AFFIDAVIT OF ADJUDICATION BY SOLE HEIR OF ESTATE OF DECEASED PERSON
AFFIDAVIT REPUBLIC OF THE PHILIPPINES ) CITY OF _________________ )
S.S.
I, ___________________, of legal age, single and now residing at
________________, Philippines, after having been sworn in accordance with law, depose and say: 1. That I am the only surviving son of__________________, who died intestate in the municipality of _________________, Philippines on _____________________, as evidenced by Death Certificate issued by the ______________________ hereto attached as Annex A and made integral part of this Affidavit; 2. That said deceased left an estate consisting of a parcel of land measuring __________________sq.m. located in the municipality of _______________, and evidenced by Transfer Certificate of Title No. _______________________of the Registry of Deeds of________________; 3. That the said parcel of land is more particularly described as follows: (description) 4. That said deceased left no debts; 5. That pursuant to Rule 74, Sec 1 of the Rules od Court, I hereby adjudicate unto myself the above described real estate by means of this Affidavit and hereby file the same with the Register of Deeds of ______ with the request that said adjudication be made effective without judicial proceedings as described by the aforementioned Rules of Court. IN WITNESS WHEREOF, I have hereunto set my hand this ___day of _______, 2_______, in ________, Philippines. Signature of Affiant JURAT