I, MARICAR C. ANGELES , of legal age, Filipino and residing at 21-
045 Arezzo Pace Pasig A. Sandoval Ave. Pinagbuhatan, Pasig City, after having been duly sworn in accordance with law, hereby depose and say:
1. That I am the owner of a Condo Residential at 21-045 Arezzo Pace
Pasig A. Sandoval Ave. Pinagbuhatan, Pasig City;
2. That I am in the process for securing a Building Permit of the said
condominium;
3. That as a requirement for said permit it must have secured copy of
as-built plan and I hereby undertake to provide the same upon application of occupancy permit, and there is no alteration of electrical and mechanical will be done.
4. I hereby absolute remise, release and forever discharge the City of
Official Pasig City, its officer, with Engineering Office of Pasig, administrators and assigns and/or any of its officer or employees from any and all claims, suits actions or causes of action which our successors now have in the future may be against and the said government agency , and I hereby further obligate myself solely to indemnify the said government agency, its administrator and assign and/or its officers or employees for liabilities that may arise
5. That I am executing this affidavit to attest to the truth of the foregoing
statement and for whatever legal purposes this may serve.
I N WITNESS WHEREOF, I have hereunto set my hand this
_____________ at Pasig City.
MARICAR C. ANGELES Affiant
SUBSCRIBED AND SWORN to before me this ____ day of ___, at