Republic of the Philippines

Department of Environment and Natural Resources

CALABARZON REGION
COMMUNITY ENVIRONMENT AND NATURAL RESOURCES OFFICE
Brgy. Marawoy, Lipa City, Batangas

JOINT AFFIDAVIT IN SUPPORT OF

FREE PATENT APPLICATION

REPUBLIC OF THE PHILIPPINES )

PROVINCE OF BATANGAS : S.S.
MUN./CITY OF _______________ )

WE,____________________________________ married to ________________________

_________________________________________married to _______________________________
Both Filipino, of legal ages, and residents of the Municipality of ________________, Province of
Batangas, after having been duly sworn to in accordance with law depose and say :

1. That we personally know ___________________ who has filed Free Patent Application
No. _____________ for a tract of land located in the Municipality of ____________, Province of
Batangas;

2. That we are actual residents of the said Municipality of __________________ and we

know the land applied for very well as we are the owners of the land adjacent thereof;

3. That the said applicant has continuously occupied and cultivated the land by himself/or
his predecessor-in-interest for a period of thirty (30) years and have paid real estate tax hereon
prior to the effectivity of Republic Act. No. 6940 which took effect on April 16, 1990 and it is
free from claim and conflict;

4. That we are not related to the applicant either by consanguinity or by affinity and we are
not personally interested in the land applied for nor in the granting of patent; and

5. That to the best of our knowledge, belief and information, the applicant is a natural born
Filipino citizen of the Philippines, and is not the owner of more than twelve (120) hectares of the
land in the Philippines.

IN WITNESS WHEREOF, we have hereunto set our hands and signed this affidavit this
_____day of________________________ 20_____ in the Municipality of _________________,
Province of Batangas.

Affiant Affiant

Res. Cert. No. ___________________ Res. Cert. No. ___________________

Issued On ______________________ Issued On ______________________
Issued At _______________________ Issued At _______________________

SUBSCRIBED AND SWORN TO BEFORE ME ON THE DATE AND PLACE

STATED ABOVE

Officer Authorized to Administer Oath

LMO/Land Investigator/LMI/DPLI