Adverse Claim for Transferred Rights over Real Property)

REPUBLIC OF THE PHILIPPINES)Province of ____________________ )

S.S.City/Municipalityof _____________ )x - - - - - - - - - - - - - - - - - - - - - - - x
AFFIDAVIT OF ADVERSE CLAIM
I,
_____________
, of legal age, Filipino,(single / married / widow),and aresident of _____________ ,
after having been sworn to in accordance with law,depose and say: That I am one of
the heirs of the late
_____________
.

That a certain
_____________
previously

entered into a Deed of Conditional Sale with the(Government Service Insurance

System(GSIS) or Pag-IBIG)for the purchase of a parcel of land (including
theimprovements thereon) located at _____________ , more particularlydescribed as
follows: (Technical Description of Property)That on _____________ , _____________
executed a(Deed of Transfer of Rights / Assumption of Obligations)in favor of the
late _____________ , which document is more particularly identified asDocument No.
______ , Page No. ______ , Book No. ______ , Series of ______ in the Notarial Register of
Notary Public _____________ and acopy of which is attached herein.That in said(Deed
of Transfer of Rights / Assumption of Obligations),
_____________
, for valuable consideration received, CEDED,TRANSFERRED AND CONVEYED to
_____________ , his heirs,successors and/or assigns, all his rights, interest and
participation in

the purchase of the aforedescribed parcel of land.That as such, _____________ has

since then relinquished all his rights,interest and participation over the
aforedescribed parcel of land infavor of the late _____________ and his heirs.However,
it has come to my knowledge that _____________ is presentlyclaiming to still have an
interest over the aforementioned parcel of landand is attempting to sell or dispose
of the same despite the fact that hehas already conveyed all his rights and interests
thereon to _____________ and his heirs. That unless an adverse claim is annotated on
the aforedescribed Transfer Certificate of Title, the heirs of _____________ are in
danger of beingdefrauded and deprived of their just and valid right over
theaforedescribed parcel of land and, as such, I am executing thisAffidavit in
support of my request for the annotation of an adverseclaim over the parcel of land
described herein.
FURTHER AFFIANT SAYETH NAUGHT.
IN WITNESS WHEREOF, I have hereunto set my hand this _____________ , in the City /
Municipality of _____________ , Philippines.AFFIANT (JURAT)