Republic of the Philippines )

Province of Cavite )
Municipality/ City of )

AFFIDAVIT OF HEIRS/NON-TENANCY & NO PENDING CASE

I, _____________________________________, both of legal age, Filipino

Citizen with the residence and postal address at ________________________
Philippines, after having been duly sworn to according to law deposes and says:

That the total landholdings of our deceased parents are their retention or portion of
their retention area of not more than five (5) hectares.

That as legal heirs, our total aggregate landholdings including the area of
_______that we inherited from them under Doc. No. ______, Page No. ______, Book
No._______, Series of _______of Notary Public__________________________ dated
_______________, is my/ our retention area of not more than five (5) hectares.

That the said parcel of land has NO PENDING CASE.

That this affidavit is executed in compliance with DAR Administrative Order No. 4,
Series of 2021 as well as to show the proof that our aggregate landholding inclusive of
the land subject for inheritance does not exceed five (5) hectares and the same is NOT
TENANTED.

AFFIANT SAYETH NAUGHT

___________________________ ______________________________
SELLER/ HEIR SELLER/ HEIR

SUBSCRIBED AND SWORN to before me this _______ day of_______20_____, at

________________________, affiant exhibiting to me his/her____________________.

Notary Pubic

Doc. No. _____

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