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Republic of the Philippines

PROVINCE OF LEYTE
Municipality of Burauen )
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) S.S.

AFFIDAVIT OF CONSENT
I, PABLABIO P. AGAR of legal age, Filipino, married and a resident of
Barangay District I, Poblacion, Burauen, Leyte, after being first sworn
according to law, do hereby depose and state: THAT--1. I am the father of SHANE N. AGAR, who was born on 16 MARCH
2000 in Burauen, Leyte.
2. I am giving my consent to my daughter SHANE N. AGAR to travel
to Nagasaki, Japan for the Period JANUARY 5, 2015 to JUNE 30, 2016 for the
Climate Change Youth Convention.
3. My daughter will be accompanied by MR. JOMBAL D. KING,
Municipal Disaster Risk Reduction Management Officer in the duration of the
travel in Japan.
4. I am executing this affidavit to attest to the truth of the facts
aforecited and for the purpose of giving my consent for the travel of my
daughter SHANE N. AGAR to Japan on JANUARY 5, 2015 to JUNE 30, 2016.
AFFIANT SAYETH NAUGHT.
IN WITNESS WHEREOF, I have hereunto set my hand this 25 April
2016 at Burauen, Leyte, Philippines.
____________________
PABLABIO P. AGAR
Affiant
SUBSCRIBED AND SWORN to before me this 02 December 2015 at
Burauen, Leyte, Philippines, and affiant exhibiting to me his COMELEC ID No.
VIN 7010-0070A-G1571RBB20100 as competent evidence of identity.

Doc. No. 22
Page No.02
Book No. XVV
SERIES OF 2016

Republic of the Philippines
PROVINCE OF LEYTE
Municipality of Burauen )

ATTY. JOEBAN R. PAZA
Notary Public for Burauen, Leyte
Commission No: 2015-12-01 until 31 Dec. 2016
Roll No. 90500
IBP Lifetime No. 01500
PTR No. 8252222; 12-1-15; Tacloban City
MCLE Compliance No. V-0009998; 6-06-15
Poblacion District II, Burauen, Leyte, Philippines

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) S.S.

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AFFIDAVIT OF DESISTANCE
I, PABLABIO P. AGAR, of legal age, Filipino, married and a resident of
Barangay District I, Burauen, Leyte, after being first sworn according to law,
do hereby depose and state: THAT--1. I am the complainant in the three (3) cases of Reckless Imprudence
resulting to Damage to Property filed against SAMIL R. BADUYA before the
Office of the Burauen, Leyte Prosecution Office on 1 December 2015.
2. For humanitarian consideration, I cannot proceed in the further
prosecution of these cases and I hereby voluntarily consent to the dismissal
of the complaints. As such, even if I am called to testify, I will no longer
appear in court.
3. I therefore request the Honorable City Prosecution Office to drop,
close and terminate the aforesaid cases against SAMIL R. BADUYA, and to
order her release from detention in the Burauen PNP station lock up cell or
Municipal Jail for reason aforestated.
IN WITNESS WHEREOF, I have hereunto set my hand this 1 December
2015 at Burauen, Leyte, Philippines.

____________________
PABLABIO P. AGAR

Affiant/Complainant
SUBSCRIBED AND SWORN to before me this 4 December 2015 at
Burauen, Leyte, Philippines.

Doc. No. 23
Page No.03
Book No. XVV
SERIES OF 2016

Republic of the Philippines
PROVINCE OF LEYTE
Municipality of Burauen )
x ------------------------------------ x

ATTY. JOEBAN R. PAZA
Notary Public for Burauen, Leyte
Commission No: 2015-12-01 until 31 Dec. 2016
Roll No. 90500
IBP Lifetime No. 01500
PTR No. 8252222; 12-1-15; Tacloban City
MCLE Compliance No. V-0009998; 6-06-15
Poblacion District II, Burauen, Leyte, Philippines

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) S.S.

BURAWON . V-0009998. Leyte. 4. 2016 Roll No. 01500 PTR No. 2003 at Office of the Honorable Municipal Mayor JUAN R. __________________ PABLABIO P. That during the birth of our daughter MARY. IN WITNESS WHEREOF. Leyte. No. That my age at the time (Mary) that said child was born I was only 15 years old. both of legal age. copy of which Certificate of Marriage issued by Municipal Civil Registrar is hereto attached to form part of this affidavit. Leyte. . JOEBAN R. PAZA Notary Public for Burauen. That we are executing this affidavit in order to change the status of our child Anabelle Banal as illegitimate to legitimated by virtue of our marriage and for him to use the surname AGAR. Burauen. do hereby deposes and say: 1. Philippines. we have hereunto set our hands this 4th day of December 2015 at Burauen. after having been duly sworn to in accordance with law. 90500 IBP Lifetime No. PABLABIO P.04 Book No. AGAR Affiant SUBSCRIBED AND SWORN to before me this 4th day of December 2015 at Burauen. Doc. 24 Page No. Tacloban City MCLE Compliance No. married and residents of Barangay District I. Filipinos. 12-1-15. 3. AGAR and JANE Q.S. AGAR Affiant ____________________ JANE Q. we were still not yet legally married so that said child’s Certificate of Live Birth was registered using her mother’s surname QUITON. AGAR. XVV SERIES OF 2016 Republic of the Philippines PROVINCE OF LEYTE Municipality of Burauen ) x -----------------------------------. 6-06-15 Poblacion District II. Leyte. That we are the natural parents of MARY QUITON who was born on June 26. Leyte Commission No: 2015-12-01 until 31 Dec. 2. 8252222. Leyte. Burauen. Philippines. Leyte. 1998 in Burauen.AFFIDAVIT OF LEGITIMATION We. Philippines ) ) S. That we have contracted our marriage only last March 16. Leyte.x ATTY. 5.Burauen.

