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REPUBLIC OF THE PHILIPPINES)

PASAY CITY
) s.s.

AFFIDAVIT OF NON-RECEIPT
I, Eliza Zaguirre, Filipino, married, of legal, age and a resident of Blk. 28 Lot 5 Ph I
Maripajo Street, Meadowood Executive Village, Bacoor, Cavite after having been
subscribed under the Law, do hereby depose and state that:
1. On 7th March 2001, when I came to the office of the ECE REALTY & DEVT.,
INC., I found out that my Contract to Sell for Fantasy World Theme Parks, Amusement and
Recreation Club, Inc. FW# 4768 was given to my agent.
2. However, the said Contract to Sell was never delivered to me by my agent.
3. I am executing this affidavit to attest to the truth of the foregoing and for the
purpose of securing a certified xerox copy of my Contract To Sell.
Done this 7th day of March 2001, Pasay City, Philippines.
Mrs. Eliza Zaguirre
Affiant

SUBSCRIBED AND SWORN to before me this 7 th day March 2001, at Pasay City
Philippines, affiant exhibiting her Life Underwriters Association of the Philippines
Membership No. 99-0072.

Doc. No: ______


Page No: ______
Book No: ______
Series of 2001

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