REPUBLIC OF THE PHILIPPINES )

Province of Cavite                             ) S.S.

AFFIDAVIT OF HEIRSHIP

I, _______, Filipino, of legal age, and with address at __________ after being duly sworn to in
accordance with law, hereby depose and state:

1. THAT I am one of the legal heirs of the late ___________ the owner of the real property
situated at __________covered by Tax Declaration No. __________;

2. THAT _______ was only survived by his four siblings namely ________

3. THAT _____ is my father.

4. THAT as evidence of legal relation to the deceased, photocopy of my Certificate of Live

Birth is herein attached;

5. THAT to the best knowledge of my knowledge, _________ died intestate and left no deft or
any obligation from anyone;

6. THAT my other co-heirs have no objections to the electrical application in my favor.

7. THAT I hold MERALCO free from any liability or obligation should my other co-heirs
claim ownership over the said land.

8. THAT I have executed this affidavit to attest the truth of the foregoing facts and I adjudicate
upon myself the above described property for the sole purpose of application for electricity
line from MERALCO.

IN WITNESS WHEREOF, I hereunto affix my signature this _________________ at

_________

                                                                           

Affiant
 

SUBSCRIBED AND SWORN to before me this _______________ at Amadeo, Cavite, Affiant

exhibiting to me his ________

NOTARY PUBLIC
Doc No. ______;
Page No. ______;
Book No. ______;
Series of 2021.