Affidavit of Transfer of Ownership (Electric Meter)

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Republic of the Philippines )

_______________________ )S.S.

AFFIDAVIT OF TRANSFER OF OWNERSHIP

I, __________________________, of legal age, Filipino, and as the duly


authorized representative of _________________________, after having been duly
sworn to in accordance with law, hereby depose and state:

1. That we are customers/members of ____________________ ELECTRIC


COOPERATIVE __________________ wherein we are the holders/owners of
an ELECTRIC METER bearing Meter No. ________ with an Account No.
_______________, registered under the name ____________________;

2. That, after complying with the formalities required by law, we decided to sell
and eventually sold the house and lot located at
_________________________________ which is being provided with electric
supply by the ____________________________ ELECTRIC COOPERATIVE
under the aforementioned account name;

3. That for the purpose TRANSFERRING/ASSIGNING the said account with the
_____________________ ELECTRIC COOPERATIVE to the names of the
new owners, we are waiving all our rights and interests over the same and have
no objections whatsoever if even the same shall be registered under their
names;

4. That I am executing this Affidavit to attest to the truth of the foregoing and for
whatever legal intents and purposes it may duly serve.

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


___________ 2023 at the _____________________, Philippines.

__________________________
Affiant

SUBSCRIBED AND SWORN to before me this ___ day of ___________


2023 at ________________________, affiant exhibited to me his
__________________ with no. _________, as competent proof of his identity.

Doc. No.__________
Page No._________
Book No._________
Series of 2023

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