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REPUBLIC OF THE PHILIPPINES)

____________________________) S.S

Affidavit of Sole Authority to Sell and take hold property

I, _______________ III, of legal age, WIDOWER, Filipino, and with residence


and postal address at.________________, Iloilo City, for himself and attorney-in-fact
of __________, widow: ________, Married to ____________, ____________
married to _____________ and __________married to _________ all of legal age,
Filipinos and residents of the first, third and fifth named of Iloilo and the second and
fourth of Zamboanga City as evidence by the Special Power of Attorney hereto
attached as Annex A or a copy of the Deed of Sale for the of their share of the
property to ____________after having been duly sworn in accordance with law,
hereby depose and say:

1. That I am the lawful owner of the property located at the Brgy.______ Municipality
of ________, Province of Iloilo with Transfer Certificate of Title No. T-000000

2. That I warrant good and legal title over the said property and I have not sold,
conveyed and transferred the subject property to any person, corporation or entity.

3. That I am honoring and affirming the memorandum of agreement that I have


entered into with _______Construction dated ______

4. That I am executing this affidavit for the purpose of making known that up to this
date I have not entertained and offered to any other buyer the abovementioned
property other than to _______Construction.

5. Furthermore, that this affidavit supersedes and cancels all previous agreements,
contracts and covenants that I have may entered into with other parties.

6. I therefore have executed this Affidavit to attest to the truth I mentioned herein and
for whatever legal purposes it may serve.

Further Affiant sayeth none.

IN WITNESS WHEREOF, I have hereunto affixed my signature this .........


day of ..................... , 20__ in ..................................... Philippines.

________________________
SUBSCRIBED AND SWORN before me this ____day of ___________ 20__, by
_____________________who exhibited to me his Government issued I.D No.
_________________ issued on __________________ at ___________________

Notary Public

Doc. No._____:
Page No._____;
Book No._____;
Series of _____.

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