Republic of the Philippines )

City of Sorsogon ) S. S.
X------------------------------------X

AFFIDAVIT OF UNDERTAKING

That I, ________________ of legal age, Filipino, with postal address at

________________________________________Philippines, after having been duly sworn to in
accordance with law,

do hereby depose and state:

1. I hereby declare that I am the owner of a residential house situated at

______________________________________________

2. I likewise and make manifest that the lot where my house was erected is
GOVERNMENT owned.

3. That I execute this oath to undertake that whenever the real owner appears and
intend to use this parcel of land, I will voluntarily vacate the said area without asking
compensation from him/her.

4. That I am executing this affidavit to attest to the veracity of the foregoing facts and
for whatever legal purpose this may serve. I am executing this affidavit as one of the
requirements in the issuance of my CFEI application at City Engineer’s Office, Sorsogon
City.

IN WITNESS WHEREOF, I have hereunto set my hand this _________________ at

Sorsogon City.

___________________________
Affiant

SUBSCRIBE AND SWORN to before me on the date and place first above written.