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REPUBLIC OF THE PHILIPPINES)

City of XXXXX ) 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. Juan Dela Cruz dated April 26, 2006 Doc.
No. ___; Page No. ___; Book No. ____; Series of 2006 and of Atty. Maria Rosal
January 8 2010, Doc No. ____; Page No. ___; Book No. ___; Series of 2010; ;

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


way of Absolute Sale are more particularly described as follows:

Xxx description of property

3. 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;

4. 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


__________ City, Philippines.

XXXXXXXXXXXXX
Affiant
Id no._____________________________

SUBCRIBED AND SWORN TO before me this ___________ in _____________


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

Doc. No. _____;


Page No. _____;
Book No. _____;
Series of 2016.

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