REPUBLIC OF THE PHILIPPINES )

___________________________ ) S.S.
___________________________ )

AFFIDAVIT OF NON-TENANCY
I, ADELFINA JECIEL ABAY, of legal age, Filipino Citizen, with residence
and postal address at 1788 Dian, Makati City, hereby depose and say:
1. That I am the registered owner of a parcel of land located at Pajo, Alfonso,
Cavite, containing an area of 23,988 square meters covered by Tax
Declaration No. 01-023-00500-A issued by the Provincial Assessor of Cavite;
2. That the above-mentioned parcel of land I sold to SANDRA M. CAM is not
tenanted;
3. That this Affidavit is executed in compliance as well as to show proof that the
land subject of the above-mentioned is not tenanted;
4. That I am executing this affidavit to attest to the foregoing facts of and for
whatever legal purpose it may serve.
IN WITNESS WHEREOF affixed my signature this ___________ at
___________________.

ADELFINA JECIEL ABAY

Affiant
SUBSCRIBED AND SWORN to before me this ________________ at
_________________________________. The Affiant exhibited to me her CTC No.
_______________ issued on ________ at ______________________.

Doc. No.
Page No.
Book No.
Series of

:
:
:
:

_____
_____
_____
2009

Notary Public

REPUBLIC OF THE PHILIPPINES

PROVINCE OF CAVITE
TRECE MARTIRES CITY

)
) S.S.
)

AFFIDAVIT OF TRANSFERORS AGGREGATE

AGRICULTURAL LANDHOLDHING IN THE ENTIRE COUNTRY
I, ADELFINA JECIEL ABAY, of legal age, Filipino Citizen, with residence and
postal address at 1788 Dian, Makati City, being duly sworn in accordance with law, do
hereby depose and say:
1. That I am the registered owner of a parcel of land parcel of land located at Pajo,
Alfonso, Cavite, containing an area of 23,988 square meters covered by Tax
Declaration No. 01-023-00500-A issued by the Provincial Assessor of Cavite
and more particularly described as follows:
Tax Declaration No. 01-023-00500-A
A parcel of land Lot situated at Pajo, Alfonso, Cavite. Bounded on
North-030 (brgy. Road, Sec. 8); on South- 043, 031, 033 (Lots 994,
9010, 996-part); East-027, 028, (lots 983, 982); and on West-025, 002,
021 (Lots 1061, 979, 997-Part) x x x x containing an area of 23,998
square meters x x x x.

3. That I have sold I sold the above-mentioned parcel of land to SANDRA M. CAM;
4. That the parcel of land has no tenant;
5. That the total aggregate landholdings throughout the Philippines that I sold to
SANDRA M. CAM under Doc. No. 101, Page No. 21, Book No. III, series of 2009
of Notary Public Atty. Wilfredo A. Ruiz dated February 4, 2009, does not exceed the
retention limit of 5 hectares, does not exceed the retention limit of 5 hectares.

6. That I have execute this affidavit in compliance with DAR Administrative

Order No. 1, Series of 1989 and to request the DAR to issue a clearance and
to permit us to register the aforementioned sale of a portion of undivided
land;
AFFIANT SAYETH NAUGHT.
IN WITNESS WHEREOF affixed my signature this ___________ at
_____________.

ADELFINA JECIEL ABAY

Affiant

SUBSCRIBED AND SWORN to before me this ________________ at

_________________________________. The Affiant exhibited to me her CTC No.
_______________ issued on ________ at ______________________.

Doc. No.
Page No.
Book No.
Series of

:
:
:
:

_____
_____
_____
2009

REPUBLIC OF THE PHILIPPINES )

___________________________
) S.S.
___________________________
)
AFFIDAVIT OF TRANSFEREES AGGREGATE
AGRICULTURAL LANDHOLDHING IN THE ENTIRE COUNTRY
I, SANDRA M. CAM, of legal age, Filipino and a resident of Pajo, Alfonso, Cavite,
being duly sworn in accordance with law, do hereby depose and say:

