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REPUBLIC OF THE PHILIPPINES

(City of _________________) S.S

VERIFICATION

I, _____________________________________ of legal age, Filipino and resident of


_____________________________________ after having duly sworn to in accordance with the
law, hereby depose and state:

I am the _____________________________ of the


__________________________________ which is in the process of incorporation;

That I personally prepared the Articles of Incorporation of the above-named religious


corporation with the facts known to me;

That I read the provisions of said Articles of Incorporation and that all the statements
indicated therein are true and correct to the best of my knowledge and belief.

In witness whereof, I hereby signed this affidavit this ________ day of ________, 20____
at _____________________________________.

_________________________
Signature

SUBSCRIBED AND SWORN TO before me this ______ day of _____________, 20___ at


________________________ affiant exhibited to me this ____________________ issued on
________________________ at ________________________.

Doc. No. _______


Page No. _______
Book No. _______
Series of 20_______

Note: This should be executed by the presiding elder, secretary or any officer of the corporation.

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