Republic of the Philippines

PROVINCE OF ___________ SS
City/Muncipality of ________

AFFIDAVIT OF ADVERSE CLAIM

I, _______________________ Filipinos, married and a resident of ___________________________ after

having been duly sworn in accordance with law, do hereby depose and say:

1. That I am one of the Heirs of _____________________________;

2. That my Father was the eldest child of the late Spouses XY and XX;

3. That the ancestral house of my grand parents is identified as communal property among the heirs;

4. That the said property is situated in ___________________________, Bohol identified as Lot

No.____________________________, under TCT No.______________________________ in the
name of __________________________________;

5. That be that as it may, said property cannot be wholly dispose, sell, or subject of encumbrance as such
remains to be a communal property among the heirs of XY and XX

6. That this Affidavit is executed to avail the benefits of Section 70 of PD 1529 to publish the
abovementioned facts and to warn any third parties who may have intention to purchase the said property;

IN WITNESS WHEREOF,we have hereunto affixed my signature this _________________ at

_____________________________.

YYYYYYYYYYYYYYYYYYYYY
YYYYYYY
Affiant/Heir
ID No. _______________________
Issued at ____________________
SUBSCRIBED AND SWORN TO BEFORE ME on the date and place abovementioned, affiant
exhibited to me his competent evidence of identity.
Doc.No.______;
Page No._____;
Book No._____;
Series of 2023