5698756 issued on 2/28/15 in Tacloban. __________________ PABLABIO P. 90500 IBP Lifetime No. I presumed. Burauen. Doc.AFFIDAVIT OF LOSS I. XVV SERIES OF 2016 Republic of the Philippines PROVINCE OF LEYTE Municipality of Burauen ) x -----------------------------------. Leyte. of legal age. IN WITNESS WHEREOF. Leyte. I lost said driver’s license while in transit from Burauen. Leyte. AGAR Affiant SUBSCRIBED AND SWORN to before me this 04th day of December 2015 at Burauen. Said driver’s license was not confiscated for violation of traffic rules. I surmised that it must have fell off from said pocket while on board said bus. AGAR. Philippines.S. 5.05 Book No. Leyte Commission No: 2015-12-01 until 31 Dec. 12-1-15.x ATTY. I am a holder of an expired Professional Driver’s License No. 6-06-15 Poblacion District II. I am executing this affidavit to attest to the truth of the loss of said professional driver’s license for whatever legal purpose this may serve. after having been sworn to according to law. Leyte. Leyte. hereby depose and state: THAT— 1. Filipino. Burauen. since I did not find any need to drive a car. I could no longer recover it. 01500 PTR No. AGAR who has satisfactorily proven his identity to me through his CTC No. Philippines ) ) S. despite diligent effort to look for said vehicle and my driver’s license which. 3. The loss of said license did not bother me for the time being. 2. Tacloban City MCLE Compliance No. V-0009998. Leyte to Tacloban City on a public utility bus. 8252222. I have hereunto set my hand this 04 th day of December 2015 at Burauen. PABLABIO P. might have fell off in said vehicle. that he is the same person who personally signed the foregoing affidavit before me and acknowledged that he executed the same. by PABLABIO P. Leyte. 2016 Roll No. Sometime on October 2015. JOEBAN R. H02-88-005673 issued by the Land Transportation Office in Tacloban City. 25 Page No. married and a resident of Barangay District I. No. . PAZA Notary Public for Burauen. 4.

AGAR JANE Q. Filipinos and with postal address at District 1. and acknowledged that they executed the same. 2016 Roll No. No. Burauen. hereby depose and state: THAT--Palabio is unemployed. 6-06-15 Poblacion District II. Tacloban City MCLE Compliance No. Leyte. both of legal age. we have hereunto set our hands this 4 December 2015 at Burauen. Burauen. Leyte. who are the same persons who personally signed before me the foregoing Joint Affidavit of Parents as to source of income/livelihood. This joint affidavit is executed in connection with the requirements for tax exemption certificate (for scholarship) of their daughter Mary Q. Doc. V-0009998. __________________ ____________________ PABLABIO P.x ) ) S. AGAR and JANE Q. by PABLABIO P. Philippines JOINT AFFIDAVIT OF COHABITATION .JOINT AFFIDAVIT OF PARENTS AS TO SOURCE OF INCOME/LIVELIHOOD We.S. Agar at University of the Philippines. 90500 IBP Lifetime No. PAZA Notary Public for Burauen. while Jane works as cashier at Linda’s Turo-turo. 12-1-15. Leyte Commission No: 2015-12-01 until 31 Dec. Leyte. AGAR and JANE Q. after having been sworn according to law. 01500 PTR No. spouses. 8252222. Leyte. XVV SERIES OF 2016 Republic of the Philippines PROVINCE OF LEYTE Municipality of Burauen ) x -----------------------------------. Tacloban (UP-Tac). PABLABIO P. IN WITNESS WHEREOF. 26 Page No. AGAR. AGAR SUBSCRIBED AND SWORN to before me this 4 December 2015 at Burauen. ATTY. personally known to me. JOEBAN R. Philippines. AGAR. Burauen. Leyte.06 Book No. Poblacion.

2015 at Burauen. 12-1-15. 3. Leyte. Burauen. having lived together as husband and wife for more than ten years. Burauen. ROY YU TAN and MAY AGAR SY. PAZA Notary Public for Burauen. XVV SERIES OF 2016 Republic of the Philippines PROVINCE OF LEYTE Municipality of Burauen ) x -----------------------------------. 4. 2015 at Burauen.S. st _________________________ ROY YU TAN Affiant ID No. 2015. our marriage was solemnized without the need of a marriage license. 34 of the Family Code. and residents of Barangay District I. have been cohabiting as husband and wife since the year 2005 or for more than ten years. 5. 27 Page No. We. we possess all the qualifications and none of the disqualifications to contract a valid marriage. Leyte. 90500 IBP Lifetime No. 1. Leyte. having taken up the same residence in Barangay District I. Philippines. Jake Mazo. 6-06-15 Poblacion District II. single. both of legal age. Burauen. CL00256 SUBSCRIBED AND SWORN to before me this 04th day of December. We are executing this affidavit to attest to the truth of the foregoing statements. Philippines. 2. No. 2. Filipino. Tacloban City MCLE Compliance No.07 Book No. for the late registration of our Marriage Certificate and for whatever legal purpose this may serve. . Since the beginning of our cohabitation until the present.x ) ) S. 4. ATTY. the Parish Priest. JOEBAN R. 2016 Roll No. Leyte. In accordance with Art. MH-02356 _______________________ MAY AGAR SY Affiant ID No. Leyte Commission No: 2015-12-01 until 31 Dec. On December 01. V-0009998. Leyte. IN WITNESS WHEREOF. we have hereunto affixed our signatures this 01 day of December. Leyte. we were married at Sto. Philippines Doc. Leyte. after having been duly sworn to in accordance with law hereby depose and state: THAT1. Msgr. 8252222.We. Nino church and our marriage was solemnized by Rev. 01500 PTR No. 5. 3. ROY YU TAN and MAY AGAR SY.

