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Form No. 8. AFFIDAVIT OF SELF-ADJUDICATION OF THE
ESTATE OF DECEASED PERSON. REPUBLIC OF THE PHILIPPINES ) PROVINCE OF.................. ) SS. MUNICIPALITY OF.............) AFFIDAVIT I, .................................................................. of legal age, single/married to ..................................................... with residence and post-office address at .............................. after having been duly sworn on oath in accordance with law, hereby depose and say: I--That I am the only son and sole heir of one........ who died intestate on ............ at ................ 2--That said deceased left a parcel of land located at ......................... consisting of................................ square meters more or less, and more particularly described as follows: (DESCRIPTION) 3--That the decedent left no debts, nor any LAST WILL or TESTAMENT; 4--That pursuant to Sec. I of Rule 74 of the revised Rules of Court of the Philippines, I hereby adjudicate unto myself the parcel of land above-described, and I hereby request the Register of Deeds of ................................................ to register and render the same effective. 5--That the above realty does not come under the operation of the Land Reform Code. IN WITNESS WHEREOF, I have hereunder signed my name this .... day of ..................................19..;at............................ WITNESS: .....................................................