Republic of the Philippines )

City of Taguig ) S.S

AFFIDAVIT

I, (name), of legal age, single, Filipino and a resident of (ADDRESS) after having been duly sworn
to in accordance with the law, do hereby depose and state:

1. That I am the Buyer of a mixed-used, Commercial-Residential type condominium unit located

at the (DETAILS OF DEED OF ABSOLUTE SALE), as evidenced by a duly executed
Deed of Absolute Sale dated October 10, 2022 entered in the Notarial Registry of Atty.
(name of notary public), CPA, as Doc No. 123; Page No 12; Book No. XXX; Series of 2022
(the, “Deed”);

2. That in the said Deed, my civil status does not appear.

hat I hereby execute this

Affidavit to attest to the truth
that my civil status, at the time
I
executed said Deed and at
present, is WIDOW;
3. That I hereby execute this Affidavit to attest to the truth that my civil status, at the time I
executed said Deed and at present, is SINGLE;

4. That I bought the said property out of my own, personal and exclusive money;

5. That this affidavit is being executed to attest to the foregoing facts for the specific purpose of
transferring said property to my name with the Office of the Registry of Deeds, Taguig City.

IN WITNESS WHEREOF, I have hereunto set my hands this ______________ day of

_______________, 2022 at _____________, Philippines.

___________________________
NAME
Affiant
 SUBSCRIBE AND SWORN to me, before this ______ day of _________________, 2022 at
______________, Philippines, by the affiant who is personally known to me (or whom I have
identified through competent evidence of identity) and who exhibited his competent evidence of
identity with Driver’s Licence No. NO1-0000001 issued on January 17, 2022 at ____________

NOTARY PUBLIC

Doc. No: _____

Page No: _____
Book No.: _____
Series of 2022