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Republic of the Philippines)

Province of Agusan del Sur)S.S.


Municipality of BAYUGAN)
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AFFIDAVIT OF BUYER/TRANSFEREE

That I, ____________________, of legal age, Filipino Citizen, married and


presently residing at P-1 Poblacion, Bayugan, Agusan del Sur, Philippines, after
having been duly sworn to in accordance with law, do hereby depose and state:

That I am the same person executing this affidavit;

That I am the owner of a parcel of ________ being a portion of Lot No.


___________, situated in the Barrio of Fili, Bayugan, Agusan del Sur, which I
acquired from _________ containing an area of Two-Thousand Five-Hundred
(2,500) Square Meters, more or less, through a Deed of Sale under Doc. No.
_____; Page _____; Book No. _____; Series of 2009, of Notary Public
_________________, dated January 5, 2009, does not exceed five (5) hectares;

That this affidavit is executed in compliance with DAR Administrative


Order No. l, Series of l989 as well as to show proof that my total aggregate
landholding inclusive of the land subject of the above-mentioned transaction
does not exceed five (5) hectares.

AFFIANT SAYETH NONE.

__________________
(Vendee)

SUBSCRIBED AND SWORN TO before me this _____________ day of


October, 2009 at Bayugan, Agusan del Sur, Philippines.

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