CITY OF DUMAGUETE) x- - - - - - - - - - - - - - - - - - - - -/ AFFIDAVIT OF SELLERS/TRANSFERORS I, of legal age, Filipino, and resident of Philippines, after hereby been duly sworn to in accordance with law, do hereby depose and say: That the land we sold/donated to with an area of _____________, under Doc. No. ______, Page No.______, Book No. ______, Series of 2016, of Notary Public ________, dated __________, is my retention or a portion of my retention area of not more than five (5) hectares; That this affidavit is executed in compliance with DAR Administrative Order No. 1, Series of 1989 as well as to show proof that the land subject of the above-mentioned transaction is a retention or portion of a retention area, and that the land is not tenanted. AFFIANTS SAYETH NONE. ____________________ (Place) ____________________ (Date) Affiant SUBSCRIBED AND SWORN to before me on this ___________, at Dumaguete City, Negros Oriental, Philippines, affiants exhibited to me his _____________ as proof of his identity. Doc. No. _____ Page No._____ Book No._____ Series of 2016.