BAGUIO } S.S. x ------------------------------------------- x
AFFIDAVIT OF BIRTH BY TWO DISINTERESTED PERSONS
WE, RAY ANTHONY A. RIVERA and RENZ MARK B. GARCIA, both Filipinos, of legal age, both single, and presently residing at #3 First Road, Brgy. Palma-Urbano, Baguio City and #4 First Road, Brgy. Palma-Urbano, Baguio City, respectively, both after having been duly sworn in accordance with law, do hereby depose and say:
1. That we personally know SAM PINTO of 2J Morning Star Rd., Lower Lourdes, Baguio City, Philippines, being an acquaintance for a long time;
2. That she is a PAG-IBIG Fund member with an application for Provident Benefits with the Fund;
3. That the said application is required to be accompanies by a copy of the applicants birth certificate, however, no record can be obtained, as shown by the attached Certification of Non-Availability of Birth Record from the National Statistics Office (NSO);
4. That we certify that she was born at Baguio General Hospital, Baguio City, Philippines on the 5 th day of October in the year 1990;
5. That she has been using the said birth date in all her documents and transactions, including her education and employment records;
6. That we are not related by affinity or consanguinity to the above mentioned person; and
7. That we are executing this affidavit to attest to the truth of the foregoing facts for record and references purposes.
IN WITNESS WHEREOF, we have hereunto set our hands this 19 th day of November 2013 in the City of Baguio, Philippines.
________________________________ ______________________________ RAY ANTHONY A. RIVERA RENZ MARK B. GARCIA Affiant Affiant JURAT 4. AFFIDAVIT OF CONSENT FOR TRAVEL OF A MINOR ABROAD
REPUBLIC OF THE PHILIPPINES} DONE: IN THE CITY OF BAGUIO } S.S. x ------------------------------------------- x
AFFIDAVIT OF CONSENT FOR TRAVEL OF A MINOR ABROAD
We, RENZ MARK B. GARCIA and CLAUDETTE C. GARCIA, married to each other, of legal ages, Filipinos, with residence and postal address at #3 First Road, Brgy. Palma-Urbano, Baguio City, Philippines, and with Passport Nos. AA123456 and BB654321, respectively, after having been duly sworn in accordance with law, do hereby depose and state:
1. That we are the parents of FORAIRANDFABRIC C. GARCIA, who is 11 years old and a citizen of the Republic of the Philippines and a holder of a valid Philippine Passport with No. CC987654 and who is going for a trip abroad specifically to San Francisco CA, USA this December 6, 2013;
2. That we are giving our full consent to our said daughter to travel abroad or specifically to San Francisco CA, USA;
3. That for this purpose, we have sufficient and adequate financial capacity to support and defray the said travel and do hereby undertake to finance her trip abroad from the application fees, airline tickets, board and lodging, pocket money and such other expenses that she may incur so that she would neither be a burden to the state nor at their place of destination at any time during her trip abroad;
4. That there is no criminal case pending in court against her nor has she been charged of subversion, rebellion, insurrection or any crime or offense involving moral turpitude in any court of the Philippines;
5. That further, FORAIRANDFABRIC C. GARCIA will be accompanied or escorted by her doctor, DR. GLADE REFRESH-AIR in her travel abroad;
6. That we are hereby giving our full consent to said DR. GLADE REFRESH- AIR to accompany or escort FORAIRANDFABRIC C. GARCIA in her travel abroad; and
7. That we are executing this affidavit to declare the truth of the foregoing facts and for whatever legal purposes it may serve.
IN WITNESS WHEREOF, we have hereunto set our hands this 19 th day of November 2013 in the City of Baguio, Philippines.
