Republic of the Philippines)

City of (Place) S.S.

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

AFFIDAVIT OF LOT OWNER’S CONSENT

I, (Name of Affiant – Lot Owner), of legal age, Filipino,

married/single, and a resident of (Place of Residence), after having
been duly sworn in accordance with law, hereby depose and state,
that –

1) I am the owner of the lot covered by Certificate of Title No. (Title

Number), Cadastral Lot No. (Number) located in in (Place);

2) (Name of Lot Occupant) of (Address of Lot Occupant) had built

a house in the said lot since (Year);

3) I have no objections and am giving my full consent to such

improvement in my lot;

4) I am executing this affidavit to declare the truth of the foregoing

facts and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, we have hereunto set our hands this

(Date) at (Place), Philippines.

(NAME OF AFFIANT)
Affiant

SUBSCRIBED AND SWORN TO BEFORE ME this (Date) in the City

of (Place), Philippines, by (Name of Affiant), who presented her
(Identification Card Details), issued on (Date) at (Place).

Doc. No. _____

Page No. _____
Book No. _____
Series of _____.