SOP Exhibits
Title
:
Exhibit 7-Affidavit
SOP Number :
BR-QM03
EXHIBIT 7
Republic of the Philippines)
Province of ___________ ) S.S.
Municipality of _________)
A F F I D A V I T
= = = = = = = = =
That I, __________________________ of legal age, Filipino, single/married/widow/widower, and with residence at __________________________________________________ after being duly sworn to in accordance with law, do hereby depose and say:
That I am the Franchised Bonded Warehouse Operator of the ________________________ a business firm engaged in the warehousing of grains, situated at _____________________________________________________________________.
That on _______________________, issued Negotiable Quedan Nos. ________ for my own stocks of ________________________________ with % purity, moisture content of __________________________________% and of ____________________(variety/commodity). These are all piled at the ______________ side of my bonded warehouse which is fully enclosed and separated from the non-bonded portion. The pile consist of ________________________ layers with ______________ cavans with an average of ______________________________________ kilos per sack and a net weight of _____________ kilos.
That I bind myself that I shall not move or dispose of the stocks ________ without cancelling the corresponding quedan.
That I am executing this affidavit to certify to the existence and ownership of such stocks in compliance with the requirements of the National Food Authority.
IN WITNESS WHEREOF, I have hereunto set my hand this _____ day of ________ 19_____ at _________________________.
_______________________
(Affiant)
SUBSCRIBED AND SWORN TO before me this ____ day of _______________19___ at _______________, affiant exhibited to me his/her Residence Certificate No. __________ issued at _______________________ on _______________.
________________________
NOTARY PUBLIC
Doc. No. ______
Book No. ______
Page No. ______
Series of ______
Republic of the Philippines )
_____________________) 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 law depose and say:
1. That I am a grains franchised bonded warehouse operator duly
license/franchised by the National Food Authority;
2. That in connection with my license/franchise I posted a ______
bond in the amount of (
amount in words
) (P___________);
3. That I wish to have said bond reduced to the amount of P_____
covering only ____ bags of _______________ for the following
reasons: _________________________________________
_______________________________________________;
4. That I have already paid for, returned or liquidated the proportion-
ate quantity of grains covered by the bond sought to be reduced
and that I do not have any obligation to any person relative
thereto;
5. That this affidavit is executed in compliance with my application
for the reduction of bond mentioned in paragraph 2 hereof.
FURTHER AFFIANT SAYETH NAUGHT.
IN WITNESS HEREOF, I hereby affix my hand this ____ day of ___________
19_________ at ____________________________.
____________________________
(Signature)
____________________________
(Name in Print of Affiant)