AFFIDAVIT OF RETENTION

(Declaration of Retention Area)

We , spouses ____________________________________, of
legal age, married to each other and residents of
___________________________________, a f t e r   having
been duly sworn to in accordance with the law,
hereby depose and stateTHAT:

1.We are the registered owners of –

Lot no. : ________________________

Location : ________________________
Area : ________________________
Title no. : ________________________

2. The above-mentioned agricultural land part

of the retention area in the account of the
exercise of our retention rights as owners
thereto;

3. This Affidavit is executed by us in

compliance With applicable Administrative rules,
regulations and guidelines issued and
implemented by the Department of Agriculture;

4. We are executing this Affidavit to attest

to the truth of the foregoing facts and for
whatever legal intents and purposes that it may
legally serve.

IN WITNESS WHEREOF, we have hereunto affix our

signatures this _____________________________, at
Butuan City, Philippines.

_________________________________
Affiants
ID _____________________________

SUBSRIBED AND SWORN to before me this

____________________________ in Butuan City,
Philippines.