REPUBLIC OF THE PHILIPPINES)

___________________ ) S.S

AFFIDAVIT OF PARAPHERNAL PROPERTY

I, _____________________, Filipino, of legal age, widow and with permanent address

at _____________________________, after being duly sworn in accordance with law,
depose and state:

1. That I am the registered owner of a studio condominium unit no.

________________________________with CCT No. __________________;

1. That the aforesaid property is my ________________ paraphernal property it

being purchased by my _______________out of my personal money;

2. That I am executing this Affidavit to attest the truth of the foregoing

instrument for the purpose of attesting and declaring that the aforesaid property
is the sole, exclusive and absolute property of ___________.

AFFIANT FURTHER SAYETH NAUGHT.

____________________
Affiant

SUBSCRIBED AND SWORN to before me this ___ day of ____________, 2019 in

the ________________, affiant exhibited to me a current Competent Evidence of identity
bearing a photograph and signature.

Doc. No. ;
Page No. ;
Book No. ;
Series of 2019.