Republic of the Philippines )
City of Tacloban ) S.S.
AFFIDAVIT OF CONSENT
I, ____________________________, the undersigned, of legal age and with residence and postal
address at ___________________________________after having been duly sworn to in accordance with
law, hereby depose and say:
1. That I am the owner of the residential property situated at ____________________________;
2. That ___________________________ of legal age, Filipino and with residence and postal
address at ______________________________, is applying for a Business Permit at the
Municipality of Palo, Leyte;
3. That I hereby signify my written consent, freely, willingly and voluntarily to allow him to use the
above-mentioned property for his Business (Office), and consequently apply for a Business
Permit;
4. That I am executing this affidavit to attest the truth of the foregoing facts as to my undertaking to
give consent to _____________________________ in support to his application for a Business
Permit.
IN WITNESS WHEREOF, we have hereunto set our hands this ____________________ at
Tacloban City.
______________________ ________________________
Affiant (Owner) Affiant (Permitee)
CTC No.: _____ CTC No.: _____________
Issued at ______________ Issued at _____________
Issued on ______________ Issued on _____________
SUBSCRIBED AND SWORN to before me this ____________________ at Tacloban City, affiants exhibiting
to me their Community Tax Certificate Numbers written below their names.
WITNESS MY HAND AND SEAL this ________________________ at Tacloban City.
Doc. No. ______;
Page No.______;
Book No.______;
Series of 2019