REPUBLIC OF THE PHILIPPINES)

CITY/MUN. OF ______) S.S.

x-----------------------------------x

AFFIDAVIT OF DECLARATION

We, ___________________, all of legal age, Filipinos and residents of

______________, after being duly sworn to in accordance with law, depose and
state THAT:

1. We are the Heirs of _______________ stated as OWNER of Transfer Certificate of Titles

No. ______________ and No. _______________.

2. That TCT __________ is a parcel of land (______________) situated in the Barrio of

_____, City of _____ containing an area of ___________________________.

3. That TCT __________ is a parcel of land (______________) situated in the Barrio of

_____, City of _____ containing an area of ___________________________.

4. We are executing this affidavit in good faith to attest to truth that the Heirs being referred
to in the aforementioned certificate of Titles are the affiants and for whatever legal purpose
it may serve.

IN WITNESS WHEREOF, we have hereunto set our hands

this ___________________ in ___________, _____.

Affiants

SUSBCRIBED AND SWORN TO before me, a notary in the Province and City of
_______, personally appeared above name with their identification cards as shown above,
who is personally known to me to be the same and/or identified through competent
evidence of identity as defined by Rules on Notarial Practafice, who presented the
foregoing instrument and signed the instrument in my presence, and who took an oath
before me as to such instrument.
 WITNESS MY HAND AND SEAL THIS,

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2016.