REPUBLIC OF THE PHILIPPINES)

DONE IN THE CITY OF BAGUIO) S.S.

AFFIDAVIT OF PROPERTY HOLDINGS

I, ______________, of legal age, Filipino, widower, and a resident of _____________,

Baguio City, under oath state:

1. That I am the surviving spouse and one of the heirs of the late ___________;
2. That upon verification with the Provincial Assessor of Benguet, the following properties
were found to be in the name of my wife _____________

3. I am executing this Affidavit of Property Holdings to attest that these properties are
registered in the name of my wife ____________and for purposes of the issuance of a
Certificate of Property Holdings in order to settle her estate.

IN WITNESS THEREOF, I have hereunto set my hand this ___ day of November 2019 at
Baguio City, Philippines.

Affiant
_________________
Baguio City

SUBSCRIBED AND SWORN before me, a Notary Public, for and in the City of Baguio,
affiant personally appeared and exhibited to me his government issued ID as indicated below
his name and signature this ___ day of November 2019 at Baguio City, Philippines.

Notary Public

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