AFFIDAVIT OF CONSOLIDATION OF OWNERSHIP IN PACTO DE RETRO SALE

AFFIDAVIT

REPUBLIC OF THE PHILIPPINES )

CITY OF ____________________ ) S.S.

I, ____________________, a Filipino citizen, of legal age, single/married, residing

at___________________________________, after being sworn to in accordance with law,
depose and say:

1. That on _____, 2___, Mr. ______________________of legal age, Filipino,

single/married to ______________________ residing at _____________________________,
sold to me a certain parcel of land under pacto de retro, executed before Notarial Public
_________________________ and bearing Notarial Register No. _____ , Page ____, Book____,
Series of 2_____ of his Notarial Register;
2. That a true copy of the said pacto de retro sale is hereto attached as ANNEX “A”;
3. That pursuant to said deed of sale with pacto de retro, the said vendor
_____________, should have exercised his right to repurchase the said property within the period
of _______ years;
4. That the said period expired on____________________;
5. That the said vendor, __________________,by himself or by any other person in
his behalf, has not complied with the condition and stipulation required for the repurchase of the
said property;
6. That the said period of repurchase has not been extended, either expressly or
impliedly, by affiant vendee a retro;
7. That by virtue of the said deed of sale with pacto de retro, and by the failure of
the vendor, _________________________ to duly repurchase the property therein mentioned
within the period stipulated, there was consolidated in the affiant, as vendee a retro, the absolute
ownership of the said property;
8. That attached hereto, as ANNEX “B,” is an order of the Regional Trial Court of
____________issued on_________________, approving and confirming the above consolidation
of ownership in the name of affiant.

IN WITNESS WHEREOF, I have hereunto set my hand this ___ day of ___________,
2_______, in the City of_____________, Philippines.

_________________
(Signature of Affiant)

JURAT