REPUBLIC OF THE PHILIPPINES)

Municipality of____________ ) S.S

AFFIDAVIT OF NO CONTRACTOR

I , --------------------------------, Filipino of legal age, and a resident

of________________________________________________ having been dully sworn in accordance
with law, hereby depose and state;

1. That I am the OWNER of a parcel of land ___________________________________

2. That the ON-GOING construction on the aforementioned parcel of land was being built
without an outside independent contractor but rather being construct using the owners
resources and with just the supervision of a licensed civil engineer.

3. That I am executing this affidavit to attest the truth of the foregoing facts for all legal intents
and purposes it may serve.

IN WITNESS WHEREOF, we have hereunto set our hands this ________________________ at

_________________________________, Philippines.

AFFIANT

SUBSCRIBED AND SWORN to before me this __________________________________at

_____________________________________________.