HLURB MC No.

Series of 20
Annex

APPLICATION FOR AMENDMENT OF MASTER DEED WITH DECLARATION OF

RESTRICTIONS

Date
The Regional Officer
Housing and Land Use Regulatory Board

Sir:
In accordance with P.D. 957 and its Implementing Standards Rules and Regulations, I am
applying for the Amendment of Master Deed with Declaration of Restrictions of
located at
(Name of Project)
with License to Sell No. containing units.

1. Copy of amended Master Deed with Declaration of Restrictions.

2. Compliance with R.A. 7899 of 1995 that is:

2.1 Written consent from the simple majority of registered owners
2.2 Proof of prior written notification to all registered owners

I can be reached at :
Address :
Telephone No. :

Or through my representative:
Name
Address :
Telephone No. :

Very truly yours,

(Printed Name and Signature)

(Designation/Position)

Republic of the Philippines)

) S.S.
SUBSCRIBED AND SWORN to before me this day of in
the City/Province of , affiant exhibited to me his/her Residence Certificate No.
issued at on 20

Doc. No.
Page No.
Book No. Notary Public
Series of