___________________________ ___________________________ RENZ MARK B. GARCIA CLAUDETTE C. GARCIA Affiant Affiant
JURAT
5. AFFIDAVIT OF DESISTANCE
REPUBLIC OF THE PHILIPPINES} DONE: IN THE CITY OF BAGUIO } S.S. x ------------------------------------------- x
AFFIDAVIT OF DESISTANCE
I, Sam Pinto, of legal age, Filipino citizen, single and now residing at 2J Morning Star Rd., Lower Lourdes, Baguio City, Philippines, after having been duly sworn in accordance with law, do hereby depose and say:
1. That I am the Private Complainant in Criminal Case No. 12345-A for violation of B.P. Blg. 22 otherwise known as the Bouncing Checks Law now pending before the Regional Trial Court, Baguio City, Branch 1; 2. That the accused Ray Anthony A. Rivera has settled his obligations to 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 Ray Anthony A. Rivera; 4. That I am no longer interested in pursuing the case against said Ray Anthony A. Rivera; 5. That I am now requesting the Office of the City Prosecutor of Baguio City and the Honorable Court, Regional Trial Court, Branch 1 of Baguio City to have the case withdrawn against Ray Anthony A. Rivera; 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 Ray Anthony A. Rivera, and ultimately have the case against him dismissed.
IN WITNESS WHEREOF, I have hereunto set my hand this 19 th day of November 2013, in the City of Baguio, Philippines.
_______________________ Sam Pinto Affiant / Private Complainant
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 thereto.
___________ Renz Mark B. Garcia Public Prosecutor
JURAT
6. AFFIDAVIT OF DISCREPANCY OF DATE OF BIRTH
REPUBLIC OF THE PHILIPPINES} DONE: IN THE CITY OF BAGUIO } S.S. x ------------------------------------------- x
AFFIDAVIT OF DISCREPANCY OF DATE OF BIRTH
I, Sam Pinto, of legal age, Filipino citizen, single and now residing at 2J Morning Star Rd., Lower Lourdes, Baguio City, Philippines, after having been duly sworn in accordance with law, do 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 in Baguio City National High School, it is stated that I was born on the October 5, 1990 at Notre Dame Hospital, Baguio City, Philippines;
2. That my relatives, acting on the honest belief that I was born on October 5, 1991, had used such date 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 Elections last October 8, 2013, I had inadvertently and erroneously written the date of my birth as October 5, 1991 instead of October 5, 1990;
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 Certificate of Live Birth, Secondary Student Permanent Record Transcript of Records and Voter Registration Form as regards the date of my birth;
5. Further, I am declaring that from this date hereon I would be using my true and correct date of birth of October 5, 1990 in all my papers, records and other documents; and
6. That I am executing this affidavit to attest to the truth of the foregoing facts for record and reference purposes.
IN WITNESS WHEREOF, I have hereunto set my hand this 20 th day of November 2013, in the City of Baguio, Philippines. _______________________ Sam Pinto Affiant JURAT
7.AFFIDAVIT OF DISCREPANCY OF DATE OF MARRIAGE OF PARENTS
REPUBLIC OF THE PHILIPPINES} DONE: IN THE CITY OF BAGUIO } S.S. x ------------------------------------------- x
AFFIDAVIT OF DISCREPANCY OF DATE OF MARRIAGE OF PARENTS
I, Sam Pinto, of legal age, Filipino citizen, single and now residing at 2J Morning Star Rd., Lower Lourdes, Baguio City, Philippines, after having been duly sworn in accordance with law, do hereby depose and state:
1. That I was born to the spouses VALIENT CONDE Q. CRUZ and MARY ANN C. CRUZ on October 5, 1990 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, 1989 instead of the true and correct date of May 28, 1989 as evidenced by the Certificate of Marriage of my parents issued by the Civil Registrar of Baguio City, hereto attaches as Annex A;
3. That said discrepancy in my Certificate of Live Birth was an error done inadvertently;
4. That I execute this Affidavit of Discrepancy to attest to the truth of the foregoing facts.
IN WITNESS WHEREOF, I have hereunto set my hand this 20 th day of November 2013, in the City of Baguio, Philippines.
_______________________ Sam Pinto Affiant
JURAT
8. AFFIDAVIT OF DISCREPANCY OF MIDDLE NAME
REPUBLIC OF THE PHILIPPINES} DONE: IN THE CITY OF BAGUIO } S.S. x ------------------------------------------- x
AFFIDAVIT OF DISCREPANCY OF MIDDLE NAME
I, Sam Pinto, of legal age, Filipino citizen, single and now residing at 2J Morning Star Rd., Lower Lourdes, Baguio City, Philippines, after having been duly sworn in accordance with law, do 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, my middle name was erroneously written as COSME instead of my true and correct middle name of COSUE;
2. That my true middle name is COSUE, as appearing in the same Certificate of Live Birth as the maiden name of my mother;
3. That in all pertinent documents which I had used, including that of my scholastic records, I used my true and correct middle name of COSUE;
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 Certificate of Live Birth, as regards my true middle name.
