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Affidavit of Self-Adjudication: - , Attached Hereto As Annex "A" and Forming An

Ms. Gloria Lopez, the exclusive heir of the late Mr. Ramon Lopez, states that he passed away intestate and left no debts. She claims a parcel of land measuring 350 square meters, registered under TCT No. T-112233 in Taguig City, and appropriates it to herself without judicial proceedings as permitted by law. This affidavit is filed with the Registry of Deeds to effect the transfer of ownership.

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0% found this document useful (0 votes)
48 views2 pages

Affidavit of Self-Adjudication: - , Attached Hereto As Annex "A" and Forming An

Ms. Gloria Lopez, the exclusive heir of the late Mr. Ramon Lopez, states that he passed away intestate and left no debts. She claims a parcel of land measuring 350 square meters, registered under TCT No. T-112233 in Taguig City, and appropriates it to herself without judicial proceedings as permitted by law. This affidavit is filed with the Registry of Deeds to effect the transfer of ownership.

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lumina
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AFFIDAVIT OF SELF-ADJUDICATION

REPUBLIC OF THE PHILIPPINES)


CITY OF TAGUIG
S.S.
x-------------------------------------------------x
I, MS. GLORIA LOPEZ, of legal age, Filipino, and a resident of
_______________, under oath in accordance with law, hereby
state:

1. That I am the exclusive heir of the late MR. RAMON


LOPEZ, who passed away intestate on _____, in _____, as
substantiated by his Death Certificate issued by
____________, attached hereto as Annex “A” and forming an
integral part hereof;

2. That at the time of his demise, my father was not indebted


to any individual or entity;

3. That the sole estate left by my father is a parcel of land


measuring THREE HUNDRED FIFTY SQUARE METERS
(350 sq.m.), registered under Transfer Certificate of Title
(TCT) No. T-112233, located in Taguig City, a copy of which
is attached as Annex “B” and incorporated herein by
reference;

4. That in accordance with Rule 74, Section 1 of the Rules of


Court, I hereby appropriate and adjudicate unto myself the
aforementioned real property, and I hereby file this
Affidavit with the Registry of Deeds of Taguig City to effect
the transfer of ownership without judicial proceedings, as
permitted by the aforesaid rule.

IN TESTIMONY WHEREOF, I have hereunto set my hand this


___ day of __________, 20, in Taguig City.
_________________________
MS. GLORIA LOPEZ
Affiant
ACKNOWLEDGMENT
SUBSCRIBED AND SWORN TO before me this ___ day of
__________, 20, at Taguig City, affiant presented to me her
valid identification, __________________, issued on ____ at ____,
Philippines.
NOTARY PUBLIC
Doc. No. ______;
Page No. ______;
Book No. ______;
Series of ______.

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