Form No.

8--Jurat for Multiple Affiants

Category: Philippines Legal Form

Hits: 6691
(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 ______;
ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES)

CITY OF ___________________ )SS.

X----------------------X

BEFORE ME, a Notary Public for and in the City of __________, Philippines this _______________ personally
appeared ______________________ with his Community Tax Certificate No._____________ issued at
_________________ on ___________ known to me and to me known to be the same person who executed the
foregoing instrument and he acknowledged to me that the same is his own free and voluntary act and deed.

Doc. No. ________;

Page No.________ ;
Book No. _______ ;
Series of _______.