ACKNOWLEDGMENT OF INSTRUMENT CONSISTING OF TWO OR MORE

PAGES

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF MISAMIS ORIENTAL) S.S.

MUNICIPALITY OF BALINGASAG)

BEFORE ME this 3Oth day of September, 2021 in the Municipality of

Balingasag, Province of Misamis Oriental, Philippines, personally appeared

CARDO DALISAY, with Community Tax Certificate No. 01474315 issued at

Cagayan de Oro City on August 08, 2021 and T.I.N. No. 560- 890-333-000, known

to me to be the same person who executed the foregoing instrument, and he

acknowledged to me that the same is his free act and deed.

This instrument, consisting of 4 pages, including the page on which this

acknowledgement is written, he has been signed on the left margin of each and

every page thereof by CARDO DALISAY and his witness, and sealed with my

notarial seal.

IN WITNESS WHEREOF, I have hereunto set my hand, the day, the year,

and the place above written.

NOTARY PUBLIC

My Commission expires Dec. 31, 2021

IBP No. 564, 1/2/2021, Cagayan de Oro City

P.T.R.No.3455, 2/2/2021, Cagayan de Oro City

Doc. No. _163_;

Page No. _18__;

Book No. _32__;

Series of 2021
 JURAT

SUBSCRIBED AND SWORN to me, in the Municipality of Balingasag, this

30th day of September, 2021 by, CARDO DALISAY with Community Certificate

No. 01474315 issued at Cagayan de Oro City on August 08, 2021

NOTARY PUBLIC

My Commission expires Dec. 31, 2021

IBP No. 564, 1/2/2021, Cagayan de Oro City

P.T.R.No.3455, 2/2/2021, Cagayan de Oro City

Doc. No. _163_;

Page No. _18__;

Book No. _32__;

Series of 2021
VERIFICATION AND CERTIFICATION OF NON-FORUM SHOPPING

VERIFICATION

CARDO DALISAY, subscribing under oath, hereby deposes and states that:

I am the petitioner in the instant case.

I have read the foregoing Petition and the allegations therein are true

and correct of my own knowledge and/or based on the records on

hand.

I attest to the authenticity of the annexes thereof.

CERTIFICATION

I certify that:

a. I have not commenced any other action or proceeding involving the

same issues in the Supreme Court, the Court of Appeals, or different

Divisions thereof, or any other tribunal or agency.

b. No such action or proceeding is pending in the Supreme Court, the Court

of Appeals, or different Divisions thereof, or any other tribunal or agency.

c. If I should learn that a similar action or proceeding has been filed or is

pending before the Supreme Court, the Court of Appeals, or different

Divisions thereof, or any other tribunal or agency, I hereby undertake to

notify this Honorable Court within five (5) days from such notice.

_____________________

CARDO DALISAY

JURAT
 SUBSCRIBED AND SWORN to me, in the Municipality of Balingasag, this

30th day of September, 2021 by, CARDO DALISAY with Community Certificate

No. 01474315 issued at Cagayan de Oro City on August 08, 2021

NOTARY PUBLIC

My Commission expires Dec. 31, 2021

IBP No. 564, 1/2/2021, Cagayan de Oro City

P.T.R.No.3455, 2/2/2021, Cagayan de Oro City

Doc. No. _163_;

Page No. _18__;

Book No. _32__;

Series of 2021