Republic of the Philippines)

Province of ____________________)S.S.

City/Municipality of _____________)

x - - - - - - - - - x

AFFIDAVIT OF OWNERSHIP

I, _____________, of legal age, Filipino, (single / married / widow), and a resident of _____________, Philippines, after having been duly sworn to in accordance with law, hereby depose and state, that:

That I am the true and absolute owner of the following personal properties, to wit:

(Enumerate & Describe Each Property)

That I intend to deliver the said personal properties as a collateral to secure the loan that I am applying for from _____________;

That I hereby warrant title and ownership over the above-mentioned personal properties and I will defend the possession of the Pledge from eviction;

That I execute this Affidavit of Ownership to attest to the truth of the aforementioned facts and in support of my application for a loan and for any other legal purposes that this Affidavit could serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this _____________ at _____________, Philippines.

____________________________________________________

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 ______;