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Affidavit of Consent

The document contains multiple affidavits of consent from various individuals in San Fernando City, La Union, Philippines, granting permission for specific actions related to property and personal matters. These include consents for building a water refilling station, enrolling a child in school, selling property, and applying for electrical supply installations. Each affidavit is executed for legal intents and purposes and is sworn before a notary public.

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0% found this document useful (0 votes)
38 views28 pages

Affidavit of Consent

The document contains multiple affidavits of consent from various individuals in San Fernando City, La Union, Philippines, granting permission for specific actions related to property and personal matters. These include consents for building a water refilling station, enrolling a child in school, selling property, and applying for electrical supply installations. Each affidavit is executed for legal intents and purposes and is sworn before a notary public.

Uploaded by

abbyg033016
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines )

City of San Fernando ) S.S


La Union )

AFFIDAVIT OF CONSENT

I, CONCHITA M. MENDOZA, of legal age, married, Filipino


citizen and resident of Brgy. Bangbangolan, San Fernando City, La
Union, after having been duly sworn to an oath in accordance with
law do hereby depose and say;

That I am the owner of the parcel of land covered under Tax


Declaration No. 06-008-73752 situated at Brgy Bangbangolan.,
San Fernano City, La Union;

That I am giving my full consent and authority to my


grandson STEVEN JOHN CAPITAN MENDOZA to build a Water
Refilling Station with an area of _______________ space in my land;

That I am executing this affidavit for all legal intents and


purposes.

IN WITNESS WHEREOF, I have hereunto set my hand this


26th day of April 2021 at City of San Fernando, La Union,
Philippines;

CONCHITA M. MENDOZA
Affiant

SUBSCRIBED AND SWORN to before me this 26th day of


April 2021 at City of San Fernando, La Union, Philippines.

Doc No. ; 258


Page No.; 52
Book No.; 18
Series of 2021

[Type here]
Republic of the Philippines )
City of San Fernando ) S.S
La Union )

AFFIDAVIT OF CONSENT

I, LUCKY B. LADIA, of legal age, single, Filipino citizen and resident of


Poblacion East, Rosario, La Union, after having been duly sworn to an oath in
accordance with law do hereby depose and say;

That I am the biological mother of EXEQUIEL ANTHONY B. LADIA,


born on November 12, 2009 at San Fernando City, La Union;

That I am giving my full consent and authority to his father SAMSON


G. LADIA to represent my son in the Deed of Absolute Sale of Real Property;

That since my son is a minor being only 9 years old, I am allowing his
father SAMSON G. LADIA to signed the Deed of Absolute Sale of Real
Property;

That I am executing this affidavit to allow the submission of the


documents in the Registry of Deeds La Union and for all legal intents and
purposes.

IN WITNESS WHEREOF, I have hereunto set my hand this


________________ at City of San Fernando, La Union, Philippines.

LUCKY B. LADIA
Affiant

SUBSCRIBED AND SWORN to before me this ________________ at City


of San Fernando, La Union, Philippines.

[Type here]
Doc No. ;
Page No. ;
Book No. ;
Series of 2019.

Republic of the Philippines )


City of San Fernando ) S.S
La Union )

AFFIDAVIT OF CONSENT

I, MA. GRACE C. LIM, of legal age, married, Filipino citizen and


resident of Zone 5 Parian, San Fernando, La Union, after having been duly
sworn to an oath in accordance with law do hereby depose and say;

That I am the mother of LADY SAMANTHA JHUNACE CORPUZ my


daughter support and allow her to enroll a school;

That I am giving my full consent and authority to enroll my daughter in


Open High La Union High School;

That due to her sports swimming, she could have more time to spend
or practice in the said school;

That I am executing this affidavit for all legal intents and purposes.

IN WITNESS WHEREOF, I have hereunto set my hand this 14 th day of


June 2019 at City of San Fernando, La Union, Philippines.

MA. GRACE C. LIM


Affiant

[Type here]
SUBSCRIBED AND SWORN to before me this 14th day of June 2019 at
City of San Fernando, La Union, Philippines.

Doc No. ; 152


Page No. ; 33
Book No. ; 12
Series of 2019.

