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AFFIDAVIT OF ADJUDICATION BY SOLE HEIR

I, Anastasia Uy, of legal age, single, Filipino and resident of Brgy. Cuartero Jaro, Iloilo City after duly sworn to in accordance with the law hereby depose and say, That, I am the sole heir of Andres Uy, being the only legitimate daughter as evidenced by the copy of Certificate of Live Birth, herein attached as Annex A; That, the decedent died intestate with no debts left at Jaro, Iloilo City on August 8, 2010 as evidenced by a copy of Certificate of Death herein attached as Annex B. IN WITNESS WHEREOF, the party has hereunto set his hand this 12th day of December 2012. ___________________________ ___________________________ ____________________________ ____________________________

SIGNED IN THE PRESENCE OF:

___________________________

____________________________

Republic of the Philippines ) Province of Iloilo ) S.S x--------------------------------x

BEFORE ME, a Notary Public in the Province of Iloilo, personally appeared Anastasia Uy with SSs ID No. 6468223 issued at Iloilo City on January 8, 2014, known to me and to me known to be the same person who executed the foregoing instrument, and he acknowledged to me that the same is his free act and deed.

This instrument is consist of two pages including this page where this acknowledgment is written, signed by the party and his witnesses at the left hand margin of page 1 and at the portion of page 2 and sealed with my notarial seal. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal on the 12th day of December 2012 at Iloilo City.

ATTY. RAIZA M. MARTESANO Notary Public for ________________ Commission Serial No. _____ Until Dec. 31, _____ Roll of Attorney No. PTR. No. _______/issued at ________ /on ________________ IBP Membership No. _______/Issued at ____________/on ___________

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

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