REPUBLIC 

OF THE PHILIPPINES)
CITY OF MALAYBALAY            ) S.S.
x----------------------------x

AFFIDAVIT OF HEIRSHIP
WITH SPECIAL POWER OF ATTORNEY

That WE, MELCHORITA BANGCAWAYAN JALBUNA, of legal age, Filipino,

and with residence at Purok 1, Banlag, Valencia City, Bukidnon; EDITHA
BANGCAWAYAN LANTONG, of legal age, Filipino, and with residence at Purok 6,
Pulong Sta. Cruz, Santa Rosa City, Laguna; NORA BANGCAWAYAN, of legal age,
Filipino, and with residence at Banlag, Valencia City, Bukidnon; JANE AMPER
GOZUM of legal age, Filipino, and with residence at San Fernando, Victoria, Tarlac,
Bukidnon; RONALD IBA AMPER, of legal age, Filipino, and with residence at Purok
5, San Isidro, Valencia City,STI, Polo, Pulong, Sta. Rosa City, Laguna; JANET A.
GALLUR of legal age, Filipino, and with residence at Banlag, Valencia City, Bukidnon
and PABLO IBA AMPER JR., of legal age, Filipino and with residence at Zone 3,
Captain Bayong, Impasug-ong, Bukidnon after having been sworn to in accordance
with law do hereby depose and say:
That We are the legal and legitimate heirs and no other of the deceased
MACARIA AMPER, who died on _____________________________ at
___________________________________________________________________;
with no known debts or whatsoever to anyone and no will of testament;
That the said deceased, at the time of his death, left a certain parcel of land in
a portion of the Collective CLOA Number 1260339 awarded by the Department of
Agrarian Reform, under Helen I. Omblero, et al., with Lot No. 2072, Pls-9 (H-16-48)
with an area of one hundred twenty one thousand six hundred forty one (120, 641)
square meters, located at Barangay Banlag, Valencia city, Bukidnon.
That we are executing this affidavit in order to attest to the truth of the
foregoing statements and for whatever legal purpose this may serve best;
That We, EDITHA BANGCAWAYAN LANTONG, NORA BANGCAWAYAN,
JANE AMPER GOZUM, RONALD IBA AMPER, JANET A. GALLUR, and PABLO IBA
AMPER JR. hereby name, appoint and constitute, MELCHORITA BANGCAWAYAN
JALBUNA as our true and lawful Attorney-In-Fact, for and in our names, with full
power and authority to do and perform any or all of the following acts:

1. To represent us regarding the issuance of individual title over the subject

landholding mentioned above;

2. To transact whatever documents pertinent to above mentioned transaction,

and to sign, execute any documents that may be necessary, proper or
convenient by our said Attorney-in-fact in relation to the same;
3. To receive the individual owner’s duplicate copy of title covering the said
landholding the moment the same is ready or available for release;

GIVING AND GRANTING unto our said Attorney-In-Fact full power and
authority to do, execute and perform every act and thing whatsoever requisite and
necessary to be done in and about the premises, as fully to all interest and purposes
we might or could do if personally present, and hereby ratifying and confirming all that
our said attorney (his/her delegate or substitute), shall lawfully do or cause to be
done by virtue of this presents.

IN WITNESS WHEREOF, we have hereunto set our hand this ____ day of
______________ in Malaybalay City, Bukidnon, Philippines.

GRANTORS/CO-HEIRS:

EDITHA BANGCAWAYAN LANTONG NORA BANGCAWAYAN

JANE AMPER GOZUM RONALD IBA AMPER

JANET A. GALLUR PABLO IBA AMPER JR.

CONFIRMED AND ACCEPTED

MELCHORITA BANGCAWAYAN JALBUNA

Attorney-In-Fact/Co-Heir

Signed in the Presence of:

Riyani Marie M. Nartea Marilyn B. Roa

ACKNOWLEDGEMENT

REPUBLIC OF THE PHILIPPINES)

City of Malaybalay ) S.S.
X------------------------------------X

BEFORE ME this _____ day of _______________, in Malaybalay City,

Philippines personally appeared the following:

NAME CTC/Government ID No.

1. Melchorita Bangcawayan Jalbuna 1321-0041A-A0666MBJ20000
2. Editha Bangcawayan Lantong CRN-0111-4545421-9
3. Nora Iba Bangcawayan CRN-003306861015-5
4. Jane Amper Gozum CRN-0001-1402511-7
5. Ronald Iba Amper CRN-0333-4654501-5
6. Janet A. Gallur 101321002-2576-00061
7. Pablo Iba Amper Jr. CRN-0008-1475313-2

known to me and to me known to be the same persons who executed the foregoing
instrument and they acknowledge to me that the same is their free and voluntary act
and deed.
 This instrument refers to an Affidavit of Heirship with Special Power of Attorney
which consist of three (3) pages, including this page wherein this acknowledgment is
written, signed by the parties and their instrumental witnesses on every page hereof.

Doc. No._______;
Page No._______;
Book No._______:
Series of _______.