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Republic of the Philippines

Province of Sorsogon S.S.

City of Sorsogon


I, NELSON C. GARGANTA, of legal age, Filipino, married and a resident of Brgy.

Macabog, Sorsogon City, do hereby depose and say:

1. That sometime in 2012, in my desire to have a land of my own, I entered into a

contract to sell of a portion (100 square meters) of real property with Mrs.
Heidy Flores, the owner of a parcel of land situated in Macabog, Sorsogon City,
Philippines, consisting of approximately Five Thousand (5,000) square meters,
and identified as a portion of Lot 1662-G-2 and covered by Transfer Certificate of
Title No. 083-2014000037 of the Registry of Deeds of Sorsogon City ;

2. That on November 11, 2012, I proceeded to the site and talked with VICTOR
BRIÑOLA who represented to me to be the owner of the piece of land as he
already bought the same from Mrs. Heidy Flores ;

3. That believing in his representation, I gave TWENTY THOUSAND PESOS (P 20,

000.00) directly to VICTOR BRIÑOLA ;

4. That VICTOR BRIÑOLA issued the corresponding receipt in my favor;

5. That upon inquiry, I found out that the property remains to be registered in the
name of Heidy Flores;

6. That after having knowledge of the same, I refused to pay anymore to VICTOR
BRIÑOLA but instead proceeded to Mr. BALBINO DURAN being the duly
authorized representative of Mrs. Heidy Flores and make the necessary
payments for such parcel of land;

7. That since then, VICTOR BRIÑOLA has started from prohibiting me from
entering the portion of property subject of sale;

8. That Mrs. Heidy Flores and I signed a contract to sell with respect to such parcel
of land;

9. That I am declaring to the best of my knowledge that the amount of TWENTY

THOUSAND PESOS (P 20, 000.00) was intended for Mrs. Heidy Flores not for

That I am executing this affidavit to attest to the truth of the foregoing facts and
circumstances and for other legal purpose that this may serve.
IN WITNESS WHEREOF, I have hereunto affixed my signature this _____ day of
__________________, 2015 at Sorsogon City, Philippines.

OSCA 04599

SUBSCRIBED AND SWORN to before me this ____ day of _________________, 2015 at

Sorsogon City.

Doc. No. _______;

Page No. _______;
Book No. _______;
Series of 2015