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AFFIDAVIT OF NON-TENANCY AND

AGGREGATE LANDHOLDING

I, _______________________, married to _________________, Filipino, of legal


age with residence at _____________________________________________, and
___________________________________, single, Filipino, of legal age, and resident
of ____________________________________ after being sworn according to law,
depose and say:

1. That we are the niece and nephew of ___________________________,


married to ___________________, Filipino, of legal age with residence at
_____________________________________;

2. That on ________________, _____________________ donated to us a parcel of


land located at ___________________ with an aggregate area of ONE
THOUSAND TWO HUNDRED TWENTY (1,220) SQUARE METERS and
presently covered by Original Certificate of Title (OCT) No. OP-_________
issued by the Register of Deeds of Tagaytay City (“Property”), and more
particularly described as follows:

KATIBAYAN NG ORIHINAL NA TITULO BLG. OP _______

“A parcel of land Lot 2778-A, Csd-04-038512-D, Bounded


on the SE., along line 1-2 by Lot 2778-B, of the subd. Plan;
on the SW., along line 2-3 by Lot 2777, Csd-452-D, Silang
Cadastre; on the NW., along line 3-4 by National Road; and
on the NE., along line 4-1 by Lot 2434, Csd-452-D, Silang
Cadastre. Beginning at a point marked “1” of Lot 2778-
A,Csd-04-038512-D; being x x x x x containing an area of
ONE THOUSAND TWO HUNDRED TWENTY (1,220)
SQUARE METERS more or less.

3. That the said parcel of land is not tenanted;

4. That we own a total aggregate landholding of 1,220 square meters from


the donation of _______________________ recorded under Doc. No. ______,
Page No. ___, Book No.____ of Notary Public Atty. ___________________
dated __________________;

5. That we have no other agricultural properties in the entire Philippines as


stated on the certification issued by the Municipal and Provincial
Assessor Office.

That this affidavit is executed in compliance with DAR Administrative


Order No. 1 Series of 1989 as well as to show proof that our aggregate
landholding inclusive of the land subject of the above-mentioned transaction
does not exceed five (5,0) hectares.
IN WITNESS WHEREOF, we hereby affix our signatures this
______________________in _______________________.

______________________________
TIN ______________________

_____________________________
TIN __________________

SIGNED IN THE PRESENCE OF:

__________________________ ___________________________

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES )


__________________, ) S.S.

BEFORE ME, a Notary Public for and in the City of


_____________________, personally appeared the above-named parties who made
known to me that they are the same persons who executed this foregoing
instrument, and they further acknowledged to me that the same is their free
and voluntary act and deed.

This instrument refers to an Affidavit of Non-Tenancy and Aggregate


Landholdings and consists of two (2) pages, including this page where the
acknowledgment is written, and signed by the parties and their witnesses on
all pages.

WITNESS MY HAND AND SEAL at the place and on the date first above
written.

Doc. No. ____;


Page No. _____;
Book No. ____;
Series of ______.

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