REPUBLIC OF THE PHILIPPINES )

CITY OF )S.S
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AFFIDAVIT OF VENDOR RE: NO LOAN

That I, ______________________________, of legal age, Filipino, married, with

residence and postal address at _________________________________________,
after having been duly sworn to in accordance with law, do hereby depose and say:

That I am the registered owner of a certain parcel of land covered by Transfer

Certificate of Title No. _____________________, known as Lot
__________________, Psd-________________________, containing with an area of
_________________________________________ SQUARE METERS, more or less,
situated at ___________________________________________;

That the above-mentioned land was NOT USED as COLLATERAL to any farm
machineries or to any Banking Institution or to any private individual.

That this Affidavit is being executed for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of

__________________, 202____ at ________________________ Philippines.

____________________________
Affiant
TIN: ____________________

SUBSCRIBED AND SWORN to before me this ____ day of ____________,

20___ at _____________________________, Philippines, and affiant exhibited to me
his/her Tax Identification Number as indicated below his name.

Doc. No. ____;

Page No. ____;
Book No.____;
Series of 202__;