Affidavit-Self Adjudication

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REPUBLIC OF THE PHILIPPINES )

_______________ ) SS.

AFFIDAVIT OF SELF-ADJUDICATION

I, _________________, of legal age, single, Filipino, with residence and postal


address at ___________________________, after having been sworn to in
accordance with law, hereby depose and state, that:

1. I am the daughter and the only surviving compulsory heir of


, respectively, in and both leaving no will and debts whatsoever;

2. The said decedents have left their rights and interest over a
certain property with improvements thereon, identified as
__________________with ____________________;

3. Being the sole surviving compulsory heir of the above-mentioned


decedents, I hereby adjudicate unto myself the entire above-
mentioned property in accordance with the pertinent provision of
Rule 74 of the Revised Rules of Court of the Philippines, subject
however to the section 4 of the same Rule 74;

4. I am executing this affidavit to attest to the truth of the foregoing


and for whatever legal purpose this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this ____day of


_______ 2020 in the City of San Fernando, Pampanga.

______________________
Affiant

SUBSCRIBED AND SWORN to before me this____ day of___________


in the ____________________. Affiant exhibited to me his credible Identification
Data No. _________________________issued on _____________ in
_____________________.

Doc. No.____
Page No.____
Book No.____
Series of 2020

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