REPUBLIC OF THE PHILIPPINES)

LA TRINIDAD, BENGUET………..) s.s.

AFFIDAVIT CONSENT
I, ___________________________, of legal age, married, Filipino citizen and a resident
of __________________________________, Philippines under oath depose and state that:

1. I am the registered owner of that parcel of land situated at

______________________________ Philippines covered by Transfer
Certificate of Title No. _________________ with an area consisting of
____________________________________________ SQUARE METERS;

2. I am giving my unconditional consent and authority to

_________________________________ to construct and/or erect a building with
in the parcel of land covered by the aforementioned title;

3. I am executing this affidavit to state affirm and confirm that I have given my
consent and duly authorized ____________________________________ to
construct and/or erect a building with in the parcel of land covered by the
aforementioned title issued in my name;

4. I am executing this affidavit to attest to the veracity of the foregoing statements

and for all legal intents and purposes it may well serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this

______________________________ in __________________, Philippines.

______________________
Affiant

SUBSCRIBED AND SWORN TO before me this ___________________________ in

______________________________________, Philippines.