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Republic of the Philippines)

CITY OF TACLOBAN . . . ) ss.


x---------------x

AFFIDAVIT OF UNDERTAKING

I, LOLITA GERMANES HAMAC, Filipino, of legal age, and a resident of


Brgy. 6-A, Sto. Niño Extention, Tacloban City, under oath declare:

1. That I am now processing before the Business Permits and Licensing Office,
Tacloban City the renewal of the Business Permit of UNYX BOARDING
HOUSE located at Brgy. 6, Santo Niño Extension, Tacloban City;

2. That the said business is situated on a lot owned by the Government;

3. That if in any case the lot will be used by the government for public
purposes or any other purpose affecting my business situated thereon, in
whole or in part, I hereby undertake to voluntarily remove my business
establishment and waive any rights and claims against the City Government
of Tacloban and would not hold them liable if any damages/injury incurred
thereof;

4. That I am executing this Affidavit of Undertaking to declare the truth of


above-narrated circumstances and for whatever legal purpose this may
serve.

IN WITNESS WHEREOF, I have hereunto set my hand this ___________


in Tacloban City, Philippines.

LOLITA GERMANES HAMAC


Affiant
CRN-003-7215378-2
Issued by UMID

SUBSCRIBED AND SWORN to before me this ___________ in


Tacloban City, Philippines.

Doc No _____
Page No _____
Book No _____
Series of 2021. NOTARY PUBLIC

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