DHSUD HOACD Form No.
2021-004
CERTIFICATION
In connection with the registration of ___________________________________
located at _____________________________________, I hereby certify:
1. That the territorial jurisdiction of ___________________________________
covers:
a. The entire __________________________________________________ as
shown in the attached subdivision plan;
b. Phase(s) ______________ of ____________________________________
as shown in the attached subdivision plan;
c. The unsubdivided parcel of land covered by title no. ___________________
with its boundaries as shown in the attached location or vicinity map;
2. That NO homeowner’s association presently exists within our subdivision, village or
community, and/or duly registered with the Department of Human Settlements and
Urban Development, Housing and Land Use Regulatory Board, Home Financing
Corporation or Home Insurance and Guaranty Corporation, and/or Securities and
Exchange Commission.
3. Since the subdivision is divided by phases and/or the territorial boundaries may be
delineated, there are _____________ homeowner’s associations existing therein,
namely:
a. _________________________________________________________ ;
b. _________________________________________________________ ;
c. _________________________________________________________ .
4. That the nearest registered homeowner’s association existing is
_____________________________________________________ located at
_________________________________________, which is approximately
_______ kilometers away from our association
IN WITNESS WHEREOF, I hereby affix my signature on this _______________ at
__________________.
______________________________
Association President
SUBSCRIBED AND SWORN TO before me this ____________ at ___________, affiant
exhibiting to me his/her ________________ issued on _______________ at
_______________________.
NOTARY PUBLIC
Doc No. ______
Page No. ______
Book No. ______
Series of _______