NEIGHBORS CONSENT

October 22, 2018

CERTIFICATION
This is to certify that our company __________________________________ owned by ___________________
with business address ______________________________________________ in not part of any home
owners association in the barangay.

This further certifies that the business does not in any way affect or harm the health conditions, safety,
orderliness, comfort and general welfare of the residents.

In this view, we are submitting therewith a list of our nieighbors with their consent andf signature interposing
NO OBJECTION on our business operation.

Hoping this will merit your approval

Truly yours,

______________________________
Owner’s signature over printed name
Affiant

Conforme:
NAME ADDRESS SIGNATURE
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Subscribed and Sworn to before me this ________ day of ________ 2018, with the affiant having exhibited to
me her Community Tax Certificate No. ________________ issued on _________________ at Quezon City.

Doc. No. ______

Page No. ______
Book No. ______
Series of 2018