Form No. 8--Jurat for Multiple Affiants

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(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 ______;