AFFIDAVIT OF ADJUDICATION BY SOLE HEIR OF ESTATE OF DECEASED PERSON

AFFIDAVIT
REPUBLIC OF THE PHILIPPINES )
CITY OF _________________ )

S.S.

I, ___________________, of legal age, single and now residing at

________________, Philippines, after having been sworn in accordance with law,
depose and say:
1. That I am the only surviving son of__________________, who died intestate in the
municipality of _________________, Philippines on _____________________, as evidenced
by Death Certificate issued by the ______________________ hereto attached as Annex
A and made integral part of this Affidavit;
2. That said deceased left an estate consisting of a parcel of land measuring
__________________sq.m. located in the municipality of _______________, and evidenced
by Transfer Certificate of Title No. _______________________of the Registry of Deeds
of________________;
3. That the said parcel of land is more particularly described as follows:
(description)
4. That said deceased left no debts;
5. That pursuant to Rule 74, Sec 1 of the Rules od Court, I hereby adjudicate unto
myself the above described real estate by means of this Affidavit and hereby file the
same with the Register of Deeds of ______ with the request that said adjudication be
made effective without judicial proceedings as described by the aforementioned
Rules of Court.
IN WITNESS WHEREOF, I have hereunto set my hand this ___day of _______,
2_______, in ________, Philippines.
Signature of Affiant
JURAT