REPUBLIC OF THE PHILIPPINES )

_________________________ ) S.S.

AFFIDAVIT OF DENIAL

I, _____________________, of legal age, Filipino, and with

address at _____________________________, after having been
duly sworn in accordance with law, hereby depose and state that:

1. On _______________, ___________________ applied

for a business permit her business, ____________________ with
address at _____________________.

2. Her application was denied because of existing liabilities

by a person named _______________ under Business Permit No.
________________.

3. I hereby deny that I am the said person who was granted

said business permit and who undertook the said business. I have
never registered any business before the City Government of
___________. I have absolutely no liabilities with the City
Government of _________________.

4. I am executing this Affidavit to attest the truth of the

foregoing in support for the business permit application of my
daughter and for whatever legal purpose it may serve.

AFFIANT FURTHER SAYETH NAUGHT.

_______________, _____________, Philippines.

_______________________

SUBSCRIBED AND SWORN to before me, in ____________,

this _______________, with affiant’s competent evidence of identity
consisting of her ______________ issued on _____________ at
________________.

Doc. No. ____;

Page No.____;
Book No.____;
Series of 2018.