REPUBLIC

OF THE
PHILIPPINES
CITY OF PARAÑAQUE ) S.S.

SWORN DECLARATION
(List of Properties for rent; tenants)

I, ADRIANA T. BELOY, of legal age, single/married, Filipino Citizen, and with

residence and postal address at 0265-A Quirino Ave., Tambo, Paranaque City after
having been sworn to in accordance with law, do hereby depose and state:

1. That I am the owner of ADRIANA TAN BELOY APARTMENT located at 0265-A

Quirino Ave., Tambo, Paranaque City and I am applying for the renewal of the
lessor’s permit for the same;

2. That I declare under oath that the following are the properties for rent named as
follows;

LOCATION TENANTS DURATION MONTHLY AREAS

OF RENTAL (SQM)
PROPERTY
0263-B-F/ ANGEL July 10, 2023 Php 30, 000 10
0265-A CARANTO – July 9, 2026
Quirino Ave., SALINAS
Tambo,
Paranaque
City

3. That I am executing this affidavit to attest to the truthfulness of the foregoing.

IN WITNESS WHEREOF, I have hereunto set my hand this 22nd day of January,
2024 in the City of Parañaque, Philippines.

ADRIANA T. BELOY
Affiant

SUBSCRIBED AND SWORN to before me, this 22nd day of January, 2024 in City
of Parañaque, Philippines. Affiant exhibited to me her: Driver’s License – N26-16-
014183.
Notary Public
Doc. No. _______
Page No. _______
Book No. _______
Series of 2024.