Adverse Claim for Transferred Rights over Real Property)
REPUBLIC OF THE PHILIPPINES) Province of ____________________ ) ____________________ ) S.S. City/Municipality of _____________ ) _____________ ) x-----------------------x
AFFIDAVIT AFFIDAVIT OF ADVERSE CLAIM
I, _____________ I, _____________ , of legal age, Filipino, (single / married / widow), and a resident of _____________ of _____________ ,, after having been sworn to in accordance with law, depose and say:
That
I
am
one
of
the
heirs
of
the
late
_____________ .. _____________
That That a cert certai ain n _____________ previously ente entere red d into into a Deed eed of Cond Conditi itiona onall Sale Sale with with the (Gov (Governm ernment ent Serv Service ice Insu Insuran rance ce Syst System em (GSIS) or Pag-IBIG) for the purchase of a parcel of land (including the improvements thereon) located at _____________ _____________ ,, more particularly described as follows:
(Technical Description of Property) That on _____________ _____________ ,, _____________ executed a (Deed of Transfer of Ri Righ ghts ts / As Assu sump mpti tion on of Ob Obli liga gati tion ons) s) in favor of the late _____________ ,, which _____________ which docume document nt is more more parti particul cularly arly iden identif tified ied as Document No. ______ No. ______ , Page No. ______ No. ______ , Book No. ______ No. ______ , Series of ______ in ______ in the Notarial Register of Notary Public _____________ and a copy of which is attached herein. That in said (Deed of Transfer of Rights / Assumption of Obligations) , _____________ ,, for val _____________ valuab uable conside iderat ration ion rece eceive ived, CEDED, TRANSF TRANSFERR ERRED ED AND CONVEYE CONVEYED D to _____________ _____________ ,, his his heir heirs, s, successors and/or assigns, all his rights, interest and participation in
the
purchase
of
the
aforedescribed
parcel
of
land.
That as such, _____________ has since then relinquished all his rights, interest interest and partici participati pation on over the aforede aforedescri scribed bed parcel parcel of land in favor of the late _____________ late _____________ and and his heirs. However, it has come to my knowledge that _____________ is presently claiming to still have an interest over the aforementioned parcel of land and is attempting to sell or dispose of the same despite the fact that he has has alre alread ady y conv convey eyed ed all all his his righ rights ts and and inte intere rest sts s ther thereo eon n to _____________ and his heirs.
That unless an adverse claim is annotated on the aforedescribed Transfer Certificate of Title, the heirs of _____________ of _____________ are in danger of being defr defrau aude ded d and and depr depriv ived ed of thei theirr just just and vali valid d righ rightt over over the the afor afored edes escr crib ibed ed parc parcel el of land land and, and, as such such,, I am exec execut utin ing g this this Affidavit in support of my request for the annotation of an adverse claim over the parcel of land described herein. FURTHER
AFFIANT
SAYETH
NAUGHT.
IN WITNESS WHEREOF, I have hereunto set my hand this _____________ ,, in the _____________ the City City / Muni Munici cipa pali lity ty of _____________ , Philipp Philippines ines..
AFFIANT
(JURAT)
