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REPUBLIC OF THE PHILIPPINES )

CITY OF _____________ ) S.S.

AFFIDAVIT OF UNDERTAKING

I, FRANCIS LEI ROBLES PADOLINA, Filipino, of legal age, married to


JOSHUA JOHN R. PADOLINA, and with residence at J10-503 Dumandan St., Sta. Lucia
comp., Santolan, Pasig City, after being duly sworn to in accordance with law, hereby
depose and state that:

1. I am the registered owner of a parcel of land covered by Katibayan ng Orihinal na


Titulo Blg. 1994 located at Barangay San Juan, Taytay, Rizal, and registered with
the Registry of Deeds of Rizal.

2. It was recently brought to my knowledge that certain structures/improvements


were built on my property without the necessary local Building Permit, to wit:
(a) office building; (b) garage for motor vehicles; (c) garage for heavy equipment;
(d) office facility; and (e) covered parking space.

3. As owner, the failure to secure the said permit is merely a technical lapse, and no
evasion or circumvention was purposely intended on my part.

4. I thus undertake that I am able and willing to secure such Building Permit for
said structures, and comply with the requirements thereof, whenever necessary.

5. I am executing this affidavit to confirm and affirm the truthfulness of the


foregoing statements, and for whatever legal purpose it may serve.

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


_________________________.

FRANCIS LEI R. PADOLINA


Affiant

ID No. _________________
Issuance: _______________
Expiry: _________________

SUBSCRIBED AND SWORN to before me this _______________ at _________________


by the above affiant, who have satisfactorily proven to me his/her identity through the above
stated identifying document, and that he/she is the same person who executed the foregoing
Affidavit.

NOTARY PUBLIC

Doc. No.: _____


Page No.: _____
Book No.: _____
Series of 2023

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