x ) ) S. Leyte. We also know personally Queeny K. both of legal ages. 1989 at Burauen. V-0009998. AGAR and DANNY S. 4. ___________________ PABLABIO P. Tan or his parents. as we are bonafide residents of Barangay District I Burauen. Philippines Doc. Leyte. 12-1-15. SY. We are executing the foregoing affidavit in order to establish the fact of birth and parentage of said Queeny K. XVV SERIES OF 2016 Republic of the Philippines PROVINCE OF LEYTE Municipality of Burauen ) x -----------------------------------.AFFIDAVIT OF TWO DISINTERESTED PERSONS We. Leyte to be the daughter of aforesaid spouses. hereby depose and state: THAT--1. IN WITNESS WHEREOF. We are familiar with the fact of birth and parentage of said Queeny K. who are personally known to me. PABLABIO P. 3. 5. 28 Page No. Leyte. where she grew up and where his parents established their residence. No. Leyte. SY. AGAR and DANNY S. SY Affiant SUBSCRIBED AND SWORN to before me this 04 December 2015 at Burauen. . Leyte. Burauen. TAN. Tacloban City MCLE Compliance No.08 Book No. Filipinos and long-time residents of Barangay District I Burauen. by PABLABIO P. We are not related by blood or affinity with Queeny K. Tan. Leyte. 2. Tan who was born on August 5. close neighbors and long time family friends in Barangay District I Burauen. Leyte Commission No: 2015-12-01 until 31 Dec. Philippines. we have hereunto set our hands this 04 DECEMBER 2015 at Burauen.S. AGAR Affiant ______________________ DANNY S. 01500 PTR No. PAZA Notary Public for Burauen. after having been sworn to in accordance with law. 6-06-15 Poblacion District II. TAN & WENDY K. who are the same persons who personally signed before me the foregoing affidavit and acknowledged that they executed the same. We know personally the spouses SAMSON M. Leyte. 2016 Roll No. 90500 IBP Lifetime No. ATTY. 8252222. JOEBAN R. Tan.

12-1-15. Tacloban City MCLE Compliance No. married. Philippines Doc. that he is the same person who personally signed the foregoing affidavit before me and acknowledged that he executed the same. ATTY. AGAR. No.S. and a resident of Barangay District I Burauen. 01500 PTR No. AGAR. ____________________ PABLABIO P. PAZA Notary Public for Burauen. Leyte. AFFIDAVIT OF ADMISSION OF PATERNITY . 29 Page No. Leyte. AGAR and SHARON K. 90500 IBP Lifetime No. Captain of Barangay District I. 3. XVV SERIES OF 2016 Republic of the Philippines PROVINCE OF LEYTE Municipality of Burauen ) x -----------------------------------. PABLABIO P. H02-55000555valid until 3-16-16. Leyte Commission No: 2015-12-01 until 31 Dec. hereby depose and state: THAT--1. That is why when my friend. Leyte. 2. IN TRUTH WHEREOF. Philippines. I am executing this affidavit to vouch that PABS AGAR is one and the same person as herein affiant PABLABIO P. Leyte. Leyte. and popularly known in the community by my alias “PABS AGAR”. AGAR @ PABS AGAR Affiant SUBSCRIBED AND SWORN to before me this 4th of December 2015 at Burauen. 4. Filipino.AFFIDAVIT RE: ONE & SAME PERSON I. I have hereunto affixed my signature this 4 December 2015 at Burauen.08 Book No. JOEBAN R.x ) ) S. they addressed me (the receiver) in my alias as PABS AGAR. 2016 Roll No. after having been first sworn according to law. PADO on 16 MARCH 1960. 8252222. V-0009998. CORINA SAM and MANITA KIM in the USA sent me financial assistance through the Moneygram. of legal age. I am presently a Brgy. 6-06-15 Poblacion District II. by PABLABIO P. Burauen. Burauen. AGAR. I was born to parents ROY B. who has satisfactorily proven his identity to me through his Professional Driver’s License No.

Nino Church. Leyte. the contract of marriage. 6-06-15 Poblacion District II. 1989 at Burauen. 2. ABE. Leyte Commission No: 2015-12-01 until 31 Dec. married and a resident of Burauen. after having been sworn to an oath in accordance with law.. No.x ) ) S. However. Leyte. V-0009998. and pursuant to Article 177 of the Family Code of the Philippines. by MANUEL B. 90500 IBP Lifetime No. 5. she should henceforth be known as ANABELLE ABE SUYOM. PAZA Notary Public for Burauen. Leyte. SUYOM. Leyte. I have hereunto set my hand this 04 December 2015 at Burauen. MANUEL B. To straighten the birth records of my child. 3. SUYOM Affiant SUBSCRIBED AND SWORN to before me this 4th of December 2015 at Burauen. who is the same person who personally signed before me the foregoing affidavit and acknowledged that he executed the same. IN WITNESS WHEREOF. 49 Page No. 01500 PTR No. at the time said birth was registered I was not yet legally married with the mother of the girl. Tacloban City MCLE Compliance No. Leyte. Burauen. 09271947 issued on 12/3/15 at Burauen. Burauen.18 Book No. 8252222. _____________________ MANUEL B. ATTY. Leyte. Philippines Doc.. Leyte. hereby depose and state: THAT--1. Philippines. AFFIDAVIT . of legal age. 2016 Roll No. and by virtue of this Affidavit of Admission of Paternity. I am the biological father of a girl registered with the Office of the Civil Registrar of Burauen.I. 12-1-15. We were married on 01 December 2015 by Fr. Leyte. it is now my great desire to admit her as being my legitimated child. under the name of ANABELLE M. SUYOM.S. XXV SERIES OF 2016 Republic of the Philippines PROVINCE OF LEYTE Municipality of Burauen ) x -----------------------------------. I am executing this affidavit to attest to the truth of the foregoing facts for whatever legal purpose/s this may serve. JOEBAN R. Filipino citizen. Kenneth Quejada. Leyte. There was an entry of the father’s name in the aforesaid Certificate of Live Birth. Parish Priest of Sto. born on August 5. personally known to me by exhibiting his CTC No.

