Affidavit of Adverse Claim Sample

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REPUBLIC OF THE PHILIPPINES

)
MUNICIPALITY OF ____________)
PROVINCE OF ________________) S.S.
x------------------------------------------x
AFFIDAVIT OF ADVERSE CLAIM
I, __________________, legal age, Filipino, and a resident
of _________________________________, Philippines, after having
been sworn to in accordance with law depose and say:
1.
That I am the VENDEE of a certain lot situated in
__________________, __________________, Bulacan, with an area
of _____________________________________ covered by Transfer
Certificate of Title No. _________________ of the Registry of
Deeds for Province of _________,____________,_________ Branch
as per Deed of Absolute Sale of Real Property dated
_____________, more particularly identified as Doc. No. __,
Page No. ___, Book No. ____, Series of 2016 of the Notarial
Register of Atty. __________ of __________, __________. A photo
copy of the Deed of Absolute Sale dated _____________
executed in my favor by __________ is attached as Annex
A.
That the above-mentioned real property covered by
said Transfer Certificate of Title No. ________________ of the
Registry of Deeds for Province of __________, ____________
Branch, is more particularly described as follows:
TCT No. _____________
A photocopy of the TCT No. ____________ of the Registry
of Deeds for Province of _______, __________ Branch is
attached as Annex B,
2.
That the said Deed of Absolute Sale could not as
yet be registered for the reason that the original copy of
________________, is still in the possession of the vendor,
______________;
3
That this affidavit is executed to avail of the
benefits of Section 70 of PD 1529 to publish the above
facts and to warn any third parties who may have intention

to deal with
________________.

the

property

covered

by

TCT

No.

IN WITNESS WHEREOF, I have hereunto affixed my


hand this __th day of June, 2016, here at _________________.
________________
Affiant
BEFORE ME, a notary public for and in ____________,
personally appeared the above named person with his
_____________ who is personally known to me to be the same
person and/or identified through competent evidence of
identity as defined by Rules on Notarial Practice, who
presented the foregoing instrument and signed the
instrument in my presence, and who took an oath before me
as to such instrument.
Witness my hand and seal this _____________.
Doc. No.: ___
Page No.:___
Book No.: ___
Series of 2016

Notary Public

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