REPUBLIC OF THE PHILIPPINES )

PROVINCE OF SURIGAO DEL NORTE ) S.S.

Municipality of Claver )

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

AFFIDAVIT OF OWNERSHIP OF PERSONAL PROPERTY

FOR CONTRACT OF PLEDGE

I, ___________________, of legal age, Filipino, and residing in

___________________, having been duly sworn in accordance with
law, state –

1. That I am the true and absolute owner of the following laptop, to

wit:

Manufacturer/Brand:
Model:
Processor:
Ram:
2. That I intend to deliver the personal property as a collateral to
secure a loan that I am applying for from
_____________________ located _____________________;

3. That I hereby warrant title and ownership over the above-

mentioned personal properties and I will defend the possession
of the Pledge from eviction;

4. That I execute this Affidavit of Ownership to attest to the truth of

the aforementioned facts and in support of my application for a
loan and for any other legal purposes that this Affidavit could
serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature

this _________________ at Claver, Surigao del Norte, Philippines.

______________________________
Affiant
 SUBSCRIBED AND SWORN to before me this
_____________________ in Claver, Surigao del Norte, Philippines
by the Affiant, who has satisfactorily proven his identity to me through
her Identification Card.