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Republic of the Philippines )

Province of Negros Occidental ) S.S.


City of Himamaylan )
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AFFIDAVIT OF UNDERTAKING

I, IRENE N. TOLEDO, of legal age, Filipino, single and a resident of Brgy. Saraet,
Himamaylan City, Negros Occidental, Philippines, after being sworn to in accordance with law,
depose and state:

1. That I am the registered owner of a business name “RTJ Hardware Enterprises” located
at Purok 9, Brgy. Aguisan, Himamaylan City, Negros Occidental;

2. That I am applying for my business permit at the City of Himamaylan, Negros


Occidental;

3. That there is a controversy as to the real owner of the Lot which where the building of my
business is located;

4. That I hereby undertake to pay necessary taxes due to the City Government of
Himamaylan for the issuance of my business permit;

5. That I am executing this Affidavit to attest to the truth of the foregoing and for whatever
lawful purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto set my hand this 18TH DAY OF January 2018 in
Himamaylan City, Negros Occidental, Philippines.

IRENE N. TOLEDO
Affiant

SUBSCRIBED AND SWORN TO before me this 18TH day of January 2018 at Himamaylan City,
Negros Occidental, affiant exhibited to me her BIR TIN Card with No. 923-489-451 as competent proof
of her identity.

CLODUALDO E. SUBALDO JR.


NOTARY PUBLIC
UNTIL DECEMBER 31, 2019
FOR THE CITY OF HIMAMAYLAN AND THE MUNICIPALITIES OF
BINALBAGAN AND HINIGARAN, NEGROS OCCIDENTAL
OFFICE AD: AGUISAN, HIMAMAYLAN CITY
IBP NO. 1008295 December 11, 2015 – Bacolod City
PTR No. 0451104 January 3, 2018 – Himamaylan City
ROLL NO. 60199
DOC. NO. 301
PAGE NO. 59
BOOK NO. XXXIV
SERIES OF 2018

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