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I am of legal age, Filipino, married and resident of Blk. 69 Lot 3 Brgy. San Rafael
IV, San Jose Del Monte City, Bulacan;
I am the only son of the late Letecia D. Doctolero who died intestate on July 20,
2019 in Dumangas, Iloilo, leaving the following described properties:
AND
1
NO. _________________________
The said decedent left no debts, neither has she left any ascendants or descendants,
or any other heirs, except the herein affiant as her only son.
The place of residence of the said decedent at the time of her death was in
Dumangas, Iloilo;
WHEREFORE, and invoking the provisions of Rule 74, Section 1, of the Rules
of Court, I do hereby adjudicate unto myself as the sole and only heir the entire estate
hereinabove described, subject only to the liabilities to creditors, heirs, and other persons
who might have been deprived of their lawful participation in the estate, for a period of
two years, in accordance with Rule 74, Section 4, of the Rules of Court.
2
PRN: D42190472138 P
1) ___________________________ 2) ___________________________
ACKNOWLEDGMENT
BEFORE ME, a Notary Public for and in the Province of Iloilo on this _____ day
of _______ 20__, personally appeared AGUSTIN DE LA PUERTA DOCTOLERO,
with his PRN: D42190472138 P, known to me and to me known to be the same person
who executed the foregoing instrument and acknowledged to me that the same is his own
free and voluntary act and deed.
WITNESS MY HAND AND SEAL, this ____ day of ______ 20__, in the
Province of Iloilo, Philippines.