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Republic of the Philippines

Second Judicial Region

HEIRS OF BERNABE
Represented by GILBERT
CIVIL CASE:
Plaintiffs,
FOR: Recovery of Possession
with damages with Prayer for
-versus-
the issuance of Preliminary
Injunction and Temporary
and
Restraining Order
CACAYAN,

Defendants.
x--------------------------------------------x

JUDICILA AFFIDAVIT OF CONDUCTED/SUPERVISED BYATTY.

The witness will testify as that she was the former Kagawad of ____ Aritao, Nueva
Vizcaya; That she was

Please state your name, age, and other personal circumstances.


I am Filipino, single/married, and a resident of Cutar, Artitao, Nueva Vizcaya.

Are you fully conscious that you give your testimony and answer the questions
under oath and that you may fully face criminal liability for false testimony or
perjury if you are not telling the truth?
Yes, Madam.

1. Q. Do you know the land in dispute?


A. Yes, Madam.

2. Q. Why do you know said parcels of land in dispute?


A. Yes, your Honor.

3. Q. Why do you know it?


A. Because, I was the Kagawad at the time they conducted the survey of
the land,

4. Q. Do you know the person who conducted the survey?


A. Yes, your honor.

5. Q. Why do you know him?


A. Because I joined him when he conducted the survey of the properties.

6. Q. When was that?


A. ____

7. Q. I am presenting to you a Survey Notification Letter Marked as Exhibit


“___”, what is the relation of these documents to the one you mentioned?
A. I was the notice given

8. Q. where you given copies of the title?


A.

9. Q. I am presenting to you a copy of the Transfer Certificate of Title No. T-


63815 what is the relation of this document to the one you mentioned?
A.

10.Q. Do you confirm the contents of your Judicial Affidavit?

IN WITNESS WHEREOF, I hereunto set my hand this ___________ at


Bayombong, Nueva Vizcaya.

SUBSCRIBED AND SWORN to before me this___________ at Bayombong,


Nueva Vizcaya. Affiant exhibited to me his competent evidence of identity as
indicated.

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