Leyte. MARY JANE MANALO Affiant SUBSCRIBED AND SWORN to before me this 5 DECEMBER ATTY. addressed to MANUEL “Manny” SUYOM. Suyom. 2232 for said mailing of the copy of the motion for defendants was attached to the original copy of said motion filed/mailed with the Honorable Court on same date. Filipino. 3. Leyte. I personally retrieved from the Burauen. 2014. Hereto attached is the REGISTRY RETURN CARD as PROOF OF SERVICE to the defendants of the aforesaid motion. On DECEMBER 4. V-0009998.. Manuel B. 90500 Doc. after having been duly sworn depose and say: 1. A Registry Receipt No. That I am the Secretary of Atty. 8252222. Real Street Burauen. Tacloban City MCLE Compliance No. Burauen. 2016 same person who executed this affidavit. 3. Sagkahan. a copy of a MOTION TO DECLARE IN DEFAULT to be filed with the Metropolitan Trial Court. PAZA 2015 at Burauen. 12-1-15. Leyte. Leyte. Burauen. Roll No. with office address at 2/F Macapagal Bldg. Leyte Postmaster the REGISTRY RETURN RECEIPT for the registered mail for MANUEL SUYOM. with instructions to the post office to return the same if not received by the addressees within 10 days from notice. Burauen. 6-06-15 Poblacion District II. Leyte Post Office by registered mail with return card. I mailed at the Burauen. in Civil Case No. 2. Quejada. Philippines. Branch 01. et al. 2015. Ken Louwen M. That on OCTOBER 04. with address B23 L2 KVP Bliss. JOEBAN R. IN WITNESS WHEREOF. which was received personally by Manuel Suyom on DECEMBER 3. for Qualified Theft. 2015. affiant personally known toBurauen.I. No. 01500 PTR No. 50 Page No. MARY JANE MANALO. I have hereunto set my hand this 5 DECEMBER 2015 at Burauen. 19-06601 entitled Winston Garcia v. Leyte.19 Book No. Philippines . single. me toLeyte be the Notary Public for Commission No: 2015-12-01 until 31 Dec. Leyte IBP Lifetime No. Leyte. XXV SERIES OF 2016 To: The Register of Deeds Burauen. of legal age.

Leyte. Doc. Burauen. to cancel the aforementioned statutory lien or encumbrance on said Transfer Certificate of Title No. GARCIA and ESMERALDA PACENCIA GARCIA in accordance with Section 4. V-0009998. Leyte. The statutory period of two (2) years has already elapsed since the extrajudicial settlement and distribution of said estate as registered on 14 August 2008 and notwithstanding thereof no claim has ever been presented by any party whomsoever to this date. Rule 74 of the Rules of Court said encumbrance being annotated as per P. Philippines . creditors. Burauen. The said certificate of title contains an annotation of encumbrance relating to contingent liabilities of the property therein described to possible claims of other heirs. Leyte Burauen. a resident of Sagkahan. Leyte and covered by Transfer Certificate of Title No. T-93411 as per Entry No. Leyte. 04 JOEBAN December 2015 at Notary Public for Burauen. Leyte. and other persons who might have been deprived of lawful participation in the estate of the deceased SPS. this PETITION is hereby made to the Register of Deeds of Burauen. GARCIA. Burauen. married to Mary Ann B. 2016 Roll No.T-30862 on 14 August 2008. 12-1-15. through his uncle MIGUEL L. 90500 IBP Lifetime No. 2015. deposeth and sayeth: THAT 1. XXV SERIES OF 2016 Commission No: 2015-12-01 until 31 Dec.E. 2. the owner’s duplicate of which title being submitted herewith. 01500 PTR No. T-93411 The undersigned petitioner WINSTON PACENCIA GARCIA. T-93411 issued by the Register of deeds of Burauen.19 Book No. Tacloban City MCLE Compliance No. 51 Page No. WHEREFORE. December 04. Philippines. Burauen. He is of legal age. after being first sworn according to law. AGAR Affiant R.T-30862. 119. Series of 1960. in the manner provided by law. PAZA SUBSCRIBED AND SWORN to before me thisATTY.-----------------------------------------------/ RE: TCT No. 8252222. 6308. Leyte pursuant to LRC Circular No. No. Filipino. By: PABLABIO P. 6-06-15 Poblacion District II. Leyte and the registered owner in fee simple of the real property situated in Barangay 101 Sagkahan. Garcia. 3. No. 6308. EDWARD N.

6-06-15 Poblacion District II. 2016 PABLABIO P. PAZA Notary Public for Burauen. Leyte. 90500 AffiantNo. 09271947 issued on 12/3/15 at Burauen. Philippines. AGAR Roll No. IN IN WITNESS WHEREOF. 52 Page No. Tacloban City MCLE Compliance No.x .20 . This affidavit is executed to attest to the truth of the above facts for the purpose of CHANGE OF COLOR and for whatever legal purpose this may serve. PABLABIO P.. 01500 IBP Lifetime PTR No. 8252222. Philippines. of legal age. Leyte. V-0009998. Filipino. Burauen. AFFIDAVIT RE: CHANGE OF COLOR I. Leyte. Doc. married and with postal address at B23 L2 KVP Bliss. JOEBAN R. Leyte. The job has long been finished. Burauen. who is the same person who personally signed before me the foregoing affidavit and acknowledged that he executed the same. Leyte. Leyte Commission No: 2015-12-01 until 31 Dec.S. AGAR. after been sworn according to law. 12-1-15. Sagkahan. No. hereby depose and state: THAT--I am the owner and possessor of a motor vehicle particularly described as follows: Make/Type Motor Number Chassis Number` Plate Number CERT. ) ) S. personally known to me by exhibiting his CTC No. I engaged the services of Isuzu Motors Services Center to change the color of said vehicle from SILVER to ASH BEIGE. 2015 1312-210789 Sometime this October 2015. by PABLABIO P. ATTY. Philippines th SUBSCRIBED AND SWORN to before me this 4 of December 2015 at Burauen.Republic of the Philippines PROVINCE OF LEYTE Municipality of Burauen ) x -----------------------------------. I have hereunto set my hand this 04 December 2015 at Burauen. OF REGIS. AGAR. MV File Number : : : : : : ISUZU Sportivo X D4BXL237769 KMJFD38XPLJ092600 ABL-3990 71996984 dated June 27.

