Republic of the Philippines)

Province of ____________________)S.S.
City/Municipality of _____________)

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

AFFIDAVIT OF ADVERSE CLAIM

I,_____________, of legal age, Filipino, (single / married / widow), and a
resident of _____________, Philippines, after having been sworn to in
accordance with law depose and say:
1.On _____________, I have entered into a Deed of Conditional Sale which
was acknowledged on the same date before Notary Public _____________ of
_____________ and entered in his Notarial Register as Doc. No. ______;
Page No. ______; Book No. ______, Series of ______.A copy of the said
Deed is hereto attached and made an integral part of this Affidavit;
2.That in the said Deed of Conditional Sale, I was the VENDEE of a certain
parcel of land covered by Transfer Certificate of Title No. _____________,
more particularly described as follows:
Technical Description of Property)
3.That, because I still have a balance on the purchase price in the amount of
P_____________ which is payable within _____________ (______)
(year/months) from the date of signing thereof, it was stipulated in the
aforementioned Deed that title and ownership over the subject property will
only be transferred upon full payment of the same;
4.That the VENDOR in the said Deed of Conditional Sale agreed that upon its
execution, said Deed shall be annotated in the Title with the Office of the
Register of Deeds of _____________;
5. However, since the said Deed of Conditional Sale per se could not be
annotated on the Title with the Office of the Register of Deeds, I am therefore
executing this Affidavit for the purpose of attesting to the truthfulness of the
foregoing allegations and in support of my request for the annotation of an
adverse claim over the parcel of land covered by the Transfer Certificate of
Title No. _____________.
IN WITNESS WHEREOF, I have hereunto set my hand this _____________
in the City/Municipality of _____________, Philippines.
Affiant
(JURAT)

Republic of the Philippines)

Province of ________________)S.S.
City/Municipality of _____________)
x-------------x

AFFIDAVIT OF ADVERSE CLAIM

I, _____________, of legal age, Filipino, (single / married / widow), and a

resident of _____________, after having been sworn to in accordance with
law, depose and say:

That I am one of the heirs of the late _____________.

That a certain _____________ previously entered into a Deed of Conditional

Sale with the (Government Service Insurance System (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 Rights / Assumption of Obligations) in favor
of the late _____________, which document is more particularly identified as
Document No. ______, Page No. ______, Book No. ______, Series of
______ 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 valuable consideration received, ceded, transferred and
conveyed to _____________, his heirs, 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 and participation over the aforedescribed parcel of land in favor of the
late _____________ 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 already
conveyed all his rights and interests thereon to _____________ and his heirs.

That unless an adverse claim is annotated on the aforedescribed Transfer

Certificate of Title, the heirs of _____________ are in danger of being
defrauded and deprived of their just and valid right over the aforedescribed
parcel of land and, as such, I am executing 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 City / Municipality of _____________, Philippines.
Affiant

(JURAT)