Republic of the Philippines )

City of _______ ) SS.

x- - - - - - - - - - - - - - - - - - - - - - - -x

AFFIDAVIT OF NO RENTAL

I, JUAN DELA CRUZ, of legal age, Filipino citizen and resident of STA. MARIA
CITY, Philippines, after having been duly sworn to in accordance with law hereby depose
and state THAT:

1. I am the Owner/Proprietor of MALIMALI STORE, Native Section, Stall No.

3, with TIN: 123-456-789, located at Public Mall, sta. maria, Philippines;

2. Said MALIMALI STORE is not living nor renting any office or commercial space
with the building leased/owned by the owner of the said business
establishment;

3. I execute this affidavit to attest to the veracity of the foregoing and to support
my application for Business Permit and for whatever legal purpose this affidavit
may serve.

IN WITNESS WHEREOF, I have hereunto affixed our signatures this ____day of

____________ 2020 at ____________, Philippines.

JUAN DELA CRUZ

Affiant

SUBSCRIBED AND SWORN TO BEFORE ME, a Notary Public in and for City
of Ozamiz and the Municipalities of Clarin and Tudela this ______________________.
Affiant personally came and appeared with her TIN ID bearing no123-456-789 issued by
the Government of the Republic of the Philippines, bearing her photograph and
signature, known to me as the same person who personally signed the foregoing
instrument before me and avowed under penalty of law to the whole truth of the contents
of said instrument.

Notary Public

Doc. No. ____

Page No. ___
Book No. ___
Series of 20 __ .