Republic of the Philippines) Province of ____________________) S.S.

City/Municipality of _____________) x-----------------------x AFFIDAVIT OF CANCELLATION OF ENTRY

I, _____________, of legal age, Filipino, (single / married / widow), and a resident of _____________, Philippines, after having been duly sworn to in accordance with law, hereby depose and state, that: 1. That I am the true and registered owner of a certain parcel of land which is covered by Transfer Certificate of Title No. _____________, more particularly described as follows: (Technical Description of Property) 2. That annotated on said Transfer Certificate of Title No. _____________ are the following entries, to wit: 3. That the effectivity and efficacy of said entries have since expired as shown by the dates thereon and/or were correspondingly superseded by other entries which are also being caused to be cancelled in view of the fact that the party to said annotation has registered no opposition to its cancellation. 4. That I am executing this affidavit purposely requesting the Register of Deeds to cause the cancellation of the above-mentioned entries in the aforementioned Transfer Certificate of Title.

IN WITNESS WHEREOF, I have hereunto affixed my signature this _____________ at _____________, Philippines. Affiant

SUBSCRIBED AND SWORN TO BEFORE ME this ___ day of ___________, 2012, in the City of _____________, Philippines, affiant exhibited to me his _______ ID expiring on _________, issued at __________, as valid proof of his identity. Doc No. ____; Page No. ____: Book No. ___; Series of 2012.