I, JUAN DELA CRUZ, of legal age, married, Filipino citizen, and a
resident of _______________________________, Philippines, after having been sworn to on oath in accordance to law, hereby depose and state that:
1. I am one of the surviving heirs of the late _____________________ who is
the declared owner of a parcel of land situated in _______________________ under ________________________________;
2. The above-described land has an old house constructed thereat. Due
to the caducity of said building, it has become risky and hazardous to passers-by, hence my sister applied for a demolition permit at the Office of the Building Official;
3. In lieu thereof, I hereby signify my written consent freely, willingly
and voluntarily to demolish said old house on the above-mentioned parcel of land for the safety of everyone;
4. I therefore execute this affidavit to attest to the truth of all the
foregoing facts as to my undertaking to give my consent for the demolition of the old house and for all legal intents and purposes.
IN WITNESS WHEREOF, I have hereunto affixed my signature this
_______________________ in ______________________, Philippines.
JUAN DELA CRUZ
Affiant ID No. ________________
SUBSCRIBED AND SWORN TO before me this ______________ in ____________________,
Philippines, by the affiants who are known to me on the basis of competent document shown as proof of her identity.