REPUBLIC OF THE PHILIPPINES )

City of _____________ )s.s.

AFFIDAVIT OF CONFORMITY

I, _________________, of legal age, Filipino, married, and a

resident of _________________, after being duly sworn to in
accordance with law, hereby depose and say, that:

1. I am the owner and possessor of a parcel of land Lot ____ covered

by TCT No. ________ with an area of ________________
square meters, by virtue of an Extrajudicial Settlement of Estate.

2. As a result of the survey, the Geodetic Engineer prepared

Subdivision Plan __________.

3. Said land was subdivided by a licensed Geodetic Engineer, as

follows:

_________________________________

4. I, therefore, signify my conformity to the result of the subdivision

survey as mentioned before.

5. This Affidavit is being executed freely, voluntarily and intelligently

in order to attest to the truth of the foregoing to declare my
conformity to the subdivision of the Lot No. _______ in the
manner indicated above, and in compliance with the requirements
prescribed by the Department of Environment and Natural
Resources.

Affiant further sayeth naught.

IN WITNESS WHEREOF, I hereunto set my hand this ___ day of

___________________, at _______________.

____________________
Affiant

SUBSCRIBED AND SWORN TO before me this ___ day of

______________________ at _______________, Affiant exhibited
to me her competent proof of identity.

Doc No. _____;

Page No. ____;
Book No. ____;
Series of 2020.