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REPUBLIC OF THE PHILIPPINES)

PROVINCE OF TARLAC . . . . . . . . .) S.S


CITY OF TARLAC . . . . . . . . . . . . . .)

AFFIDAVIT OF NO PENDING CASE

We, EMILIANO JIMENEZ BAUN, married to Corazon G. Baun; FLORENCIO


JIMENEZ BAUN, married to Luzviminda P. Baun; and MARIA TERESITA B.
HIPOLITO, married to Ismael Hipolito, all of legal ages, Filipino citizens, and residents
of Atioc, San Miguel, Tarlac, after having been duly sworn to in accordance with law, do
hereby depose and state – THAT:

1. That we are the absolute and legal heirs of the late HERMOGENES C. BAUN
and ELIUTERIA JIMENEZ BAUN, who are the registered owners of a certain
parcel of land covered by Transfer Certificate of Title No. ___________ with
Emancipation Patent No. 420046 of the Registry of Deeds of the Province of
Tarlac, situated in San Miguel, Tarlac City, Tarlac, with an area of TWENTY-
SEVEN THOUSAND NINE HUNDRED SIXTY-ONE (27,961) SQUARE
METERS, more or less;

2. The above-described parcel of land is not subject of and not in any way involved
in any pending case before any judicial authorities, quasi-judicial bodies or
administrative agencies of the government;

3. That we are executing this Affidavit to attest to the truth of all foregoing
declarations and for whatever legal purposes this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand on this ________ at Tarlac


City, Philippines.

EMILIANO JIMENEZ BAUN


Affiant

FLORENCIO JIMENEZ BAUN


Affiant

MARIA TERESITA B. HIPOLITO


Affiant
SIGNED IN THE PRESENCE OF:

__________________________          ____________________________

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES)


CITY OF TARLAC )  S.S
PROVINCE OF TARLAC )

BEFORE ME, a Notary Public for and in the City of __________________, personally
appeared:
Known to me and to me known to be the same persons who executed the
foregoing instrument and acknowledged to me that the same are their free act and
voluntary deed.
This instrument, consisting of two (2) pages, including the page on which this
acknowledgment is written, has been signed on the left margin of each and every page
thereof by the concerned parties and their witnesses, and sealed with my notarial seal.
WITNESS MY HAND AND SEAL on this __________day of
__________________ 2022 at Tarlac City
Doc. No. ______________;
Page No. ______________;
Book No.______________;
Series of 2022.

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