Affidavit of Acquiring a Position

A F F I D A V I T

I, ROGER T. RICAFORT of legal age, married, (citizenship) and residing at _______________after having been sworn to in accordance with law, hereby, depose and say:

1. That I am the duly elected Position of the Municipality of ___________of ______________:
2. That I have no pending criminal or administrative case filed or pending against me before any court, tribunal or body at this time;
3. That if I knew a case has been filed or pending against me, I shall submit a clearance or a certification from said court, tribunal or administrative body that an authorization for me to travel abroad;
4. That I am executing this affidavit to attest to the truthfulness to the above-requirement of the Department of Interior and Local Government and for the other legal purposes.

Affiant Further Sayeth Naught.

GANDI F. LUGASAN
Affiant
SUBSCRIBED AND SWORN to before me this ____ day of _______ at______, ______, affiant entrusted to me his Community Tax Certificate no. ____________ issued on ________________ at _________________.

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