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REPUBLIC OF THE PHILIPPINES)

_______________________________) S.S.

AFFIDAVIT OF CONSENT

I, RODOLFO ROSARIO, of legal age, widower, Filipino, with residence at


Brgy. Camagsingalan, Sual, Pangasinan, after having been sworn to in accordance with
law, hereby depose and state that:

1. I am the registered owner of a parcel of land situated in Brgy. Camagsingalan, Sual,


Pangasinan with an area of Two Thousand Eight Hundred Forty Nine square meters
which I and my late wife owned in common covered by Transfer Certificate of Title
no. 8347;

2. Due to my advanced age, I have difficulty remembering things so I tend to forget


where I place some of my important documents;

3. To secure the certificate of title, I am authorizing my eldest daughter Nelia Rosario


Mendigorin, to possess, keep and secure in her possession the said owners duplicate
copy of the said title and the owners duplicate of the tax declaration of the said
property;

4. No other person except my eldest daughter shall possess and keep said title and tax
declaration of the above mentioned property;

5. I am executing this Affidavit to attest to the truthfulness of the foregoing statements,


for all legal intents and purposes it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of _______
2023, at _____________________, Philippines.

RODOLFO ROSARIO
Affiant
_________________________
_________________________

SUBSCRIBED AND SWORN, to before me this _____ day of


___________________ 2023 at _____________________, Philippines. Affiant,
□ who is personally known to the notary public
□ who is identified by the notary public through his/her Competent Evidence of
Identity as defined by Rules of Notarial Practice of 2004 indicated under his/her name.

Doc. No. ______;


Page No. ______;
Book No. ______;
Series of 2023.

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