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REPUBLIC OF THE PHILIPPINES)

CITY OF ..)
MUNICIPALITY OF )

AFFIDAVIT OF CONFIRMATION
I, ___________________________, Filipino, of legal age, single and a
resident of ______________________________________________, Philippines, after
having been duly sworn in accordance with law hereby acknowledge that:
1. That on _________________________________ , I executed a Special
Power
of
Attorney
authorizing
my
Attorney-in-Fact
___________________________________ to sell the following stated
properties:

2. On _____________________________, my attorney-in-fact entered into a


Contract of Lease over the following stated properties.

3. I hereby affirm and confirm the Contract of Lease entered into by


my Attorney-in-Fact on ______________________ and which was
executed before Notary Public __________________________, and
entered as Doc. No. _______; Page No. _______; Book No. _______;
Series of 2016 of his notarial register.

4. I further confirm that I have authorized that all payments payable to


me by virtue of the above-stated contract of lease be made payable
under the name and account of my Attorney-in-Fact.
I further
authorize my Attorney-in-Fact to encash and/or deposit said checks
in payment of the lease of my properties.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


_____ of ____________________ 2016,
in the city/province of
_______________________, Philippines.

________________________
Affiant

SUBSCRIBED AND SWORN TO BEFORE ME, this ________ day of


___________________ 2016, in the city/municipality of _________________________,
Philippines, affiant having presented to me the following valid and
acceptable proof of his identity
Doc No. _______;

Page No. ______;


Book No. ______;
Series of 2016.

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