REPUBLIC OF THE PHILIPPINES )

_____________________________ ) S.S.

AFFIDAVIT
I, ____________________, of legal age, married, Filipino and a resident of
____________________, being duly sworn to in accordance with law, depose and say:

1) That I sold to ____________________ a parcel of land situated in

____________________, containing an area of ____________________ Square Meters,
covered by Transfer Certificate of Title No. ____________________of the Registry of
Deeds for ____________________, as evidenced by the Deed of Absolute Sale executed
on _______________;

2) That the said property or portion of it is not a subject of retention area;

3) That I have executed this affidavit to attest to the truth of the foregoing statements for
whatever purpose and legal intents it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this ___ day of ___________
2019 in _________________.

____________________
Affiant

SUBSCRIBED AND SWORN to before me in __________________, this ___ day of

___________ 2019, affiant exhibiting her TIN: ____________________.

Doc. No.________;
Page No.________;
Book No.________;
Series of 2019.