Republic of the Philippines

Region _________________
Province of _______________
_______________________________

AFFIDAVIT OF ADJOINING OWNERS

We, _________________, _________________, and ___________________, of legal ages, and
residents of _________________ after being sworn according to law, hereby depose and state
that:

1. We know that ______________________ is the owner of the piece of land, located in

________________________ which property contains an area of 3,506 square
meters, and more particularly described as;

_________________________________________________________________________________________________
_________________________________________________________________________________________________
_____________________________________________________________________________________

2. A Property Identification Map of the land described above is herewith

attached;

3. We are the owners of the land adjoining the real property of

________________________, particularly described above, and we hereby declare
that there is no conflict between us with respect to said boundaries;

4. We know that he acquired said property from______________by

purchase/inheritance/donation/judicial proceedings;

5. ______________________________________ and predecessors in interest have been

open, continuous and uninterrupted possession of the land as owner since
1980;

6. We do not know of any claim of other person on said property;

7. We execute the foregoing statements out of our own free will and according
to our best knowledge and belief;

IN WITNESS WHEREOF, we hereunto set our hands and affixed our signature this
__________day of June 2017 at ______________________.

__________________ ___________________
CTC NO. CTC NO.
Issued on Issued on
Issued at _________________ Issued at ______________

__________________________
CTC NO.
Issued on
Issued at ___________________
ACKNOWLEDGMENT:
REPUBLIC OF THE PHILIPPINES:PROVINCE OF _____________:MUNICIPALITY _________________) S.S.
BEFORE ME, a Notary Public personally appeared, known to me and to me known to
be the same persons who executed the foregoing instrument, and they acknowledged to me
that the same is their free act and deed.

Doc No._________
Page No.________
Book No._______
Series of 2017