I have hereunto set my hand this 04 December 2015 at Burauen. Leyte. Filipino citizens. No. 2.x ) ) S. 4-23-15 2/F Macapagal Bldg. V-0009511. QUEJADA Notary Public for Tacloban City. both engaged to be married under the Civil Law of the Philippines. affiants exhibiting to me their Professional Regulation Commission ID Card No. Tacloban City MCLE Compliance No. Philippines. 12-4-15. 53 Page No. singles. E2-0017934 dated 6/8/06 and Philippine Passport No.. 90112 IBP Lifetime No. ___________________ MANUEL B. we formally express our willingness and intent to marry each other. 8252118. 3. both of legal ages. Tacloban City . Burauen. IN WITNESS WHEREOF. and residents of Sagkahan. hereby depose and state: THAT--1. Because of our love for each other. Leyte and Villareal. Doc. 2016 Roll No. JOINT AFFIDAVIT OF INTENT TO MARRY We.Book No. SUYOM ________________ APRIL M. April is the fiancée of Manuel. Leyte Commission No: 2015-12-04 until 31 Dec. and we are willing to marry each other in Villareal. Leyte. MANUEL BARGO SUYOM and APRIL MACARAIG ABE. ABE Affiants SUBSCRIBED AND SWORN to before me this 4th of December 2015 at Burauen. 01213 PTR No.S. KEN LOUWEN M. Philippines. XX0603984 issued on 24 March 2015 respectively for identification purpose.21 ATTY. Western Samar before the Municipal Mayor of said municipality. Leyte. Western Samar respectively. We are executing this joint affidavit to attest to the truth of the foregoing facts. Real Street. XXV SERIES OF 2016 Republic of the Philippines PROVINCE OF LEYTE Municipality of Burauen ) x -----------------------------------. after being first sworn according to law.

Book No. Philippines. 2. 949-C.S. The said lot has no improvement whatsoever. Leyte. 7. 59. 17790133 issued on December 01. married and a resident of Sagkahan. SUYOM Affiant SUBSCRIBED AND SWORN to before me this 04 November 2015 at Burauen. MANUEL B. Burauen. 2015 of Notary Public Ken Louwen M. Leyte covered by Transfer Certificate of Title no. I have hereunto set my hand this 04 December 2015 at Burauen. s. XXV SERIES OF 2016 Republic of the Philippines PROVINCE OF LEYTE Municipality of Burauen ) x -----------------------------------. The said parcel of land was sold to PABLABIO P. 101. Leyte. Leyte. AGAR in a Deed of Absolute Sale under Doc. hereby depose and state: THAT--1. No.m. Filipino. Page No. . T-93411 and designated as Lot No. I am the seller of a parcel of residential land situated at Brgy. affiant exhibiting to me his CTC No.x ) ) S. SUYOM. Book No. MANUEL B. Leyte. Quejada 3. Burauen. Sagkahan. 34. SELLER’S AFFIDAVIT OF NON-IMPROVEMENT I. after having been first sworn according to law. PCU-08-000289 x x x containing an area of 500 sq. Philippines. of legal age. more or less. Leyte. IN WITNESS WHEREOF. 2015 at Burauen.

Our corporation. 3. 12-4-15. 90112 IBP Lifetime No. TCT T-11009 to 11015 T-3050 T-3052 T-3053 T-3055 T-20999 T-21000 T-22038 to T-22047 T-23049 11. I execute this affidavit to attest to the truth of the foregoing facts. No. Filipino. Philippines. 10. 3. Real Street. 2. REALTY INDUSTRIES. single and presently the PRESIDENT of the . hereby depose and state: THAT--1. after being first sworn according to law. 12.REALTY INDUSTRIES INC. Tacloban City Republic of the Philippines PROVINCE OF LEYTE Municipality of Burauen ) x -----------------------------------. 9. I have hereunto set my hand this 04 December 2015 at Burauen. 8. Tacloban City MCLE Compliance No. of legal age. AFFIDAVIT OF NON-TENANCY I. 17. V-0009511.. 5. QUEJADA Notary Public for Tacloban City. 8252118.. IN WITNESS WHEREOF. Burauen. PABLABIO P.22 Book No. XXV SERIES OF 2016 ATTY. 6. 7. 16. Leyte Commission No: 2015-12-04 until 31 Dec. . Leyte. KEN LOUWEN M. 14.x ) ) S. 54 Page No. to wit: 1.S. T-27051 T-2972 T-2978 T-2975 T-2928 T-3076 T-3276 T-3303 2. 4.Doc. 15. INC. 01213 PTR No. 4-23-15 2/F Macapagal Bldg. These parcels of titled residential lands are not tenanted. Leyte. 13. 2016 Roll No. AGAR. is the registered owner and possessor of the following parcels of residential land covered under the Torrens system.

