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Republic of the Philippines

Province of Ilocos Norte) S.S.
City of Batac
AFFIDAVIT

I, Kristine Angelie G. Allado , Filipino citizen, of legal age, single/married to (Insert
Name of Spouse if any), and a resident of _____________________________, after having been
duly sworn in accordance with law, hereby depose and say:
1. I am the sole proprietor of CK Pharmacy which is duly registered with the
Department of Trade and Industry as being involved in the pharmacy business.
2. That I am transferring ownership of the aforementioned business to
Cinderella V. Nino of _____________________ for the consideration of
__________________________;
2. That I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose it may serve.
Further Affiant sayeth none.
IN WITNESS WHEREOF, I have hereunto affixed my signature this ......... day of
..................... , 20__ in ..................................... Philippines.

KRISTINE ANGELIE G. ALLADO

SUBSCRIBED AND SWORN before me this........ day of ........................... 20__, by
............................................. who exhibited to me his CTC No. ................................... issued on
................................. at ...........................................

..... .... Book No.. ........ No...: Page No.Notary Public Doc... . Series of 20__... .....