Affidavit Self Adjudication

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 2

REPUBLIC OF THE PHILIPPINES)

CITY OF DUMAGUETE

) S.S.

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

AFFIDAVIT OF SELF-ADJUDICATION

I, ABEL D. REYES, of legal age, Filipino, single and a resident of Piapi,


Dumaguete City, Negros Oriental; after having been duly sworn to in accordance with
law, depose and state:

1. That I am the husband of Ana Calo-Reyes who died without any last will and
testament on September 23, 2012 in Dumaguete City as evidenced by his Death
Certificate issued by the City of Dumagute hereto attached as Annex A and made an
integral part of this Affidavit;

2. That at the time her death, my wife had no debts, liabilities or obligations to any
persons, agency or institution;
3. That the properties she left are parcels of land consisting:
A. Original Certificate Title No. 0V9 described as Lot No. 412 Dumaguete Cadastre,
situated in Piapi, Dumaguete City with an area of Four Thousand Twenty Three (4,023)
square meters, more or less;
B. Transfer Certificate of Title No. 1-6997 described as Road Lot No. 4-H, being a
portion of Road Lots. No 4 of planPsd-14107. LRC (GLRO) Cad Record No. 140,
situated in Dumaguete City, containing asn area of Forty Four (44) square meters, more
or less;
C. Transfer Certificate of Title No. 1-2188 described as a Two Hundred Seventy Six
(276) square meter area of Lot No. 410;
D. Transfer Certificate of Title No. 2786 described as Road Lots No 3 and 5 with an area
of Two Hundred Sixty (260) square meters more or less, and Five Hundred Thirty Nine
(539) square meters more or less, respectively;
E. A Bank deposit with BDO worth P50,000.00
F. A Bank deposit in BPI worth P5,500,00.00.
Hereto attached as Annex A to F and made an integral part of this Affidavit;

4. That pursuant to Rule 74, Sec. 1 of the Rules of Court, I hereby adjudicate unto myself
the above-described real estates and bank deposits by means of this Affidavit and hereby
files the same with the Register of Deed of DumaguteCity with the request that the said
adjudication be made effective without judicial proceeding as prescribed by the
aforementioned provision of the Rules of Court.

IN WITNESS WHEREOF, I have hereunto set my hand this 20th day of November
2015 in Dumaguete City, Negros Oriental, Philippines.

ABEL D. REYES
Affiant

SUBCRIBED AND SWORN TO before me this 20th day of November


2015 in Dumaguete City, Negros Oriental, 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. _12345__;


Page No. __2___;
Book No. __56___;
Series of 2015.

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy