REPUBLIC OF THE PHILIPPINES)

PROVINCE OF ) S.S.
CITY OF )
X-------------------------------------------/

AFFIDAVIT OF AGGREGATE LANDHOLDING OF SELLER/TRANSFEROR

I/We, ________________, of legal age, Filipino, single/married/widow to ____________________ and a

resident of __________, ______________, Philippines, after being duly sworn to in accordance with law,
here by depose and state:

That, I/We am/are the owner/s of an agricultural land under Original/Transfer Certificate of Title
Number O/T-_____, Lot No. _______, PSD-__________, with an area of ________________square
meters, located at ___________________________;

That by virtue of this affidavit I/We do hereby declare that the TOTAL AGGREGATE LANDHOLDINGS in the
Philippines including this transaction is the only landholdings I/We owned based on the
______________________________________ and our total aggregate landholding does not exceed five
(5) hectares;

That the said parcel/s land is part of my/our retention area;

That the said parcel/s of land is non-tenanted and or leased to anybody;

That the above parcel/s of land had no pending case in the DARAB or any of its adjudicators, the DAR,
the Courts or at the office of the President and;

That I am executing this affidavit to attest the truth of the foregoing statements and to comply the
requirements of the DAR clearance.

IN WITNESS WHEREOF, I/We have hereunto set my/our hand and affixed my/our signature/s this
____________2022
At ________________, ________________, Philippines.

_____________________
Affiant

SUBSCRIBED AND SWORN TO BEFORE ME, This__________2022 at ____________, ___________,

Philippines.

WITNESS MY HAND AND NOTARIAL SEAL.

Doc. No.
Page No.
Book No.
Series of 2022