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Disclosure Statement

This affidavit discloses the debts and financial obligations of Pototan Farmers Multi-Purpose Cooperative as of 2022. The cooperative is applying for a loan from the Iloilo Provincial Government. The affidavit lists any creditors and corresponding amounts owed. Andrei B. Celiz, Chairperson, and Miralyn J. Penaso, Manager, sign the document to attest to the truth of the financial disclosure for the loan application.

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Mark Kevin III
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171 views1 page

Disclosure Statement

This affidavit discloses the debts and financial obligations of Pototan Farmers Multi-Purpose Cooperative as of 2022. The cooperative is applying for a loan from the Iloilo Provincial Government. The affidavit lists any creditors and corresponding amounts owed. Andrei B. Celiz, Chairperson, and Miralyn J. Penaso, Manager, sign the document to attest to the truth of the financial disclosure for the loan application.

Uploaded by

Mark Kevin III
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd

REPUBLIC OF THE PHILIPPINES)

CITY OF ILOILO ) S.S


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

Affidavit of Disclosure
We, ANDREI B. CELIZ and MIRALYN J. PENASO, of legal age and
residents of Barotac Nuevo, Iloilo after having been duly sworn to an oath in
accordance with law, hereby voluntarily depose and say;

That we are the Chairperson and Manager respectively, of POTOTAN


FARMERS MULTI-PURPOSE COOPERATIVE with office address at Matias
Yusay St., Pototan, Iloilo which is applying for a loan under the Mangunguma
Sapnayon: Palay Price Support Program from the Iloilo Provincial
Government;

That we hereby declare in disclose that our cooperative as of


______________________, 2022 has the following debts and/or financial obligations
to the following creditor/s to wit:

Creditor Amount (PhP)

_______________________________________ ________________________

_______________________________________ ________________________

_______________________________________ ________________________

_______________________________________ ________________________

That we execute this affidavit to attest the truth of the foregoing and for
whatever lawful purpose it may serve.

IN TRUTH WHEREOF, we have hereunto signed our names below,


this_____________________________ at Iloilo City. Philippines.

ANDREI B. CELIZ MIRALYN J. PENASO


Signature over Printed Name of Chairman Signature over Printed Name of Manager

SUBSCRIBED AND SWORN before me this ________________________________________


who exhibited to me their competent proof of identity consisting their ID Card
Nos._____________________________, __________________________________.

Doc No. _________________


Page No. _________________
Book No. _________________
Series of 2022

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