REPUBLIC OF THE PHILIPPINES )


SAN FERNANDO CITY ) S. S.
PROVINCE OF LA UNION )

AFFIDAVIT OF CONSENT

We, JULIET V. DUMO, AURORA C. DUMO, ADELFA S. DUMO and


STEVE G. PETERSEN, all of legal age, natural born Filipinos, all married and
residents of Natividad, Naguilian, La Union, Philippines and Lynnwood
Washington, U.S.A., after having been duly sworn to in accordance with law,
do hereby depose and state:

That I, JULIET V. DUMO is married to JOSEPH F. DUMO;

That I, AURORA C. DUMO is married to JOAQUIN F. DUMO;

That I, ADELFA S. DUMO is married to RAY F. DUMO and;

That I, STEVE G. PETERSEN is married to EDITHA DUMO-


PETERSEN;

That our respective spouses are the declared owners of a parcel of


land located at Natividad, Naguilian, La Union, Philippines under Tax
Declaration Nos. 2009-11-0002-00184 (PIN: 008-11-0002-0003-13)
and 2009-11-0002-00192 (PIN: 008-11-0002-003-18);

That we are hereby giving our consent to our spouses for the sale of
the above mentioned properties;

That we are confirming that Tax Declaration No. 56708 stated in the
Deed of Sale of Real Estate was revised and now declared by new Tax
Declaration Nos. 2009-11-0002-00184 (PIN: 008-11-0002-0003-13)
and 2009-11-0002-00192 (PIN: 008-11-0002-003-18);

[Type here]
That we are executing this affidavit to attest the truth of all the
foregoing statements and for all legal intents and purposes.

IN WITNESS WHEREOF, I/we have hereunto set my/our hand this


_________________ at San Fernando City, La Union, Philippines.

JULIET V. DUMO AURORA C. DUMO


Affiant Affiant
Spouse of JOSEPH F. DUMO Spouse of JOAQUIN F. DUMO

ADELFA S. DUMO STEVE G. PETERSEN


Affiant Affiant
Spouse of RAY F. DUMO Spouse of EDITHA DUMO-PETERSEN

SUBSCRIBED AND SWORN to before me this _______ day of


___________________ at San Fernando City, La Union, Philippines.

Doc No. ; NOTARY PUBLIC


Page No. ;
Book No. ;
Series of 2016

REPUBLIC OF THE PHILIPPINES )


________________________________ ) S. S.
________________________________ )

AFFIDAVIT OF SUPPORT AND CONSENT

I/We, _____________________________________________________,
parent/parents of _________________________________________________ (Name of
child/children) citizen(s) of the _____________________________, of legal age(s),
and resident(s) of ___________________________________________________, after
having been duly sworn to in accordance with law, do hereby depose and
state: 1.

That I am / we are giving full consent and authority to


_____________________________ to apply for passport(s) with the Office of
Consular Affairs of the Philippine Department of Foreign Affairs and to apply
for appropriate visa(s) with the U.S. Embassy in Manila on behalf of my/our
child/children:
________________________________________________________________________
________________________________________________________________________

2. That I am/we are giving full consent for my/our child/children to


travel from the ______________________________ to the
____________________________________ [ ] alone and unaccompanied [ ] with
traveling companion, _________________ _____________________, who is my
________________________________________;

[Type here]
3. That I am/we are giving consent to the guardian to procure tickets
for the travel of my/our child/children;

4. That I am/we are willing and able to maintain and support my/our
child/children financially and guarantee that he/she/they will not become a
public charge or burden during his/her/their stay in the United States.

IN WITNESS WHEREOF, I/we have hereunto set my/our hand this


________________ day of _______________ 20_____ at ______________________.

___________________________________
Signature of Parent(s) Affiant

SUBSCRIBED AND SWORN to before me this _______ day of


___________________ at _____________________________.

Doc. No.: _________


Service No.: _______
Series of 20________

Republic of the Philippines )


City of San Fernando ) S.S
La Union )

AFFIDAVIT

I, MILAGROS HUFANO, of legal age, Filipino citizen and resident of


Brgy. Camansi, San Fernando City, La Union, after having been duly sworn
to an oath in accordance with law do hereby depose and say;

That I am the administrator of the land owned by ANGELITA


RABAGO, covered under TD No. 94-606 situated at Brgy. Camansi, San
Fernano City, La Union;

That the said ANGELITA RABAGO, instructed me to apply at the


LUECO for installation of electrical supply to my BASKETBALL COURT
which is located within the aforesaid property;

That I am executing this affidavit for all legal intents and purposes.

IN WITNESS WHEREOF, I have hereunto set my hand this 8th day of


April 2019 at City of San Fernando, La Union, Philippines;

MILAGROS HUFANO
Affiant

[Type here]
SUBSCRIBED AND SWORN to before me this 8th day of April 2019 at
City of San Fernando, La Union, Philippines.

