Form No. 7 AFFIDAVIT OF VOLUNTARY SURRENDER OF LANDHOLDING.

REPUBLIC OF THE PHILIPPINES )

MUNICIPALITY OF .............)  SS.
PROVINCE OF..................)

AFFIDAVIT

      I,  ..................... ……………………………………of legal age, single/married to  .....

................................................................................... Filipino,. and  resident 
of.................................................................................... after having been duly sworn on
oath in accordance with law, freely and voluntarily, without undue pressure from anyone
or fear of intimidation, hereby depose and say:

      That I am the agricultural lessee of the rice land owned by.......................................
situated in the barrio of......................................... Municipality of..................................
Province of  ...................................  with  an  area  of  .......................................  and
covered by Certificate of Title No. ..........;………………………………..

     That I have this date notified said landowner of my intention to terminate the
leasehold, and transfer to an- other locality with my family whereon I intend to spend my
last remaining years, as I am well advanced, in age;

     That I hereby voluntarily surrender the above described landholding unto the
said ................................................................................... for the reason that I cannot
continue the leasehold or reside on his land.

         IN TRUTH WHEREOF, I have hereunto set my hand this .... …………………day
of ........................ .,19…………...., at ………………………………………….
                                    
                         

……………. ......................
                                  Affiant.

 (JURAT, Form_No. 4)