Republic of the Philippines )

Province of Tarlac ) S.S

City of Tarlac )

AFFIDAVIT OF CANCELLATION
I, RUPERT ANTHONY REYES ONG, of legal age, married, Filipino
citizen, and a resident of Bilad, Camiling, Tarlac, after having sworn to in
accordance with law, hereby depose and state:

1. That I am the registered owner of a business under the trade name

RJFL FARM located at Bilad, Camiling, Tarlac;

2. That the above-said business was duly registered at the

Department of Trade and Industry (DTI) on August 10, 2017 and
was issued Certificate of Registration with No. 04884523;

3. That at present I am causing the cancellation due to the facts of

the change of name of the owner of the said business and the
execution of the foregoing affidavit is in support;

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

foregoing declarations under penalties of perjury to respectfully
request the DTI to CANCEL Certificate of Registration, No.
04884523, moreover to serve all legal intents.

AFFIANT SAYETH NAUGHT.

IN WITNESS WHEREOF, I hereby affix my signature on this ___ day of

_______________ at Tarlac City, Philippines.

RUPERT ANTHONY REYES ONG

Affiant

SUBSCRIBED AND SWORN to before methis ___ day of

_______________ at Tarlac City, Philippines.

Doc No. ______;

Page No.______;
Book No.______;
Series of ______;