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REPUBLIC OF THE PHILIPPINES)

MUNICIPALITY OF IBA ) S.S.


PROVINCE OF ZAMBALES )

AFFIDAVIT OF ACCEPTANCE

I, ALDEN M. AZIZ, of legal age, Filipino, married and a resident of


Linusungan, San Marcelino, Zambales, being first duly sworn in
accordance with law, depose and state that:

1. I am the transferee of a parcel of land located at San Isidro, San


Marcelino, Zambales containing an area of NINE THOUSAND
THREE HUNDRED FIFTY (9,350) square meters declared for
taxation under Tax Declaration No. 016-0568;

2. That said parcel of land has no pending case before the


Department of Agrarian Reform Adjudication Board and/or any
other court;

3. That the transferor thereof is no longer interested to till the land


and unable to perform the duties and obligations for the above-
mentioned land;

4. I hereby accept the said transfer unequivocally and without


condition and I am willing to perform all the duties and
responsibilities and agricultural tenets as provided by pertinent
tenancy laws on the above mentioned parcel of land; and

5. I am executing this affidavit to attest to the truth and veracity of


the foregoing facts and for whatever legal purpose it may serve.

ALDEN M. AZIZ
Affiant

SUBSCRIBED AND SWORN to before me this ___ day of ______


2017, affiant exhibiting to me his ____________________________________
known to be the same persons who executed this affidavit.

Doc. No. _____;


Page No. _____;
Book No. _____;
Series of 2017.

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