Republic of the Philippines )

Province of Cavite )
Municipality/ City of )

AFFIDAVIT OF TRANSFEROR

I, _________________________, married, of legal age, Filipino Citizen with

residence and postal address __________________________ after having been duly
sworn to according to law deposes and says;

1. That the land I Sold to _________________________ of legal age, Filipino

Citizen with residence and postal address at ___________________________,
Sale __________________________ Square Meters more or less a portion of
under Doc. No. ______, Page No. ______, Book No._______, Series of
_______of Notary Public ____________________is my retention area of not
more than 5 hectares.

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

property, has not exceeded the landownership ceiling or limit as provided under
section 6 R.A No. 6657, as amended;

3. That the land subject of the transaction is not tenanted;

4. That there is no pending case before the regular courts or any other tribunal
involving the land subject of the transaction;

5. That this affidavit is executed in compliance with DAR AO 4, series of 2021.

IN WITNESS WHEREOF, I have hereunto set our hands this ___day of

__________at________________________.

________________________
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.