Doc No. ; 40
Page No. ; 08
Book No. ; 08
Series of 2019

Republic of the Philippines )


City of San Fernando ) S.S
La Union )

AFFIDAVIT

I, BENJAMIN O. DYQUIANGCO, of legal age, married, Filipino citizen


and resident of Brgy. 1, San Fernando City, La Union, after having been duly
sworn to an oath in accordance with law do hereby depose and say;

That I am a member of LUECO with an Account Number 15500436


located at Mabini St., San Fernando City, La Union;

That a certain MARITES B. CANILAO is a caretaker in my building and


was the one who was paying my electric bill at LUECO office;

That I hereby give my consent to MARITES B. CANILAO, to use my


electric bill as proof of billing for her loan purpose;

That I am executing this affidavit for all legal intents and purposes.

IN WITNESS WHEREOF, I have hereunto set my hand this 10 th of April


2018 at City of San Fernando, La Union, Philippines.

[Type here]
BENJAMIN O. DYQUIANGCO
Affiant
SC: 3488

SUBSCRIBED AND SWORN to before me this 10th of April 2018 at


City of San Fernando, La Union, Philippines, and affiant exhibiting to me his
Senior Citizen id as indicated below his name and signature.

Doc No. ; 197


Page No. ; 200
Book No. ; 58
Series of 2018.

Republic of the Philippines )


City of San Fernando ) S.S
La Union )

AFFIDAVIT OF CONSENT

I, FELISA F. URSUA of legal age, widow, Filipino citizen and resident


of Cabaroan, San Fernando City, La Union, after having been duly sworn
to an oath in accordance with law do hereby depose and say:

That I am the registered owner of a parcel of land with an area of


8,560 square meters covered under Katibayan ng Orihinal na Titulo
Blg. 025-CARP2018000700 and Tax Declaration No. ___________________
situated at Cadaclan, San Fernando City, La Union;

That I hereby give my consent to ELVILYN V. SAPITULA, to apply the


installation of electrical supply to her household which is located within the
aforesaid portion of property;

That this affidavit shall serve for the installation of electrical lines,
electric meter and other materials for the electrical supply to her household.

That I am executing this affidavit for all legal intents and purposes.

IN WITNESS WHEREOF, I have hereunto set my hand this


_____________ at City of San Fernando, La Union, Philippines.

FELISA F. URSUA

[Type here]
Affiant
___ No. _____________

SUBSCRIBED AND SWORN to before me this _____________ at City of


San Fernando, La Union, Philippines.

Doc No. ;
Page No. ;
Book No. ;
Series of 2021.

Republic of the Philippines )


City of San Fernando ) S.S
La Union )

AFFIDAVIT OF CONSENT

I, FEDERICO BERMUDEZ, of legal age, married, Filipino citizen and


resident of Talogtog, San Juan, La Union, after having been duly sworn to an
oath in accordance with law do hereby depose and say;

That I am the lawful owner of the land covered under TD No. 21908
situated at Talogtog, San Juan, La Union;

That I hereby give my consent to my common law souDANILO J.


CASTILLO to apply the installation of electrical supply to his household
which is located within the aforesaid property;

That this affidavit shall serve for the installation of electrical lines,
electric meter and other materials for the electrical supply to his household.

That I am executing this affidavit for all legal intents and purposes.

IN WITNESS WHEREOF, I have hereunto set my hand this 2nd day of


August 2018 at City of San Fernando, La Union, Philippines.

[Type here]
FEDERICO BERMUDEZ
Affiant

SUBSCRIBED AND SWORN to before me this 2nd day of August 2018


at City of San Fernando, La Union, Philippines.

Doc No. ; 15
Page No. ; 03
Book No. ; 72
Series of 2018.

Republic of the Philippines )


City of San Fernando ) S.S
La Union )

AFFIDAVIT OF CONSENT

We, ERNESTO V. RAFON & JOCELYN SORIANO, of legal ages,


Filipino citizens and residents of San Fernando City, La Union, after
having been duly sworn to an oath in accordance with law do hereby depose
and say:

That we are the VENDEES of a portion of land with an area of 280


square meters covered under Tax Declaration No. 27969 located at
Tanqui, San Fernando City, La Union;

That we hereby give our consent to HAVEN BIBLE BAPTIST


CHURCH, represented by Pastor Mark Cesar Acosta, to apply for the
installation of electrical supply to their Pastoral Church which is located
within the aforesaid property;

That this affidavit shall serve as consent for the installation of electrical
lines, electric meter and other materials for the electrical supply to the said
church;

That we are executing this affidavit for all legal intents and purposes.

IN WITNESS WHEREOF, we have hereunto set our hands this


______________ at City of San Fernando, La Union, Philippines.

ERNESTO V. RAFON & JOCELYN


SORIANO
Affiant

SUBSCRIBED AND SWORN to before me this ______________ at City


of San Fernando, La Union, Philippines.

