REPUBLIC OF THE PHILIPPINES)
C
I T Y O
F __________________ ) S.S.
AFFIDAVIT OF
ADVERSE CLAIM
We, _______________________________, Filipino, of legal age, married
to ________________________ and resident of _______________________, Philippines
and ________________________, Filipino, of legal age, married
to _______________________________ and resident of ___________________________, Philippines, after being sworn
to in accordance with law, do hereby state:
1. That we, together with the others hiers of ________________________, have an adverse claim on Lot No.
_____________________, with
an area of ___________________________________ (_______________) square meters, more or less, located at
Barangay _______________________
and covered by OCT
NO. _____________________. The
said parcel of land is more particularly described as:
OCT NO. _______________
“A parcel of land (Lot _____________ of the Cadastral
Survey of ___________, Cadastral Case No. _________, L.R.C. Cadastral Record No. ____________).
With the improvements thereon, situated in the Barrio of ______________, Municipality
of __________________, Province of _______________________. Bounded on the NE. by the Sapang Tulac
and Lot 5111; on the S. by Lot 5112; on the SW. by Lot No. 5109; and on the NW.
by Lot No. 5109 and the Sapang tulac. Beginning at a point marked “1” on plan
being S. 24 deg. 27’E., 398.94 m. from B.L.L.M No. 15; thence N. 6 deg. 48’E.,
59.47 m. to point 2; N. 37 deg. 08’W., 75.82 m. to point 3; N. 7 deg. 12’E.,
25.69 m. to point 4; N. 36 deg. 28’E., 57.27 m. to point 5; N. 85 deg. 59’E.,
33.53 m. to point 6; S. 59 deg. 03’E., 91.46 m. to point 7; S. 30 deg. 16’E.,
82.31 m. to point 8; S. 6 deg. 29’E., 57.71 m. to point 9; N. 85 deg. 36’W.,
205.79 m. to the point of beginning; containing an area of ____________________________ (______________) SQAURE METERS, more or less.”
2. That late _____________________ bought the said property from ____________________, the
grandson of _____________________
last __________________________ by virtue of
the document known as “______________________________” entered as Doc No. _____, Page No. ___, Book ____ and
Series of _____________ in the notarial book of Atty. ______________________. A copy is hereto
attached and marked as Annex
“A” and made an integral part
hereof;
3.
That we inherited the said parcel
of land from the late ______________________, married to _________________________, by virtue of the document known as “________________________________” dated ______________________ entered
as Doc No. ____, Page No. ____________, Book ___ and Series of ________ in the notarial book of
Atty. ________________. A copy is hereto attached and marked as Annex “A” and
made an integral part hereof;
4. That the original copy of _______________________ is not known
to us thus we cannot process the titling of the land that we inherited.
However, it has come to my knowledge that certain __________________ (granddaughter
of __________________________) is presently claiming to still have an interest over the
aforementioned parcel of land.
5. That unless
an adverse claim is annotated on the above-mentioned ________________________, we
are in danger of being defrauded and deprived of our just and valid right over
the above-mentioned parcel of land and, as such, we are executing this
Affidavit in support of our request for the annotation of an adverse claim over
the parcel of land described herein.
IN WITNESS
WHEREOF, we have hereunto affixed our signatures this ____________________ at
Dumaguete City, Negros Oriental, Philippines.
|
_______________________ AFFIANT _________________ |
__________________________ AFFIANT _________________ |
SUBSCRIBED
AND SWORN to before me this ___________________, at Dumaguete City,
Philippines, affiant exhibited to me their IDs mentioned above.
Doc. No.
_____;
Page No.
_____;
Book No. _____;
Series of
2024
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