SWORN DECLARATION OF NO IMPROVEMENT ON REAL PROPERTY

In accordance with Revenue Memorandum Order No. ________dated_______, the parties are
executing this sworn statement under penalties of perjury, to attest to the truth of the foregoing declaration and
for the purpose of stating the true conditions of the property/ies described below that it/they/has/have no existing
improvements whatsoever as of _______________________________duly verified by them.
(date of sale/donation/death of decedent)

TCT No. Tax Declaration No. Classification Area Fair Market value

258630 AP-013-06459 Res. 218 sq.m. Php. 174,400.00

IN WITNESS WHEREOF, we have hereunto set our hands this ___ of _______, 2021, at _________

Seller(s)/Donor(s)/Administrator/Executor/First Party/ies Buyer(s)Donor(s)/Heir(s)/Second Party/ies

LETICIA IBANEZ JANN ERROL ABELA

Signature over Printed Name Signature over Printed Name

We hereby authorize the Commisioner of Internal Revenue of his duly authorized representative to
verify the above information.

SUBSCRIBED AND SWORN to before me this _____ of ________, 2021, at __________________

Notary Public/Administering Officer

Doc. No. __________

Page No. __________

Book. No. _________

Series of 2021