12-4-15. affiant exhibiting to me his CTC No.S. b) One (1) unit CTV 21” SAMSUNG w/ SN 19636043 c) One (1) unit CTV 21” LG w/ SN 40807667 2.. located at Avenida Veteranos. 01213 PTR No. 55 Page No. Doc. Philippines.x ) ) S. Leyte. MANUEL B. Filipino. AGAR Affiant SUBSCRIBED AND SWORN to before me this 04 December 2015 at Burauen. Leyte. SUYOM. hereby depose and state: THAT--1. Burauen. Leyte. 3.23 Book No. No. Leyte Commission No: 2015-12-04 until 31 Dec. 101. The above listed items are in my current possession. V-0009511. Tacloban City MCLE Compliance No. and to be used as security and/or collateral for renewal of my loan with JGC Financing Company Inc. Tacloban City Republic of the Philippines PROVINCE OF LEYTE Municipality of Burauen ) x -----------------------------------. Leyte. Sagkahan. married and a resident of Brgy. of legal age. 2016 Roll No. I am the lawful owner of the herein described home appliances. KEN LOUWEN M. QUEJADA Notary Public for Tacloban City. IN WITNESS WHEREOF. AFFIDAVIT OF OWNERSHIP I. to wit: a) One (1) unit Refrigerator – SAMSUNG w/ SN 167C362. Leyte. 90112 IBP Lifetime No. 2015 at Burauen. Leyte. 8252118. 17790133 issued on December 01.PABLABIO P. Burauen. XXV SERIES OF 2016 ATTY. I execute this affidavit to attest the truthfulness of the foregoing facts of ownership and for whatever legal purpose it may serve best. . after having been sworn to in accordance with law. Philippines. I have hereunto set my hand this 4 December 2015 at Burauen. 4-23-15 2/F Macapagal Bldg. Real Street..

12-4-15. V-0009511. married and a resident of Sagkahan. Ellen De Guzman Reyes. Leyte. Leyte. Tacloban City ) ) S. AGAR. consisting of the following: . 2009. SUYOM Affiant SUBSCRIBED AND SWORN to before me this 4 December 2015 at Burauen. Burauen. Filipino. KEN LOUWEN M. Garcia. I am the Attorney-in-Fact of the Heirs of Edward N. we are applying for retention of 7. after having been sworn according to law. 2016 Roll No. XXV SERIES OF 2016 Republic of the Philippines PROVINCE OF LEYTE Municipality of Burauen ) x -----------------------------------. 56 Page No. de Guia. Anna D. who died on May 1. of legal age. Leyte. De Guzman and Maria Gerphil de Guzman. Tacloban City MCLE Compliance No. Real Street. Philippines.2758 has. 4-23-15 2/F Macapagal Bldg. of the aggregate total agricultural landholdings throughout the Philippines of the decedent Edward N. Juan Garcia. the muniments of titles hereto attached. Leyte Commission No: 2015-12-04 until 31 Dec. QUEJADA Notary Public for Tacloban City.S. Garcia. AFFIDAVIT OF AGGREGATE TOTAL AGRICULTURAL LANDHOLDINGS OF DECEDENT EDWARD NOLASCO GARCIA I. hereto attached in evidence are: (1) the Special Power of Attorney executed by Everlyn Garcia Molina. Doc. hereby depose and state: THAT--1. and (2) the Death Certificate of Edward N.. 01213 PTR No. Garcia.MANUEL B. 2. PABLABIO P.x ATTY. Estelita Therese P. 90112 IBP Lifetime No. 6 of RA 6657. Eunice Garcia. Pursuant to Sec. 8252118.24 Book No. No.

4-23-15 2/F Macapagal Bldg. KEN LOUWEN M. 90112 IBP Lifetime No. 01213 PTR No. AFFIDAVIT OF SELLER AND BUYER We. I have hereunto set my hand this 04 December 2015 at Burauen. only to the second named affiant under ARP No. This affidavit is executed to support the application for retention and for the corresponding certificate of retention to be issued by the Department of AgrarianReform. XXV SERIES OF 2016 ATTY. Leyte. IN WITNESS WHEREOF. Garcia pro indiviso. Burauen. AGAR Affiant SUBSCRIBED AND SWORN to before me this 4 December 2015 at Burauen. Leyte (ARP 0004-R-10) – 2. 00289 R-18. Leyte containing 30. AGAR. all the seven (7) above-named heirs hereby adjudicate. b) Lot 2737. Tacloban City Republic of the Philippines PROVINCE OF LEYTE Municipality of Burauen ) x -----------------------------------. SUYOM and PABLABIO P.. hereby depose and state: THAT--The first named affiant is the seller of a portion of a parcel of agricultural land at Barangay District I. Leyte. 3. Burauen. 8252118. 2016 Roll No.a) Lot 3129. Burauen. Burauen. PABLABIO P. 12-4-15. 00201960)–0. both of legal age. 57 Page No. and residents of Villareal. c) Lot 6394. Utap. Filipinos. V-0009511.7042 has.x ) ) S. MANUEL B.2893 has. No. Babatngon.25 Book No. after being first sworn according to law.000 sq. Leyte respectively. Western Samar and Sagkahan. Tacloban City MCLE Compliance No. Real Street. 4. QUEJADA Notary Public for Tacloban City. Leyte (ARP 99-34009-00034 R-10)-4. Sagkahan. the above mentioned agricultural lands and thus qualify to apply for their retention.S. evidenced by a Deed of Absolute Sale of a Portion of Land dated 03 . Leyte Commission No: 2015-12-04 until 31 Dec. Doc. as they have executed an Extrajudicial Settlement to divide and partition the estate of the decedent Edward N. Leyte (Tax Decl.29 has. As each heir is allowed to retain three (3) hectares out of the total landholdings for actual tilling/managing. Philippines. Philippines.m.

2015 of Notary Public Ken Louwen M. Real Street. 2016 Roll No. Sagkahan. and that the land is not tenanted. 8252118. Tacloban City MCLE Compliance No. V-0009511. Filipino. Tacloban City Republic of the Philippines PROVINCE OF LEYTE Municipality of Burauen ) x -----------------------------------. No. 90112 IBP Lifetime No. 58 Page No. KEN LOUWEN M. LIX. SUYOM ____________________ PABLABIO P. 12-4-15. Leyte. I have hereunto set my hand this 04 December 2015 at Burauen. Philippines. Book No. s. No. 37. Leyte.. AFFIDAVIT TO SUPPLY NAME I. Burauen. ____________________ MANUEL B. after having been sworn according to law. Doc.x ) ) S. Leyte Commission No: 2015-12-04 until 31 Dec. XXV SERIES OF 2016 ATTY.December 2015 registered under Doc.. Quejada. page No. 4-23-15 2/F Macapagal Bldg. 01213 PTR No. there is no existing improvements found thereon declared in seller’s name. hereby depose and state: THAT--- . SUYOM. of legal age. IN WITNESS WHEREOF.26 Book No. married and a resident of Brgy.S. At the time of the sale. 101. Philippines. AGAR -A f f i a n t s- SUBSCRIBED AND SWORN to before me this 4 December 2015 at Burauen. Leyte. QUEJADA Notary Public for Tacloban City. MANUEL P. 09. We execute this affidavit to establish the aforestated facts for conveyancing purposes and for such other legal purpose this may serve.

