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REPUBLIC OF THE PHILIPPINES )

) S.S.

AFFIDAVIT OF CONSENT

I, CELINA F. CRUZ, Filipino, of legal age, and a resident of #62 MABUHAY ST. NANGKA
MARIKINA CITY, Philippines, having been duly sworn in accordance with law, hereby depose and state:

1. That I am the owner of parcel of land located at ___________________________ with TCT


No. ________________________.

2. That ARMIN CRUZ is applying for a new electric connection in MERALCO;

3. That I hereby signify my written consent, freely, willingly and voluntarily to allow her to have
an electric connection on her house;

4. That I am executing this affidavit to attest the truth of the foregoing facts as to my
undertaking to give consent to ARMIN CRUZ to support her application for Electrification
Permit.

IN WITNESS WHEREOF, we have hereunto set our hands this 13 th day of April 2015 at
________________, Philippines.

CELINA F. CRUZ
Affiant

SUBSCRIBED AND SWORN to before me, this ____________________ at


____________________.

REPUBLIC OF THE PHILIPPINES )


) S.S.

AFFIDAVIT OF CONSENT

I, CELINA F. CRUZ, Filipino, of legal age, and a resident of #62 MABUHAY ST. NANGKA
MARIKINA CITY, Philippines, having been duly sworn in accordance with law, hereby depose and state:

1. That I am the owner of parcel of land located at ___________________________ with TCT


No. ________________________.

2. That ARMIN CRUZ is applying for a new electric connection in MERALCO;

3. That I hereby signify my written consent, freely, willingly and voluntarily to allow her to have
an electric connection on her house;

4. That I am executing this affidavit to attest the truth of the foregoing facts as to my
undertaking to give consent to ARMIN CRUZ to support her application for Electrification
Permit.
IN WITNESS WHEREOF, we have hereunto set our hands this 13 th day of April 2015 at
________________, Philippines.

CELINA F. CRUZ
Affiant

SUBSCRIBED AND SWORN to before me, this ____________________ at


____________________.

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