AFFIDAVIT OF NON-TENANCY

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF ) S.S
MUNICIPALTIY OF )
x--------------------------------------------x

I, [NAME OF SELLLER], a Filipino of legal age, [SINGLE/MARRIED] and with

residence and postal address at [ADDRESS] after having been duly sworn in accordance
with law, hereby depose and state:

1. That the land I sold to [NAME OF BUYER],, which represents a portion of my

retention area under Katibayan Ng Orihinal Na Titulo Blg. XXX Lot No. XXX-XX
with an area [AREA IN WORDS] ([AREA IN NUMBERS]) SQUARE METERS,
more or less, by virtue of Deed of Absolute Sale recorded under Doc. No. XXX,
Page No. XXX, Book No. XXX, Series of 20XX, of Notary Public Atty.
[ATTORNEY NAME] dated MONTH DAY, YEAR is not worked by any tenant or
agricultural lessee.

2. That this affidavit is executed in compliance with DAR Administrative Order

No. 1, series of 1989, as well as to show proof that my total aggregate
landholding inclusive of the land subject of the above-mentioned transaction
does not exceed five (5) hectares.

AFFIANT SAYETH NONE

[NAME OF SELLLER]
AFFIANT
ID No.:
Issued by:
Valid until:
Date Issued:

ACKNOWLEDGMENT

BEFORE ME, this ______________ at__________________ , personally appeared

[NAME OF SELLLER] known to me to be the same person who executed the foregoing
instrument and acknowledged to me that the same is [HIS/HER] free and voluntary act
and deed.

Notary Public

Doc. No. _______;

Page No. _______;
Book No. _______;
Series of 20XX.