(Affidavit for Cancellation of Entries in TCT)

Republic of the Philippines)

Province of ____________________)S.S.
City/Municipality of _____________)
x------------x
AFFIDAVIT
I, _____________, of legal age, Filipino, (single / married / widow),
and a resident of _____________, Philippines, after having been duly
sworn to in accordance with law, hereby depose and state, that:
1.That I am the true and registered owner of a certain parcel of land
which is covered by Transfer Certificate of Title No. _____________,
more particularly described as follows:
(Technical Description of Property)
2.That annotated on said Transfer Certificate of Title No.
_____________ are the following entries, to wit:
3.That the effectivity and efficacy of said entries have since expired as
shown by the dates thereon and/or were correspondingly superseded
by other entries which are also being caused to be cancelled in view of
the fact that the party to said annotation has registered no opposition
to its cancellation.
4.That I am executing this affidavit purposely requesting the Register
of Deeds to cause the cancellation of the above-mentioned entries in
the aforementioned Transfer Certificate of Title.
IN WITNESS WHEREOF, I have hereunto affixed my signature this
_____________ at _____________, Philippines.
Affiant

(JURAT)