REPUBLIC OF THE PHILIPPINES)

AFFIDAVIT OF TRANSFEROR

I, _______________, of legal age, widow, Filipino, and a resident of

_____________, after having been duly sworn to in accordance with law,
hereby depose and state that:

1. I am the owner of a parcel of land located at ___________________

with an area of 35,515 square meters more or less and covered by Transfer
Certificate of Title No. ___________;

2. That said parcel of land was subject to a Deed of Absolute Sale sold to
______________ executed on July 15, 2019 and notarized by Atty.
_________________;

3. I hereby attest that I am the rightful registered owner and actual

possessor of the said parcel of land and could validly transfer ownership and
possession of said parcel of land to the TRANSFEREE who in turn is not
disqualified to receive said transfer;

4. I am executing this Affidavit to attest to the truth of all the foregoing

statements and for all legal intents and purposes this may serve.

IN TRUTH WHEREOF, we have hereunto affixed our signatures this

___________________ in _________________.

_____________
Affiant
TIN:
Issued by: BIR

SUBSCRIBED AND SWORN TO before me this

___________________ in _____________, affiants exhibiting to me their
competent evidence of identities.

Doc. No._____
Page No._____
Book No._____
Series of 2020.