REPUBLIC OF THE PHILIPPINES )

PROVINCE OF CAMARINES NORTE )S.S.

MUNICIPALITY OF DAET )

AFFIDAVIT OF CONFIRMATION OF SUBDIVISION

WE, NELSON BARTOLAY, married, legal age, resident at Purok 3, Brgy. San
Lorenzo, Sta. Elena, Camarines Norte and VIRGINIA BARAGO, widow, legal age,
Pilipino, residence and with postal address at Purok 10, Brgy. Poblacion, Sta. Elena,
Camarines Norte, having been duly sworn to in accordance with law, do hereby depose
and say:

That we acquired a portion of Lot located at Purok 10, Brgy. Poblacion, Sta. elena,
Camarines Norte with the area of 293 square meters divide into the following:

Nelson Bartolay - with an area of 143 Sq. m. as Lot ___;

Virginia Barago - with an area of 150 sq. m. as Lot ___;

That we executing this affidavit of confirmation of subdivision to attest to the truth

of the forgoing facts and for all legal purpose which it may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this

______________________ at Daet, Camarines Norte.

NELSON BARTOLAY VIRGINIA BARAGO

Affiant Affiant
ID no._____________ ID no.________________

SUBSCRIBED AND SWORN to before me this _______________________ at

Daet, Camarines Norte.

Doc. No. _____;

Page no._____;
Book no._____;
Series of 2019.