IN WITNESS WHEREOF, I have hereunto set my hand this 20 th day of November 2012, in the City of Baguio, Philippines.
_______________________ Sam Pinto Affiant
JURAT
9. AFFIDAVIT OF DISCREPANCY OF SURNAME/FAMILY NAME
REPUBLIC OF THE PHILIPPINES} DONE: IN THE CITY OF BAGUIO } S.S. x ------------------------------------------- x
AFFIDAVIT OF DISCREPANCY OF SURNAME/FAMILY NAME
I, Sam Pinto, of legal age, Filipino citizen, single and now residing at 2J Morning Star Rd., Lower Lourdes, Baguio City, Philippines, after having been duly sworn in accordance with law, do hereby depose and state:
1. That on April 20, 2008 I was issued a Philippine Passport with passport number AA123456 in which my true surname CRUZ was stated;
2. That before the expiration of the aforementioned passport on April 19, 2013, I had applied with the Philippine Embassy in Manila for the issuance of a new passport and on June 5, 2013, I was issued a new Philippines passport with Passport NO. BB654321.
3. However, in said new passport my surname had been erroneously misspelled as CRUS instead of CRUZ;
4. That I execute this Affidavit of Discrepancy to attest to the truth of the foregoing facts and to explain the discrepancy in my Philippine Passport as regards my surname.
IN WITNESS WHEREOF, I have hereunto set my hand this 20 th day of November 2012, in the City of Baguio, Philippines.
_______________________ Sam Pinto Affiant
JURAT
10. AFFIDAVIT OF GUARDIANSHIP
REPUBLIC OF THE PHILIPPINES} DONE: IN THE CITY OF BAGUIO } S.S. x ------------------------------------------- x
AFFIDAVIT OF GUARDIANSHIP
I, Sam C. Pinto, of legal age, Filipino citizen, widow and now residing at 2J Morning Star Rd., Lower Lourdes, Baguio City, Philippines, after having been duly sworn in accordance with law, do hereby depose and state:
1. That I am the mother of NATURESPRING C. PINTO born in September 23 2010, aged 3;
2. That said child has an interest in the PAG-IBIG provident benefits of my late husband GLADE A. PINTO payable by the PAG-IBIG fund;
3. That I am the guardian of the above-named minor;
4. That the said minor is in my sole care and custody;
5. That I am competent to receive in behalf of the said minor any amounts due her; and
6. That I am not an imbecile, insane, a vagrant, a vicious person, or a habitual drunkard or criminal, and have not abandoned, neglected, or refused to support said minor or caused her to commit offenses against the law;
IN WITNESS WHEREOF, I have hereunto set my hand this 21 st day of November 2013, in Baguio City, Philippines.
_______________________ Sam Pinto Affiant
JURAT
11. AFFIDAVIT OF ILLEGITIMACY
REPUBLIC OF THE PHILIPPINES} DONE: IN THE CITY OF BAGUIO } S.S. x ------------------------------------------- x
AFFIDAVIT OF ILLEGITIMACY
I, Sam Pinto, of legal age, Filipino citizen, single and now residing at 2J Morning Star Rd., Lower Lourdes, Baguio City, Philippines, after having been duly sworn in accordance with law, do hereby depose and state:
1. I am the biological mother of NATURESPRING C. WATSONS, who was born on March 4, 2010, at the Baguio City General Hospital as evidence by the Certificate of Live Birth issued by the National Statistics Office attached hereto and made an integral part of this document;
2. That as appearing in the records of the Office of the Civil Registrar of the City of Baguio, Philippines, the father of the said child is SOLUTION B. WATSONS, as certified by the attached Certificate of Live Birth;
3. That I hereby affirm and attest to the truth of the fact that the father of the above-mentioned child is indeed SOLUTION B. WATSONS;
4. That at the time my child was born and until today, I am not legally married to SOLUTION B. WATSONS as evidenced by an attached copy of a Certificate of No Marriage which is likewise made an integral part of this document;
5. That I am executing this affidavit to attest to the truth of the foregoing facts and for whatever legal purposes they may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this 21 st day of November 2013, in Baguio City, Philippines.
