REPUBLIC OF THE PHILIPPINES)

CITY OF MAKATI ) S.S.

x-------------------------------------x

AFFIDAVIT OF ADVERSE CLAIM

I, MARIE B. DELA CRUZ, of legal age, Filipino,

single and a resident of 2223 Washington Street, Pio del
Pilar, Makati City, after having been duly sworn to in
accordance with law, depose and state:

1. That on July 10, 2013, I have entered into a

Deed of Conditional Sale which was acknowledged on
the same date before Notary Public Juan Tamad of
Makati City and entered in his Notarial Register as Doc.
No. 2, Page 2, Book II, Series of 2013. A copy of the said
Deed is hereto attached as ANNEX “A” and made an
integral part of this Affidavit;

2. That in the said Deed of Conditional Sale, I was the

VENDEE of a certain parcel of land covered by Transfer
Certificate of Title No. 111222, more particularly
described as follows:

(Technical Description of Property)

3. That because I still have a balance on the purchase

price in the amount of P500,000.00 which is payable
within one (1) (year) from the date of signing thereof, it
was stipulated in the aforementioned Deed that title
and ownership over the subject property will only be
transferred upon full payment of the same;

4. That the VENDOR in the said Deed of Conditional

Sale agreed that upon its execution, said Deed shall be
annotated in the Title with the Office of the
Register of Deeds of Makati City;

5. However, since the said Deed of Conditional Sale per

se could not be annotated on the Title with
the Office of the Register of Deeds, I am therefore
executing this Affidavit for the purpose of attesting to
the truthfulness of the foregoing allegations and in
support of my request for the annotation of an
adverse claim over the parcel of land covered by the
Transfer Certificate of Title No. 111222.

IN WITNESS WHEREOF, I have hereunto set my

hand this 26th day of September 2013 in Makati City,
Metro Manila, Philippines.

MARIE B. DELA CRUZ

Affiant

SUBCRIBED AND SWORN TO before me this 26th

day of September 2013 in Makati City, Metro
Manila, Philippines, affiant exhibiting to me her
Philippine Passport No. 123456 issued in Manila on
January 12, 2012 and valid until January 12, 2017.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2013.