2016 Roll No. 3. Unfortunately. as I and my wife have not yet decided on a name to give her upon registration. KEN LOUWEN M. XXV SERIES OF 2016 Republic of the Philippines PROVINCE OF LEYTE Municipality of Burauen ) x -----------------------------------. we failed to supply her first name in her Certificate of Live Birth with the Local Civil Registrar of Tacloban up to this time.1. Doc. SUYOM Affiant/Father SUBSCRIBED AND SWORN to before me this 4 December 2015 at Burauen. 2. due to inadvertence. 5757. The said birth was registered with the Office of the Local Civil Registrar of Manila. Philippines. Leyte Commission No: 2015-12-04 until 31 Dec. 59 Page No. I am executing this affidavit to attest to the truth of the foregoing facts and to further supply the true and real name of my daughter in her birth registry No. but her first name was left blank. 01213 PTR No. I have hereunto set my hand this 04 December 2015 at Burauen. MANUEL B. 1989 in Burauen. 90112 IBP Lifetime No. Leyte. 4-23-15 2/F Macapagal Bldg. who was born on August 5.x ATTY. she was given the name ANABELLE A. the name she has been using since then.27 Book No. 8252118. I am the father of ANABELLE A. Tacloban City MCLE Compliance No. IN WITNESS WHEREOF. QUEJADA Notary Public for Tacloban City. Tacloban City ) ) S. 4. affiant exhibiting to me his SSS No. SUYOM. 3. Leyte. V-0009511. SUYOM.. . 12-4-15. Leyte. No. 05-0048-2399. Real Street.S. Subsequently upon baptism.

Leyte. SPS. 3. CC19003/9606639 and CC19003/9606640 both issued on 01 December 2015 at Burauen. Tacloban City MCLE Compliance No. both of legal age. Tacloban City . Leyte. SUYOM. KEN LOUWEN M. Leyte. to support her in her educational pursuit. 2016 Roll No. SUYOM and APRIL A. Doc. V-0009511. SUYOM Father ________________ APRIL A. Philippines. 101.28 Book No. Real Street. We are the natural parents of ANABELLE A. Leyte respectively. Sagkahan. we have hereunto affixed our signatures this 4 December 2015 at Burauen. Leyte Commission No: 2015-12-04 until 31 Dec. Pursuant to Art. we have the rights and duties within our means. 90112 IBP Lifetime No. IN WITNESS WHEREOF..JOINT AFFIDAVIT OF SUPPORT We. SUYOM. while our daughter is a scholar of CAP. SUYOM Mother SUBSCRIBED AND SWORN to before me this 04 December 2015 at Burauen.. No. among others. who is interested to apply for admission to Ateneo de Manila University (ADMU). after being first sworn according to law. 2. Filipino citizens and residents of Brgy. 12-4-15. QUEJADA Notary Public for Tacloban City. 8252118. affiants exhibiting to me their Community Tax Certificates Nos. We are self-employed. ___________________ MANUEL S. 220 of the Family Code. Burauen. 4-23-15 2/F Macapagal Bldg. XXV SERIES OF 2016 ATTY. hereby depose and state: THAT--1. MANUEL S. 01213 PTR No. 60 Page No.

I shall further undertake not to use the said vehicle pending the processing of the change of color with the LTO. Tacloban City . Philippines. 4-23-15 2/F Macapagal Bldg. 2016 Roll No. AGAR. ABL-3990. Leyte. Pending the process and in view of this undertaking.S. Doc. hereby depose and state: THAT--1. 01213 PTR No. AFFIANT FURTHER SAYETH NAUGHT. PABLABIO P. 5. Real Street. it is requested that the driver’s license be returned to PABLABIO P..Republic of the Philippines PROVINCE OF LEYTE Municipality of Burauen ) x -----------------------------------. That said vehicle was apprehended by the LTO. AFFIDAVIT OF UNDERTAKING I. Leyte. Filipino. Tacloban City MCLE Compliance No. PABLABIO P. 3.29 Book No. AGAR Affiant SUBSCRIBED AND SWORN to before me this 4 December 2015 at Burauen. after having been first sworn according to law. 4. for reason that the process for the change of color has not yet been processed with the LTO. QUEJADA Notary Public for Tacloban City. 8252118. AGAR. 2. No. IN WITNESS WHEREOF.x ) ) S. married and a resident of Burauen. 12-4-15. 90112 IBP Lifetime No. V-0009511. Leyte. which I have changed the color from silver to ash beige. of legal age. I shall undertake to have the change of color processed and completed with the LTO. Philippines. I am the owner of a ISUZU Sportivo X with Plate No. XXV SERIES OF 2016 ATTY. KEN LOUWEN M. Leyte Commission No: 2015-12-04 until 31 Dec. 61 Page No. we have hereunto affixed our signatures this 4 December 2015 at Burauen. and my drivers license was confiscated as a result of said apprehension.

