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Registration Statement

HLRUB registration statement for single proprietorship

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Housing and Land Use Regulatory Board
Expanded National Capital Region Field Office
6th Floor, Sunnymede IT Center,
1614 Quezon Avenue, South Triangle, Quezon City

REGISTRATION STATEMENT
(For Single Proprietorship)

I, _________________________ , Filipino, of legal age, single / married, with
postal address and residence at ________________________________________ ,
after being sworn in accordance with the law, do hereby state that:

1.

I am engaged in the business of _________________________________
with capitalization of _________________________________________;

2.

I am the owner of certain parcel(s) of land located at
___________________________ covered by TCT No. (s) ______________
comprising an aggregate area of ____________ sq.m.

3.

That I am developing said parcel(s) of land into a ______________________
______ hereinafter called _________________________ (Type of Project)

4.

As the owner, and ________________________________, as the developer
(Name of Developer)

5.

The project, I undertake to develop said project in accordance with the plans
approved by the ___________________________________________.
(Approving Institution)

6.

Attached hereto is the Declaration of UDHA Compliance, pursuant to the
implementing rules and regulations and circulars issued under Section 18 of
Republic Act No. 7279.
(Fill-out the attached Declaration of UDHA Compliance form
for main subdivision project or compliance project)

7.

My authorized broker(s) shall be ___________________________________
_____________________________________________________________;

8.

In my capacity as owner of the project, I bind myself to comply with all the
rules and regulations pertaining to this project and shall be held responsible
for all the facilities, improvement, infrastructures and similar form of
development hereon.

________________________
Date

___________________________________
Place

___________________________________
Affiant

SUBSCRIBED AND SWORN to before me this _______ day of _______________,
20____, affiant exhibiting to me ____________________ issued in ____________
on __________.

NOTARY PUBLIC

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