Re - Affidavit of Undertaking

3
Republic of the Philippines) City of Iligan ) S.S. x----------------------------/ AFFIDAVIT OF UNDERTAKING I, PHILLINE A. ARQUIZA, of legal age, Filipino, widow, and a resident of Badelles St., Poblacion, Iligan City Philippines, after having sworn to an oath hereby depose and say, that: 1. I am the wife of the late Rene Antonio A. Arquiza who died on October 24, 2013. Attached are photocopies of the Certificate of Marriage and Certificate of Death, and marked as Annexes “A” and “B” respectively; 2. A check is named after my late husband which is issued by the Landbank-Iligan Branch dated January 9, 2015 in the amount of Five Thousand Pesos (Php 5,000.00); 3. In compliance with the bank’s requirement, I undertake the said check as the legal wife and/or beneficiary; 4. The foregoing facts are true and correct based on my personal knowledge and belief and/or based on authentic records; 5. As such, I am executing this affidavit to attest to the truth of the foregoing and for whatever legal purpose this may serve. IN WITNESS WHEREOF, I hereunto affix my signature this 14th day of January 2015 at Iligan City, Philippines. PHILLINE A. ARQUIZA Affiant SUBSCRIBED AND SWORN TO before me, this 14th day of January 2015 at Iligan City, Philippines.

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Transcript of Re - Affidavit of Undertaking

Republic of the Philippines)City of Iligan ) S.S.x----------------------------/

Affidavit of UNDERTAKING

I, PHILLINE A. ARQUIZA, of legal age, Filipino, widow, and a resident of Badelles St., Poblacion, Iligan City Philippines, after having sworn to an oath hereby depose and say, that:

1. I am the wife of the late Rene Antonio A. Arquiza who died on October 24, 2013. Attached are photocopies of the Certificate of Marriage and Certificate of Death, and marked as Annexes A and B respectively;

2. A check is named after my late husband which is issued by the Landbank-Iligan Branch dated January 9, 2015 in the amount of Five Thousand Pesos (Php 5,000.00);

3. In compliance with the banks requirement, I undertake the said check as the legal wife and/or beneficiary;

4. The foregoing facts are true and correct based on my personal knowledge and belief and/or based on authentic records;

5. As such, I am executing this affidavit to attest to the truth of the foregoing and for whatever legal purpose this may serve.

IN WITNESS WHEREOF, I hereunto affix my signature this 14th day of January 2015 at Iligan City, Philippines.

PHILLINE A. ARQUIZA Affiant

SUBSCRIBED AND SWORN TO before me, this 14th day of January 2015 at Iligan City, Philippines.

Doc. No.45; THOMAS DEAN M. QUIJANOPage No. 9; Notary Public Book No. VIII; Until December 2015Series of 2015.PTR No. 5369166 / 01-06-14 / Iligan CityIBP No. 944390 / 01-13-15 / Iligan CityAttorneys Roll No. 36882 1991

Republic of the Philippines)City of Iligan ) S.S.x----------------------------/

Affidavit of UNDERTAKING

I, RENE A. CAPUNO, of legal age, Filipino, married, and a resident of Princeton St., Celdran Village, Tubod, Iligan City Philippines, after having sworn to an oath hereby depose and say, that:

6. I am the authorize representative of QCC Corporation, a trucking business which main office is located at Bara-as, Iligan City;

7. The said corporation is an applicant for Philippine Economic Zone Authority (PEZA) permit;

8. In compliance with the standard application requirements for trucking/hauling services, I hereby promise to comply all pertinent documents within thirty (30) days after the issuance of the certificate;

9. I am executing this affidavit in compliance with the requirements of my PEZA application.

IN WITNESS WHEREOF, I hereunto affix my signature this 21st day of May 2014 at Iligan City, Philippines.

RENE A. CAPUNO Affiant

SUBSCRIBED AND SWORN TO before me, this 21st day of May 2014 at Iligan City, Philippines.

Doc. No. _____; THOMAS DEAN M. QUIJANOPage No. _____; Notary Public Book No. _____; Until December 2015Series of 2014.PTR No. 5369166 / 01-06-14 / Iligan CityIBP No. 871540 / 01-02-14 / Iligan CityAttorneys Roll No. 36882 1991