Republic of the Philippines )

Province of Cavite )
Municipality/ City of )

AFFIDAVIT OF TRANSFEREE

I, _____________________________________, both of legal ages, Filipino

Citizens with postal address at __________________________________, after having
been duly sworn to in accordance with law, hereby depose and state:

1. That my aggregate landholdings in the entire Philippines, including the subject

property, that I/WE Acquiring from _______________________, single of legal
age, Filipino Citizen with residence and postal address at
_______________________ containing an area of FIVE HUNDRED (500)
SQUARE METERS under Doc. No. ______, Page No. ______, Book
No._______, Series of _______of Notary Public has not exceeded the
landownership ceiling or limit as provided under Section 6 of R.A No. 6657, as
amended;

2. That this affidavit is executed in compliance with DAR AO 4, Series of 2021, as

well as to show proof that the land subject of the above-mentioned transaction
does not exceed five (5) hectares.

IN WITNESS WHEREOF, I/We have hereunto set our hands this ___day of
__________at________________________.

___________________________
Affiant

__________________________
Affiant

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 2022.