[Type here]
Doc No. ;
Page No. ;
Book No. ;
Series of 2021.

Republic of the Philippines )


City of San Fernando ) S.S
La Union )

AFFIDAVIT OF CONSENT

I, ERLINDA R. GALLARDO, of legal age, Filipino citizen and a resident


of Carlatan, San Fernando City, La Union, after having been duly sworn
to an oath in accordance with law do hereby depose and say:

That I am the registered co-owner of a parcel of land with an area of


800 square meters covered under Tax Declaration No. 93 021 8113
and Transfer Certificate of Title No. T-16826 located at Carlatan, San
Fernando City, La Union;

That I hereby give my consent to my niece, JANE R. MAYRENA to


construct a residential house located within the aforementioned lot;

That this affidavit shall serve as consent for the processing of building
permit of the subject property;

That I am executing this affidavit for all legal intents and purposes.

IN WITNESS WHEREOF, I have hereunto set my hand this


_____________ at City of San Fernando, La Union, Philippines.

ERLINDA R.
GALLARDO
Affiant
Republic of the Philippines )
[Type here]
City of San Fernando ) S.S
La Union )

AFFIDAVIT OF ADMINISTRATOR

We, ERNESTO S. MARZAN & PATRICIA M. FLORES, of legal ages,


Filipino citizens and residents of Baraoas, San Fernando City, La Union
and Puspus, San Fernando City, La Union, respectively, after having
been duly sworn to an oath in accordance with law do hereby depose and
say;

That we are of the administrator of a parcel of land with an area of


1,110.35 square meters covered under Tax Declaration No. 2009-15-
0035-00420 designated as Cad Lot. No. 16021 located at Saracat, San
Juan, La Union registered in the name of our deceased grandfather
Lorenzo Cabading;

That MARILOU M. FLORES desires to construct a residential house on


the above-described portion of real property;

That we hereby give our full consent, freely, voluntarily and willingly
MARILOU M. FLORES to construct residential house and to apply for the
installation of electrical supply to her household which is located within the
aforesaid property;

That this affidavit shall serve as consent for the construction of her
house and applying for zoning clearance and secure building permit with all
the authorities concerned and for the installation of electrical lines, electric
meter and other materials for the electrical supply to her household;

That we are executing this affidavit for all legal intents and purposes of
the law.

IN WITNESS WHEREOF, we have hereunto set our hands this May 4,


2021 at City of San Fernando, La Union, Philippines.

ERNESTO S. MARZAN & PATRICIA M.


FLORES
Affiants

Conforme: SC No. 21210/ SC No. 23932

MARILOU M. FLORES
Affiant
VIN: 3314-0243A-D0781

SUBSCRIBED AND SWORN to before me this May 4, 2021 at City of


San Fernando, La Union, Philippines.

Doc No. ; 391


Page No. ; 79
Book No. ; 19

[Type here]
Series of 2021.

Republic of the Philippines )


City of San Fernando ) S.S
La Union )

AFFIDAVIT OF CONSENT

I, ANGEL KC N. DIAN (minor/12 years old) represented by his mother,


NORMA A. NONAN, of legal age, Filipino citizen and a resident of Santigao
Sur, San Fernando City, La Union, after having been duly sworn to an
oath in accordance with law do hereby depose and say;

That I am the registered owner of a parcel of land covered under


Katibayan na Orihinal na Titulo Blg. 025-CARP2020000191 located at
Santigao Sur, San Fernando City, La Union;

That I hereby give my consent to my brother, ANGELO N. DIAN


(minor/8 years old), to construct a concrete house within the
aforementioned property;

That this affidavit shall serve as consent for the construction of house
and processing of building permit of the subject property;

That I am executing this affidavit for all legal intents and purposes of
the law.

IN WITNESS WHEREOF, we have hereunto set our hands this


January 25, 2021 at City of San Fernando, La Union, Philippines.

ANGEL KC N. DIAN
Affiant
Represented by:

NORMA A. NONAN
Mother

SUBSCRIBED AND SWORN to before me this January 25, 2021 at


City of San Fernando, La Union, Philippines.

Doc No. ; 136

[Type here]
Page No. ; 28
Book No. ; 05
Series of 2021.

Republic of the Philippines )


City of San Fernando ) S.S
La Union )

AFFIDAVIT OF CONSENT

We, ROMEO B. ANCHETA, CATALINA B. ANCHETA & LANI B.


