AUTHORITY TO USE

I____________________________________________________________, of legal age, Filipino citizen, with postal address at

_________________________________________________________, the registered owner of the following real property specifically
described as follows:

TITLE NUMBER LOCATION AREA

Hereby PERMITS and AUTHORIZES the use of the above-described real property by____________________________________.
For the operation of its legitimate business only, subject to the following terms and conditions:

1. This authority shall be valid for a period of________________________ (_______) year, commencing from
________________________ until _____________________. This authority is deemed automatically renewed upon its expiration
unless either I or ___________________________________ informs the other of the intent to no longer renew the same.

2. I may withdraw this authority at will and ______________________________, Shall surrender possession of the same.

3. That ___________________________________________.acknowledges my ownership of the said real property.

4. Use of the said properties shall not be diverted to any other purpose without my written consent; and

5. _____________________________________, shall secure and pay for its own public utilities such as, but not limited to.
Telephone, Electricity, Water, and Internet.

_______________________________________________
Registered Owner

Signed in the presence of:

_________________________________________________________ ____________________________________________________________

SUBSCRIBED AND SWORN to before me this ________________________________________ in _________________________________,

with the Affant exhibiting to me his ___________________________________________, as competent evidence of his identity
bearing his photograph and signature in accordance with the 2004 Rules on Notarial Practice.

WITNESS MY HAND AND SEAL, on the date and place first above written.

Doc. No. Notary Public

Page No.
Book No.
Series of 2023.