SOP Exhibits

Title:

Form E

SOP Number : BR-RL02

FORM E

Republic of the Philippines
x - -- - - - - - - - - - - - - - - - -x S.S.

A F F I D A V I T

I, _______________________________________, Filipino, of legal age, married/single,
a resident of __________________________________________________________________, after being duly sworn according to the law depose and say :

1. That I am a rice/corn mill/corn sheller grains bonded warehouse operator duly licensed by the National Food Authority ;

2. That in connection with my license, I posted a cash/bank deposit/surety/real estate/chattel mortgage bond in the amount of ___________________________________________ (Amount in words) __________ (P_________);

3. That the said bond is no longer necessary because __________________________________________________________________________________________________________________________________________________________________________________________________________________

4. That I already paid for, returned or liquidated al the grains covered by the bond and that I have no more obligations to any party, relative thereto;

5. That this affidavit is executed in compliance with my application for the release./refund of the bond mentioned in paragraph 2 hereof.

Further affiant sayeth none.

IN WITNESS WHEREOF, I hereunto sign this affidavit this _____ day of ________________ , 19_____ at ___________________________________________________________.


______________________________
(Signature)