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ANNEX “B”

(REPUBLIC OF THE PHILIPPINES)


(QUEZON CITY ) S.S
x--------------------------------------------x

AFFIDAVIT OF SELLER/TRANSFEROR

We, ______________, of legal age, Filipinos, and residents of _____________ , after


having been duly sworn in accordance with law, hereby depose and state:

1. That the land I sold to ____________, which represents a portion of my retention


area under Katibayan Ng Orihinal Na Titulo Blg. XXX Lot No. XXXX with an
area XXXXXXXXXXXXXXXXXX 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 2019, of Notary Public Atty. XXXXX dated XXXX is a portion of
my retention area of not more than five (5) hectares.

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