Affidavit of Refund of Money: Engineering Consultancy Services (ELC Builders For Brevity), Which Is Owned and Operated by

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REPUBLIC OF THE PHILIPPINES.

)
PROVINCE OF PANGASINAN. . . .)S.s
MUNICIPALITY OF ALCALA. . . . )

AFFIDAVIT OF REFUND OF MONEY


I, NIHCOLE REY CASTRO SUBANG, of legal age, single, Filipino citizen and resident
of 312 Luna St. Villanueva, Bautista, Pangasinan, after having been duly sworn to in accordance
with law, hereby depose and say:

1. That I am acting as representative of my mother to transact with the ELC Builders &
Engineering Consultancy Services (ELC Builders for brevity), which is owned and operated by
EVELYN L. CAMBAS, to build a house with a Total Contract Amount of ONE MILLION
EIGHT HUNDRED THOUSAND PESOS (Php.1,800,000.00);

2. That, on September 18, 2020, October 1, 2020, October 3, 2020, October 15, 2020,
October 22, 2020 and October 30, 2020, I have paid to ELC Builders, evidenced by several
Acknowledgment Receipts issued by the said ELC Builders as down payment for the House
Construction which will be situated in Villanueva, Bautista, Pangasinan;

3. That, after several months have passed, the construction of the house was stopped,
despite paying enough money to purchase materials which will be used for the construction; and
Up to this present time, still the said ELC Builders have not taken action and did not resume
working for the accomplishment of the said House Construction;

4. That, I now certain to demand a full refund of my money which I have paid to said
ELC Builders, excluding the material which are already built and bought, within fifteen (15)
days upon notice to ELC Builders;

5. That I am executing this Affidavit of Refund of Money to declare solemnly the


foregoing facts and circumstances, holding myself liable to whoever may be prejudiced for
relying on my narrations herein.

IN WITNESS WHEREOF, I hereunto set my hand this, 12th day of December 2020 at Alcala,
Pangasinan.

NIHCOLE REY CASTRO SUBANG


ID No. __________________

SUBSCRIBED and SWORN TO before me, this 12 th day of December 2020 at Alcala,
Pangasinan.

Doc. No. ___; ALEJANDRO V. PEREGRINO


Page No. ___; Notary Public
Book No. 6; Until December 31, 2020
Series of 2020 IBP O.R. No. 1312, 1/16/20
Pangasinan Chapter
PTR No. 6130365, 1/17/20
Alcala, Pangasinan

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