(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. _____________ _____________ _____________
NOTARY PUBLIC
Doc. No. ______;
Page No. ______;
Book No. ______;
Series of ______;
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