Affidavit - Quit Claim
Affidavit - Quit Claim
Affidavit - Quit Claim
PROVINCE OF LEYTE
) S.S
MUNICIPALITY OF BURAUEN
)
AFFIDAVIT OF POSSESSION WITH QUIT CLAIM
(Unregistered Land)
I, ____________________________, of legal age, Filipino, married/single and a
resident of
_________________________________________________________ having been duly sworn to
in accordance with law, depose and say:
1. That I am the owner and possesor of an unregistered land, covered by Tax
Declaration
No.
_________________________,
situated
at
_______________________________________,
and more particularly described as follows:
(Give technical description of lot location.)
2. That
I
obtained
this
unregistered
land
thru
_______________________________________
__________________________________________________________________________;
3. That I have been in possession of this land for ______ years since
_____________________, my possession being in the concept of owner, open,
adverse, continuous, and exclusive against the whole world;
4. That there is no dispute or conflict over the boundary and ownership of
said property.
5. That trees/plants/structures were introduced on said parcels and I am not
interested in the value of said trees/crops, structures damaged or be
damaged by the __________________
__________________________________________________ Project, in the amount
of
Philippine
Pesos
_______________________________________
(P
_________________);
That I HEREBY WAIVE, RENOUNCE AND QUIT CLAIMS to any and all
claims I have or might have against the Municipality/Province of
___________________________________________;
That all expenses incurred in connection with the execution of this instrument
such as documentary stamps, notarial fees, cost of registration and other incidental
expenses shall be borne by the DONEE.
IN WITNESS WHEREOF,
I have hereunto affixed my signature this
______ day of ____________, 2014 in __________________________________________.
________________________________
Land Owner
Attested by:
_________________________________
___________________________________
_________________________________
___________________________________
_________________________________
___________________________________