REPUBLIC OF THE PHILIPPINES )

CITY OF GENERAL SANTOS ) S.S.

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AFFIDAVIT
I, ___________________, of legal age, Filipino, married, and a resident of
_________________, General Santos City, Philippines, after having been duly sworn to in
accordance with law, hereby depose and say THAT:

1. I am the lawful lessee and occupant together with my family of the unit/house
owned by ___________________, located at ______________________ since
________________.

2. I have entered into agreement with the abovementioned lawful owner to lease and
use the aforementioned unit/house as well as the utilities therein for a period of
______; provided that I will pay the monthly rental, including the monthly electric
and water bills which are all under his/her name.

3. I have substantial fixed income being the ______________ to answer for all and
any other expenditures for the said rental.

4. I have executed this affidavit of my own free will with the intent of using this as a
proof that I am a resident of ____________________.

5. I am executing this affidavit to attest to the truth of the foregoing statements and
that the information provided herein mare true and correct based on my personal
knowledge and authentic records; and for any legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this __________________

in the City of General Santos, Philippines.

NAME
Affiant
I.D. No._____________

SUBSCRIBED AND SWORN to before me this ______________________ in the City of

General Santos, Philippines, affiant exhibiting to me his/her competent means of identification
showing his/her photograph and specimen signature wherein his/her personal identity is easily
verifiable, as indicated above.

WITNESS MY HAND AND SEAL on the date and place written above.

Doc. No. ___;

Page No. ___;
Book No. ___;
Series of 2020.