Republic of the Philippines) Control No.
___
CITY OF LAOAG ) S. S. Verified by: ______
AFFIDAVIT OF NO-IMPROVEMENT
I, ELIZABETH LLANES-GO, widow, Filipino citizen, and a resident of
Barrio Lingsat, San Fernando City, La Union, after having been duly sworn
to in accordance with law, hereby depose and state that:
1. I am the registered owner of a parcel of land designated as Lot 9,
Block 12, Psd-54173 [Lot 6464], situated in Barrios of Poro and
San Francisco, San Fernando City, La Union, covered and described
under Transfer Certificate of Title No. T-2788, declared under
Tax Declaration No. 04-046-68138, containing a total area of
375 square meters;
2. That the land I donated to LOUIE NIKKO L. GO by virtue of the
Deed of Donation I executed, appearing in the notarial register of
SANDRO MARIE N. OBRA, docketed as Doc. No. 437; Page No. 72,
Book No. II; Series of 2014; has no improvement;
3. That this affidavit is hereby executed to attest to the truth of the
facts above-stated; in compliance with the Circular No. 31 of the
Department of Justice pursuant to PD 17 as amended by RA 6657;
AFFIANT FURTHER SAYETH NONE.
_______________ at Laoag City, Philippines.
ELIZABETH LLANES-GO
Affiant/Lot Owner
SUBSCRIBED AND SWORN to before me this _____________ at Laoag
City, Philippines; and I certify further that I have personally examined the
affiant, presenting to me her SSS ID No. 01-0580087-5, as competent proof
of her identity, and I am satisfied that she voluntarily executed the same
and understood the contents thereof.
Doc. No. ____;
Page No. ____;
Book No. ___;
Series of 2015.