AFFIDAVIT OF HEIRSHIP

WE, _______________________, ________________________, __________________________, and

_______________________________, all of legal age, Filipinos, and residents of
_______________________________, after having been sworn to in accordance with law hereby
depose and say;

That, We are the heirs of the late ___________________________ who passed away last
_______________________, at ________________________;

That the decedent was an awardee-beneficiary of a parcel of agricultural land under

the name of ________________________, ET. AL., embraced by the Title No. C-_________, located at
Barangay _____________________________, Davao del Norte;

That being his legal heirs, We hereby undertake ________________________ to represent

us and sign the Lot Allocation Agreement to Land Covered by Collective CLOA and all
other pertinent documents needed in the Parcelization documentation process and that I
hereby affirm and confirm said Instruments and Documents;

That We are executing this Affidavit to attest to the truth of the foregoing
statements and for whatever legal purpose this may validly served;

IN WITNESS WHEREOF, We have hereunto set our signatures this ____________, 2024
at _________________________________, Davao del Norte, Philippines.

__________________________ ___________________________
Atty-In-Fact Affiant
I.D. No. ________________________ I.D. No. ____________________

__________________________ ____________________________
Affiant Affiant
I.D. No. _________________________ I.D. No. _______________________

WITNESSED:

___________________________________ ___________________________________

SUBSCRIBED AND SWORN to before me at __________________________, Davao del Norte,

Philippines this ________________________, 2024 personally appeared affiant with her/his
respective Identification Cards printed below their name.

Doc. No. __________;

Page No. __________;
Book No. __________;
Series of 2024