REPUBLIC OF THE PHILIPINES)

PROVINCE OF ISABELA )S.S

MUNICIPALITY OF CABAGAN)

AFFIDAVIT of OWNERSHIP
I, TOMASA BACCAY GAZZINGAN of legal age, Filipino Citizen, and
resident of Brgy. San Antonio, Cabagan, Isabela after having been duly sworn to
according to law hereby depose and state:
1. That I am the same person executing this Affidavit;

2. That I am the owner of parcel of land covered by Katibayan ng Orihinal na

Titulo Blg. P-95282 located at San Antonio, Cabagan, Isabela;

3. That I have been in long continuous and notorious possession of the property
since 2008;

4. That we are executing this affidavit in order to attest the truthfulness of all the
foregoing statements and that we have done so freely voluntarily.

IN WITNESS WHEREOF, I have hereunto set my hand this _____ of

____________________ at Cabagan, Isabela

TOMASA BACCAY GAZZINGAN

Affiant
Valid ID No.:__________________
Issued By:_____________________

SIGNED IN THE PRESENCE OF

_____________________________ ____________________________

ACKNOWLEDGEMENT

REPUBLIC OF THE PHILIPPINES )

PROVINCE OF ISABELA) S.S.
MUNICIPALITY OF CABAGAN)

BEFORE ME, A Notary Public for and in the Municipality of Cabagan, Province
of Isabela, this ___________________ personally appeared the Principal, who has
satisfactorily proven to me his identity through his identifying documents written below
his name and signature, that he is the same person who executed and voluntarily signed
the foregoing Special Power of Attorney, which he acknowledged before me as his free
voluntarily act and deed.

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

NOTARY PUBLIC
Doc No. ______;
Page No: ______;
Book No: _____;
Series of 2023