REPUBLIC OF THE PHILIPPINES) )

AFFIDAVIT OF NO PREVIOUS DONATION I, _____________________, married to ____________________, of legal age, Filipino and with address at __________________________________________, after being duly sworn in accordance with the law, do
hereby depose and say that: 1. I am the absolute registered owner of a parcel of land and improvements, situated at _____________________________, with a total area of ____________ (___.00) square meters, more or less, covered by Transfer Certificate of
Title No. _______________ issued by the Registry of Deeds for __________________. 2. I have executed a Donation inter vivos in favor of my (relationship and name of DONEE) on ___________________. 3. This is the only donation I made for Transfer
Certificate of Title No. ______________________ issued by the Registry of Deeds for ________________. I and my spouse have made no other donation to any other persons involving this property. 4. Furthermore, this is the first and only donation we made for
the year ______. 5. This affidavit is being executed to attest to the truth of the foregoing facts and for all legal intent and purpose it may serve. IN TRUTH WHEREOF, I/we have hereunto signed my/our name/s below, this day of , _______ at , Philippines.

(NAME OF DONOR)

(NAME OF SPOUSE)

SUBSCRIBED AND SWORN to before me, on ___________, Notary Public of ________ by the affiants with Gov’t issued ID Nos. _______________________ , valid until_______________________, which bears their photographs and signatures, to which I was
able to confirm their identities. Doc. No. ___; Page No.____; Book No.____; Series of 201__.