AFFIDAVIT OF NONTENANCY

REPUBLIC OF THE PHILIPPINES )

CITY OF DIGOS ) SS.
x-------------------------------------------------x

I, _____________________________, Filipino, of legal age, single/married

to _____________________________, and a resident of _____________________________,
after having been duly sworn in accordance with law, hereby depose and say:

1. That I/We am/are the transferor/s of

__________________________________________________;

2. That said parcel/s of land is/are not tenanted; and

3. That this affidavit is hereby executed to attest to the truth of the facts above-stated in
compliance with Circular No. 31 of the Department of Justice pursuant to Presidential Decree
No. 27 as amended by Republic Act No. 6657.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ____ day of ____________
20___ at ________________________, Philippines.

______________________________________
(Signature of Affiant over Printed Name)

SUBSCRIBED AND SWORN TO before me, a notary public in and for

_____________________ this ____ day of ____________ 20___. The affiant, whom I identified
through the following competent evidence of identity: _____________________________, valid
from __________________
to __________________ issued by _____________________________, personally signed the
foregoing instrument before me and avowed under penalty of law to the whole truth of the contents
of said instrument.

Notary Public

Doc. No. ........;

Page No. .......;
Book No. .......;
Series of 20___.