Republic of the Philippines }

City Of Cebu }
X--------------------------------------/

AFFIDAVIT OF TOTAL LANDHOLDING

 
                I, ___________ of legal age, Filipino, widower and a resident of
_________ Bulacao, Cebu City, hereby depose and say, that;

1. I am the husband of the late ______________, who died intestate

on September 20, 2010 on Cityl

2. The deceased left the following properties at the time of their death to
wit:
 Transfer Certificate of Title No. and
 Transfer Certificate of Title No.

3. The above-mentioned properties are her TOTAL LANDHOLDING;

4. The said titled properties have been declares for tax purposes;

5. I am executing this instrument to attest the truthfulness and

correctness of the above stated facts to the best of my personal
knowledge.

       IN WITNESS WHEREOF, I have hereunto set my hand this _____ day of
____________ at Cebu City, Philippines.
 

 
________________
Affiant

SUBSCRIBED AND SWORN to before me this _____ day of ___________ at

Davao City, Philippines. Affiant exhibited to me his Senior Citizens’ ID with
No. ____________.

NOTARY PUBLIC

Doc No. ___;

Page No. ___;
Book No. ___;
Series of 2017.