ANCHETA, of legal ages, Filipino citizens and residents of Urayong,
Bauang, La Union, after having been duly sworn to an oath in accordance
with law do hereby depose and say;

That we are of the registered owner of parcel of land with an area of


404.50 square meters covered under Tax Declaration No. 2009-07-
0039-00695 located at Urayong, Bauang La Union;

That our brother, ROMEO B. ANCHETA desires to construct a


residential house on the above-described property;

That I herevy give my full consent, freely, voluntarily and


willingly to my ____________ to construct _______________ on the said
property;

That this affidavit shall serve as consent for the construction of their
house and applying for zoning clearance and secure building permit with all
the authorities concerned and for all intents and purposes.

That we are executing this affidavit for all legal intents and purposes of
the law.

IN WITNESS WHEREOF, we have hereunto set our hands this


September 4, 2019 at City of San Fernando, La Union, Philippines.

CATALINA B. ANCHETA & LANI B.


ANCHETA
Affiants

Conforme:

[Type here]
SPS. ROMEO B. ANCHETA & ANNABELLE G. ANCHETA
Affiants

SUBSCRIBED AND SWORN to before me this September 4, 2019 at


City of San Fernando, La Union, Philippines.

Doc No. ; 102


Page No. ; 21
Book No. ; 18
Series of 2019.

Republic of the Philippines )


City of San Fernando ) S.S
La Union )

AFFIDAVIT OF CONSENT

We, ROMEO B. ANCHETA, CATALINA B. ANCHETA & LANI B.


ANCHETA, of legal ages, Filipino citizens and residents of Urayong,
Bauang, La Union, after having been duly sworn to an oath in accordance
with law do hereby depose and say;

That we are of the registered owner of parcel of land with an area of


404.50 square meters covered under Tax Declaration No. 2009-07-
0039-00695 located at Urayong, Bauang La Union;

That our brother, ROMEO B. ANCHETA desires to construct a


residential house on the above-described property;

That I herevy give my full consent, freely, voluntarily and


willingly to my ____________ to construct _______________ on the said
property;

That this affidavit shall serve as consent for the construction of their
house and applying for zoning clearance and secure building permit with all
the authorities concerned and for all intents and purposes.

That we are executing this affidavit for all legal intents and purposes of
the law.

IN WITNESS WHEREOF, we have hereunto set our hands this


September 4, 2019 at City of San Fernando, La Union, Philippines.

[Type here]
Republic of the Philippines )
City of San Fernando ) S.S
La Union )

AFFIDAVIT OF CONSENT

I, ENRIQUETA TARACATAC EUGENIO, of legal age, Filipino citizen


and a resident of Cabaraoan, San Juan, La Union, after having been duly
sworn to an oath in accordance with law do hereby depose and say;

That I am the administrator of a parcel of land with an area of 686.75


square meters covered under Tax Declaration No. 2009-15-0010-
00655 located at Cabaraoan, San Juan, La Union registered under the
name of Juliana Fontanilla and Inocencia Fontanilla;

That I hereby give my consent to ARACELI TARACATAC AGUDA to


transact, enforce, receive and collect rental payments from tenants and to
endorse, sign and transact in relation to the abovementioned property as
share of my deceased brother, Apolinario Taracatac who is her father;

That this affidavit shall serve as consent for the occupancy permit of
the subject property;

That I am executing this affidavit for all legal intents and purposes.

IN WITNESS WHEREOF, I have hereunto set my hand this


________________________ at City of San Fernando, La Union, Philippines.

ENRIQUETA TARACATAC EUGENIO


Affiant

SUBSCRIBED AND SWORN to before me this ________________________


at City of San Fernando, La Union, Philippines.

Doc No. ; _______

[Type here]
Page No. ; _______
Book No. ; _______
Series of 2020.

Republic of the Philippines )


City of San Fernando ) S.S
La Union )

AFFIDAVIT OF CONSENT

We, JANICE M. RUSTIA & JOAN M. RUSTIA, both of legal age,


Filipino citizens and a resident of Catbangen, San Fernando City, La Union,
after having been duly sworn to an oath in accordance with law do hereby
depose and say;

That we are the registered owner of a parcel of land covered under


Transfer of Certificate of Title No. 025-2012001750 and Tax
Declaration No. ________________ located at Catbangen, San Juan, La
Union;

That we are the only surviving legal heir of RAFAEL H. RUSTIA, the
owner of a commercial building/structure which has been designed and
constructed as a CAR DISPLAY / Mezz Flr. under Bldg. Permit No. 9602-
0059 dated 02-16-1997;

That we hereby give our consent to ROVELYN KIM RUSTIA, to


transfer the abovementioned business occupancy in her name, in a business
name ________________________;

That we are executing this affidavit for all legal intents and purposes.

