REPUBLIC OF THE PHILIPPINES)

PROVINCE OF AKLAN ) S.S.

x--------------------------------------------x

SUBSCRIBED AND SWORN TO BEFORE ME in Kalibo, Aklan this 17th day of

October, 2017 by KAREN KAY P. BAUTISTA, who personally came and who has
satisfactorily proven to me her identity through her TIN 468-984-907-000 and known
to me as the same person who personally signed the foregoing instrument before
me and avowed under penalty of law to the whole truth of the contents of said
instrument.

Doc No. 224;

Page No. 46;
Book No. X
Series of 2017

SUBSCRIBED AND SWORN to before me, this ____________________, by the

above named affiant and who have satisfactorily proven to me his identity through his
competent evidence of identity as shown above, and who is the same person who
personally appeared and signed the foregoing affidavit.

Doc. No._____;
Page No._____;
Book No._____;
Series of 2017

(Jurat for an Individual Affiant)

SUBSCRIBED AND SWORN to before me, this _____________, by
_____________ who exhibited to me (his/her) Community Tax Certificate No.
_____________ issued at _____________, Philippines on _____________.

(Jurat for Joint Affiants)

SUBSCRIBED AND SWORN to before me, this _____________, by
_____________ who exhibited to me (his/her) Community Tax Certificate No.
_____________ issued at _____________ on _____________ and by
_____________ who exhibited to me (his/her) Community Tax Certificate No.
_____________ issued at _____________ on _____________.

(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. ____________ ____________ _____________

MODEL 1

 Affiant Has At Least One Current ID Card Issued By An Official Agency Bearing The Photograph
And Signature Of The Individual

SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and for

_________(City/Province)____________ this ____th day of ____________ 20___. Affiant personally
came and appeared with _____________(Competent Evidence of Identity)______ issued by the
_________(Government Agency)______ on ___(date)__ at ________(place)_________, bearing his
photograph and signature, known to me as the same person who personally signed the foregoing
instrument before me and avowed under penalty of law to the whole truth of the contents of said
instrument.

MODEL 2

 The Oath Or Confirmation Of One Credible Witness

+ [ Not A Party To The Document ]
+ [ Who Is Personally Known To The Notary Public ]
+ [ And Who Personally Knows The Party Executing The Document]

SUBSCRIBED AND SWORN TO BEFORE ME, personally came and appeared with
_____________(Competent Evidence of Identity)______ issued by the _________(Government
Agency)______ on ___(date)__ at ________(place)_________, and in the company of one
Mr/Mrs/Miss_______________________ who has affirmed on oath the identity of the said
Mr/Mrs/Miss _______________________ and who is personally known to the undersigned Notary
Public, not interested as a party to the foregoing instrument, and who acknowledged before me that the
instrument is his free and voluntary act and deed.

MODEL 3

 Party Not Known To Notary Public

 But Presents Two Credible Witnesses
+ [ Neither Of Whom Is A Party To The Instrument Or Document ]
+ [ Who Each Personally Knows The Individual ]
+ [ And Shows To The Notary Public Competent Evidence Of Identity ]

“Before me, a Notary Public for and in the Province of ___________, on this ___th day of
_____________________________________ 20__, came and appeared
Mr/Mrs/Miss____________________________ with two witnesses neither of whom is a party to the
document who personally know the principal ______________________ and who presented Competent
Evidence of Identity as follows:
 ________________________ with _____________(Competent Evidence of Identity)______
issued by the _________(Government Agency)______ on ___(date)__ at
________(place)_________, bearing also his photograph and signature.

________________________ with _____________(Competent Evidence of Identity)______

issued by the _________(Government Agency)______ on ___(date)__ at
________(place)_________, bearing also his photograph and signature.

Said Mr/Mrs/Miss_________________________ personally signed the foregoing instrument before me

and avowed under penalty of law to the whole truth of the contents of said instrument.

MODEL 4 (Two Affiants with Passport)

SUBSCRIBED AND SWORN to before me this __th day of _____________, 20___ in

___________ City, personally appeared ______Affiant1_________________ exhibiting to
me his Passport No. _____________ issued on ________________ and set to expire on
_____________, and ____ Affiant2____ exhibiting to me her Passport No. _____________
issued on _____________ and set to expire on ________________ as their competent
evidence of identity bearing their photograph and signatures.

MODEL 5

SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and for

_________(City/Province)____________ this ____th day of ____________ 20___. Affiant
personally came and exhibited to me his Philippine Passport No. 1234567 issued on June 6, 2006 and
set to expire on _____________, bearing his photograph and signature, known to me as the same
person who personally signed the foregoing instrument before me and avowed under penalty of law
to the whole truth of the contents of said instrument.