REPUBLIC OF THE 

PHILIPPINES)
CITY OF BAGUIO                      ) S.S.

AFFIDAVIT OF ADJUDICATION BY SOLE HEIR OF ESTATE OF

DECEASED PERSON

I, DELA CRUZ, of legal age, Filipino, single and with residence at

Rimando Road, Baguio City, Philippines, after having been duly sworn to in
accordance with law, depose and state:

1. That I am the only surviving son of DELA CRUZ who died

intestate in the City of Baguio, Philippines, on July 29, 2015 as
evidenced by the Death Certificate issued by the Office of the
Baguio City Civil Registrar hereto attached as Annex “A” and
made an integral part of this Affidavit;

2. That the deceased left an estate consisting of a parcel of land

measuring 280 square meters, located in the City of Baguio, and
evidenced by Transfer of Title No. 202020 of the Registry of Deeds
of Baguio City;

3. That the parcel of land is more particularly described as follows, to

wit:
“A PARCEL OF LAND (Lot 20 Blk 54 of consolidation
subdivision plan (LRC) Pcs-13265, being a portion of the
consolidation of Lots 4751-A and 4751-B (LRC) Psd-50533, 
Lot 3, Psd-100703, Lot 1, Psd-150980, LRC Rec. Nos. Nos.
N-27024, 51768, 89632, N-11782, N-13466, and 21071
situated in Barangay West Modernsite, Baguio City, Is.
of Luzon. Bounded on NE., point 4 to 1 by Road Lot 22,
on...to the point of beginning; containing an area of
(280) square meters more or less..."

4. That the deceased left no debts;

5. That the net value of the estate is not more than three thousand
pesos, and is thus exempt from the estate and inheritance taxes, as
evidenced by a certificate of exemption issued by the Bureau of
Internal Revenue hereto attached as Annex “B” and made an
integral part of this Affidavit;

6. That pursuant to Rule 74, Section 1 of the Rues of Court, I hereby

adjudicate unto myself the above described real estate by means of
this Affidavit and hereby files same with the register of Deeds of
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 Baguio City with a request that said adjudication be made effective
without judicial proceedings as prescribed by the aforementioned
Rules of Court.

IN WITNESS WHEREOF, I have hereunto set my hand this 17th

day of January 2017 in Baguio City, Philippines.

DELA CRUZ
Affiant

SUBCRIBED AND SWORN TO, personally before me this 17th

day of January 2017 in Baguio City, Philippines, affiant exhibiting to me his
Philippine Passport No. issued in Baguio City on July 2, 2013 and valid
until July 1, 2018.

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