IN WITNESS WHEREOF, we have hereunto set our hands this


________________________ at City of San Fernando, La Union, Philippines.

JANICE M. RUSTIA JOAN M.


RUSTIA
Affiant Affiant

[Type here]
SUBSCRIBED AND SWORN to before me this ________________________
at City of San Fernando, La Union, Philippines RATIFY.

Doc No. ; __________


Page No. ; __________
Book No. ; __________
Series of __________.

Republic of the Philippines )


City of San Fernando ) S.S
La Union )

AFFIDAVIT OF CONSENT

We, CAYLEEN C. MAGANA & EDUARDO V. CABRERA, of legal ages,


Filipino citizens and residents of Blk 44 Lot 15, Soldiers Hill Village,
Muntinlupa City, after having been duly sworn to an oath in accordance with
law do hereby depose and say;

That we are the registered co-owner of a residential lot covered under


Tax Declaration Nos. 18 041 106734; 18 041 106735 and 18 041
106736 located at Parian, San Fernando City, La Union;

That we hereby give our consent to our co-owners, MART V.


CABRERA & ESDECOLE V. CABRERA to construct a residential house
within the aforementioned property;

That this affidavit shall serve as consent for the building permit of the
subject property.

That we are executing this affidavit for all legal intents and purposes.

IN WITNESS WHEREOF, we have hereunto set our hand this


__________________ at ______________________________, Philippines.

CAYLEEN C. MAGANA EDUARDO V. CABRERA


[Type here]
Affiant Affiant
DL No. N26-16-009181 _____ No.

SUBSCRIBED AND SWORN to before me this _________________ at City


of San Fernando, La Union, Philippines, and affiant exhibited to me their
competent valid id as indicated below their names and signatures.

Doc No. ;
Page No. ;
Book No. ;
Series of 2019.

Republic of the Philippines )


City of San Fernando ) S.S
La Union )

AFFIDAVIT OF CONSENT

WE, LUZVIMINDA BALANCIO & FELIX ESTOCAPIO, of legal ages,


Filipino citizens and residents of Bungro, San Fernando City, La Union, , after
having been duly sworn to an oath in accordance with law do hereby depose
and say;

That we are the surviving legal heirs of NICOLASA ESTOCAPIO, our


co-owner of a parcel of land covered under Tax Declaration No. 93 014
4987 located at Bungro, San Fernando City, La Union;

That we hereby give our consent to our niece REMEDIOS ACOSTA, to


build a concrete house which is located within the aforementioned property;

That this affidavit shall serve as consent for the building permit of the
subject property.

That we are executing this affidavit for all legal intents and purposes.

IN WITNESS WHEREOF, We have hereunto set our hand this


______________ at City of San Fernando, La Union, Philippines.

[Type here]
Republic of the Philippines )
City of San Fernando ) S.S
La Union )

AFFIDAVIT OF ADMINISTRATOR

I, ANTONIA FLORESCA AMARO, of legal age, widow, Filipino citizen


and resident of Pottot, Bauang, La Union, after having been duly sworn to
an oath in accordance with law do hereby depose and say;

That I am the administrator of a parcel of land covered under Tax


Declaration No. __________________ located at Pottot, Bauang, La Union
registered under the name of Federico Floresca;

That I hereby give my consent to my daughter, JANETTE FLORESCA


AMARO, to apply for the installation of electrical supply to her household
which is located within the aforesaid property;

That this affidavit shall serve as consent for the installation of electrical
lines, electric meter and other materials for the electrical supply to her
household.

That I am executing this affidavit for all legal intents and purposes.

IN WITNESS WHEREOF, I have hereunto set my hand this August


18, 2020 at City of San Fernando, La Union, Philippines.

ANTONIA FLORESCA
AMARO
Affiant

SUBSCRIBED AND SWORN to before me this August 18, 2020 at


City of San Fernando, La Union, Philippines.

Doc No. ; 263


Page No. ; 53
Book No. ; 50
Series of 2020.

[Type here]
Republic of the Philippines )
City of San Fernando ) S.S
La Union )

AFFIDAVIT OF CONSENT

I, NENITA M. NISPEROS, of legal age, widow, Filipino citizen and a


resident of Cabaroan, San Juan, La Union, after having been duly sworn
to an oath in accordance with law do hereby depose and say;

That I am the registered owner of a parcel of land covered under Tax


Declaration No. 2010-15-0024-00782 located at Nadsaag, San Juan,
La Union;

That I hereby give my consent to my niece, MARLENE B. AQUINO, to


apply for the installation of electrical supply to her household which is
located within the aforesaid property;

That this affidavit shall serve as consent for the installation of electrical
lines, electric meter and other materials for the electrical supply to her
household;

That I am executing this affidavit for all legal intents and purposes.

