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For Public Land

The document is an affidavit of undertaking for public land. It outlines 8 points agreed to by the affiant including that the house was built for residential purposes, preserving cleanliness, being aware the land is public, and willingness to vacate if requested.

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Temoteo L Pupa III
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67 views1 page

For Public Land

The document is an affidavit of undertaking for public land. It outlines 8 points agreed to by the affiant including that the house was built for residential purposes, preserving cleanliness, being aware the land is public, and willingness to vacate if requested.

Uploaded by

Temoteo L Pupa III
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

REPUBLIC OF THE PHILIPPINES )

LUMBAN, LAGUNA ) S.S

AFFIDAVIT OF UNDERTAKING
(For Public Land)

I, ____________________________________, single/married, Filipino, of legal age and with residence


and postal address at ______________________________, after having duly sworn to in accordance with the law
hereby depose and state:

1. That, I own a house located at ________________________________________.


2. That, such house was built merely to serve as residence of my family;
3. That, I have no intention to convert such house for commercial or industrial purposes;
4. That, I promise to preserve the cleanliness and general aesthetics of the area during my occupancy of the
place;
5. That, I am very much aware that the land where my property was built is a public and being managed by
the ___________________;
6. That, in case _____________________ decides to get the land back, I am willing to move the structure out
and vacate the place as so directed by the same;
7. That, I will not ask any form of consideration in vacating the place;
8. That, FLECO shall not be held liable for any untoward incident which may involve my electrical
installation during my occupancy in the area.

IN WITNESS WHEREOF, I hereunto set my hand this ___ day of ___________ 20___ at
_______________, Laguna, Philippines.

________________________
Affiant

Conforme:

___________________
Public Official

SUBSCRIBED AND SWORN TO BEFORE ME, this, ____ day of _____________ 20___ at
_________________, Laguna. Affiant exhibited to me his/her CTC No. _________________, issued at
__________________________ on ____________________.

NOTARY PUBLIC
Doc. No._________ Until _______________
Page No._________ PTR No.____________
Book No._________ Issued at____________
Series of _________ Roll No.____________

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