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Republic of the Philippines)

Province of Bulacan ) S.S.


x--------------------x

AFFIDAVIT OF NON-TENANCY

I, xxx, of legal age, single and a resident of Parada, Valenzuela City, after
having been duly sworn to in accordance with law, depose and state THAT:

1. I am the registered owner of a parcel of land situated in Barangay Sta.


Catalina Bata, San Ildefonso, Bulacan with an area of THIRTY THREE
THOUSAND FIFTY FIVE SQUARE METERS (33,055 sqm.), more or
less, embraced by TCT No. xxxx;

2. That, the above-mentioned property is not worked by any tenant or


agricultural lessee;

3. I am executing this affidavit to attest to the truth of the foregoing and for any
legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this ___ day of


_________, ____ in Bulacan, Philippines.

xxxx
Affiant

SUBSCRIBED AND SWORN to before me this ___ day of _________, ____ in


Bulacan, Philippines.

Doc. No. : _____;


Page No. : _____;
Book No. : ___ ;
Series of 2017.

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