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Republic of the Philippines)

City of Meycauayan ) S.S.

Province of Bulacan )


I, ___________________, of legal age, single, Filipino, and presently residing at

B22L34 Topaz St., Citation Homes, Bahay Pare, Meycauayan City, Bulacan, after having
been duly sworn to in accordance with law, do hereby depose and say that:

1. I am the true and registered owner of a parcel of land located at

___________________, and covered by Transfer Certificate Title No.

2. I acquired the property through “___________________rtgage,” and said

acquisition was entered as entry no. __________________ dated ______________.
Said entry caused the cancellation of previous title, TCT No. ______________- in lieu of
Transfer Certificate of Title No. ________________ which is now under my name

3. However, upon the issuance of the new Transfer Certificate of Title No.
_______________________, I noticed that there were two annotations in the new title,
which should not have been annotated therein, particularly Entry Nos. _____________-,
pertaining to the mortgage of the property in favor of _______________________.;

4. The said entries are deemed cancelled by the fact of my redemption of

the said property, as entered in the cancelled Certificate of Title No. _______________,
particularly Entry No. _______________, Date of instrument: 20 November 2013; Date
of Inscription: 30 January 2014 at 8:50 A.M;

5. Hence, the said mortgages to ______________t, as stated in the said

entries _________________ should not be included in the new Transfer Certificate of
Title No. ______________;

6. In order to reflect the true and absolute ownership of the property by the
new registered owner, I _________________________, respectfully request the
Registry of Deeds of Meycauayan, Bulacan, to remove the Memorandum of
_____________________ and ____________________ in the Transfer Certificate of
Title No. _________________________;

7. I am executing this Affidavit to attest to the truth of the foregoing, and to

be able to clear any discrepancy and/or confusion, which may have been caused by the
inadvertent annotation of Entries ______________________ in the said Transfer
Certificate of Title No. ________________________.



SUBSCRIBED AND SWORN TO before me this 22nd day of July 2014. Affiant
exhibited to me his Driver’s License No. __________________ as evidence of his

Doc. No. ____;

Page No. ___;
Book No. ____;
Series of ____.