REPUBLIC OF THE PHILIPPINES)
PASAY CITY ) S.S.
x-----------------------------------------------x
AFFIDAVIT OF SELF ADJUDICATION
I, ____________________ of legal age, Filipino and with address at ____________, after having been duly sworn to law, depose and state:
1. That I am the only son / daughter of TERESO F. GERONIMO, who died without any last will and testament on _________ in Malibay, Pasay City,
2. That at the time his death, my father had no debts, liabilities or obligations to any persons, agency or institution;
3. That the only property he left is a parcel of land consisting of more or less SEVENTY NINE (79) square meters located in Malibay, Pasay City more particularly described in TCT No. 107136 hereto attached and made an integral part of this Affidavit;
4. That pursuant to Rule 74, Sec. 1 of the Rules of Court, I hereby adjudicate unto myself the above-described real estate by means of this Affidavit;
5. That I am executing this affidavit of self-adjudication to request the registry of deeds of Pasay City that this said adjudication be made effective without judicial proceeding as prescribed by the aforementioned provision of the Rules of Court.
IN WITNESS WHEREOF, I hereby affix my signature this ___________ 2019.
_______________________
(Affiant)
SUBSCRIBED AND SWORN to before me this ____________; affiant exhibited to me a competent I.D., a photocopy of which is hereto attached and form as part of this instrument.
DOC. NO._______;
BOOK NO._______; NOTARY PUBLIC
PAGE NO.________;
SERIES OF 2019.
PASAY CITY ) S.S.
x-----------------------------------------------x
AFFIDAVIT OF SELF ADJUDICATION
I, ____________________ of legal age, Filipino and with address at ____________, after having been duly sworn to law, depose and state:
1. That I am the only son / daughter of TERESO F. GERONIMO, who died without any last will and testament on _________ in Malibay, Pasay City,
2. That at the time his death, my father had no debts, liabilities or obligations to any persons, agency or institution;
3. That the only property he left is a parcel of land consisting of more or less SEVENTY NINE (79) square meters located in Malibay, Pasay City more particularly described in TCT No. 107136 hereto attached and made an integral part of this Affidavit;
4. That pursuant to Rule 74, Sec. 1 of the Rules of Court, I hereby adjudicate unto myself the above-described real estate by means of this Affidavit;
5. That I am executing this affidavit of self-adjudication to request the registry of deeds of Pasay City that this said adjudication be made effective without judicial proceeding as prescribed by the aforementioned provision of the Rules of Court.
IN WITNESS WHEREOF, I hereby affix my signature this ___________ 2019.
_______________________
(Affiant)
SUBSCRIBED AND SWORN to before me this ____________; affiant exhibited to me a competent I.D., a photocopy of which is hereto attached and form as part of this instrument.
DOC. NO._______;
BOOK NO._______; NOTARY PUBLIC
PAGE NO.________;
SERIES OF 2019.