REPUBLIC OF THE PHILIPPINES)

CITY OF DUMAGUETE, NEGROS ORIENTAL ) S.S.

x----------------------------x

AFFIDAVIT

I, of legal age, single and currently residing at 524 Perdices St.,

Dumaguete City, Philippines, after having been sworn in accordance
with law, depose and say:

1. That I am the only surviving son of one, named Johnny

Bravo who died intestate in the Municipality of Sibulan,Negros
Oriental, Philippines, on January 1, 2018 as evidenced by Death
Certificate issued by the Local Civil Registry hereto attached as
“ANNEX A” and made an integral part of this Affidavit;

2. That said deceased left an estate consisting of a parcel of

agricultural land measuring 10,000 sq. m., located in the Municipality
of Tampukon, Sibulan, Negros Oriental, and evidenced by Transfer of
Title No. 6799 of the Registry of Deeds of the Province of Negros
Oriental;

3. That the said parcel of land is more particularly described as

follows, to wit:

TRANSFER CERTIFICATE OF TITLE NO. T-6799

TECHNICAL DESCRIPTIONS
LOT 2006-A, PLS 701

"A PARCEL OF LAND (Lot 2006-A, PLS 701),

situated in the Municipality of Tampukon, Sibulan, Negros
Oriental, containing an area of TEN THOUSAND (10,000)
SQUARE METERS, more or less. All points referred to
are indicated on plan and are marked on the attached as
“Annex B."
 4. That said deceased left a vehicle Mitsubishi Montero Sport,
2016 Model, with Plate Number 14344, with OR and CR
marked on the attached as “Annex C”;

5. That said deceased left a House and Lot located in Camella

Homes, Candau-ay, Dumaguete City, with a lot area at 212
sq. m., and a floor area of 170 sq. m., with TCT copy
attached as “Annex D”;

6. That said deceased left no debts;

7. 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 and hereby files same with the Register of
Deeds of Province of Negros Oriental with the request that said
adjudication be made effective without judicial proceedings as
prescribed by the aforementioned Rules of Court.

IN WITNESS WHEREOF, I have hereunto set my hand this

16th day of February, 2018 in Dumaguete City, Philippines.

Juan Bravo
Affiant
SUBSCRIBED AND SWORN to before me, this 15 th day of February
2018 in the City of Dumaguete, by JUAN BRAVO with Passport
No.0987654321 issued on January 4, 2018 at Dumaguete City,
Negros Oriental, Philippines.