CERTIFICATION

In connection with the registration of _________________________________________

_____________________________________________________________________________,
I hereby certify the following facts:
1. The territorial jurisdiction of ____________________________________________
_____________________________________________________________________________
covers; (a) The entire ___________________________________________________________
___________________________________________________________________ subdivision;
(b) Phases _____________________________________________________ of the subdivision;
(c) Unsubdivided parcel of land evidenced by a vicinity map hereto attached.
2. No homeowners association presently exists within our subdivision/community, or
presently registered with the Housing and Land Use Regulatory Board, Home Financing
Corporation, Home Insurance and Guaranty Corporation, Securities and Exchange Commission,
or other regulatory agency.
3. Since the subdivision is divided by phases and/or the territorial boundaries may be
delineated, there are _____________ (state the number) homeowners associations existing
therein, namely:
a. _____________________________________________________________________
b. _____________________________________________________________________
c. _____________________________________________________________________
4. The nearest homeowners association existing is ______________________________
_____________________________________________________________________________,
situated at ___________________________________________________________________,
which is some _______________ kilometers away from us.
IN WITNESS WHEREOF, I hereby affix my signature on this ______ day of
________________________, 20_____ at __________________________________________.

____________________________
Board Secretary
SUBSCRIBED AND SWORN to before me this ____ day of ________________________,
20____, at ___________________________________ affiant exhibiting to me his/her
Community Tax Certificate No. ___________________ issued on _______________________
at ______________________________________.
NOTARY PUBLIC
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 20 ____.