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Republic of the Philippines)

Done in the City of Baguio) s.s.

AFFIDAVIT OF SELF-ADJUDICATION WITH DEED OF ABSOLUTE SALE

I, FLORINA S. COCOY (VENDOR), of legal age, single, Filipino citizen,


with residence and postal address at Poblacion, Atok, Benguet, Philippines
after having been duly sworn to in accordance with law hereby depose and
states:

1. That I am the only surviving sister of the late ELPEDIO S. COCOY


(Sometimes his name is spelled as ELPIDIO) who died intestate on
October 25, 2004 at Poblacion, Atok, Benguet (copy of his death
certificate is hereto attached as Annex “A” and made an integral part
hereof), who left a certain parcel of land covered and embraced by
ASSESSMENT OF REAL PROPERTY (ARP) No. 99-001-02769, with an
area of ELEVEN THOUSAND SIX HUNDRED (11, 600) SQUARE
METERS, more or less, with ASSESSED VALUE OF SEVEN
THOUSAND TWO HUNDRED THIRTY PESOS (P7, 230.00) and
ADJUSTED MARKET VALUE of EIGHTEEN THOUSAND AND EIGHTY
PESOS (P18, 080.00), and more particularly described as follows:

ASSESSMENT OF REAL PROPERTY (ARP) No. 99-001-02769


North: Lots 008 & 019 South: Section 57
East: Lost 019 & 021 Section 57 & 58

(For complete technical description a Copy of ARP No. 99-001-02769 is hereto attached and
marked as Annex “B”)

2. That at the time of his death, said decedent left no will and obligation;

3. That it is to the best of my interest I hereto adjudicate unto myself the


above-mentioned parcel of land;

BY WAY OF DEED OF ABSOLUTE SALE

4. That for in consideration of the total sum of TWENTY FIVE


THOUSAND PESOS (Php. 25, 000.00), Philippine Currency, receipt
of which is hereby acknowledged by GREGORIO J. LUIS (VENDEE),
of legal age, single, Filipino citizen, and a resident of Poblacion, Atok,
Benguet, I hereby SELL, TRANSFER and CONVEY, in a manner
absolute and irrevocable, unto the hereunder named GREGORIO J.
LUIS, his heirs and assigns, the above-described parcel free from any
liens or encumbrances;

5. That I hereby warrant ownership as evidenced by the valid


Assessment of Real Property to and peaceful possession of the above-
described parcel of land herein sold and conveyed unto GREGORIO J.
LUIS and further warrant that said Tax Declaration of Real Property is
free from all liens and encumbrances whatsoever;

6. That the above-described property not having been registered under


the Spanish Mortgage Law nor under Act 496, I and Gregorio J. Luis
agreed to register this instrument under the Revised Administrative
Act No. 3344;

7. That the above described property is not tenanted nor devoted to the
production of rice and/or corn in whole or in part as of October 21,
1972 and/or on the date of registration hereof;

8. That this instrument is published in a local newspaper of general


circulation for three (3) consecutive weeks in compliance with its
proper and due registration;

9. I am executing this affidavit to attest to the veracity and truthfulness


of the foregoing statements and for all legal intents and purposes it
may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 3 rd


day of December, 2012 at Baguio City, Philippines.

FLORINA S. COCOY GREGORIO J. LUIS


Affiant/VENDOR VENDEE
CTC No. 33119851 CTC No. 02196630
ISSUED On. 12-03-12 ISSUED On. 1-5-12
ISSUED At. Atok, Benguet ISSUED At. Atok, Benguet
BIR TIN No. 9220225-942

WITNESSES: __________________ __________________

Republic of the Philippines)


Done: City of Baguio ) S.S.
ACKNOWLEDGEMENT

Before me a notary public for and in the City of Baguio, this 3 rd day of December, 2012, personally came and
appeared the above-named parties and presented to me their CTC and BIR TIN Card respectively, an integrally
complete instrument for identification and she acknowledged to me that the same is her own free act and deed.

I further certify that the foregoing instrument, consisting of Two (2) pages, including the acknowledgment,
relate to AFFIDAVIT OF SELF-ADJUDICATION WITH DEED OF ABSOLUTE SALE of one parcel of
land, signed by the affiant/vendor thereto and her witnesses, including the Vendee.

WITNESS MY HAND AND NOTARIAL SEAL.

Doc. No. 40;


Page No. 09;
Book No. 4;
Series of 2012.

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