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MLP-01683 (08-2022) Republic of the Philippines ) Province/City/Municipality of )8.s. AFFIDAVIT OF LEGAL HEIR/S OF DECEDENT HOUSING LOAN BORROWER WITH SETTLED ESTATE (DUPLEX ACCOUNT) Housing Loan Penalty Condonation Program Me, , Filipino/s, of legal age, single/married to ‘and residing at and . respectively (if more than one affiant with different address), after raving sworn according to law, hereby depose and state that: 1. \Me am/are the only legal heit/s of, . who died on ; 2 is a registered owner of a lot and house in which is presently mortgaged with the Social Security System (SSS) under Mortgage ContracvAmended Mortgage Contract dated 3. The estate of the decedent-mortgagor has been settled with finality through judicial/extrajudicial settlement; 4. The mortgage loan with SSS was not included in the decedent-mortgagor's settlement of estate due to if applicable; 5. As heitls of the decedent-mortgagor, liwe decided/mutually agreed to apply for the Housing Loan Penalty Condonation Program relative to the decedent-mortgagor’s housing loan with SSS and pay for the entire balance of such loan under the terms and conditions of the program. 6. Under the same Mortgage Contract, the decedent-mortgagor has a co-mortgagor in the person of 7. We am/are fully aware and understand the solidary liability of the mortgagors as expressly agreed upon in the Mortgage Contract/Amended Mortgage Contract such that if the co-mortgagor's account is/remains delinquent upon my/our full payment of the decedent-mortgagor's loan, the owner's duplicate copy of the mortgaged property shall not be released to me/us and that the SSS may collect, from me/us and/or the co-morigagor the unpaid loan or foreclose the mortgage; 8. Me shall hold the SSS free from any liability whatsoever and/or reimburse SSS for any damages that the latter may incur in the event that it is determined that liwe misrepresented any of the foregoing statements in connection with my/our application for the Housing Loan Penalty Condonation Program; and 9, (Me executed this affidavit for the purpose of attesting the truth of the foregoing statements and as compliance to one of the requirements for my/our application for the Housing Loan Penalty Condonation Program. IN WITNESS WHEREOF, We have hereunto set my/our hands this day of 20__at “AFFIANT AFFIANT (Signature Over Printed Name) (Signature Over Printed Name) SUBSCRIBED AND SWORN to before me this day of : at, , affiant’s having exhibited to me his/heritheir valid government issued ID/s issued at on » 20___as competent proof of his/heritheir identity. NOTARY PUBLIC Doc. No. Page No. Book No. Series of

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