Republic of the Philippines)

Province of Negros Oriental) S.S.

CITY OF DUMAGUETE)
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AFFIDAVIT OF BUYERS/TRANSFEREES
I, of legal age, Filipino, and resident of Philippines, after
hereby been duly sworn to in accordance with law, do hereby
depose and say:
That the land I acquired from _________ with an area of
_________ hectares, more or less, under Doc. No.______, Page
No._____, Book No._______, Series of 2016, of Notary Public
______________ dated ______, does not exceed five (5) hectares;
That this affidavit is executed in compliance with DAR
Administrative Order No. 1, Series of 1989 as well as to show
proof that my total aggregate landholdings inclusive of the land
subject of the above-mentioned transaction does not exceed five
(5) hectares.
AFFIANTS SAYETH NONE.
____________________
(Place)
____________________
(Date)
Affiant
SUBSCRIBED AND SWORN to before me on this
___________, at Dumaguete City, Negros Oriental, Philippines,
affiants exhibited to me his _____________ as proof of his identity.
Doc. No. _____
Page No._____
Book No._____
Series of 2016.