Sample Jurat

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JURAT

REPUBLIC OF THE PHILIPPINES)


PROVINCE OF _______________)
CITY/MUNICIPALITY OF ______ ) S.S.

(Jurat for an Individual Affiant)

SUBSCRIBED AND SWORN to before me, this _____________, by the Affiant who is personally known to
me (or whom I have identified through competent evidence of identity) and who exhibited his/her Community Tax
Certificate No. _____________ issued at _____________ on _____________.

NOTARY PUBLIC

Doc. No. ______;


Page No. ______;
Book No.______;
Series of 20____.

(Joint Affiants)

SUBSCRIBED AND SWORN to before me, this _____________, by _____________ who exhibited his/her
Community Tax Certificate No. _____________ issued at _____________ on _____________ and by _____________
who exhibited his/her Community Tax Certificate No. _____________ issued at _____________ on _____________,
both of whom are personally known to me (or whom I have identified through competent evidence of identity).

NOTARY PUBLIC

Doc. No. ______;


Page No. ______;
Book No.______;
Series of 20____.

(Multiple Affiants)

SUBSCRIBED AND SWORN to before me, this _____________, by the following who are all personally
known to me (or whom I have identified through competent evidence of identity) and 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 20____.

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