Republic of the Philippines)

Marawi City )S.S.

x---------------------------------/

AFFIDAVIT OF ADJOINING RENTER OR SHARER

I, _______________________________________________ of legal age single/married/widowed.

Muslim Filipino and a resident of ____________________________, new residing at

____________________________, after having been sworn to an oath in accordance with law do
hereby deposed any say;

1. That I am one the occupants as of the residential building of our __________________,

________________________________, particularly on the ground floor. Made of light
and concrete material consists of ______ story/s located at Barangay
_______________________________, Marawi City

2. That left a residential/ commercial stall occupied by me without bringing any items or
personal belongings sometime on May 23, 2017 due to Marawi Siege and bound
for _________________________________ as an evacuee.

3. That I am executing this affidavit to prove and attest the truthfulness of the foregoing
facts and for whatever legal purposed it may serve best.

III WITNESS WHEREOF, I have hereunto affixed my signature this ___ day of
________________________ at Marawi City, Philippines.

Conformee:

_____________________ ______________________
Owner Renter

_____________________ ______________________
Sharer Sharer

SUBSCRIBE AND SWORN to before me, this ____day of____________________

at
Marawi City, Philippines.

Doc. No. ___ NOTARY PUBLIC

Page No. ___
Book No. ___
Series of 2023