Jurat For An Individual Affiant

Jurat for an Individual Affiant (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 _____________.

Notary Public

Doc. No. ______; Page No. ______; Book No. ______; Series of ______;