REPUBLIC OF THE 

PHILIPPINES)
CITY OF MAKATI                      ) S.S.
x-------------------------------------x
  

AFFIDAVIT OF SELF-ADJUDICATION

         I, RODEL D. ABOGADO, of legal age, Filipino, single and a resident of

Block 30, Lot 3, Avenue Extension, Progress Homes Subdivision, Canaman,
after having been duly sworn to in accordance with law, depose and state:

1. That I am the only daughter of JUAN B. DELA CRUZ who died without any last
will and testament on July 20, 2013 in Makati City as evidenced by his Death
Certificate issued by the City of Makati hereto attached as Annex “A” and
made an integral part of this Affidavit; 

2. That at the time his death, my father had no debts, liabilities or obligations to
any persons, agency or institution;

3. That the only property he left is a parcel of land consisting of 60 square meters

located in J.B. Roxas Street, Makati City more particularly described in TCT No.
112233 hereto attached as Annex “B” and made an integral part of this
Affidavit;

4. That pursuant to Rule 74, Sec. 1 of the Rules of Court, I hereby adjudicate unto
myself the above-described real estate by means of this Affidavit and hereby
files the same with the Register of Deed of Makati City with the request that the
said adjudication be made effective without judicial proceeding as prescribed by
the aforementioned provision of the Rules of Court.

         IN WITNESS WHEREOF, I have hereunto set my hand this 26th day
of September 2013 in Makati City, Metro Manila, Philippines.
          

MARIA B. DELA CRUZ

Affiant

    SUBCRIBED AND SWORN TO before me this 26th day of September

2013 in Makati City, Metro Manila, Philippines, affiant exhibiting to me her
Philippine Passport No. 123456 issued in Manila on January 12, 2012 and valid
until January 12, 2017.
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2013.