RP NOMINATION FORM
|, Honey Mae G. De Guzman, hereby nominate Jasmin B. Fisalbon as my representative for the
purpose of collecting all the commissions accruing in my favour relating to the sale of
2929 located at Quantum Residences - Aqua from HORIZON LAND PROPERTY
DEVELOPMENT CORPORATION In connection with this, | hereby authorize Jasmin B. Fisaibon to
deduct Twenty Percent (20%) of the commission to be received from the Company.
U hereby undertake to hold harmless and indemnify HORIZON LAND PROPERTY DEVELOPMENT
CORPORATION against all claims, damages, losses and liabilities incurred or suffered as a result of
releasing my commission as instructed herein.
In witness whereof, the undersigned has executed this Nomination and Authorization Form this 29th
day of January at Pasay City.
Mae G.
Name ral Partner
With my conformity:
Jasmin B. Fisalbon
‘Name of Nominee
Endorsed by: Approved .by:
Danilo Sibucao Allon Gafar Mindatano
Division Head ‘Sales Channel Head
Saenz - Resurreccion
FLI Group Sales Head
SUBSCRIBED AND SWORN TO BEFORE ME this
in ‘Affiant is known to me and identified by me through histher
‘competent evidence of identty as indicated above.
Doc. No.
Page No.
Book No.
Series of
Scanned with CamScanner|. Honey Mae G. De Guzman, nominate Jasmin B. Fisalbon, as my representative for the purpose of collecting all the commissions
accruing in my favour relating tothe sale of Unit 2929 ~ Quantum Residences Aqua Tower.
(Please complete below sentence if you had a contract with Federal Land, Inc.)
{1am no longer connected with Federal Land, Incorporated since this date:_ 30th, “Janu uy 2aty.
___SUBSCRIBED AND SWORN TO BEFORE ME this.
entity me tough hfe compete evans ogy ain
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