_______________________ Sam Pinto Affiant
JURAT
12. AFFIDAVIT OF LEGITIMATION
REPUBLIC OF THE PHILIPPINES} DONE: IN THE CITY OF BAGUIO } S.S. x ------------------------------------------- x
AFFIDAVIT OF LEGITIMATION
We, the spouses GLADE A FRESH-AIR and FLOWER A. FRESH- AIR, both of legal age, Filipinos, with residence and postal address at 2J Morning Star Road, Lower Lourdes, Baguio City, Philippines, having been duly sworn in accordance with law, do hereby depose and state that:
1. We were in an intimate relationship without the benefit of marriage since December of 2008 with no impediments barring us from marrying each other;
2. We started cohabiting with each other as husband and wife in January of 2010 in our present residence;
3. Our of our relationship was born a son on March 4, 2011 whom we named BAYGON;
4. As our son was born out of wedlock, he is considered illegitimate and bears the family name of his mother which is AEROSOL;
5. At the time of birth of our child BAYGON, we possessed all the qualifications and none of the disqualifications to marry each other;
6. As a result of our marriage, our child is legitimated and is now considered a legitimate child and shall now bear the family name of his father which is FRESH-AIR;
7. We execute this affidavit to attest to the truth of the foregoing statements and for the purpose of causing the legitimation of the status of our child and for all legal intents and purposes it may serve.
IN WITNESS WHEREOF, we hereunto set our hands this 21 st day of November, 2012 in the City of Baguio, Philippines.
_____________________________ _____________________________ GLADE A FRESH-AIR FLOWER A. FRESH- AIR Affiant Affiant Passport No. JJ8822089 Passport No. QQ7644120 Valid until December 21, 2015 Valid until March 3, 2017
JURAT
13. AFFIDAVIT OF LOSS OF PASSPORT
REPUBLIC OF THE PHILIPPINES} DONE: IN THE CITY OF BAGUIO } S.S. x ------------------------------------------- x
AFFIDAVIT OF LOSS OF PASSPORT
I, Sam Pinto, of legal age, Filipino citizen, single and now residing at 2J Morning Star Rd., Lower Lourdes, Baguio City, Philippines, after having been duly sworn in accordance with law, do hereby depose and state:
1. That I was issued by the Department of Foreign Affairs a passport sometime in April 21, 2009 which will expire on April 20, 2014;
2. That I have always kept the same inside the topmost compartment of my bedside table drawer;
3. That on March 4, 2013 when I looked for the said passport as I intended to use it as competent evidence of identity as I will be executing an affidavit on that day, I discovered that it was missing;
4. That I exerted diligent efforts to recover the said passport but the same proved futile;
5. That the said passport was lost in the manner stated above and was not confiscated nor cancelled by the issuing agency or other agencies for violation of any of its terms and conditions, laws, rules and regulations;
6. That I am now executing this affidavit to attest to the truth of the foregoing facts, to secure a replacement of the said lost passport, and for all legal intents and purposes it may serve;
IN WITNESS WHEREOF, I have hereunto set my hand this 21 st day of November 2013, in Baguio City, Philippines.
_______________________ Sam Pinto Affiant
JURAT
14. AFFIDAVIT OF LOSS OF PERSONAL PROPERTY
REPUBLIC OF THE PHILIPPINES} DONE: IN THE CITY OF BAGUIO } S.S.
x ------------------------------------------- x
AFFIDAVIT OF LOSS OF PERSONAL PROPERTY
I, Sam Pinto, of legal age, Filipino citizen, single and now residing at 2J Morning Star Rd., Lower Lourdes, Baguio City, Philippines, after having been duly sworn in accordance with law, do hereby depose and state:
1. That I availed of an Automated Teller Machine (ATM) card from Land Bank of the Philippines last March 4, 2013 as I intended to have easier access to my deposits in the said bank which at that time I could only access by using the Passbook issued by the same bank;
2. That I have always kept the said ATM card in my purse that I bring with me wherever I go;
3. That last October 1, 2013 I had my purse with me while on a Victory Liner Bus on the way to Baguio City;
4. That upon alighting from the said bus I discovered that my purse was no longer with me;
5. That I exerted diligent efforts to recover the purse which held my ATM card but the same proved to be futile;
6. That said ATM card was lost in the manner stated above and was not confiscated nor cancelled by the issuing bank for violation of any of its terms and conditions, rules and regulations;
7. That I am now executing this affidavit to attest to the truth of the foregoing facts, to secure a replacement ATM card, and for all other legal intents and purposes it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this 21 st day of November 2013, in Baguio City, Philippines.
