Republic of the Philippines)

City of Masbate………………) S.S.

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

AFFIDAVIT OF HEIRSHIP
We, ______________________________, ______________________________,
______________________________, and ______________________________, all of
legal age, Filipino, married, residents of ____________________________________,
after having been duly sworn to pursuant to law, hereby depose and say:

1. That, our father/mother ______________________________died intestate on

______________ in ______________________________ leaving without a will or
testament but left a parcel of land awarded to him/her by the Department of
Agrarian Reform particularly described as follows:

OCT/TCT No. :
EP/CLOA No. :
Lot No. :
Area (sqm) :
Location :

2. That, said deceased was survived by the following children/spouse:

Name Relationship Date of Birth

3. That, in view of the above facts and circumstances, we are the only lawful co-
owners over the said landholding;

4. That, we are executing this affidavit to attest to the veracity of the foregoing
statements.

IN TRUTH WHEREOF, we have hereunto set our hand this _____ day of
___________, 2019 in Masbate City, Philippines.
AFFIANT SIGNATURE I.D./CTC NO.

SUBSCRIBED AND SWORN to before me this _____ day of _________, 2019 in

Masbate City, Masbate, Philippines. The affiant exhibited his valid proof of identity as
shown below his name.

Doc. No. ____;

Page No. ____;
Book No. ____;
Series of 20____;