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REPUBLIC OF THE PHILIPPINES)

City of_______________ ) S.S.


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

AFFIDAVIT OF BUYER/TRANSFEREE

I, _____________, of legal age, Filipino, married to _________________and a resident


of__________________, after having been duly sworn to in accordance with law, depose
and state:

1. That I am the VENDEE of several parcels of agricultural land located at


_________________________which I acquired, by way of Absolute Sale, in different periods;

2. That I acquired the said parcels of land from vendor __________________________ as


evidenced by two (2) Deeds of Absolute Sale entered in the notarial register of Notary
Public Atty. ____________________dated _______________Doc. No._; Page No._; Book No._;
Series of _ and of Atty.____________________________________, Doc No.__; Page No._; Book
No. _; Series of ___;

3. That these several parcels of land all located at ________________________ acquired, by


way of Absolute Sale are more particularly described as follows:

Parcel 1.
Parcel 2.
Parcel 3.
Parcel 4.
Parcel 5.
Parcel 6.

4. That this affidavit is being 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 the above-mentioned transactions does not exceed five
(5) hectares;

5. That I am executing this affidavit to attest to the truth of the foregoing facts and for
whatever legal intents and purposes that it may legally serve;

IN WITNESS WHEREOF, I have hereunto set my hand this _________


in_______________, Philippines.

_____________________
Affiant
VIN:____________________________

SUBCRIBED AND SWORN TO before me this ___________ in


_________________, Philippines, affiant exhibiting to me his valid proof of identification
written below his name.

Doc. No. _____;


Page No. _____;
Book No. _____;
Series of 2010.

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