REPUBLIC OF THE PHILIPPINES)

CITY OF ________________ ) S.S.

x-------------------------------------------------x

AFFIDAVIT OF AGGREGATE LANDHOLDINGS

I, ______________________________ of legal age, Filipino, Single/ Married,

and a resident of ______________________________, after having been duly sworn to
in accordance with law, depose and state:

1. That I am the registered owner of a parcel of land covered by

____________________ with an area of _____________, more or less, located
at _________________________________;

2. That aside from the above- mentioned parcel of land, there are no other
agricultural land in my name registered in ______________________, Negros
Occidental, or anywhere in the Philippines;

3. That I am executing this affidavit to attest to the truth of the foregoing facts and
for whatever legal intents and purposes that it may legally serve;

IN WITNESS WHEREOF, I have hereunto set my hand this ______ day of

__________________ in ____________________, Philippines.

________________________
Affiant
ID No. ______________________

SUBSCRIBED AND SWORN TO before me this _______ day of

_________________ in _____________________, affiant exhibiting to me his valid
proof of identification.

Doc No. ______;

Page No. ______;
Book No. ______;
Series of 20____.