Republic of the Philippines )

City of )S.S.

AFFIDAVIT OF NON-TENANCY

I, ------------- of legal age, single/married, Filipino, and a resident of _______,

after having been duly sworn to in accordance with law, do hereby depose and
state:

1. That I am the absolute owner of a parcel of land situated in _____,

covered by Transfer Certificate of Title (TCT) No. ------- with an area
measuring --- -----, more or less;

2. That the said parcel of land is neither being tenanted nor cultivated by
any person or group;

3. That I am executing this Affidavit to attest the truth of the foregoing

facts and for whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I do hereby set my hand this ------- in ----- City,

Philippines.

Affiant

SUBSCRIBED AND SWORN to before me, this ----- in ------ City, Philippines,
affiant exhibiting to me his ------ ID No. ------ valid until ----