REPUBLIC OF THE PHILIPPINES )

PROVINCE OF PANGASINAN )SS.

MUNICIPALITY OF MANGALDAN )

VERIFICATION WITH CERTIFICATION

OF NON-FORUM SHOPPING
I,
under oath do hereby depose and state:

1. That I am the attorney-in-fact of the petitioner;

2. That I have caused the preparation and filing of the foregoing Petition;

3. That I have read and understood the same;

4. That each and every allegation contained therein is true and correct to the best
of my own knowledge.

5. That I hereby certify that I have not commenced any action of similar nature
with the Supreme Court, the Court of Appeals, Regional Trial Court, Municipal Trial
Courts, or any government agency or tribunal and that there is no similar case pending
before the Supreme Court, the Court of Appeals, Regional Trial Court, Municipal Trial
Court or government agency or tribunal or any administrative body. If there is such a
case commenced or pending before said courts or government agency or tribunal and
administrative body, I undertake to inform this Honorable Court within five (5) days
from notice.

IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of

___________________ in Mangaldan, Pangasinan.

Affiant

SUBSCRIBED AND SWORN to before me this ___ day of ________________

in Mangaldan, Pangasinan.