1. That I am the buyer of a parcel of land located at located at Pajo, Alfonso, Cavite,
containing an area of 23,988 square meters covered by Tax Declaration No. 01023-00500-A issued by the Provincial Assessor of Cavite and more particularly
described as follows:
Tax Declaration No. 01-023-00500-A
A parcel of land Lot situated at Pajo, Alfonso, Cavite. Bounded on
North-030 (brgy. Road, Sec. 8); on South- 043, 031, 033 (Lots 994,
9010, 996-part); East-027, 028, (lots 983, 982); and on West-025, 002,
021 (Lots 1061, 979, 997-Part) x x x x containing an area of 23,998
square meters x x x x.
2. That I bought
ABAY;

the above-mentioned parcel of land thereof to ADELINA JECIEL

3. That the said parcel of land has no tenant;

4. That the total aggregate landholdings throughout the Philippines including the 23,988
square meters parcel of land that I bought to ADELFINA JECIEL ABAY under Doc. No.
101, Page No. 21, Book No. III, series of 2009 of Notary Public Atty. Wilfredo A. Ruiz
dated February 4, 2009, does not exceed the retention limit of 5 hectares, does not exceed
the retention limit of 5 hectares.
5. That I have execute this affidavit in compliance with DAR Administrative Order No. 1,
Series of 1989 and to request the DAR to issue a clearance and to permit us to register the
aforementioned sale of a portion of undivided land;
AFFIANT SAYETH NAUGHT.
IN WITNESS WHEREOF affixed my signature this ___________ at _____________.

SANDRA M. CAM
Affiant
SUBRIBED AND SWORN to before me, this ______________ at _____________ .
The Affiant exhibited to me her CTC No. ______________________issued on ___________ at
__________________________..
Doc No.
Page No.
Book No.
Series of

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:
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:

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_____
_____
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Notary Public

A N N E X A
REPUBLIC OF THE PHILIPPINES )
PROVINCE OF CAVITE
) S.S.
_____________________
)
AFFIDAVIT OF BUYER/TRANSFEREE
I, SANDRA M. CAM, of legal age, Filipino and a resident of Pajo, Alfonso, Cavite ,
hereby depose and say:
1. That I own a total aggregate landholdings, including the area of 23,988
square meters that I acquiring from ADELFINA JECIEL ABAY under
Doc. No. 101, Page No. 21, Book No. III, series of 2009 of Notary Public Atty.
Wilfredo A. Ruiz dated February 4, 2009 does not exceed five (5) hectares;

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

Order No. 1, Series 1989 as well as to show proof that my total aggregate
landholding inclusive of the land subject of the above-mentioned
transaction does not exceed five (5) hectares.
AFFIANT SAYETH NAUGHT.
IN WITNESS WHEROF in this ______________ at __________________.

SANDRA M. CAM
Affiant
CTC No.
Issued On
Issued At

: _________________
: _________________
: _________________

SUBSCRIBED AND SWORN ME this __________ at ________________.

DOC NO.
PAGE NO.
BOOK NO.
SERRIES OF

:
:
:

Notary Public

A N N E X B
REPUBLIC OF THE PHILIPPINES )
PROVINCE OF CAVITE
) S.S.
_____________________
)
AFFIDAVIT OF SELLER/TRANSFEROR
I, ADELFINA JECIEL ABAY, of legal age, Filipino Citizen, with residence and
postal address at 1788 Dian Makati City, hereby depose and say:
3. That the land I sold to SANDRA M. CAM under Doc. No. 101, Page No. 21,
Book No. III, series of 2009 of Notary Public Atty. Wilfredo A. Ruiz dated
February 4, 2009 is my retention area of not more than five (5) hectares;

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

Order No. 1, series of 1989 as well as to show proof that the land subject
of above-mentioned transaction is a retention or portion of a retention
area.
AFFIANT SAYETH NAUGHT.
IN WITNESS WHEREOF on this ______________ at __________________.

ADELFINA JECIEL ABAY

Affiant
SUBSCRIBED AND SWORN ME this __________ at ________________. The
affiant exhibited to me her CTC No. _______________ issued on _______________ at
_____________

DOC NO.
PAGE NO.
BOOK NO.
SERRIES OF

:
:
:

Notary Public

Date : ___________________

MUNICIPAL AGRARIAN REFORM OFFICE

Trece Martires City
Province of Cavite
Sir/Madam:
This is to request from your good office to please issue a certification from the
Department of Agrarian Reform to authorize the undersigned to register, for the purpose
of transferring the certificate of title of the land I bought situated at Pajo, Alfonso, Cavite
under my name.

Attached hereto are the documents required by your office

Thank you for your kind consideration.

Respectfully yours,

SANDRA M. CAM
Buyer

Date : ___________________
MUNICIPAL AGRARIAN REFORM OFFICE
Trece Martires City
Province of Cavite
Sir/Madam:
This is to request from your good office to please issue a certification from the
Department of Agrarian Reform to authorize the undersigned to register, for the purpose
of transferring the certificate of title of the land I sold situated at Pajo, Alfonso, Cavite
under my name.

Attached hereto are the documents required by your office

Thank you for your kind consideration.

Respectfully yours,

ADELINA JECIEL ABAY

Seller