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EXTRAJUDICIAL/SELF-ADJUDICATION OF SOLE HEIR OF

THE ESTATE OF DECEASED PERSON

KNOW ALL MEN BY THESE PRESENTS:

That I, PEACHY GAYLE ANNE LIESE J. PAGLINAWAN, of legal age, Filipino, single and resident
of Del Rosario Apartment Saint Francis St., Kapt. Pepe Subd., Cabanatuan City, Nueva Ecija ;

WITNESSETH:

1. That I am the lone known surviving heir of my father, Rufino Paglinawan who died intestate in
Doctors Hospital, Cabanatuan City, Nueva Ecija on September 20, 2016 (Annex A) without
any issue, and without a will or testament (intestate) ;

2. That the said deceased, at the time of his death left some Time Deposit, which deposits is
particularly described as follows ;

Bank: Veteransbank, Cabanatuan City Branch


Name: RUFINO OR PEACHY GAYLE ANNE LIESE PAGLINAWAN
Certificate of Time Deposit No. 3002009

3. That the said decedent left no debts, nor did he leave any Last Will or Testament ;

4. That pursuant to Rule 74, Sec. 1 of the Revised Rules of Court of the Philippines, I
being of legal age and will full civil capacity to contract, hereby adjudicate unto myself
the above described deposit and I hereby request Veteransbank and all other
depository banks where the deposits of my father, if any, that said adjudication be
made effective without judicial proceedings as prescribed by the aforementioned Rules
of Court.

IN WITNESS WHEREOF, I have hereunto set my signature this 2 nd day of June, 2017 here at
Cabanatuan City.

PEACHY GAYLE ANNE LIESE J. PAGLINAWAN


Affiant/Heir
ID No:16-0798-550
Issued by :Our Lady of Fatima University

SIGNED IN THE PRESENCE OF:

Jhoana P. Francisco Lorraine Aquino

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES )


CITY OF CABANATUAN ) S.S.

BEFORE ME, a Notary Public for the Province of Nueva Ecija and in the City of Cabanatuan this
2nd day of June ,2017, personally appeared the above named persons known to me and to me known to be
the same person who executed this Affidavit of Adjudication by Sole Heir of Estate of Deceased Person
consisting of 1 page where the acknowledgment is written and acknowledged to me that the same is her
own free act and voluntary deed.

SUBSCRIBED AND SWORN to before me this 2nd day of June, 2017 here at Cabanatuan City

WITNESS MY HAND AND NOTARIAL SEAL.

Doc. No. 69
Page No. 15
Book 59
Series of 2017
SELF-ADJUDICATION OF SOLE HEIR OF
THE ESTATE OF DECEASED PERSON

KNOW ALL MEN BY THESE PRESENTS:

That I, LAURA ADRIANO FAJARDO, of legal age, Filipino, widow and resident of 185
Caridad Village, Nueva Ecija ;

WITNESSETH:

5. That I am the lone known surviving heir of my sister, REMEDIOS T. ADRIANO, Filipino
and single who died intestate in Cabanatuan City, Nueva Ecija on April 4, 2015
(Annex A) without any issue, and without a will or testament (intestate) ;

6. That the said deceased, at the time of her death left some deposit, which deposits
is particular described as follows ;

Bank: Land Bank of the Philippines, Malolos Plaza Branch


Name: REMEDIOS T. ADRIANO
S/A Account No.: 0531-1097-40
Address: 283 Brgy. Santiago, City of Malolos, Bulacan

7. That the said decedent left no debts, nor did she leave any Last Will or Testament ;

8. That pursuant to Rule 74, Sec. 1 of the Revised Rules of Court of the
Philippines, I being of legal age and will full civil capacity to contract, hereby
adjudicate unto myself the above described deposit and I hereby request
Land Bank of the Philippines and all other depository banks where the
deposits of my sister, if any, that said adjudication be made effective without
judicial proceedings as prescribed by the aforementioned Rules of Court.

IN WITNESS WHEREOF, I have hereunto set my signature this


________________________________ here at Cabanatuan City.

LAURA ADRIANO FAJARDO


Affiant/Heir
SCID No:
Issued by: Office of Senior Citizen
Affairs
At: Cabanatuan City

SIGNED IN THE PRESENCE OF:

CHRISTIAN P. FRANCISCO DANNIEN GROSPE


ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES )


CITY OF CABANATUAN ) S.S.

BEFORE ME, a Notary Public for the Province of Nueva Ecija and in the City of
Cabanatuan this ____ day of ______________________,2015, personally appeared ;
NAME ID NO: ISSUED
ON/AT
LAURA A. FAJARDO (Affiant/Heir ) _________________ ________________
Christian P. Francisco(witness) C05-12-009285 LTO,
Cabanatuan City
Dannien Grospe (witness) CRN 011127712128 SSS, Cabanatuan City

known to me and to me known to be the same person who executed this Affidavit of
Adjudication by Sole Heir of Estate of Deceased Person and acknowledged to me that the same
is her own free act and voluntary deed.

WITNESS MY HAND AND NOTARIAL SEAL.


SELF-ADJUDICATION OF SOLE HEIR OF
THE ESTATE OF DECEASED PERSON

KNOW ALL MEN BY THESE PRESENTS:

That I, AURITA I. ASPERAS, of legal age, Filipino, widow and resident of La Fuente, Sta. Rosa,
Nueva Ecija ;

WITNESSETH:

9. That I am the lone known surviving heir of my husband, Oscar Asperas who died intestate in
Sta. Rosa, Nueva Ecija on April 27, 2009 (Annex A) without any issue, and without a will or
testament (intestate) ;

10. That the said deceased, at the time of his death left some deposit, which deposits is particular
described as follows ;

Bank: Banco De Oro (BDO) Sta, Rosa, Nueva Ecija


Name: OSCAR M. ASPERAS
S/A Account No.: 6770004010
Address: 29 La Fuente, Sta. Rosa, Nueva Ecija

11. That the said decedent left no debts, nor did she leave any Last Will or Testament ;

12. That pursuant to Rule 74, Sec. 1 of the Revised Rules of Court of the Philippines, I
being of legal age and will full civil capacity to contract, hereby adjudicate unto myself
the above described deposit and I hereby request Banco De Oro (BDO) and all other
depository banks where the deposits of my husband, if any, that said adjudication be
made effective without judicial proceedings as prescribed by the aforementioned Rules
of Court.

IN WITNESS WHEREOF, I have hereunto set my signature this


________________________________ here at Cabanatuan City.

AURITA I. ASPERAS
Affiant/Heir
ID No:____________________
Issued by :________________

SIGNED IN THE PRESENCE OF:

CHRISTIAN P. FRANCISCO VICTORINO SAMANIEGO

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES )


CITY OF CABANATUAN ) S.S.

BEFORE ME, a Notary Public for the Province of Nueva Ecija and in the City of Cabanatuan this
____ day of ______________________,2014, personally appeared ;
NAME ID NO: ISSUED ON/AT
AURITA I. ASPERAS (Affiant/Heir ) _________________ ________________
Christian P. Francisco(witness) C05-12-009285 LTO, Cabanatuan City
Victorino Samaniego (witness) C05-97-102748 LTO, Cabanatuan Ci

known to me and to me known to be the same person who executed this Affidavit of Adjudication by Sole
Heir of Estate of Deceased Person consisting of 1 page where the acknowledgment is written and
acknowledged to me that the same is her own free act and voluntary deed.
SUBSCRIBED AND SWORN to before me this __th day of _____________________________
here at Cabanatuan City

WITNESS MY HAND AND NOTARIAL SEAL.