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REPUBLIC OF THE PHILIPPINES )

SAN JUAN, BATANGAS ) S.S.

AFFIDAVIT OF WAIVER & RELINQUISHMENT OF RIGHT

WE, HEIRS OF MARIO TOLENTINO, namely surviving spouse AUREA


ALMERON TOLENTINO, children MARIANE T. JABILI married to Victor
Jabili and DEANNA ROSE A. TOLENTINO, single, all of legal age, Filipino,
and with postal address at Brgy. Putingkahoy, Rosario, Batangas, after being
duly sworn in accordance with law hereby depose and state that;

1. WE are legitimate heirs of the deceased MARIO TOLENTINO, who


died on March 22, 2002 at Muntinlupa City and a farm beneficiary under
the CAR program;

2. That said deceased died before the CLOA be issued and thus, WE,
MARIANE T. JABILI married to Victor Jabili and DEANNA ROSE A.
TOLENTINO, have herein agreed to surrender our rights and, in
gratitude, had, by virtue of this statement waive, renounce and relinquish
our claim in favor of our mother AUREA A. TOLENTINO the interest over
the farm lot due to our father;

3. That WE are executing this affidavit to attest to the truth of the


foregoing and for whatever legal purpose it may serve.

Ang salaysay na ito ay naipaliwanag sa amin sa wikang aming nauunawaan.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


_______________ at San Juan, Batangas.

AUREA ALMERON TOLENTINO DEANNA ROSE A. TOLENTINO

MARIANE T. JABILI with my conformity Victor Jabili

SUBSCRIBED AND SWORN to before me, this ___________________, at San


Juan, Batangas; affiant exhibited their respective Competent Evidence of Identity.

Doc. No. ______;


Page No. ______;
Book No.______;
Series of 2016

REPUBLIC OF THE PHILIPPINES )


SAN JUAN, BATANGAS ) s.s.
AFFIDAVIT OF UNDERTAKING

I, AUREA A. TOLENTINO, of legal age, widow, Filipino and with residence


address at San Isidro, Rosario, Batangas, after being duly sworn in accordance
with law hereby depose and state that:

1. I am the TRANSFEREE farm beneficiary of my deceased husband MARIO


TOLENTINO;

2. As TRANSFREE thereof, I undertake to keep and maintain the


productivity of the subject land and abide by the rules and regulations
governing the CAR program and of being a farm beneficiary;

3. I am executing this affidavit to attest to the truth of the foregoing and to


assure the Department of Agrarian Reform of the aforementioned
undertaking.

In witness whereof, I have hereunto affixed my signature this


___________________ at San Juan, Batangas.

AUREA A. TOLENTINO
TIN – 124-583-191

SUBSCRIBED AND SWORN to before me the following at the place and date
above-stated:

Doc. No. ;
Page No. ;
Book No. ;
Series of 2016

REPUBLIC OF THE PHILIPPINES )


SAN JUAN, BATANGAS ) S.S.
AFFIDAVIT OF TRANSFEREE

I, AUREA A. TOLENTINO, of legal age, widow, Filipino and with


residence address at San Isidro, Rosario, Batangas, after being duly sworn in
accordance with law hereby depose and state:

1. That I own a total aggregate landholding, including the area of THREE


THOUSAND TWO HUNDRED EIGHTY EIGHT (3,288) SQUARE METERS farm lot
awarded to my deceased husband Mario Tolentino, of not more than five (5)
hectares;

2. That this Affidavit is executed in compliance with DAR Administrative


Order No. 1, Series of 1989 as well as to show proof that my total aggregate
landholding inclusive of the land subject of above-mentioned transaction does
not exceed five (5) hectares.

AFFIANTS SAYETH NONE.

AUREA A. TOLENTINO
Affiant

SUBSCRIBED AND SWORN to before me this _____day of ___________________ at


San Juan, Batangas, with affiants exhibiting to me her
_____________________________________.

The Regional Director


Department of Agrarian Reform
Thru: PARO
Lipa City

MARO
Rosario, Batangas

SIR:

May I have the honor to request to transfer to the undersigned


the CLOA to be issued to my deceased husband Mario Tolentino
subject to compliance to any/all the necessary requirement as farm
beneficiary under the CAR program.

Thank you.

Very truly yours,

________________________
Transferee- Representative

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