REPUBLIC OF THE PHILIPPINES )

IN THE CITY OF DAVAO CITY…….)S.S

x---------------------------------x

AFFIDAVIT

I, Rebecca Boto, Filipino, of legal age, and a resident of Davao

City, after having been duly sworn in accordance with law, hereby
depose and say:

1. That I am the authorized representative of Luzviminda

Sagot, widow of Tirso Sagot, the St. Peter Plan Holder as
evidenced by Authorization Letter executed by Luzviminda
Sagot;

3. That sometime on____________________, the St Peter Plan

Receipt Official Receipt has been lost despite diligent search, the
same remains missing to this day;

4. Under the said circumstances the said St Peter Plan Official

Receipt can no longer be found and may now considered lost for
all intents and purposes.

5. That I am executing this affidavit to attest to the truth of the

foregoing facts.

IN WITNESS WHEREOF, I have hereunto affixed my signature

this ____day of ____________ 20___ at ____________,
Philippines.

REBECCA BOTO

SUBSCRIBED AND SWORN TO before me, a notary public in

and for _____________________ this ____ day of
____________ 20___. The affiant, whom I identified through the
following competent evidence of identity: TIN.

Doc.No.........;
Page.No........;
Book.No........;
Series of 2018.