REPUBLIC OF THE PHILIPPINES)

CITY OF ) S.S.
x-------------------------------------x

AFFIDAVIT OF DENIAL

I, ___________________, of legal age, Filipino, (single/married) and a

resident of _______________________________, after having been duly sworn to
in accordance with law, depose and state:

1. That I am currently employed as an _____________________________ with

office address at ___________________________;

2. That I am applying for a housing loan (purchase of condominium unit) with

____________ BANK – Head Office;

3. However, in the course of the processing of my application, along with the

verification of my credibility status, the bank found out that there were several credit
transactions which are seemingly illegal transactions purporting to have been as
mine. (Please refer to the attached sheet provided by the bank);

4. Upon knowledge of the same, I was startled and immediately contacted the bank
to inform them that none of those transactions was made by myself, as I am very
confident that I have no pending obligation/s whether with the bank or with any other
entities;

5. That I hereby unequivocally deny involvement in the aforementioned transactions;

6. Aside from the fact that the places of transactions were NOT any of my places of
residence and work, I am very much assured and can verily prove that I have good
credit standing in my credit cards which are in turn, have different Card Number as
that the one reflected in the bank’s list;

7. Further, I have no connection whatsoever with any of those mentioned creditors,

individuals and companies in any form or whatsoever;

8. That I am executing this Affidavit to attest to the foregoing facts and to deny
absolutely and entirely any involvement in the transactions aforementioned and for
all legal intents and purposes.

IN WITNESS WHEREOF, I hereby affixed my signature

this _________________ in _______________, Metro Manila, Philippines.

____________________
Affiant

SUBCRIBED AND SWORN TO before me this _____________ in

______________, Philippines, affiant exhibiting to me his competent evidence of
identity by way of ______________ issued at _____________ on ______________.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2019.