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I, MERCEDES M. VIZCARRA, of legal age, Filipino, and a resident of Brgy. Bugallon Norte, Ramon,
Isabela after having duly sworn to in accordance with law depose and state that;
1. I am the same person after the same person executing this affidavit;
2. I am an applicant for Socialized Industrial Forest management Agreement in relation to that parcel of
land situated at Brgy. Gen. Aguinaldo, Ramon, Isabela, more particularly described as follows:
3. However, after the execution of the Agreement in relation to my application in the afore-mentioned
parcel of land I was not able to occupy and develop the same because I am busy with business.
Instead, it was MARY JEAN G. PIEDAD who occupied and developed the aforementioned parcel of
land;
4. Consequently, I hereby waive all my rights and interests as applicant over the said parcel of land in
favor to MARY JEAN G. PIEDAD, of legal age, Filipino, and a resident of Brgy. Gen. Aguinaldo,
Ramon, Isabela, her heirs, assigns and successors-in-interest over the said parcel of land;
5. As a result of this waiver of right, I herein voluntarily and peacefully surrender my application on the
said parcel of land in favor of MARY JEAN G. PIEDAD, her heirs, assigns and successors-in-interest
in the above-described parcel of land;
6. I am executing this affidavit willingly and voluntarily and to attest to the veracity of the foregoing.
IN WITNESS WHEREOF, I hereunto set my hands this 29th day of July 2015 at Ramon, Isabela,
Philippines.
MERCEDES M. VIZCARRA
Affiant
Drivers License No. D06-01-030445
Issued by LTO
_______________________________ _______________________________
SUBSCRIBED AND SWORN to before me this 29th day of July 2015 at Ramon, Isabela, Philippines. I
hereby certify that the affiant personally appeared before me exhibiting her valid identification card as competent
proof of identity and signed this document before me.