SUBSCRIBED AND SWORN TO before me a notary public for and in the City of Tuguegarao, Province of Cagayan this day of _ _ 2022. The affiants, whom I identified through the above-indicated competent evidence of identity, personally signed the foregoing instrument before me and avowed under penalty of law to the whole truth of the contents of said instrument. Doc. No. ; Page No. ; NOTARY PUBLIC
SUBSCRIBED AND SWORN TO before me this [ ] of [ ] 2020 at [ ], affiant personally exhibiting to me his Passport No. 4531123B issued on January 24, 2020 and valid up to January 23, 2030 issued at DFA NCR East, who is the same person who personally signed the foregoing Secretary’s Certificate before me and acknowledged that he executed the same. Notary Public Doc. No. ; Page No. ; Book No. ; Series of 2020. Annex “I” (Post-Closing) Resignation Letters Date XURPAS INC. 0X Xxxxxxxxx Xxxxxx Xxxxxxxx 000 Xxxxxxxxxxx Xxxxxx Xxxxxxx Xxxxxxx, Makati City Re: LETTER OF RESIGNATION Gentlemen: I hereby tender my resignation as Director of Xurpas Inc. effective immediately. Very truly yours, [NAME OF DIRECTOR] Annex “J” (Post-Closing) Appointment Letters XXXXXXXXX XXXXXXXX 0000 0xx Xxxxxx Xxxxx Xxxxxx XX 00000 X.X.X. XXXXX XXXXXX JORDAN 0000 0xx Xxxxxx Xxxxx Xxxxxx XX 00000 X.X.X. Dear Xx. Xxxxxxxx and Xx. Xxxxxx: We are pleased to inform you that at the meeting of the board of directors (the “Board”) held on , the Board of Xurpas Inc. (the “Corporation”) has approved your appointment as Directors of the Corporation to hold office until the next election. Kindly return the duplicate copy of this letter, duly signed by you in confirmation. Thank you. Very truly yours, ATTY. XXXX X. XXXXXXXXX Corporate Secretary Annex “K” Lock-up Letter XURPAS INC. 0X Xxxxxxxxx Xxxxxx Xxxxxxxx 000 Xxxxxxxxxxx Xx., Xxxxxxx Xxxxxxx Makati City, 1227 Ladies and Gentlemen: We refer to the Subscription Agreement executed on September 20, 2020 (the “Agreement”) by and among Xxxxxxxxx Xxxxxxxx, Xxxxxxxx Xxxx Xxxxxxxxxx Xxxxxx, Xxxxx Xxxxxx Xxxxxx, Wavemaker Partners V LP and Wavemaker US Fund Holdings, LLC (collectively, the “Subscribers") and Xurpas Inc. (the “Company”). In relation to the Agreement, I hereby acknowledge that the Stock Certificates shall only be issued by the Company upon full payment of the Subscription Shares as provided in the said Agreement. Moreover, pursuant to the Agreement, we hereby undertake that we will not be selling any of our rights, title, interest and ownership over the Subscription Shares until the Subscription Shares are successfully listed with the Philippine Stock Exchange, Inc (“PSE”). Moreover, I hereby undertake to observe the rules, including any additional lock-up requirement, which the PSE may impose upon the Subscribers. Very truly yours, XXXXXXXXX XXXXXXXX Subscriber XXXXXXXX XXXX XXXXXXXXXX XXXXXX Subscriber XXXXX XXXXXX JORDAN Subscriber Wavemaker Partners V LP Subscriber Wavemake...
