I, FLORY PASCUA GUTIERREZ, of legal age, married, Filipino
citizen, and a resident of Centro, Sta. Barbara, Victoria, Tarlac, after having been duly sworn to in accordance with law, hereby depose and state – THAT: 1. I bought a parcel of land covered by Transfer Certificate of Title (TCT) No. 201752, of the Registry of Deeds of the Province of Tarlac, situated in Sta. Barbara, Victoria, Tarlac registered in the name of CONSTANCIA L. PALOMO;
2. I later decided to sell the above-described parcel of land to
CIELO GAMIT CULLISON married to Robert Cullison, of Brgy. Sta. Barbara, Victoria, Tarlac, in the amount of SIX HUNDRED FIFTY THOUSAND PESOS (Php650,000.00), Philippine currency, which we acknowledge to have received in full;
3. I am aware that the transfer of the title of the above-mentioned
parcel of land was done through an affidavit of self-adjudication with Deed of Absolute Sale executed by the registered owner thereof, Constancia Palomo, albeit I received the proceeds of the sale thereof being the prior buyer;
4. That I am executing this affidavit to attest to the truth of all the
foregoing declarations and for whatever legal purpose it may serve. IN WITNESS WHEREOF, I have hereunto set my hand this ______________ in the City of Tarlac, Philippines.
FLORY PASCUA GUTIERREZ
Affiant (Seller)
SUBSCRIBED AND SWORN to before me this _______________ in