Republic of the Philippines

City of Lucena

)
) S.S.
AFFIDAVIT OF REQUEST

I, WILLIAM L. MASBATE, of legal age, Filipino and a resident of No.

Dama De Noche, Silangang Mayao, Lucena City,after having been duly sworn to
in accordance with law hereby depose and state:
That I am the authorized representative Dominador N.
Daleon Homeowners Association, Incorporated, with Board
Resolution attached herein as Annexed A, over a parcel of land
covered by Transfer Certificate of Title Nos. T-52257 situated at
Brgy. Silangang Mayao, Lucena City;
That the portion of each of the one hundred nineteen (119)
parcels of land, to wit:
Title
Lot No.
Area
Portion
T-52257
-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-

1 -Block 1
2 -Block 1
3 -Block 1
4 -Block 1
5 -Block 1
6 -Block 1
7- Block 1
8 -Block 1
9 -Block 1
10-Block 1
11-Block 1
1 Block 2
2-Block 2
3-Block 2
4-Block 2
5-Block 2
6-Block 2
7-Block 2
8-Block 2
9-Block 2
10-Block 2
11-Block 2
12-Block 2
13-Block 2
14-Block 2
15-Block 2

-do-do-do-

16-Block 2
17-Block 2
18-Block 2

10,230 sq.m.
-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do- do-do-do-do-do-do-do-

76
63
63
63
76
76
62
62
62
62
77
76
62
62
62
62
62
62
61
80
80
63
62
62
62
62
62
62
76

-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-

1-Block 3
2-Block 3
3-Block 3
4-Block 3
5-Block 3
6-Block 3
7-Block 3
8-Block 3
1-Block 4
2-Block 4
3-Block 4
4-Block 4
5-Block 4
6-Block 4
7-Block 4
8-Block 4
9-Block 4
10-Block 4
11-Block 4
12-Block 4
13-Block 4
1-Block 5
2-Block 5
3-Block 5
4-Block 5
5-Block 5
6-Block 5
7-Block 5
8-Block 5
9-Block 5
10-Block 5
11-Block 5
12-Block 5
13-Block 5
14-Block 5
1-Block 6
2-Block 6
3-Block 6
4-Block 6
1-Block 7
2-Block 7
3-Block 7
4-Block 7
5-Block 7
6-Block 7
7-Block 7
8-Block 7
9-Block 7
10-Block 7

-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-

63
65
60
60
60
60
65
63
60
60
60
60
60
62
76
76
72
72
70
63
60
60
60
65
65
60
60
65
65
65
65
65
63
60
60
60
60
60
60
66
60
60

64
60
64
64
60
60
60

-do-do-do-do-do-do-do-do-do-do-do-do-do-

11-Block 7
12-Block 7
13-Block 7
14-Block 7
15-Block 7
1-Block 8
2-Block 8
3-Block 8
4-Block 8
5-Block 8
6-Block 8
7-Block 8
8-Block 8

-do-do-do-do-do-do-do-do-do-do-do-do-do-

60
60
60
60
62
74
60
60
70
65
60
60
60

-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-

9-Block 8
10-Block 8
11-Block 8
12-Block 8
14-Block 8
15-Block 8
16-Block 8
17-Block 8
18-Block 8
Block 9
Block 10
Block 11
Lot 1
Lot 2
Lot 3
Lot 4
Lot 5
Lot 6
Lot 7
Lot 8
Lot 9

-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-do-

60
60
60
60
60
60
60
60
214
96
122
481
647
68
1,442
93
57
63
189
102
300

with an aggregate and total area of only Twenty Thousand (20,000)

square meters as defined and delineated in the Sketch plan of
Geodetic Antonio Camacho, copy of which is hereto attached as
Annex F, and donated to be used as the site of the new City Hall
of Lucena City, attached herewith is the Deed of Donation as
Annex G;
That by virtue of this affidavit I hereby request the Register
of Deeds of Lucena City to issue separate title in the name of CITY
GOVERNMENT OF LUCENA duly represented by the City Mayor;

That I am executing this affidavit to attest to the truth of the

foregoing facts and/or for whatever legal purposes this may serve.
IN WITNESS WHEREOF, I have hereunto affixed my signature this ____
day of_______________, 2015 at Lucena City.

ELEANOR Y. TANTUCO
Affiant
SUBSCRIBED AND SWORN to before me at the date and place above
mentioned.