IN WITNESS WHEREOF, I have hereunto set my hand this


_________________ at City of San Fernando, La Union, Philippines.

NENITA M. NISPEROS
Affiant

SUBSCRIBED AND SWORN to before me this _________________ at City


of San Fernando, La Union, Philippines.

Doc No. ;
Page No. ;
Book No. ;
Series of 2020.

[Type here]
Republic of the Philippines )
City of San Fernando ) S.S
La Union )

AFFIDAVIT OF CONSENT

I, IMELDA R. MAZA, of legal age, widow, Filipino citizen and resident


of Flores St., Catbangen, San Fernando City, La Union, Philippines,
after having been duly sworn to an oath in accordance with law do hereby
depose and say;

That I am the registered owner of a parcel of land with an area of


333.75 square meters covered under TD No. 76414 located at Flores
St., Catbangen, San Fernando City, La Union;

That I hereby give my consent to my sons, JEROME R. MAZA &


JETHRO R. MAZA, to construct TWO STOREY RESIDENTIAL BUILDING
which is located within the aforesaid property;

That I am executing this affidavit for all legal intents and purposes.

IN WITNESS WHEREOF, I have hereunto set my hand this June 25,


2020 at City of San Fernando, La Union, Philippines.

IMELDA R. MAZA
Affiant
DL No.
A04-98-064945

SUBSCRIBED AND SWORN to before me this June 25, 2020 at City


of San Fernando, La Union, Philippines, and affiant exhibited to me her
competent valid id as indicated below her name and signature.

Doc No. ; 494


Page No. ; 99
Book No. ; 44
Series of 2020.

[Type here]
Republic of the Philippines )
City of San Fernando ) S.S
La Union )

AFFIDAVIT OF ADMINISTRATOR

I, SUSAN YAPIT NANOLA, of legal age, Filipino citizen and resident of


Urbiztondo, San Juan, La Union, Philippines, after having been duly sworn to
an oath in accordance with law do hereby depose and say;

That I am the administrator of a parcel of land located at Urbiztondo,


San Juan, La Union, under TD No. 2009-15-0041-00421, registered
under the names of Federico Tabios, Juana & Aurelio & Leonila and Juana
Yapit;

That I hereby give my consent to AARON PAUL A. PERALTA to apply


for the installation of electrical supply to his business which is located within
the aforesaid property;

That this affidavit shall serve as consent for the installation of electrical
lines, electric meter and other materials for the electrical supply to his
business.

That I am executing this affidavit for all legal intents and purposes.

IN WITNESS WHEREOF, I have hereunto set my hand this 31st day of


January 2017 at City of San Fernando, La Union, Philippines.

SUSAN YAPIT NANOLA


Affiant
SSS No. 01-0981031-1

SUBSCRIBED AND SWORN to before me this 31st day of January


2017 at City of San Fernando, La Union, Philippines, and affiant exhibited to
me her SSS ID as indicated below her name and signature.

Doc No. ; 391


Page No. ; 79
Book No. ; 05
Series of Series 2017.

[Type here]
Republic of the Philippines )
City of San Fernando ) S.S
La Union )

AFFIDAVIT OF SUPPORT AND CONSENT


FOR TRAVEL

I, PERCIVAL C. REYES, of legal age, Married, Filipino citizen and


resident of San Pedro, Agoo, La Union, after having been duly sworn to an
oath in accordance with law do hereby depose and say;

That I am the father of JED TROY V. REYES;

That my son, who is presently fifteen (15) years old at present, will be
having a trip abroad specifically at Dubai with her godmother, Mercedes S.
Estocada;

That their purpose I having the said trip is just a tour, and they will be
staying in Dubai for 1 & ½ month;

That his godfather, Mariano A. Estocada who is in Dubai, is the one to


support and defray the said travel and undertake to finance the trip abroad
from the application fees, airline tickets, board and lodging, pocket money
and such other expenses that they may incur so that they would neither be a
burden to the state nor at the place of destination at any time during their
trip abroad;

That I am therefore giving full consent to my said son to travel abroad


(Dubai) to be accompanied by his godmother, Mercedes S. Estocada and will
now apply for my son’s Passport at the Department of Foreign Affairs (DFA);

That I am executing this affidavit to declare the truth of all the


foregoing statements and whatever legal purposes it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 30th day of


March 2016 at City of San Fernando, La Union, Philippines.