_______________________ Sam Pinto Affiant JURAT
15. AFFIDAVIT OF NON-OPERATION OF BUSINESS
REPUBLIC OF THE PHILIPPINES} DONE: IN THE CITY OF BAGUIO } S.S. x ------------------------------------------- x
AFFIDAVIT OF NON-OPERATION OF BUSINESS
I, Sam Pinto, of legal age, Filipino citizen, single and now residing at 2J Morning Star Rd., Lower Lourdes, Baguio City, Philippines, after having been duly sworn in accordance with law, do hereby depose and state:
1. That I am the President and Chief Executive Officer of The Neverland Project, Inc., a corporation duly organized and existing under the laws of the Philippines, engaged in the retailing of ready-to-wear garments, with principal office at 6D Morning Star Rd., Lower Lourdes, Baguio City, Philippines;
2. That said corporation was incorporated on March 4, 2008 and acquired by the undersigned by the purchase of its corporate property in the above address sometime in March 2010 but has ceased operations in view of the recent economic slump in the country;
3. That the stockholders and directors of the corporation and contemplating on reviving its operations in the near future when the opportune time comes;
4. That I am executing this affidavit in order to attest to the truth of the foregoing facts 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 21 st day of November 2013, in Baguio City, Philippines.
_______________________ Sam Pinto Affiant
JURAT
16. AFFIDAVIT OF NON-TENANCY
REPUBLIC OF THE PHILIPPINES} DONE: IN THE CITY OF BAGUIO } S.S. x ------------------------------------------- x
AFFIDAVIT OF NON-TENANCY
I, Sam Pinto, of legal age, Filipino citizen, single and now residing at 2J Morning Star Rd., Lower Lourdes, Baguio City, Philippines, after having been duly sworn in accordance with law, do hereby depose and state:
1. 1. That I am the registered owner of a Real Property with Katibayan ng Orihinal na Titulo P-1234 located at Buhaw, Puguis, La Trinidad, Benguet with an area of 1,061 square meters and more particularly described as follows:
Lot No. 7189, Case 14, Cad 743-D, La Trinidad Cadastre Beginning at the point marked 1 of lot no. 7189, Cad 743-D, La Trinidad Cadastre being S. 60-02 E., 7,466.42 m. from BLLM NO. 1, Cad 743-D, La Trinidad Cadastre, La Trinidad, Benguet thence:
S. 11-05 W., 45.47 m. to point 2; S. 39-08 W., 90.79 m. to point 3; N. 32-50 W., 138.32 m. to point 4; S. 89-04 E., 110.66 m. to point 5; N. 88-51 E., 30.39 m. to point 1; point of beginning
Containing an area of ONE THOUSAND AND SIXTY ONE (1,061) square meters.
2. I have been planting vegetables in this land area since the 1980s and have devoted all portions of it for Agricultural purposes;
3. This land is not tenanted as I personally operate the land;
4. I am executing this affidavit to attest to the truth of the foregoing, to satisfy the requirements of the proper government agencies and private institutions, and for all legal intents and purposes that it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this 21 st day of November 2013, in Baguio City, Philippines.
_______________________ Sam Pinto Affiant JURAT 17 AFFIDAVIT OF TRANSFEREE
REPUBLIC OF THE PHILIPPINES} DONE: IN THE CITY OF BAGUIO } S.S. x ------------------------------------------- x
AFFIDAVIT OF TRANSFEREE
I, SAM PINTO, of legal age, Filipino citizen, single and now residing at 2J Morning Star Rd., Lower Lourdes, Baguio City, Philippines, after having been duly sworn in accordance with law, do hereby depose and state:
1. That my total aggregate landholdings, including the parcel of land containing a land area of ONE HUNDRED TWENTY (120) SQUARE METERS, located at Buhaw, Puguis, La Trinidad, Benguet, that I acquired from CLAUDETTE A. GARCIA, thru a Deed of Absolute Sale of a Registered Land covered by Doc. No. 27; Page No. 6; Book No. I; Series of 2012 of the Notarial Registry of Atty. BRYAN M. CHOA of Baguio City, Philippines, dated May 25, 2012, does not exceed FIVE (5) 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 CHERRY G. DICANG does not exceed five (5) hectares.
