REPUBLIC OF THE PHILIPPINES)

x-------------------x

AFFIDAVIT OF SELF-ADJUDICATION

I, of legal age, Filipino, widow, and a resident Philippines, after being

sworn in accordance with law, depose and state:

1. That I am the sole and lawful heir of JESUS who died intestate on
1995 at Capiz;

2. That during his lifetime inherited the entire Lot. No. 1 from his
deceased mother, who is one of the registered owner;

3. That acquired the other portion of lot 1 from her con-owners the
wife of, both died without issue and were died ahead of;

4. That said deceased left a certain parcel of land covered by Original

Certificate of Title No. and more particularly described as follows:

5. That said deceased left no debts, nor any Last Will and Testament;

IN WITNESS WHEREOF, I have hereunto set my hand this

_____________ in Philippines.

AFFIANT

REPUBLIC OF THE PHILIPPINES)

CITY OF ) SS.

ACKNOWLEDGMENT

BEFORE ME, a Notary Public for and in the City of Roxas, personally
appeared with Community Tax Certificate No. issued, known to me and to
me known to be the same person who executed the foregoing instrument
which she acknowledged to me as her free and voluntary act and deed,
consisting of only two (2) page/s, including this page in which this
Acknowledgement is written, duly signed by her and her instrumental
witnesses on each and every page hereof.

WITNESS MY HAND AND SEAL this _____________ at City.