Republic of the Philippines )

Province of La Union ) S.S.

Municipality of Agoo )
x------------------------------------------------------x
AFFIDAVIT OF NON-IMPROVEMENT, NON-ENCUMBRANCE,
NON-TENANCY and TOTAL LANDHOLDINGS

We, JANICE B. CACAYURAN AND MANUEL O. FONTANILLA, all of legal ages, Filipino,
and both residents of Brgy. Gonzales, Tubao, La Union, after having been duly sworn to an
oath according to law, hereby depose and say:

1. That We are the Vendee of a certain parcel of land which I bought from SPS
PERFECTO V. CACAYURAN AND CIRILINA V. CACAYURAN by virtue of a duly
notarized “Deed of Absolute Sale of portion of a Real Property”, more particularly
described as follows:

LAND

Transfer Certificate of Title: 025-2018002703

Lot No. 2905-A
Plan No. PSD-01-073447
Portion of Lot 2905, CAD-132 Sto. Tomas Cadastre
Area: 4, 935 square meters

PORTION OF SALE: 1,284 (ONE THOUSAND TWO HUNDRED EIGHTY FOUR SQUARE
METERS)

2. That the above-mentioned parcel of land is non-tenanted, nor covered by the

Agrarian Reform Law;

3. That no permanent improvement had been introduced thereon;

4. That my total landholdings do not exceed the maximum allowed by law;

5. That I am executing this Affidavit to attest to the truth of the foregoing facts and
for all legal intents and purposes of the law.

IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of ___________ in
Agoo,La Union, Philippines.

JANICE B. CACAYURAN MANUEL O. FONTANILLA

Affiant Affiant
COMELEC VIN: 3320-0032A-DO486JBC20000 Senior Citizen ID Control No. 2512670

SUBSCRIBED AND SWORN to before me this ____ day of ___________ in Agoo,La Union,
Philippines.

ATTY. HAROLD PALATTAO ESTACIO

Notary Public until December 31, 2020
2nd floor, Aspiras Bldg., Consolacion, Agoo, La Union
Roll No. 72000; 06.13.18
IBP No. ; 01.04.16
PTR No. 0671368; 01.04.16; La Union
TIN No. 217-113-13

Doc. No. _______

Page No. ______
Book No. _______
Series of 2019