REPUBLIC OF THE PHILIPPINES
PROVINCE OF CEBU
MUNICIPALITY OF BANTAYAN
AFFIDAVIT OF CONSENT
I, __________________________ of legal age, single/married and resident of
Brgy.______________, Bantayan, Cebu, Philippines after having been duly
sworn in accordance with law, depose and states:
That I am the owner of lot no. _____________ described in Tax Declaration No.
__________ located in Brgy.__________, Bantayan, Cebu containing an are of
_______________________ (_________sq. m.)
That ___________________________ constructed a residential house made of
__Light__ materials in a portion of the said lot with my CONSENT.
That _______________________ wants to have the said house on electrical
service connection from the Bantayan Electric Cooperative (BANELCO) hence,
he/she applying a Clearance from the office of the Barangay Captain of
Brgy.______________, Bantayan, Cebu and at the Office of the Building Official
at Engineering Office, Suba, Bantayan, Cebu.
That I will assume full liability and responsibility in case of landownership
controversy over the said parcel of land that may arise consult this Consent.
That I execute this affidavit in order to attest the truth of the foregoing facts.
IN WITNESS WHEREOF, I have hereunto affixed my signature this ___ day of
_______________ 2022 at the Municipality of Bantayan, Cebu, Philippines.
_______________________ ________________________
Affiant Affiant
SUBSCRIBED AND SWORN to me before this _____________________ day of
_________________ at ___________________________________, Philippines.
Affiant exhibited to me her/his Res. Cert. No. ______________________issued
at
____________________ on ______________________.