OFFICE OF THE PRESIDENT NATIONAL HOUSING AUTHORITY CERTIFICATE OF HOUSE AND LOT ACCEPTANCE Date: ________________ THIS IS TO CERTIFY THAT: That the House, Lot and Housing Fixtures located at _________________ AFP/PNP/BJMP/BFP/BUCOR Housing Program Phase 2, Barangay ____________, ______________, _________________ with the following description: A. Lot Description Block No. ___________ Lot No. ___________ Area ___________ Signature B. HOUSE FEATURES Type of Development Without With Remarks Awardee Roofing G. A. No. 26 Corr. G.I. Sheet Plastered wall Walls and Flooring 2 tone Paint finish (front wall) Cement floor finish Front and Back Door 1 PVC flush door finish Jalousie window w/ Aluminum frame 4x4 m CR Windows 2 pcs 0.4x1.5m for front wall 0.6x1.2m for rear wall Septic Tank PVC Septic Tank Signature C. HOUSE FIXTURES Quantity Without With Remarks Awardee Single Gang Switch 1 pc 2 Gang Switch 1 pc 2 Gang Convenient Outlet 3 pcs Receptacle w/bulbs 3 sets Circuit Breaker 1 set Pail flush toilet bowl 1 set Kitchen sink w/ P-Trap 1 set Floor Drain 1 pc Faucet 2 pcs Door Knob with Keys 3 sets Purchased from the NATIONAL HOUSING AUTHORITY is fully and unconditionally accepted by the undersigned accordingly, I hereby undertake to start paying my monthly amortization in accordance with the terms and conditions stated in the NHA Loan Agreement and individual Notice of Award (INA). Housing Improvements in any form whether vertical or horizontal or both is not allowed without written request from beneficiary and approval by NHA. ___________________________________ ___________________________________ Awardee Spouse ______________________________________ ______________________________________ Date when Signed Place when signed Signed in the presence of: ______________________________________ ______________________________________ Contractor’s Representative NHA Representative New BilRey Construction and Development Corporation Prepared by: BJMP Housing Program Coordinator January 2016 .