I, __________________________, of legal age, single/married, Filipino, and a resident of ___________________________________, Philippines, after having been duly sworn in accordance with law, hereby depose and state:
1. That as a practicing doctor I am holding clinic in ______________________;2. That I am just sharing the said clinic space with another doctor, Dr. ________________, who is the contracting party as lessee in the Contract of Lease entered into between him and the building owner/lessor;
3. That in view of the lessee’s generous accommodation, I am not paying any rental fee to the building owner, subject to my agreement with the lessee that I will share the cost in covering clinic overhead expenses;
4. That this arrangement is consented to by the building owner/lessor;5. That I am executing this affidavit to declare the truth of the foregoing facts and for whatever legal purpose it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this _____________ at _____________________, Philippines.
_________________________ AffiantSUBSCRIBED AND SWORN TO BEFORE ME this ______ day of _______________ in the City of _______________, Philippines, by ___________________, who is personally known to me and who presented his _____ ID No. ________________ which expires on _______________, and who is the same person who personally signed before me the foregoing affidavit and acknowledged that he executed the same.
Doc. No. _____; Page No. _____; Book No. _____; Series of 2015. Posted by barops at 4:08 AM
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