IN WITNESS WHEREOF, I have hereunto set my hand this 21 st day of November 2013, in Baguio City, Philippines.
_______________________ Sam Pinto Affiant
JURAT
18. AFFIDAVIT OF TRANSFEROR
REPUBLIC OF THE PHILIPPINES} DONE: IN THE CITY OF BAGUIO } S.S. x ------------------------------------------- x
AFFIDAVIT OF TRANSFEROR
I, SAM PINTO, of legal age, Filipino citizen, single and now residing at 2J Morning Star Rd., Lower Lourdes, Baguio City, Philippines, after having been duly sworn in accordance with law, do hereby depose and state:
1. My total aggregate landholdings, including that parcel of land containing a land area of ONE HUNDRED (100) SQUARE METERS, located at Tuding, Itogon Benguet, that I sold to CLAUDETTE A. GARCIA, thru a Deed of Absolute Sale of a Registered Land covered by Doc. No. 12; Page No. 2; Book No. I; Series of 2012 of the Notarial Registry of Atty. GERALD A. GERONIMO of Baguio City, Philippines, dated April 21, 2012, does not exceed FIVE (5) 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 CLAUDETTE A. GARCIA does not exceed five (5) hectares;
IN WITNESS WHEREOF, I have hereunto set my hand this 21 st day of November 2013, in Baguio City, Philippines.
_______________________ Sam Pinto Affiant
JURAT
19. AFFIDAVIT OF OWNERSHIP WITH UNDERTAKING
REPUBLIC OF THE PHILIPPINES} DONE: IN THE CITY OF BAGUIO } S.S. x ------------------------------------------- x
AFFIDAVIT OF OWNERSHIP WITH UNDERTAKING
I, SAM PINTO, of legal age, Filipino citizen, single and now residing at 2J Morning Star Rd., Lower Lourdes, Baguio City, Philippines, after having been duly sworn in accordance with law, do hereby depose and state:
1. That I am the absolute and legal owner of a GSM handset described as follows: Make/Model: SAMSUNG GALAXY S III - Black International Mobile Equipment Identification (IMEI): 4754711148287792
2. That on October 25, 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 cellphone was stolen from me by unidentified person/s during a trip to Boracay; 3. However, on November 15, 2013, I was able to retrieve 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 cellphone unit, I attached hereto a photocopy of the following documents: A. Social Security System Identification Card Number 8835789 B. Professional Drivers License No. AD-8885523122 C. Employment Identification Card No. SMC-02-1558 D. Police Report No. M-23145 (October 20, 2013) E. Receipt No. SM-899975
7. I am executing this affidavit to attest to the truth of the foregoing facts and for whatever legal intents and purposes it may serve. IN WITNESS WHEREOF, I have hereunto set my hand this 21 st day of November 2013, in Baguio City, Philippines.
_______________________ Sam Pinto Affiant
JURAT
20. AFFIDAVIT OF OWNERSHIP OF PERSONAL PROPERTIES FOR CONTRACT OF PLEDGE
REPUBLIC OF THE PHILIPPINES} DONE: IN THE CITY OF BAGUIO } S.S. x ------------------------------------------- x
AFFIDAVIT OF OWNERSHIP OF PERSONAL PROPERTIES FOR CONTRACT OF PLEDGE
I, SAM PINTO, of legal age, Filipino citizen, single and now residing at 2J Morning Star Rd., Lower Lourdes, Baguio City, Philippines, after having been duly sworn in accordance with law, do hereby depose and state:
1. That I am the true and absolute owner of the following personal properties, to wit: Motor Vehicle MAKE/TYPE Toyota Hi-lux Pick-up MOTOR NO. 5L52-BHND5337 CHASSIS NO. NNCKSLC919E112997 PLATE NO.. CDY-114
Personal Computer MAKE/TYPE Acer emachines Netbook SPECIFICATIONS: LED LCD . 10.1 CPU .. Intel Atom N455 DDR3 Memory 2 GB HDD .. 500 GB Li-ion Battery 8-cell
2. That I intend to deliver the said personal properties as a collateral to secure the loan that I am applying for from Maryhill Credit and Loans Cooperative; 3. That I hereby warrant title and ownership over the above-mentioned personal properties 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 21 st day of November 2013, in Baguio City, Philippines.
