Philippines)Mu

nicipality of
Mangaldan)S.S
Province of
Pangasinan)
AFFIDAVIT OF
REQUEST
I,
 ____________
_____________
___ 
, after having
been sworn to in
accordancewith
law do hereby
depose and
state that:1.That
I am
a registered co-
owner of
a property cove
red by
TaxDeclaration
No.
______________
______located at
Bari, Mangaldan,
Pangasinan;2.Tha
t
the said propert
y is being used 
as a private edu
cationalinstitutio
n. Attached as
“Annex A” is the
picture where the
school
gymnasiumis
located/built;3.Th
at I am executi
ng this affidavi
t to request tha
t the abovedesc
ribed property be
exempted from
realty tax
pursuant to
Article 325 (B)
of the
implementing
rules and
regulations of the
Local
Government
Code of 1991;4.
That I attest to the
truthfulness of the
above facts and I
am executingthis
affidavit for
whatever legal
purpose it may
serve.
IN  WITNESS  W
HEREOF
, I have hereunto 
affixed my signa
ture this January
1, 2020 in
Mangaldan,
Pangasinan.
 ____________
__________ 
AffiantOSCA ID
No.
SUBSCRIBED 
AND  SWORN
 to before me thi
s January 1, 202
0 inMangaldan,
Pangasinan.D o
c   N o .   _ _
_ Page No. ___B
o o k   N o .  
_ _ _ Series of 2
020.
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