Leyte. and that the same are all true and correct according to my own personal knowledge and belief. XXV SERIES OF 2016 ATTY. that we undertake to inform this Court of any action pending or otherwise over the same cause or subject matter within five (5) days from date of knowledge. 90112 IBP Lifetime No. Leyte. that I have caused the foregoing extrajudicial foreclosure application to be prepared and filed. KEN LOUWEN M. IN WITNESS WHEREOF. Tacloban City MCLE Compliance No. No. PABLABIO P. 4-23-15 2/F Macapagal Bldg. AGAR. Tacloban City . Leyte. Leyte Commission No: 2015-12-04 until 31 Dec. under oath state: THAT--I am the officer-in-charge of herein plaintiff. and duly authorized by a Board Resolution No. 12-4-15.VERIFICATION AND CERTIFICATION OF NON-FORUM SHOPPING I. judicial or administrative. 121 to represent the plaintiff corporation in the above-entitled case.. 01213 PTR No. of legal age. Real Street. 62 Page No. married and a resident of Burauen. QUEJADA Notary Public for Tacloban City. Realty Industries Incorporated. by PABLABIO P. that I have read and fully understood all the allegations therein contained. court or any agency or tribunal. 2016 Roll No. and based on genuine and authentic documents. I have hereunto set my hand this 04 December 2015 at Burauen. Court of Appeals. Leyte. Doc. I CERTIFY that plaintiff had not commenced any action against the defendant for the same cause and over the same subject matter. PABLABIO P. AGAR. Filipino. AGAR Affiant SUBSCRIBED AND SWORN to before me this 4th of December 2015 at Burauen. 8252118. Philippines. 09271947 issued on 12/3/15 at Burauen. who is the same person who personally signed before me the foregoing affidavit and acknowledged that he executed the same. nor is there any case pending before the Supreme Court.30 Book No. V-0009511. personally known to me by exhibiting his CTC No. and further.

under oath state: THAT— On OCTOBER 1.Republic of the Philippines PROVINCE OF LEYTE Municipality of Burauen ) x -----------------------------------. Leyte. or in lieu thereof. Leyte.x ) ) S. Doc. 63 . personally known to me by exhibiting his CTC No. AFFIDAVIT OF SERVICE/MAILING I. Leyte. Philippines. Burauen. 09271947 issued on 12/3/15 at Burauen. who is the same person who personally signed before me the foregoing affidavit and acknowledged that he executed the same. The registry return card shall be filed immediately upon its receipt by the sender. by EPIFANIO DE LOS SANTOS. Leyte. 2015 to PABLABIO P. EPIFANIO DE LOS SANTOS. IN WITNESS WHEREOF. I mailed by registered mail a legible copy of the DEMAND LETTER with NOTICE OF DISHONOR dated September 28. Leyte in a sealed envelop with instruction to the postmaster to return the mail to sender after ten (10) days if undelivered. Head-Collection Department of the REALTY INDUSTRIES INCORPORATED. 2015. EPIFANIO DE LOS SANTOS Affiant/Sender SUBSCRIBED AND SWORN to before me this 4th of December 2015 at Burauen.. 1121 HERETO ATTACHED as proof of service. as evidenced by REGISTRY RECEIPT No. the unclaimed letter together with the certified or sworn copy of the notice given by the postmaster to the addressee.S. No. pursuant to Sections 7 and 13 of Rule 13 of the 1997 Rules of Civil Procedure. AGAR in the Post Office of Burauen. I have hereunto set my hand this 04 December 2015 at Burauen.

registered in the name of this corporation. SECRETARY’S CERTIFICATE I. with business address at Brgy. that Board Chairman MANUEL B.31 Book No.S. after being first sworn according to law. Tacloban City Republic of the Philippines PROVINCE OF LEYTE Municipality of Burauen ) x -----------------------------------. with Motor No. Burauen. 8252118. AS IT IS HEREBY RESOLVED.x ) ) S. hereby depose and state: THAT--1. 2016 Roll No. KB506058030684E bearing Plate No. I have in custody and possession the corporate books and other records of the corporation. 82. Leyte Commission No: 2015-12-04 until 31 Dec. Leyte. with request of reissuance with the Land Transportation Office of a duplicate copy of said lost original Certificate of Registration. Leyte.. I have hereunto set my hand this 04 December 2015 at Burauen. Marasbaras. I am the Secretary of REALTY INDUSTRIES INCORPORATED. a corporation duly organized and existing under and by virtue of the laws of the Philippines. Burauen. Leyte District Office.Page No. XXV SERIES OF 2016 ATTY. TO3739. As such. 4-23-15 2/F Macapagal Bldg. 2. Tacloban City MCLE Compliance No. Philippines. 01213 PTR No. 3731647-3 issued on 3 November 2015 by LTO Burauen. V-0009511. QUEJADA Notary Public for Tacloban City. 4. 90112 IBP Lifetime No. PABLABIO P. . s. 08 Series of 2015 RESOLVED. TMX 155S7. Real Street. Filipino. including the minutes of the board and stockholders’ meetings. the Board of Directors of the corporation unanimously passed the following: BOARD RESOLUTION No. 3. of legal age. married and a resident of Barangay District I. 12-4-15. Leyte. AGAR. KEN LOUWEN M. of one HONDA motorcycle. IN WITNESS WHEREOF. SUYOM be given full power and authority to execute and sign an AFFIDAVIT OF LOSS of CERTIFICATE OF REGISTRATION No. At the duly constituted special meeting on 1 December 2015. The foregoing are in accordance with the records of the Corporation presently in my custody.

Tacloban City MCLE Compliance No. Pauls School of Business and Law Campetic Palo. affiant being personally known to the undersigned notary public. Tacloban City St.PABLABIO P. XXV SERIES OF 2016 ATTY. 12-4-15. 90112 IBP Lifetime No.. No. V-0009511. KEN LOUWEN M. 8252118. 4-23-15 2/F Macapagal Bldg. Real Street. Leyte Commission No: 2015-12-04 until 31 Dec. 01213 PTR No. 64 Page No. AGAR Corporate Secretary SUBSCRIBED AND SWORN to before me this 4 December 2015 at Burauen.32 Book No. 2016 Roll No. Leyte. Doc. Leyte IN PARTIAL FULFILLMENT OF THE REQUIREMENTS IN LEGAL FORMS . QUEJADA Notary Public for Tacloban City.

Leo Giron Professor .Submitted By: Ken Louwen Quejada BL-3 Submitted To: Atty.