_______________________ Sam Pinto Affiant
JURAT
21. AFFIDAVIT OF PUBLICATION
REPUBLIC OF THE PHILIPPINES} DONE: IN THE CITY OF BAGUIO } S.S. x ------------------------------------------- x
AFFIDAVIT OF PUBLICATION
I, SAM PINTO, of legal age, Filipino citizen, single and now residing at 2J Morning Star Rd., Lower Lourdes, Baguio City, Philippines, after having been duly sworn in accordance with law, do hereby depose and state:
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 RENZ MARK B. GARCIA;
3. That the notice was published on September 30, October 7 and 14, 2012;
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 21 st day of November 2013, in Baguio City, Philippines.
_______________________ Sam Pinto Affiant
JURAT
22. AFFIDAVIT OF SUPPORT
REPUBLIC OF THE PHILIPPINES} DONE: IN THE CITY OF BAGUIO } S.S. x ------------------------------------------- x
AFFIDAVIT OF SUPPORT
I, RENZ MARK B. GARCIA, married to CLAUDETTE VOGEL A. GARCIA, 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 ANAFEIL B. GARCIA, 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 Twenty-eight 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 ANAFEIL B. GARCIA to withdraw any amount from the said bank account to support her 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 for ANAFEIL B. GARCIA 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 ANAFEIL B. GARCIA, 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 21 st day of November 2013, in Baguio City, Philippines.
_______________________ RENZ MARK B. GARCIA Affiant
JURAT
23. AFFIDAVIT OF TRANSFER
REPUBLIC OF THE PHILIPPINES} DONE: IN THE CITY OF BAGUIO } S.S. x ------------------------------------------- x
AFFIDAVIT OF TRANSFER
We, RENZ MARK B. GARCIA, single, of legal age, Filipino citizen, and with residence and postal address at 6D Morning Star Road, Lower Lourdes, Baguio City and SAM PINTO, single, of legal age, Filipino citizen, and with residence and postal address at 2J Morning Star Road, Lower Lourdes, Baguio City, after having been duly sworn in accordance with law, do hereby depose and state:
1. That I, RENZ MARK B. GARCIA, sold in favor of SAM PINTO, 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. That I, SAM PINTO, own an aggregate landholding, including the land area of ONE HUNDRED FORTY (140) SQUARE METERS that I am acquiring from RENZ MARK B. GARCIA, 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 21 st day of November 2013, in the City of Baguio, Philippines.
____________________________ ________________ RENZ MARK B. GARCIA SAM PINTO Affiant Affiant
JURAT
24. AFFIDAVIT OF WARRANTY
REPUBLIC OF THE PHILIPPINES} DONE: IN THE CITY OF BAGUIO } S.S. x ------------------------------------------- x
AFFIDAVIT OF WARRANTY
I, SAM PINTO, of legal age, Filipino citizen, single and now residing at 2J Morning Star Rd., Lower Lourdes, Baguio City, Philippines, after having been duly sworn in accordance with law, do hereby depose and state:
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 RENZ MARK B. GARCIA 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 set my hand this 21 st day of November 2013, in Baguio City, Philippines. _______________________ Sam Pinto Affiant JURAT
25. AFFIDAVIT OF WITHDRAWAL
REPUBLIC OF THE PHILIPPINES} DONE: IN THE CITY OF BAGUIO } S.S. x ------------------------------------------- x
AFFIDAVIT OF WITHDRAWAL
I, SAM PINTO, of legal age, Filipino citizen, single and now residing at 2J Morning Star Rd., Lower Lourdes, Baguio City, Philippines, after having been duly sworn in accordance with law, do 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 I had changed my initial plan to run as Barangay Kagawad and am now withdrawing my candidacy for the said position;
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 have hereunto set my hand this 21 st day of November 2013, in Baguio City, Philippines.