Republic of the Philippines )
City of ________________ )
S.S.
x-----------------------------------------------x
AFFIDAVIT OF NO RENTAL
I, __________________________, of
legal age, single/married, Filipino, and a resident of ___________________________________, Philippines, after having been duly sworn in accordance
with law, hereby depose and state:
1. That
as a practicing doctor I am holding clinic in ______________________;
2.
That
I am just sharing the said clinic space with another doctor, Dr. ________________, who is the contracting party as lessee in the Contract of Lease
entered into between him and the building owner/lessor;
3.
That
in view of the lessee’s generous accommodation, I am not paying any rental fee
to the building owner, subject to my agreement with the lessee that I will
share the cost in covering clinic overhead expenses;
4.
That
this arrangement is consented to by the building owner/lessor;
5.
That
I am executing this affidavit to declare the truth of the foregoing facts and
for whatever legal purpose it may serve.
IN WITNESS WHEREOF, I
have hereunto set my hand this _____________ at _____________________, Philippines.
_________________________
Affiant
SUBSCRIBED
AND SWORN TO BEFORE ME this ______ day of _______________ in the City of _______________,
Philippines, by ___________________, who is personally known to me
and who presented his _____ ID No. ________________ which expires on _______________, and
who is the same person who personally signed before me the foregoing affidavit
and acknowledged that he executed the same.
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2015.