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That I, am the absolute owner and actual possessor of the above-mentioned PARCEL of land
inherited from my mother, herein sold and conveyed; that I, have the perfect right to sell and convey the
same; that this sale is made not to circumvent the Agrarian Reform enunciated under P.D. 27; that Art.1623 of
the New Civil Code had been complied with.
That the above-described property is not registered under Act. 496 nor under the Spanish Mortgage
Law, but it is the intention of the parties to register this instrument in the Office concerned.
IN WITNESS WHEREOF, the parties have hereunto set their signatures this ____ day of
_______________, 20___, at Poblacion, Cawayan, Masbate, Philippines.
1.________________________________ 2._________________________________
BEFORE ME, this ___day of ____________, 20__ at Masbate City, personally appeared DOMINADOR R. DELA
CRUZ with his C.T.C. No._________________issued at Cawayan, Masbate, he is known to me to be the same person who
executed the foregoing instrument and acknowledged to me that the same is his own free act and voluntary deed.
WITNESS MY HAND AND SEAL, the date and place first above-written.