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Republic of the Philippines)

_______________ )S.S.
--------------------

AFFIDAVIT

I, GYMILLE SCARLET DUGURAN, Filipino, single, of legal age and a resident


of _________________________, after having been sworn in accordance with law do
hereby depose and state that:

1. I am the daughter (only daughter) of AGUSTIN C. DUGURAN, the


registered owner several properties identified as follows:

Classification Tax Property Location Lot Area


Declaration No. Identification No. No.
Land T.D. No. 09-06- 001-06-0001-022- Chataan St., 674 .266868
0001-00290 08 Kayuganan,
Uyugan, Batanes
Land T.D. No. 09-06- 001-06-0004-017- Nonok, 1323 .057753
0004-00269 19 Kayvaluganan,
Uyugan, Batanes
Land T.D. No. 09-06- 001-06-0001-007- Vadenaran, 476 .221219
0001-00081 12 Kayuganan,
Uyugan, Batanes
Land T.D. No. 09-06- 001-06-0003-075- Saranga/Hateng 1942 .274779
0003-01505 11 Itbud, Uyugan,
Batanes

2. The previous administrator / beneficial user of the above-enumerated


properties were Benito V. Cabugao or Leon Cabugao.

3. I hereby attest that pursuant to a Special Power of Attorney issued in my


favor by my father, Agustin C. Duguran, I have been appointed as the new Beneficial
User and Administrator of the above-enumerated properties.

4. This Declaration is executed to prove the truth of the foregoing statements


for whatever legal purpose this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this __ day of


_____________ 2019, in _____________, Philippines.

GYMILLE SCARLET DUGURAN


Affiant

SUBSCRIBED AND SWORN TO BEFORE ME, a notary public for and in the
City of ____________ this __ day of ______________ 2019. Affiant exhibited to me her
government issued identification which is written below her name.

Doc. No. ........;


Page No. .......;
Book No. .......;
Series of 2019.

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