(Jurat for Multiple Affiants)

 

 

SUBSCRIBED AND SWORN to before me, this _____________, by the following, who exhibited to me their respective Community Tax Certificates as follows:

 

         Name               C.T.C. No.                  Date / Place Issued 

1. _____________      _____________          _____________2. _____________      _____________          _____________3. _____________      _____________          _____________

 

 NOTARY PUBLIC

 

Doc. No. ______;

Page No. ______;

Book No. ______;

Series of ______;