Republic of the Philippines )

Province of La Union ) S.S.

Municipality of Naguilian )
x------------------------------------------------------x

AFFIDAVIT OF TOTAL LANDHOLDINGS with EXISTING IMPROVEMENT

and NON-TENANCY

I, FLORANTE C. SERRANO, of legal age, widower, Filipino citizen and a resident of

Taberna, Bauang, La Union, Philippines, after having been duly sworn to an oath according
to law, hereby depose and say:

1. That I am the surviving spouse and legal forced heir of the late NILDA GARCIA-
SERRANO who died on August 1, 2016 in the City of San Fernando, La Union;

2. That at the time of my wife’s death, she left certain real properties, forming part of
our conjugal property, more particularly described as follows:

I. Tax Declaration No. 2009-11-0018-00045 (LAND)

Property Identification No. 008-11-0018-001-28
Registered Owner: Nilda G. Serrano
Location: Cabaritan Sur,Naguilian, La Union
Cadastral Lot No. 8762-B-1
Classification: agricultural
Area: 2,618.67 square meters
Boundaries:
North: 27; 29; 26 South: 30
East: 29; SEC. 004 West: MUN. OF BAUANG

II. Tax Declaration No. 2009-11-0017-00056 (LAND)

Property Identification No. 008-11-0017-002-22
Registered Owner: Nilda G. Serrano
Location: Cabaritan Norte,Naguilian, La Union
Cadastral Lot No. 9229-A
Classification: agricultural & residential
Total Area: 1,472 square meters
Boundaries:
North: 10, 11 South: 20
East: 21 West: 23

III. Tax Declaration No. 2009-07-0037-00593 (LAND)

Property Identification No. 008-07-0037-013-24
Registered Owner: Sps. Florante & Nilda Serrano
Location: Taberna, Bauang, La Union
Lot No. 13071
Classification: agricultural
Area: 240 square meters
Boundaries:
North: 23 South: 25
East: SEC. 019 West: creek

IV. Tax Declaration No. 2009-07-0037-00757 (LAND)

Property Identification No. 008-07-0037-018-20
Registered Owner: Sps. Florante & Nilda Serrano
Location: Taberna, Bauang, La Union
Lot No. 4949-B
Classification: agricultural & residential
Total Area: 650 square meters
Boundaries:
 North: 04, 15, 21 South: 31, SEC. 019
East: 15, 31, 33 West: 16, 19, 32

V. Tax Declaration No. 2009-07-0037-00760 (LAND)

Property Identification No. 008-07-0037-018-21
Registered Owner: Sps. Florante & Nilda Serrano
Location: Taberna, Bauang, La Union
Lot No. 4955-B
Classification: agricultural
Total Area: 340 square meters
Boundaries:
North: 06 South: 20
East: 11, 30 West: 15

VI. Tax Declaration No. 2009-07-0037-00759 (BUILDING)

Property Identification No. 008-07-0037-018-20-1002
Registered Owner: Sps. Florante & Nilda Serrano
Classification: residential
Total Area: 71.70 square meters
Actual Use: Bungalow

VII. Tax Declaration No. 2009-07-0037-00758 (BUILDING)

Property Identification No. 008-07-0037-018-20-1001
Registered Owner: Sps. Florante & Nilda Serrano
Classification: residential
Total Area: 33.75 square meters
Actual Use: Bungalow

3. That likewise, during my wife’s lifetime, she owned a certain real property listed
below as an inheritance from her deceased father which was waived exclusively in
her favor by her deceased mother and her siblings, more particularly described as
follows:

VIII. Tax Declaration No. 2009-11-0017-00129 (LAND)

Property Identification No. 008-11-0017-003-27
Registered Owner: Garcia, Pablo (deceased)
Administrator/Beneficial User: Serrano, Nilda
Location: Cabaritan Norte,Naguilian, La Union
Lot No. 9245
Classification: agricultural & residential
Total Area: 327 square meters
Boundaries:
North: 26 South: 28, 29
East: 40 West: 23

4. That the above-mentioned real properties were the subject of a duly notarized
document entitled “Extra-Judicial Settlement of Estate with Waiver of Share”
wherein said properties where duly adjudicated between me and my children and
the latter waived all their rights, title and participation of the same in my favor;

5. That said real properties are non-tenanted, nor covered by the Agrarian Reform
Law;

6. That no permanent improvement had been introduced on the above-mentioned

properties EXCEPT for the following real properties covered by Tax Declaration No.
2009-07-0037-00757 (LAND) and Tax Declaration No. 2009-11-0017-00129 (LAND)
wherein improvements were introduced and built thereon;
 7. That my total landholdings do not exceed the maximum allowed by law;

8. 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 27th day of October 2016 in
Naguilian, La Union, Philippines.

FLORANTE C. SERRANO
AFFIANT
Senior Citizen ID No. 20220

SUBSCRIBED AND SWORN to before me this 27th day of October 2016 in Naguilian, La
Union, Philippines.

ATTY. LOVELLA MAY B. HULIGANGA

Notary Public until December 31, 2016
2nd floor, GACP Arcade Bldg., Ortiz,
Naguilian, La Union
Roll No. 62463; 04.29.13
IBP No. 1020116; 01.04.16
PTR No. 0671368; 01.04.16; La Union
MCLE Compliance No. V-0002517; 05.29.14
TIN No. 255-518-493

Doc. No. _______

Page No. ______
Book No. _______
Series of 2016