REPUBLIC OF THE PHILIPPINES)

CITY OF _____________________) S.S.

AFFIDAVIT OF SELF-ADJUDICATION

I, MARGARET S. ROYALES, of legal age, Filipino, single and a resident of 14344

Pinyahan St, Pasig City, after having been duly sworn to in accordance with law, depose
and state:

1. That I am the only daughter of ANTONIO T. ROYALES who died without any last will
and testament on December 25, 2022 in Pasig City as evidenced by his Death
Certificate issued by the City of Pasig 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 SEVEN THOUSAND
EIGHT HUNDRED SEVENTY-EIGHT (7, 878) SQ. METERS located in Daang Hari
Highway, Brgy. Molino, Pasig City covered by TCT NO. T-951382 more particularly
described in TCT NO. T-951382 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 Pasig 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 ___ day of ________
2023 in ________, ________, Philippines.

MARGARET S. ROYALES
Affiant

SUBCRIBED AND SWORN TO before me this _____ day of ________ 2023 in Pasig
City, Metro Manila, Philippines, affiant exhibiting to me her Philippine Passport No.
123456 issued in Manila on _____________ and valid until ______________.

Doc. No. _____ NOTARY PUBLIC

Page. No. ____
Book No. ____
Series of 2023