Republic of the Philippines)

City of Davao. . . . . . . . . . .)S.S.

X- - - - - - - - - - - - - - - - - -X

AFFIDAVIT NO INVENTORY

I, XXX.. of legal age, Filipino and a resident of XX XX, XX, Davao City, Philippines,
UNDER OATH, do hereby depose and say:

That I am the registered owner of XXX located at # 133 Bronze Street, Mineral Village,
Bajada Barangay 19-B, Pob, Davao City.

That I hereby declare upon my honor that no inventory of merchandise or any properties.

I am executing this affidavit to attest to the truth and to inform the proper authorities
concerned and for whatever legal purpose they may serve.

IN TRUTH HEREOF, I have hereunto affixed my signature this _____day of

__________________, at Davao City, Philippines.

XXXX
Affiant

SUBSCRIBED AND SWORN to before me this _____day of __________, at Davao

City, Philippines.