Affidavit of Self Adjudication

REPUBLIC OF THE PHILIPPINES

CITY OF TAGUIG...........................) S.S.

AFFIDAVIT OF SELF- ADJUDICATION

I, MA. LUISA A. LOPEZ, Filipino, of legal age, single, and a resident of 3626 BRGY.
ST. PUROK 6-A LOWER BICUTAN Taguig City, Philippines after having been duly sworn
to in accordance with law, do hereby depose and state, THAT:
1. I am the sole heir of the late JOSELITO A. TESORO being his sister;
2. The late JOSELITO A. TESORO passed away on July 6, 2015 and died without
any last will and testament;
3. At the time of death my brother had no debts, liabilities or obligations to any
persons, agency or institution;
4. The only property left by my late brother is (name and description of the
property);
5. As sole heir of the herein decedent, I hereby adjudicate the abovementioned
property solely for and in my name as well as any and all liabilities arising from the said
property;

6. I hereby execute this affidavit for the purpose of processing the transfer of
the said property in my name, the settlement of the estate of the late JOSELITO A.
TESORO, as well as for the release of any other claim or benefit in relation to his
death before any government/private office and banking institution and for any
other legal purpose this may best serve.
IN WITNESS WHEREOF, I hereby set my hands this October 29, 2015 at
Taguig City, Philippines.
MA.LUISA LOPEZ
Affiant

SUBSCRIBED AND SWORN to before me this October 29, 2015 at Taguig

City, Philippines. Affiant exhibited to me her Passport I.D EB39-26075 Issued
on October 11, 2011 at DFA Manila as her competent evidence of identity.

Doc. No.______;
Page No.______;
Book No._____;
Series of 2015.

(NOTARY PUBLIC)