REPUBLIC OF THE PHILIPPINES)

San Jose, Occidental Mindoro) S.S

ATTESTATION
I, VEZALIE G, ALBALADEJO, of legal age, Filipino, Single,
with residence at Mapaya 3 , San Jose, Occidental Mindoro, after
having been sworn accordance with law, do hereby attest that
the information contained in this LESSEE INFORMATION
STATEMENT are true and correct, to the best of my knowledge.
In witness whereof, I have set my hands to affix my
signature this 29th day of July 2022 in San Jose, Occidental
Mindoro.

Vezalie G. Albaladejo
Affiant

SUBSCRIBED AND SWORN TO before me this 29th day of

July 2022 at San Jose, Occidental Mindoro.

LAWRENCE P. VILLAMAR
Notary Public
Until December 31, 2023
Doc. No. _______. For the Province of Occ. Mindoro
Page No. _______. PTR No. 4761993 I-01/04/2022
Book No. _______. IBP No. 183520-01/03/2022-PASIG CITY
Series of 2022. ROLL No. 66572
MCLE COMPLIANCE No. VII-0017530
valid until April 14, 2025