I, _________________, of legal age, single/married/widow, Filipino citizen, and presently residing at _____________________, after having been duly sworn to in accordance with law, do hereby depose and say:
- That I am the VENDEE of a parcel of land located at Brgy. Bilaran, Nasugbu, Batangas with an area of THIRTY FIVE THOUSAND ONE HUNDRED (35,10000) square meters, more or less, covered by Original Certificate of Title No. 954154;
- That I acquired the said parcel of land from PEDRO B. DE LA CRUZ as evidenced by a Deed of Absolute Sale entered in the notarial register of Notary Public Atty. Maria C. Gonzalez dated December 15, 2013 at Nasugbu under Doc. No. 2; Page No. 3; Book No. IV; Series of 2013;
- That this affidavit is being executed in compliance with DAR Administrative Order No._____, Series of ______ as well as to show proof that my total aggregate landholding inclusive of the land subject of the above-mentioned transaction does not exceed five (5) hectares;
- That I am executing this affidavit to attest to the truth of the foregoing facts and for whatever legal intents and purposes that it may legally serve;
IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of ___________ 20____ in ____________, _____________, Philippines.
This affidavit is to comply with Department of Agrarian Reform Administrative order 01 Series of 1989 Rules and Procedures Governing Land Transactions.