AFFIDAVIT OF SELF-ADJUDICATION

         I, MARIA B. DELA CRUZ, of legal age, Filipino, single and a resident
of 6789 Washington Street, Pio del Pilar, Makati City, after having been duly
sworn to in accordance with law, depose and state:

1. That I am the only daughter of JUAN B. DELA CRUZ who died without any
last will and testament on July 20, 2013 in Makati City as evidenced by his
Death Certificate issued by the City of Makati hereto attached as Annex
“A” and made an integral part of this Affidavit; 

2. That at the time his death, my father had no debts, liabilities or obligations
to any persons, agency or institution;

3. That the only property he left is a parcel of land consisting of 60 square

meters located in J.B. Roxas Street, Makati City more particularly described
in TCT No. 112233 hereto attached as Annex “B” and made an integral part
of this Affidavit;

4. That pursuant to Rule 74, Sec. 1 of the Rules of Court, I hereby adjudicate

unto myself the above-described real estate by means of this Affidavit and
hereby files the same with the Register of Deed of Makati City with the
request that the said adjudication be made effective without judicial
proceeding as prescribed by the aforementioned provision of the Rules of
Court.

         IN WITNESS WHEREOF, I have hereunto set my hand this 26th day
of September 2013 in Makati City, Metro Manila, Philippines.
          

MARIA B. DELA CRUZ

Affiant

    SUBCRIBED AND SWORN TO before me this 26th day of September

2013 in Makati City, Metro Manila, Philippines, affiant exhibiting to me her
Philippine Passport No. 123456 issued in Manila on January 12, 2012 and
valid until January 12, 2017.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2013.