REPUBLIC OF THE PHILIPPINES)

__________________________ )Sc.
X-------------------------------------------X
AFFIDAVIT OF SOLE ADJUDICATION OF ESTATE OF DECEASED PERSON
I,_______________________________________of legal age,Filipino,_________
_______________________________________a resident of ______________________
________________________________, after having been duly sworn to law, deposed
and state:
1.That I am _______________heir and surviving ____________ of the late
_____________________________________________________, who died intestate
on___________________at_______________________________;
2. That at the time of his/her death he/she _______________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
3.That I HEREBY adjudicate to myself the_______________________________
_______________________________________________________________________
_______________________________________________________________________
_____________________________________________________________________bei
ng
the legal heir (________________) of the late __________________________;
4. That FOR AND IN CONSIDERATION OF THE SUM OF _______________
________________________________
(P
___________________),
Philippine
Currency, receipt of which __________________________________________________
______________________________________ is hereby acknowledged from vendee, by
and to the _____________________ satisfaction of the vendor, said vendor HEREBY
SELLS, TRANSFERS, AND CONVEYS unto the vendee, his heirs, assigns and
successors in interest _____________________________ of the above described
property of which I am the lawful owner free from all liens and encumbrances;
IN WITNESS WHEROF ,I have hereunto set my hand this ____
__________________, at Datu Piang, Maguindanao.

day of

______________________
(Affiant)
SIGNED IN THE PRESENCE OF:
1.______________________

2.______________________

SUBSCRIBED AND SWORN to before me this ____ day of _____ 200_, at

_____________________, affiant exhibited to me his CTC No. _____________, issued
at Datu Piang, Maguindanao, on __________________.
Doc. No. ______
Page No. ______
Book No. _____

Series of 200