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Application Form

HLURB application form for clearance to mortgage

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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

APPLICATION FOR CLEARANCE TO MORTGAGE

___________
Date
The Regional Officer
Expanded National Capital Region Field Office
HOUSING AND LAND USE REGULATORY BOARD
6th Floor, Sunnymede IT Center,
1614 Quezon Avenue, South Triangle, Quezon City

Sir:
Pursuant to Section 18 of P.D. 957, the undersigned respectfully applied for a
clearance to mortgage (No. of Lots/Units) lots/units in _____________________________
located at ___________________(Subdivision/ Condominium)______________________ with an
area of ___________ square meters covered by Transfer / Condominium Certificate of
Titles Nos. (Excluding road lots and open space)
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
(use additional sheet if necessary)

Attached herewith are the following:
Two (2) copies of Affidavit of owner/mortgagor [PRLS.0007-B.01]
2. Two (2) copies of Affidavit of mortgagee bank [PRLS.0007-A.01]
3. One (1) Certified True Copy of Titles and list of titles to be mortgage
1.

I can be reached at

:

Address

:

Telephone No.

:

Or through my representative: ____________________________________________
Name
Address
:
Telephone No.

:

Very truly yours,

(Printed Name and Signature)
(Designation/Position)

SUBSCRIBED AND SWORN to before me this _____day of 20___ in the City/Province
of _________________, affiant exhibited to me his/her Residence Certificate No.
______________ issued at ______________ on ____________________ 20_____.

Notary Public

Doc. No.
Page No.
Book No.
Series of

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