Republic of the Philippines)

City of Manila ) S.S.

AFFIDAVIT OF SELF-ADJUDICATION BY SOLE HEIR

I, Juan Dela Cruz, single, of legal age and a resident of 20 San Miguel St., Quiapo,
Manila, under oath declare that:

1. I am the only surviving son of one named Joselito Dela Cruz who died intestate in
the City of Manila, Philippine on October 20, 2014 evidence by Death Certificate
issued by the Philippine Statistics Authority hereto attached as ANNEX “A” and made
an integral part of this affidavit;
2. Said deceased left an estate consisting of a parcel of land measuring 244 sqm.,
located in the City of Manila and evidence by TCT No. 01234 of the Register of
Deeds of Manila.
3. Said parcel of land is more particularly described as follows to wit:

A parcel of lan (Lot 3, Block 1 of the subdivision plan (LRC) Psd-11111, being a portion
of Lot 1-B, described on plan Psd-12222 LRC (GLRO) Rec No. (NA), situated in the
Barrio of Bomber, District of Sampaloc, City of Manila. Bounded on the N points 1 to 2
by Lot 1, Block 1; on the E., points 2 to 3 Road Lot; on the S., points to 3 to 4 by Lot 5;
and on the W., points 4 to 5 by Lot 6; points 5 to 6 by Lot 4, and points to 6 to 1 by Lot 2,
all of Block 1, all of the subdivision plan. Beginning at a point marked 1 on the plan.
Being N. 14 deg. 20’E, 53.29m. from Mon. #1, Dist. Of Sampaloc, City of Manila.
thence N. 87 deg. 09’ E., 13.88 m. to point 2;
thence S. 3 deg. 14’ E., 17.64 m. to point 3;
thence S. 88 deg. 01’ W., 13.88 m. to point 4;
thence N. 2 deg. 48’ W., 2.45 m. to point 5;
thence N. 4 deg. 05’ W., 8.43 m. to point 6;
thence N. 2 deg. 17’ W., 6.55 m. to the point of beginning;

containing an area of TWO HUNDRED FIFTY FIVE (255) hectares, more or less. All
points referred to are indicated on the plan and are marked on the ground by P.S. cyl. Conc.
Mons. 15 x 60 cm.s; bearings true, date of the original survey, December 17, 1908 & February
14 – 17, 1966.

4. Said deceased left no debts;

5. That the taxes due thereon have been paid, and a certificate of payment of such
taxes issued by the Bureau of Internal Revenue are attached herein as ANNEX “B”;
and
6. Pursuant to Rule 74, Section 1 of the Rules of Court, I hereby adjudicate unto myself
the above-described Real Estate by means of this affidavit and hereby files the same
with the Register of Deeds of Manila with the request that said adjudication be made
 effective without the judicial proceeding as prescribed by the aforementioned Rules
of Court.

WITNESS MY HAND AND SEAL this 3rd of March, 2015 in the City of Manila.

(Sgd.) Juan Dela Cruz

Affiant
JURAT