REPUBLIC OF THE PHILIPPINES)

PROVINCE OF ALBAY ) S.S.

TABACO CITY )
x------------------------------------------x

AFFIDAVIT OF BUYER/TRANSFEREE

I, _________________, of legal age, single/married/widow, Filipino citizen, and

presently residing at _____________________, after having been duly sworn to in
accordance with law, do hereby depose and say:
1. That I am the VENDEE of a parcel of land located at Brgy. Cubay, Miag-ao, Iloilo
with an area of TWENTY THOUSAND TWO HUNDRED (20,200) square meters,
more or less, covered by Original Certificate of Title No. 12345;
2. That I acquired the said parcel of land from JUAN C. TAMAD as evidenced by
a Deed of Absolute Sale entered in the notarial register of Notary Public Atty. Maria
V. Makiling dated November 20, 2012 at Iloilo City under Doc. No. 1; Page No. 2;
Book No. III; Series of 2013;
3. That this affidavit is being executed in compliance with DAR Administrative Order
No._____, Series of ______ as well as to show proof that my total aggregate
landholding inclusive of the land subject of the above-mentioned transaction does not
exceed five (5) hectares;
4. That I am 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, I have hereunto set my hand this ____ day of ___________
20____ in ____________, _____________, Philippines.

___________________________________

Affiant

Voter's ID No. ____________________

SUBSCRIBED AND SWORN TO before me this _____ day of _________ at

________________ affiant exhibited to his/her competent evidence of identity by way of
_________________ issued on __________________ in _______________,
Philippines.

ATTY. ANTHONY CLARK A. GAPIDO

Notary Public Tabaco City
For the Province of Albay
Roll No. 83746
IBP OR No. 227570; June 13, 2022
PTR No. 8843533; July 13, 2022 at Tabaco City
MCLE: N/A (Newly Admitted to the Bar)
2nd Floor Coastal Building Rental, Purok 2,
Morales Street, San Roque,Tabaco City, 4511
Doc No.____;
Page No. 450;
Book No. 35 ;
Series of 2022