CONSENT AND AUTHORITY

I, ____juan dela cruz.____ of legal age, single, resident of and with postal address at OZAMIZ
CITY, after having been duly sworn to according to law and say;

1. That I am a lawful owner/claimant of Lot No. __LOT 467,CAD-240__described in

__MISAMIS CADASTRE___ situated in the barangay of CATADMAN, Ozamiz City.

2. That with my full knowledge and consent, I hereby authorized Mr./Miss/Mrs. Pablito
cruz__ to Construction/Repair/Rehab his/her HOUSE

Over the abovementioned property

3. That will assume liability and responsibility in case of landownership controversy over the
said parcel of land that may arise as a result of this consent and authority.

IN WITNESS WHEREOF, I hereunto affixed my signature this _______________ day of

________________________, 2019 in the City of Ozamiz, Philippines.

Juan dela cruz

Affiant

SUBSCRIBED AND SWORN TO BEFORE ME this _______________ day of ___________________,

2019 at the City of Ozamiz, Philippines. Affiant exhibit to me his Residence Certificate No.
___________________ issued on ______________________ at __________________,
Philippines.

Doc. No.________
Page No. _______
Book No. _______
Series No. ______

Note: This form would only be accomplished if the structure owner is not land owner over the
property proposed for construction/reservations and others.