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REPUBLIC OF THE PHILIPPINES )

PROVINCE OF NEGROS ORIENTAL)S.S.


DUMAGUETE CITY )

AFFIDAVIT OF HEIR TRANSFEREE

I, FREMONE S. CABALLER, of legal age, Filipino, widower, with residence and


postal address at San Jose Extension, Dumaguete City, Negros Oriental, Philippines,
after having been duly sworn to in accordance with law, do hereby dispose and say;

1. That I am the transferee of a parcel of land known as Lot no. 4500-A,


covered by TCT No. 16757 which parcel of land is situated in
Bajumpandan, Dumaguete City, Negros Oriental;

2. That I inherited the said parcel of land with an area of TWO THOUSAND
EIGHT HUNDRED FORTY (2,840) square meters, more or less from my late
mother, FREDESWINDA S. CABALLERO through a Declaration of Sole Heirship
with Deed of Absolute Sale, docketed as Doc. No. 514; Page No.104; Book
No. V; Series of 2022; of the Notarial Register of Notary Public Atty. Louie A.
Rastica dated January 17, 2022;

3. That this affidavit is executed in compliance with DAR Administrative Order


No. 1, Series of 1989 as well as to show proof that the land subject of the
above-mentioned transaction inclusive of our total landholdings does not
exceed five (5) hectares.

4. That the subject lot is not tenanted and there is no pending case before the
regular courts or any other tribunal involving the subject land.

IN WITNESS WHEREOF, We hereby affix our signatures this ____________ `at


Dumaguete City, Negros Oriental, Philippines.

FREMONE S. CABALLERO
Affiant

TIN 114-974-225

SUBSCRIBED AND SWORN to before me this _______________, at


Dumaguete City,Negros Oriental, Philippines, affiant exhibiting his valid id shown below
his name.

Doc No.___
Page No.___
Book No.___
Series of 2022

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