KNOW ALL MEN BE THESE PRESENTS:

I, ________________________, Filipino, of legal age, and a resident of _____________

_______, _________, Philippines, after being sworn to in accordance with law hereby depose
and declare that:

1. I am the resident of a parcel of land known as Lot.______, covered by Tax

Declaration No. ____________, located at Poblacion, Lapaz, Abra (together with all
appurtenant rights, interest and improvements thereon, the “Property”), and more
particularly described as follows:

Tax Declaration No. _____________

Lot No. ________ located at Poblacion, Lapaz, Abra with boundaries as follows:
North: Lot _____ South:
East : Lot _____ West :
With an area of ______________________________________ square meters,
more or less

2. Notwithstanding such registration under my name, I hereby declare

acknowledge that I am only holding the Property in trust for ELEANOR ABELLA
PLACIDES, Filipino of legal age and a resident of Parañaque City Philippines.

3. Accordingly, I unqualifiedly declare and acknowledge that the true,

absolute and beneficial ownership to the Property actually pertains to ELEANOR
ABELLA PLACIDES, and not to me.

4. I hereby state that by virtue of this Acknowledgement of Ownership, I

represent, warrant, and covenant, by which such representations, warranties and
covenants shall survive the execution and delivery of this Acknowledgement of
Ownership, as follows:

4.1 I have no claim, right or action of whatsoever nature, whether past,

present, or contingent against ELEANOR ABELLA PLACIDES or any of his agents,
representatives, attorneys-in-fact, heirs administrators, executors, successors, and
assigns.
4.2 I will not be a party to nor testify in any proceeding that may be filed for
and in my behalf by anyone against ELEANOR ABELLA PLACIDES or any of his agents,
representatives, attorneys-in-fact, heirs, administrators, executors, successors, and
assigns in relation to, arising from, or resulting from any incidents or ownership over
the Property.