(Declaration of Heirship / Self-Adjudication of Estate of Deceased Person)
REPUBLIC OF THE PHILIPPINES) Province of Benguet) S.S. City/Municipality of City/Municipality of Baguio) x-----------------------x AFFIDAVIT I, Samantha Co , Filipino, of legal age, single , and a resident of 7 Bokawkan Road, Baguo City, Philippines, after being sworn in accordance with law, depose and state:
1. That I am the only child and sole heir of Peter Co who died intestate on January 1, 2013 at _____________ at _____________ ; 2. That said deceased left left a certain parcel of land covered by Transfer Certificate Certificate of Title No. 12223 and more particularly described as follows: (Technical Description of Property) 3. That said deceased left no debts, nor any Last Last Will and Testament; 4. That pursuant to Sec. 1 of Rule 74 of the Revised Rules of Court of the Philippines, Philippines, I hereby adjudicate unto myself the above-described parcel of land, and the improvements found and standing thereon, and I hereby request the Register of Deeds to issue a new Transfer Certificate of Title in my name; 5. That the above-described parcel parcel of land does not come under the operation of the Comprehensive Agrarian Reform Program. IN WITNESS WHEREOF, I have hereunto set my hand this ___________ _____________ __ in _____________ , Philippines.
AFFIANT
this _____________ ______ , by the Affiant who is SUBSCRIBED AND SWORN to before me, this _______ personally personally known to me (or whom I have identified through competent evidence of identity) identity) and who exhibited his/her Community Tax Certificate No. _______ No. _____________ ______ issued at ______ _____________ _______ on _______ on _____________. ______.
NOTARY PUBLIC PUBLIC
Doc. No. ______; Page No. ______; Book No.______; Series of 20____.
Affidavit of Self Adjudication REPUBLIC OF CITY OF CEBU...........................)S.S.
THE
PHILIPPINES)
AFFIDAVIT OF SELF- ADJUDICATION
I,
(name) , Filipino, of legal age, (single/married), and a resident of (address) , Cebu City, Philippines after having been duly sworn to in accordance with law, do hereby depose and state, THAT: 1. I am the sole heir of the late biological son/daughter;
(name of decedent)
2. The late (name of decedent) and died without any last will and testament;
passed away on
being his/her only
(date of death)
3. At the time of death my father/mother had no debts, liabilities or obligations to any persons, agency or institution; 4. The only property left by my late mother is (name and description of the property); 5. As sole heir of the herein decedent, I hereby adjudicate the abovementioned property solely for and in my name as well as any and all liabilities arising from the said property; 6. I hereby execute this affidavit for the purpose of processing the transfer of the said property in my name, the settlement of the estate of the late (name of decedent) , as well as for the release of any other claim or benefit in relation to his/her death before any government/private office and banking institution and for any other legal purpose this may best serve. IN WITNESS WHEREOF, I hereby set my hands this Philippines.
(date)
at Cebu City,
(name of affiant) Affiant SUBSCRIBED AND SWORN to before me this (date) Philippines. Affiant exhibited to me his (I.D. and I.D. No.) on _________________ at ______________ as his competent evidence of identity. Doc. No.______; Page No.______; Book No._____; Series of 20____.
(NOTARY PUBLIC)
at Cebu City, issued
