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VERIFICATION AND CERTIFICATION

OF NON-FORUM SHOPPING

I, IMELDA A. MARIANO, of legal age, Filipino citizen, and a


resident of Barangay Pinasling, Gerona, Tarlac, after having been
duly sworn to in accordance with law, do hereby depose and state –
THAT:

1. I am the attorney-in-fact of the petitioner in the above-stated


case;

2. I have caused the preparation and filing thereof before the


Honorable Court;

3. I have read the foregoing Petition and facts stated therein are
true and correct of my personal knowledge and/or on the based
on authentic/official records;

4. I have not commenced any other action or filed any claim


involving the same issues in any court, tribunal or quasi-judicial
agency and, to the best of my knowledge, no such other action
or claim is pending therein;

5. To the best of my knowledge and belief, no such action or


proceeding is pending in the Supreme Court, the Court of
Appeals, or any other tribunal or agency;

6. Should I thereafter learn that the same or similar action has


been filed or is pending, I undertake to report such fact within
five (5) days therefrom to this Honorable Court wherein this
petition has been filed.

IMELDA A. MARIANO
Affiant

SUBSCRIBED AND SWORN to before me this ___ day of


___________ at Tarlac City affiant exhibiting to me her
___________________________ as competent proof of his identity.

Doc. No. ____;


Page No. ____; NOTARY PUBLIC
Book No. ____;
Series of 2019.

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