REPUBLIC OF THE PHILIPPINES)

CITY OF __________________) S.S.

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

AFFIDAVIT OF ADJOINING OWNER

I, _________________________________________, Filipino, of legal age, and

with address at __________________________________________________________,
after having been duly sworn in accordance with law hereby depose and state:

1. That I know __________________________, the applicant for an agricultural

loan from the _________________________;

2. That I know that he is the owner of the parcel of land, located in the Barangay
of _________________, Municipality of __________________, Province of
_________________, which he offers as security for a loan and that said
property contains approximately an area of ____ hectares, ___ ares, covered
by Tax Declaration No. _________ and is bounded as follows:

On the north by Lot No. _____

On the east by Lot No. _____
On the south by Lot No. _____
On the west by Lot No. _____

3. That I am the owner of a parcel of land adjoining on the __________ side on

the property offered by ___________________ as security, and that as far as I
know there is no conflict between us with respect to said boundaries;

4. That __________________________ and his/her predecessors in interest have

been in open, continuous and in notorious possession of the above-described
property since _____________________;

5. That I do not know of any claim of other persons on said property;

6. That I am executing this affidavit to attest to the truth and veracity of the
foregoing and for the purpose of the judicial titling of the above-described
property.

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

______________, 202__ in _________________ City, Philippines.

________________________
Affiant

SUBSCRIBED AND SWORN TO before me, this ____ day of

______________, 202__ in the City of _______________, affiant
___________________ exhibiting to me his/her Passport No. ____________ issued on
_____________ at ________________.

WITNESS MY HAND AND NOTARIAL SEAL on the date and place first
above-written.

ATTY. ___________________________
NOTARY PUBLIC for the City of _______________
Commission Serial No. _______________
 Until December 31, 2024
(address)
Roll of Attorney No. __________
Doc. No. ____; IBP No. _____/Date/Place of Issue
Page No. ____; PTR No. _____/Date/Place of Issue
Book No. ____; MCLE Compliance No. VII – ____________
Series of ____; Valid until April 14, 2025