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Office of The President National Housing Authority Sworn Application Form

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Vic Christian de la Torre

This document is a sworn application form from the National Housing Authority for an applicant to purchase or lease a residential property. The form collects information about the applicant such as name, birthdate, address, family details, income and assets. The applicant certifies that the information provided is true and understands that any false statements could result in cancellation of the award or legal action.

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© All Rights Reserved
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Download as doc, pdf, or txt

Office of The President National Housing Authority Sworn Application Form

Uploaded by

Vic Christian de la Torre
121 views1 page
This document is a sworn application form from the National Housing Authority for an applicant to purchase or lease a residential property. The form collects information about the applicant such as name, birthdate, address, family details, income and assets. The applicant certifies that the information provided is true and understands that any false statements could result in cancellation of the award or legal action.

Original Title

SWORN APPLICATION FORM

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This document is a sworn application form from the National Housing Authority for an applicant to purchase or lease a residential property. The form collects information about the applicant such as name, birthdate, address, family details, income and assets. The applicant certifies that the information provided is true and understands that any false statements could result in cancellation of the award or legal action.

Copyright:

© All Rights Reserved
Download as DOC, PDF, TXT or read online from Scribd
Download as doc, pdf, or txt
121 views1 page

Office of The President National Housing Authority Sworn Application Form

Uploaded by

Vic Christian de la Torre
This document is a sworn application form from the National Housing Authority for an applicant to purchase or lease a residential property. The form collects information about the applicant such as name, birthdate, address, family details, income and assets. The applicant certifies that the information provided is true and understands that any false statements could result in cancellation of the award or legal action.

Copyright:

© All Rights Reserved
Download as DOC, PDF, TXT or read online from Scribd
Download as doc, pdf, or txt
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OFFICE OF THE PRESIDENT

NATIONAL HOUSING AUTHORITY

SWORN APPLICATION FORM

Date of Application

The Regional Manager


Thru: The District Manager
Bohol District Office
Bohol

Subject Lot/Unit No. _____ Block/Bldg. No. _____


Survey No.

(Name and Location of Property)

Sir/Madame:

In accordance with NHA rules and regulations which I and my family agree to comply with faithfully, I hereby apply:
(Please check)

A. TO PURCHASE/LEASE A RESIDENTIAL UNIT


/___/ Lot only /___/ House & Lot /___/ MRH/Condominium Unit

B. APPLICANT’S IDENTITY: (For married female applicant/spouse, indicate mother’s surname)


NAME:
(Last) (First) (Middle) (Mother’s Surname)
Date of Birth: Place of Birth: Civil Status: Citizenship:
Residence /Address:
Contact Numbers: (Res.) (Office)
TIN : GSIS/SSS/PAG-IBIG Policy No.
Name of Spouse:
(Last) (First) (Middle) (Mother’s Surname)
Date of Birth: Place of Birth:

C. APPLICANT’S FAMILY COMPOSITION:


RELATION TO CIVIL EMPLOYMENT/
NAME APPLICANT STATUS SOURCE OF INCOME

D. APPLICANT’S TOTAL FAMILY INCOME PER MONTH: (Php )

E. FAMILY REAL PROPERTY HOLDINGS

I certify that my spouse and I:

/__/ Do not own nor under contract to buy any real property in the Philippines
/__/ Have never availed of any form of government housing assistance, nor violated Section 14 of RA 7279
/__/ Are not professional squatters, nor members of a squatting syndicates

I further certify that I am making this application for the sole purpose of acquiring a residential unit for my family and
not to a DUMMY or AGENT of any party.

Any false statement given by me hereinabove shall be sufficient cause for the CANCELLATION of the award, the
contract that may be executed by NHA in my favor and the title that may be issued to me as a result of this application, and the
forfeiture of all payments that may have been made therefore without prejudice to any administrative, criminal or civil action that
may be brought by the NHA against me in accordance with existing laws.

(Signature of
Applicant)

SUBSCRIBED AND SWORN to before me in , Philippines, this ________ day of


_____________________ AFFIANT, having exhibited to me his/her ___________ I.D. No. _____________________________.

NOTARY PUBLIC
Doc. No. ________;
Page No. ________;
Book No.________;
Series of ________.

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