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REPUBLIC OF THE PHILIPPINES }

Municipality of ____________ }S.S.

AFFIDAVIT OF UNDERTAKING

I, MR JOSE M. LAGMAN, Filipino of legal age, married with residence address at Blk
3 Lot 4 Apitong St., Camella Springville Central, Molino lll, Bacoor Cavite , after having been
subscribed to an oath, depose and say:

1. That I am the owner of LGI BUILDING with TD No. 238-00-0015-73-969 located


at Molino Road, Molino lll, Bacoor Cavite.
2. That I am willing to comply with all the documentary requirements required for the
reclassification of my property from Residential to Commercial.
3. That I, JOSE M. LAGMAN; assure and take full responsibility on the submission of
documents/requirements for my application for my application before December 31,
2022.

IN WITNESS WHEREOF, I have hereunto affixed my signature this __________ day


of ________________________, at ____________________________, Philippines

JOSE M. LAGMAN
(Affiant)

SUBSCRIBED AND SWORN to before me this _________________ day of


______________________ at ____________________________. Affiant exhibiting to me his
evidence of identity Philippine Passport No. P7675720B issued last September 23, 2021 at DFA
Manila.

Doc. No. _______


Page No. _______
Book No. ______
Series of 20_____

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