SUPPLEMENTAL DEED OF ADJUDICATION WITH WAIVER OF RIGHTS

AND CONFIRMATION OF DONATION AS TO THE BUILDING/IMPROVEMENT

KNOW ALL MEN BY THESE PRESENTS:
This Supplemental Deed of Adjudication with Waiver of Rights and Confirmation of
Donation as to the Building/Improvement is made and executed in Iloilo City, Philippines, by
and between:
ROMULO DE JESUS PANGAN, of legal age, widower, Filipino and with residence address
at 77 Jalandoni Street, Jaro, Iloilo City, Philippines, hereinafter referred to as Heir/Donor;
and
MA. FLORENCIA G. PANGAN, of legal age, single, Filipino and THERESE P. PEREZ, of
legal age, married to Maath Perez, Filipino and both with residence address at 77 Jalandoni
Street, Jaro, Iloilo City, Philippines, hereinafter to referred to as Heirs/Donees;
WITNESSETH:
That, ROMULO DE JESUS PANGAN is the surviving spouse and we, MA.
FLORENCIA G. PANGAN and THERESE P. PEREZ are the surviving children of the late
Rose Marie Garcia Pangan who died intestate on March 12, 2013 at West Visayas State
University Medical Center, Jaro, Iloilo City. That the late, Rose Marie Garcia Pangan died
without leaving any debt or obligation in favor of any third party or institution. That the
decedent before her death is the co-owner of one-half of the interest in the parcel of land known,
covered by Transfer Certificate of Title No. T-23293 registered in the Registry of Deeds for the
City of Iloilo, which is more particularly described as follows:
A parcel of land )Lot 962-D-19 of the subdivision plan Psd-8880, being a portion of
Lot 962-D described on plan Psd-2163, L.R.C. Cad. Rec. No. 9959), situated in the district of
Jaro, Iloilo City, Island of Panay. Bounded on the NW along line 1-2, by Lot 962-D-7 of the
subdivision plan; on the NE along line2-3, and on the SE along line 3-4 by Lot 962-D66 of the
subdivision plan; and on the SW along line 4-1 by Lot 962-D-18 of the subdivision plan. xxx
CONTAINING AN AREA OF THREE HUNDRED AND SIXTY-TWO (362) SQUARE
METERS.xxx
That there is a RESIDENTIAL BUILDING on the above-described parcel of land with
an area of TWO HUNDRED TWENNTY FIVE and EIGHTY SQUARE METERS (225.80
sq.m), more or less. The said improvement was covered by Tax Declaration No. 15-03-02300455 with Property Identification No. 139-03-023-02-073-1001.
That the parties herein being the surviving legal heirs, by these presents, do hereby
agree to adjudicate among themselves the one-half of the interest in the above-described
RESIDENTIAL BUILDING. They do manifest that ROMULO DE JESUS PANGAN has sixty
six point sixty seven percent (66.67%) share and MA. FLORENCIA G. PANGAN and
THERESE P. PEREZ have a total of thirty three point thirty three percent (33.33%) share on the
undivided right and interest over the above-described residential building.
That pursuant to Rule 74, Sec 1 of the Rules of Court, we hereby adjudicate unto
ourselves the above-described real-estate (residential building) by means of this deed and
hereby files the same with the Register of Deeds of the City of Iloilo with the request that aid
adjudication be made effective without judicial proceedings as prescribed by the
aforementioned Rules of Court.
That by virtue of these presents, I, ROMULO DE JESUS PANGAN out of generosity,
love and affection, do hereby RELINQUISH, QUIT and WAIVE all my rights, interests,
participation and share in the entire residential building above-described in favor of my coheirs MA. FLORENCIA G. PANGAN and THERESE P. PEREZ married to Maath Perez.

The DONOR confirms that he executed a Deed of Donation last March 25, 2015 which
covers both the above described parcel of land, including all the improvements therein.
Moreover, the PARTIES confirms that they executed a Deed of Adjudication with Confirmation
of Donation last June 30, 2015 involving the parcel of land where the said
improvement/residential building was located. That the DONEES hereby accepts and receives
the donation made in her favor by the DONORS, and hereby manifests her gratefulness for the
latter's generosity.
The DONOR affirms that he no standing debts or obligations to any other third person
or entity.
IN WITNESS WHEREOF, we have hereunto set our hands this _____________ at
_______________.
___________________________
ROMULO DE JESUS PANGAN
Donor/Heir
I.D. No. _________________________
Date of Issuance __________________
Place of Issuance __________________
MA. FLORENCIA G. PANGAN
Donee/Heir
I.D. No. _________________________
Date of Issuance __________________
Place of Issuance __________________

THERESE P. PEREZ
Donee/Heir
I.D. No. _________________________
Date of Issuance __________________
Place of Issuance __________________

Signed in the presence of:

ALVIN ZARRIS

MARIA CECILIA MAQUIRANG

ACKNOWLEDGMENT

Republic of the Philippines )

City of Iloilo
) S.S.
X----------------------------------X
BEFORE ME, a Notary Public for and in the City and Province of Iloilo, personally
appeared the foregoing parties with their respective valid identification, all known to me and
known to be the same persons who presented this document entitled DEED OF
ADJUDICATION WITH WAIVER OF RIGHTS AND CONFIRMATION OF
DONATION, consisting of two (2) pages, including the page on which this Acknowledgment is
written, signed above their names and on the left hand margin of this document in my presence
with their instrumental witnesses who signed the same and acknowledged that the same id their
free and voluntary act and deed.
WITNESS MY HAND AND SEAL this _____________________, in the City of
Iloilo, Philippines.

Doc. No:____;
Page No.: ___;
Book No.:___;
Series of 2016.