Republic of the Philippines )

City of Cebu ) S.S.

x-----------------------------------------------x

AFFIDAVIT OF NO RENTAL

I_____________________, of legal age, married, Filipino, and a resident of Block

2, Lot 2, Springwoods subd., Minglanilla, Cebu, Philippines, after having been duly sworn
in accordance with law, hereby depose and state:

1. That as a practicing lawyer, I am holding office in

_____________________________________;

2. As an employee of Board Member ____________________________, I have been

permitted to engage my profession within his office another doctor, Dr.
________________, who is the contracting party as lessee in the Contract of Lease
entered into between him and the building owner/lessor;

3. That in view of the lessee’s generous accommodation, I am not paying any rental fee to
the building owner, subject to my agreement with the lessee that I will share the cost in
covering clinic overhead expenses;

4. That this arrangement is consented to by the building owner/lessor;

5. That I am executing this affidavit to declare the truth of the foregoing facts and for
whatever legal purpose it may serve.
 IN WITNESS WHEREOF, I have hereunto set my hand this _____________ at
_____________________, Philippines.

_________________________
Affiant

SUBSCRIBED AND SWORN TO BEFORE ME this ______ day of _______________ in the City
of _______________, Philippines, by ___________________, who is personally known to me and who
presented his _____ ID No. ________________ which expires on _______________, and who is the same
person who personally signed before me the foregoing affidavit and acknowledged that he executed the
same.

Doc. No. _____;

Page No. _____;

Book No. _____;

Series of 2015.