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C I T Y OF D I P O L O G ) S.S.
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I, NOEL DALMACIO CRUZ, Filipino, of legal age, married and a resident of Sicayab,
Dipolog City, after having been sworn to an oath in accordance with law, do hereby declare:
2. That Roque Martinez Cruz owns of a parcel of land known as Lot 2558-L of the
Subdivision Plan (LRC) Psd 121433 being a portion of Lot 2558-L, Psd-75328, LRC Cad.
Rec. No. 756 situated in the Barrio of Sicayab, City of Dipolog, Island of Mindanao and
covered by Transfer Certificate of Title No. T-16071 issued by the Register of Deeds of
Dipolog City which consists of FIVE HUNDRED (500) SQUARE METERS;
4. That prior to the sale of said lot, the adjoining lot owners were notified of the sale of the
said lot by me or through my duly authorized representative;
5. That I am executing this Affidavit to attest to the truth of the foregoing facts and to
comply with the requirements of the Register of Deeds of Dipolog City.
IN WITNESS WHEREOF, we have hereunto affixed our signatures this ___ day of
August, 2018, at Dipolog City, Philippines.
Doc. No. ;
Page No. ;
Book No. ;
Series of 2018.