Ellema Affidavit of Self Adjudication 8 To 10 Am

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Republic of the Philippines )

MUNICIPALITY OF BARILI ) SS

AFFIDAVIT OF SELF-ADJUDICATION

I, JOSEFIA B. ROSAL, of legal age, Filipino, a resident of Poblacion, Barili,


Province of Cebu, under oath allege:

1. JUANA P. ROSAL died intestate on March 15, 2023 in Barili, Cebu


leaving behind parcels of land situated in Barili Cebu, more particularly
described as The Estate of Juana Rosal consisting of a parcel of land located
in Block 5, Butong, Barili, Cebu under the Transfer Certificate of Title No.
659614;
2. She left no debts;
3. JOSEFIA ROSAL, being her only child and her only surviving heir
executed as attached herein an Extrajudicial Declaration of Sole Heir,
adjudicate to herself the above-described property.

IN WITNESS WHEREOF, I have hereunto set my hand this 18th of


November 2023 at Poblacion, Barili, Cebu, Philippines.

JOSEFIA B. ROSAL
Affiant
ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES )


CITY OF CEBU )
S.S.

BEFORE ME, a Notary Public for and in the City of Cebu, this 18th of
November, 2023, personally appeared the following with their proofs of identity
whom I identified through the competent proof of identity under their names, and
they acknowledged before me that the same is their free and voluntary act and
deed, to wit:

Name ID TYPE AND NO. Date/Place Issued

JOSEFIA B. ROSAL PASSPORT - 030499 March 21, 2018 at Cebu City

This document consists of two (2) pages including this page in which the
acknowledgment is written and has been signed by the affiant on each and every
page.

WITNESS MY HAND AND SEAL on the 18th day of November, 2023 at Poblacion,
Barili, Cebu, Philippines.

NOTARY PUBLIC

ATTY. SHANE SHIGELA P. ELLEMA


Doc. No. 396 Notary Public Until 31 December 2023(per BM #3795)
Page No. 80 National Commission No. 109-17
Book No. 81 IBP No. 120019-1/10/23 Barili Cebu
Series of 2023. PTR No. 1981288 CY 2023 Barili Cebu
Roll No. 67452 Page #471 Book XXVIII
MCLE Compliance No. VI-11213-4/14/23

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