SUBSCRIBED AND SWORN TO before me a Notary Public in and for the State of Maryland, County of Xxxxxxxxxx, by Applicant(s) this day of , 20 . My Comm. Exp: NOTARY PUBLIC * For any Building Permit Application subsequent to the initial application subject to these requirements, Applicant need only submit changes to the list of property holdings. ** Schedule A shall contain information stating the owner's name, location and size of parcels, subdivision name, Liber and Folio references of latest deeds and Plat Book references. EXHIBIT B Schedule A Land Holdings in Xxxxxxxxxx County, Maryland* Owner’s Name Location (intersection, town, and zip code) Parcel Size Subdivision Name Liber and Folio Plat Ref. *list Subject Property first EXHIBIT C Specific Listing of MPDUs and Market Rate Units For The Blairs F1/F2 Building (Identify and list MPDUs first and include additional pages as necessary) For Single Family Xxxxx XXXXX XXX/ XXXXX XXXXXX XXXXXXX NO. OF BEDROOMS TAX NO.* For Multiple-Family Units: For Sale For Rent (check one) PHASE LOT/ BLOCK STREET ADDRESS/ BUILDING DESIGNATION UNIT NO. NO. OF BEDROOMS TAX NO.* *If the building tax identification number has not been assigned at the time this Agreement is submitted, the agreement may be executed with the understanding that the required information will be submitted to DHCA within 30 days after it is available to the Applicant. EXHIBIT D Declaration of Covenants Attach applicable unexecuted MPDU covenants form (for sale or rental) EXHIBIT E Certified Site Plan (or Approved Preliminary Plan if no Site Plan is Required) Attach one civil set reduced to 8½” x 11”and also provide one full-size civil set10 10 As stated above, we will ask Xxxx Xxxxxxxx if we can just reference the certified site plan here, and provide a full- size civil set to DHCA. EXHIBIT F
SUBSCRIBED AND SWORN TO before me this the ______ day of __________, 2012. Notary Public My Commission Expires:____________________ FOR AND IN CONSIDERATION OF the sum of _______________________________ AND NO/100 DOLLARS ($___________), the receipt and sufficiency of which are hereby acknowledged, AGL/SLC XXXXXX NO. 2, LLC, a Delaware limited liability company (“Grantor”), has bargained and sold, and by these presents does transfer and convey unto _______________ (“Grantee”), its successors and assigns, a certain tract or parcel of land in Xxxxxxxxxx Xxxxxx, State of Tennessee, more particularly described on Exhibit A attached hereto and incorporated herein by this reference, together with all improvements, buildings and structures located thereon (the “Property”), and all appurtenances and easements benefiting the Property. The Property is improved property known as 0000 Xxxx XxXxxx Xxxxx, Franklin, Tennessee. This conveyance is expressly made subject to those matters more specifically set forth on Exhibit B attached hereto and incorporated herein by this reference. TO HAVE AND TO HOLD the Property with the appurtenances, estate, title and interest thereto belonging to Grantee, its successors and assigns forever. And Grantor does covenant with Grantee that Grantor is lawfully seized and possessed of the Property in fee simple and Grantor has a good right to convey the Property. And Grantor does further covenant and bind Grantor, its successors and assigns to warrant and forever defend the title to the Property to Grantee, its successors and assigns against the lawful claims of all persons whomsoever claiming by, through or under Grantor (other than claims arising from the matters set forth on Exhibit B), but not further or otherwise. This conveyance is expressly made subject to the matters set forth on Exhibit B. Witness my hand this _____ day of _______________, 2012. GRANTOR: AGL/SLC XXXXXX NO. 2, LLC, a Delawarelimited liability company By: _______________________________________________________________, its Manager STATE OF COLORADO ) ) CITY AND COUNTY OF DENVER ) Before me, __________________________, a Notary Public of said County and State, personally appeared ____________________, with whom I am personally acquainted (or proved to me on the basis of satisfactory evidence), and who, upon oath, acknowledged himself to be the Manager (or other officer authorized to execute the instrument) of AGL/SLC XXXXXX NO. 2, LLC, a Delaware limited liability company, the within named bargainor,...
SUBSCRIBED AND SWORN TO before me this 7th day of March, 1988. /s/ Xxxxx X. Xxxx ----------------------------------- Notary Public My Commission Expires:
SUBSCRIBED AND SWORN TO before me on this the day of (Month) (Year) *(12) (Signature of Notary Public) *(13) Notary Public, State of (Notary Seal) My Commission expires: (Month & Day) (Year) NOTICE: This Written Authorization should be executed in triplicate. Original to be filed with the Texas Workforce Commission, Austin, Texas. One copy to be retained in the employer’s files and one to be retained in Xxxxxxx’s files. *MANDATORY INFORMATION Form C-42 (030806) (Page 1 of 2) NOTICE TO EMPLOYEES CONCERNING WORKERS’ COMPENSATION IN TEXAS COVERAGE: [Name of employer] does not have workers’ compensation insurance coverage. As an employee of a non-covered employer, you are not eligible to receive workers’ compensation benefits under the Texas Workers’ Compensation Act. However, a non-covered (non-subscribing) employer can and may provide other benefits to injured employees. You should contact your employer regarding the availability of other benefits for a work-related injury or occupational disease. In addition, you may have rights under the common law of Texas should you have an on the job injury or occupational disease. Your employer is required to provide you with coverage information, in writing, when you are hired or whenever the employer becomes, or ceases to be, covered by workers’ compensation insurance.
