REPUBLIC OF THE PHILIPPINES ) CITY/MUNICIPALITY OF __________________ ) SS. AFFIDAVIT OF UNDERTAKING I,
(name) ______________________________________,
of
legal
age
and
a
resident
of
(address) ___________________________________, in accordance with law, do hereby depose and state that; (owner/authorized representative) ___________________________________ (business name) 1. I am the _____________________________of (business address) located at ________________________________; 2. I am securing a business permit and license at the One Stop Shop Business Permit Application and Renewal at the Municipality of Argao; 3. I am aware of the requirements for the application and renewal of business permit; 4. That one of the requirements for the said permit is building clearance; 5. And such clearance can only be issued with an approved Building and Occupancy permit of the establishment issued by the Building Official of the Municipality of Argao; 6. That my business establishment lacks the aforementioned requirement/s and thus I swore to comply within six (6) months upon signing this affidavit the requirements and all relevant documents for the for the issuance of my business permit; 7. That the Local Government Unit of Argao and the Office of the Building Official shall not be held liable for whatever incidents may occur on my establishment within the six month period of compliance; 8. And that in the event that I have failed to comply all the necessary requirements within the given period, I interpose no objection to the automatic suspension, cancellation or revocation, as the case may be, of my business permit and license, and the subsequent closure of the above-cited business establishment, if necessary; 9. That I am executing this affidavit for the purpose of issuance for Building Clearance for Business Permit and License and to attest the truth of the foregoing facts.
In witness whereof, I have hereunto affixed my signature this _____ day of ______________________ at __________________. _______________________________ Affiant
SUBSCRIBE AND SWORN TO before me this ______ day of _______________________, affiant exhibiting
to
me
his
__________________________
issued
at
______________________
on______________, to expire on _________________ as competent evidence of identity.
NOTARY PUBLIC Doc No. _______ Page No._______ Book No._______ Series of _______