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REPUBLIC OF THE PHILIPPINES)

PROVINCE OF MARINDUQUE ) S.S.


MUNICIPALITY OF MOGPOG )
x----------------------------------------x

AFFIDAVIT OF ADVERSE CLAIM

I, MARIE B. DELA CRUZ, of legal age, Filipino, single and a


resident of 2223 Washington Street, Pio del Pilar, Makati City, after
having been duly sworn to in accordance with law, depose and
state:

1. That on July 10, 2013, I have entered into a Deed


of Conditional Sale which was acknowledged on the same
date before Notary Public Juan Tamad of Makati City and
entered in his Notarial Register as Doc. No. 2, Page 2, Book
II, Series of 2013. A copy of the said Deed is hereto attached
as ANNEX “A” and made an integral part of this Affidavit;
2. That in the said Deed of Conditional Sale, I was the VENDEE
of a certain parcel of land covered by Transfer Certificate of
Title No. 111222, more particularly described as follows:

(Technical Description of Property)

3. That because I still have a balance on the purchase price in


the amount of P500,000.00 which is payable within one (1)
(year) from the date of signing thereof, it was stipulated in
the aforementioned Deed that title and ownership over the
subject property will only be transferred upon full payment of
the same;
4. That the VENDOR in the said Deed of Conditional Sale
agreed that upon its execution, said Deed shall be annotated
in the Title with the Office of the Register of Deeds of Makati
City;
5. However, since the said Deed of Conditional Sale per se could
not be annotated on the Title with the Office of the Register of
Deeds, I am therefore executing this Affidavit for the purpose
of attesting to the truthfulness of the foregoing allegations
and in support of my request for the annotation of an
adverse claim over the parcel of land covered by the Transfer
Certificate of Title No. 111222.

IN WITNESS WHEREOF, I have hereunto set my hand this


26th day of September 2013 in Makati City, Metro Manila,
Philippines.
MARIE B. DELA CRUZ
Affiant

SUBSCRIBED AND SWORN TO before me this 26th day of


September 2013 in Makati City, Metro Manila, 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. _____;


Page No. _____;
Book No. _____;
Series of 2013.

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