Affidavit of Request

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Republic of the Philippines )

Municipality of Mangaldan )S.S


Province of Pangasinan )

AFFIDAVIT OF REQUEST

I, ____________________________, after having been sworn to in accordance


with law do hereby depose and state that:

1. That I am a registered co-owner of a property covered by Tax


Declaration No. ____________________located at Bari, Mangaldan, Pangasinan;

2. That the said property is being used as a private educational


institution. Attached as “Annex A” is the picture where the school gymnasium
is located/built;

3. That I am executing this affidavit to request that the above


described property be exempted from realty tax pursuant to Article 325 (B) of
the implementing rules and regulations of the Local Government Code of 1991;

4. That I attest to the truthfulness of the above facts and I am executing


this affidavit for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


January 1, 2020 in Mangaldan, Pangasinan.

______________________
Affiant
OSCA ID No.

SUBSCRIBED AND SWORN to before me this January 1, 2020 in


Mangaldan, Pangasinan.

Doc No. ___


Page No. ___
Book No. ___
Series of 2020.

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