PERCIVAL C. REYES
Affiant
UMID CRN NO. 0001-0882185-1

SUBSCRIBED AND SWORN to before me this 30th day of March 2016 at


City of San Fernando, La Union, Philippine

Doc No. ; 127


Page No. ; 26
Book No. ; 12
Series of 2016

[Type here]
Republic of the Philippines )
City of San Fernando ) S.S
La Union )

AFFIDAVIT OF SUPPORT

I, VICTORIA L. ARAGON, of legal age, widow, Filipino citizen and a


resident of Bangar, La Union, after having been duly sworn to an oath in
accordance with law do hereby depose and say;

That I am one of the duly elected Board Members of the Province of La


Union;

That being one of my able and trusted personnel, I have decided to


bring him with me in my travel to Japan;

That during my stay in Japan, he would serve as my personal assistant


to ensure my safety and health;

That I will assume full responsibility for all his actions throughout the
duration of my stay in Japan and undertakes to provide all his basic needs
and other necessary expenses;

That I am executing this affidavit to attest to the truth of all the


foregoing statements and for all legal intents and purposes of law.

IN WITNESS WHEREOF, I have hereunto set my hand this 28th day of


May 2014 at City of San Fernando, La Union, Philippines.

VICTORIA L. ARAGON
Affiant

SUBSCRIBED AND SWORN to before me this 28th day of May 2014 at


City of San Fernando, La Union, Philippines.

Doc No; 449


Page No; 90
Book No; 60
Series of 2014

[Type here]
Republic of the Philippines )
City of San Fernando ) S.S
La Union )

AFFIDAVIT OF CONSENT OF BIOLOGICAL FATHER

I, ISRAEL U. JABONETE, of legal age, Filipino citizen and a resident of


Malmeltac, San Fernando City, La Union, Philippines, after having been duly
sworn to an oath in accordance with law do hereby depose and say:

1. That I am the biological father of Princess Merael P. Jabonete


and Daniel P. Jabonete, respectively born on August 30, 2006
and December 25, 2010 with their biological mother Merlie
Preposi Jabonete;

2. That after the birth of Daniel P. Jabonete, my wife left us and did
not anymore come back;

3. That for a period of almost 10 years, their biological mother never


communicated with me nor any of my two (2) children nor have
extended any kind of support to them;

4. That I have solely provided for the needs of my two (2) children
with the assistance of my mother Virginia U. Jabonete;

5. That I am however presently unemployed for almost three (3)


years already and during this year of being jobless, my mother
took good care of all their basic needs including their education;

6. That since I could not adequately provide for the various needs of
my two (2) children, I have entrusted the custody and care of my
two (2) children to my mother for same period of three (3) years;

[Type here]
7. That for the welfare and bright future of my two (2) children, I
deem best to have my two (2) children be adopted by my mother
who after all has been providing their basic needs as well as the
love and care of a mother;

8. That I am executing this affidavit to attest to the truthfulness of all


the foregoing facts and to manifest my full consent for the
adoption of my two (2) children by their biological grandmother
Virginia U. Jabonete.

IN WITNESS WHEREOF, I have hereunto set my hand this


__________________ at San Fernando City, La Union, Philippines.

ISRAEL U. JABONETE
Affiant

SUBSCRIBED AND SWORN to before me this __________________ at


San Fernando City, La Union.

Doc No;
Page No;
Book No;
Series of 2020.

Republic of the Philippines )


City of San Fernando ) S.S
La Union )

AFFIDAVIT OF CONSENT OF BIOLOGICAL FATHER

I, RHEA N. NOVENO of legal age, married, Filipino citizen and a


resident of San Fernando City, La Union, Philippines, after having been
duly sworn to an oath in accordance with law do hereby depose and say:

1. That I previously consented to adopt minor named Mary


Antoneth Vergara, per request of her foster parents, Jose
Bermudez & Arsenia Bermudez;

2. That I likewise took custody of the child and provided her basic
needs for a period of almost Six (6) months;

3. That due to personal reasons and upon confiding the matter to my


spouse, I am now reneging from my previous commitment to
adopt the child;

4. I am already transferring the custody of said child to her foster


parents who shall now continue providing her needs.

IN WITNESS WHEREOF, I have hereunto set my hand this


September 11, 2020 at San Fernando City, La Union, Philippines.

RHEA N. NOVENO
Affiant

[Type here]
Conforme:

JOSE BERMUDEZ & ARSENIA BERMUDEZ


PARENTS

SUBSCRIBED AND SWORN to before me this September 11, 2020


at San Fernando City, La Union.

Doc No;
Page No;
Book No;
Series of 2020.

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