Republic of the Philippines...............

)
Province of ____________________) S.S.
City_____________ _____________)
x ---------------------------------------------/
AFFIDAVIT OF SOLE HEIRSHIP
I, _____________, Filipino, of legal age, (single / married / widow), and a
resident of _____________, Philippines, after being sworn in accordance with law,
hereby depose and state:
1. That I am the only child and sole heir of _____________ who died intestate on
_____________ at _____________;
2. That said deceased left a certain parcel of land covered by Transfer Certificate of Title
No. _____________as issued by the Registry of Deeds of ______________, and more
particularly described as follows:
(Technical Description of Property)
3. That said deceased left no debts, nor any Last Will and Testament;
4. That pursuant to Sec. 1 of Rule 74 of the Revised Rules of Court of the Philippines, I
hereby adjudicate unto myself the above-described parcel of land, and the improvements
found and standing thereon, and I hereby request the Register of Deeds to issue a new
Transfer Certificate of Title in my name;
5. That the above-described parcel of land does not come under the operation of the
Comprehensive Agrarian Reform Program.

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

2014 in ____________________, Philippines.
AFFIANT
JURAT
SUBSCRIBED AND SWORN TO BEFORE ME this ___ day of ___________, ,
Affiant personally presented to me his ___ ID, bearing No. _______, as valid and
acceptable proof of his identity.
Doc No. _____;
Page No. _____;
Book No. ____;
Series of 2014.