Affidavit of Waiver-DAR Title

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REPUBLIC OF THE PHILIPPINES )

PROVINCE OF CAGAYAN ) S.S


CITY OF TUGUEGARAO )

AFFIDAVIT OF WAIVER OF RIGHTS

We, SPOUSES DARIO C. GAMMAD AND MERCEDES DELLONA-GAMMAD, of


legal ages, Filipinos and residents of Barangay Warat, Piat, Cagayan, after having
been duly sworn to in accordance with law, do hereby depose and state that:

1. We are the recipient of a parcel of land pursuant to P.D 27 within the Estate of
Salamanca and/or Hawkins particularly described as Lot 392 with an area of
Eighteen Thousand Nine Hundred Sixty-Seven (18, 967) square meters, more
or less under Pcs-af-02-005520(AR) in the final survey having issued
Emancipation Patent No. 00799784 located at Cabaruan, Solana, Cagayan;

2. We are voluntarily waiving all our rights, interests and privileges over the above
described parcel of land in favor of the government for the following reasons:
_______________________________________________________________
_____________________due to financial
constraints_____________________
_______________________________________________________________

3. We are executing this affidavit freely and voluntarily without being forced,
coerced or promised of reward whatsoever as the same is our act and deed;

4. We attes the foregoing facts for whatever purpose and legal intents it may
serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 29 th of July 2020 in


Tuguegarao City, Province of Cagayan.

DARIO C. GAMMAD MERCEDES DELLONA-GAMMAD


Affiant Affiant
th
SUBCRIBED AND SWORN TO, before me, this 29 of July 2020 in Tuguegarao City,
Province of Cagayan. Affiants exhibiting to me their respective valid identification
cards consisting of COMELEC I.D bearing VIN 1520-0068A-B0558DCG10000 and
CAGELCO I.D bearing no. 5092 as proof of their identity.

Doc. No. ____;


Page No. ____;
Book No.____;
Series of 2020.

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