REPUBLIC OF THE PHILIPPINES)

___________________) S.S.
x-------------------------------------x

AFFIDAVIT OF DECLARATION OF OWNERSHIP

I__________________, of legal age, Filipino, single, Manager of Rubinzons

Corporation, after having been duly sworn to in accordance with law, depose
and state:

1. That said ____________________ is the owner of certain parcel of land, more

particularly described as follows:
(Technical Description of Property)

2. That the said aforementioned Transfer Certificate of Title over said property
includes and contains all the permanent improvements and buildings located
and situated thereon.;

3. That I execute this Affidavit to attest and declare the truth of the foregoing
facts and for whatever legal purposes that this Affidavit may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of

________________in _______________, Negros Island, Philippines.

_________________
Affiant

SUBCRIBED AND SWORN TO before me this ____ day of ___________ 20__ in

_______ City/Municipality___________, Philippines, affiant exhibiting to me his
_________________________ issued in ____________________and valid until
______________.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2013.