REPUBLIC OF THE PHILIPPINES)

PROVINCE OF ALBAY ) S.S.

TABACO CITY )
x------------------------------------------x

AFFIDAVIT OF OWNERSHIP

I, _____________, of legal age, Filipino, (single / married / widow), and a resident of

_____________, Philippines, after having been duly sworn to in accordance with law,
hereby depose and state, that:

That I am the true and absolute owner of the following personal properties, to wit:

(Enumerate & Describe Each Property)

That I intend to deliver the said personal properties as a collateral to secure the loan
that I am applying for from _____________;

That I hereby warrant title and ownership over the above-mentioned personal properties
and I will defend the possession of the Pledge from eviction;

That I execute this Affidavit of Ownership to attest to the truth of the aforementioned
facts and in support of my application for a loan and for any other legal purposes that
this Affidavit could serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this _____________ at

_____________, Philippines.

____________________________________________________

Affiant

SUBSCRIBED AND SWORN to before me, this _____________, by _____________

who exhibited to me (his/her) Community Tax Certificate No. _____________ issued at
_____________, Philippines on _____________.

ATTY. ANTHONY CLARK A. GAPIDO

Notary Public Tabaco City
For the Province of Albay
Roll No. 83746
IBP OR No. 227570; June 13, 2022
PTR No. 8843533; July 13, 2022 at Tabaco City
MCLE: N/A (Newly Admitted to the Bar)
2nd Floor Coastal Building Rental, Purok 2,
Morales Street, San Roque,Tabaco City, 4511

Doc No.____;
Page No. 450;
Book No. 35 ;
Series of 2022