AFFIDAVIT OF NO IMPROVEMENT

REPUBLIC OF THE PHILIPPINES )

_____________________________ ) SS.

I, ___(Name of Affiant)___, Filipino, of legal age, single/married to

___(Name Of Spouse)___, and a resident of ___(Address Of
Affiant)___, after having been duly sworn in accordance with law,
hereby depose and say:

1. That I am the registered owner of that parcel of land located

at Barangay _________________, Municipality of
_________________, Province of _________________ which
contains an area of (________) HECTARES and is covered by
Transfer Certificate of Title No. __________ of the Registry of
Deeds of and is now the subject of a Deed of Sale in favor of
_________________;

2. That the above parcel of land is not planted to any tree or

crops and has no improvement contemplated by the Agrarian
Reform Law;

3. That I am executing this affidavit in order to attest to the truth

of the foregoing circumstances and for the purpose of
compliance with the requirements of the Agrarian Reform Law.

IN WITNESS WHEREOF, I have hereunto affixed my signature this

____day of ____________ 20___ at ____________, Philippines.

_________________________________
(Signature of Affiant over Printed Name)

ACKNOWLEDGMENT

SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and for

_________(City/Province)____________ this ____th day of ____________
20___. Affiant personally came and appeared with _____________(Competent
Evidence of Identity)______ issued by the _________(Government
Agency)______ on ___(date)__ at ________(place)_________, bearing his
photograph and signature, known to me as the same person who personally
signed the foregoing instrument before me and avowed under penalty of law to
the whole truth of the contents of said instrument.

ATTY _________________________________
Doc. No. 123 COMMISSION NO. _____________________
Page No. 69 NOTARY PUBLIC for AGOO, LA UNION
Book No. VII UNTIL DECEMBER 31, 2007
Series of 2007 OFFICE: 9 Cases Blvd. Sta Barbara, Agoo La Union
ROLL NO. 00001
IBP Lifetime Roll No. 1234567 ; 01/07/07 ; LA UNION
PTR NO 1234567 ; 01/07/07 ; LA UNION
MCLE COMPLIANCE No. __________; July 7, 2007

This is different from the “Certificate of No Improvement over Real Property”.