Republic of the Philippines...............)Province of ____________________) S.S.City_____________ _____________)x ---------------------------------------------/

AFFIDAVIT OF SOLE HEIRSHIP

I, _____________, Filipino, of legal age, (single / married / widow), and a resident of _____________, Philippines, after being sworn in accordance with law, hereby depose and state:

1. That I am the only child and sole heir of _____________ who died intestate on _____________ at _____________;

2. That said deceased left a certain parcel of land covered by Transfer Certificate of Title No. _____________as issued by the Registry of Deeds of ______________, and more particularly described as follows:

(Technical Description of Property)

3. That said deceased left no debts, nor any Last Will and Testament;

4. That pursuant to Sec. 1 of Rule 74 of the Revised Rules of Court of the Philippines, I hereby adjudicate unto myself the above-described parcel of land, and the improvements found and standing thereon, and I hereby request the Register of Deeds to issue a new Transfer Certificate of Title in my name;

5. That the above-described parcel of land does not come under the operation of the Comprehensive Agrarian Reform Program.

IN WITNESS WHEREOF, I have hereunto set my hand this _____________ 2014 in ____________________, Philippines.

AFFIANT

JURAT

SUBSCRIBED AND SWORN TO BEFORE ME this ___ day of ___________, , Affiant personally presented to me his ___ ID, bearing No. _______, as valid and acceptable proof of his identity.

Doc No. _____;Page No. _____;Book No. ____;Series of 2014.