REPUBLIC OF THE PHILIPPINES)
____________________________)SS.
AFFIDAVIT OF ADJUDICATION
OF ESTATE OF SOLE HEIR
I, REBECCA P. BUAN, of legal age, married, Filipino and a resident of
No. 3 R. Villanueva Street, Palico I, Imus, Cavite, after having been duly sworn in
accordance with law, do hereby depose and say that:
1. I am the daughter the late Amauri M. Pacifico and Rosario Roco and
the elder sister of the late IMELDA R. PACIFICO who died in _____. A
copy of her Death Certificate is attached hereto as Annex “A”.
2. During her lifetime, Imelda was able to acquire a parcel of land located
in Cavite covered by Transfer Certificate of Title No. T-767333, and
more particularly described as follows, to wit:
TRANSFER CERTIFICATE OF TITLE
NO. T-767333
“A parcel of land (;pt 14-C of the subd. plan, Psd-04-
101655, being a portion of Lot 14, Blk. 23, (LRC) Psd-
234014, L.RC. Rec. No.), situated in the Brgy. Salitran, Mun.
of Dasmariñas, Prov. Of Cavite, Is. of Luzon. Bounded on
the S., along line 1-2 by Lot 16, Blk. 23, on the W., along line
2-3 by Road Lot 17, both of (LRC) Psd-234014; on the N.,
along line 3-4 by Lot 14-D, (Alley 2.00 m. wide) and along
lines 4-5-6-7 by Lot 14-B, both of the subd. plan, and on the
E., along line 7-1 by Lot 13, Blk. 23, (LRC) Psd-234014. x x
x containing an area of ONE HUNDRED THIRTY FOUR
(134) SQUARE METERS.”
A copy of the Transfer Certificate of Title is attached hereto as Annex
“B”.
3. When she died, Imelda left no debts.
4. I am the only surviving heir of our family.
5. Being the sole heir and there being no debts of the estate, I am
adjudicating upon myself the entire property above-described
consistent with the provision of Section 1, Rule 74 of the Rules of
Court.
6. I am executing this Affidavit to attest to the truth of the foregoing and
for whatever legal purpose it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my
signature below this _____ day of ________ 2006 in __________.
REBECCA P. BUAN
Affiant
SUBSCRIBED and SWORN to before me this _____ day of _______ in
________, Affiant exhibiting to me her CTC No. _________ issued on ________
in _______.
Doc. No. ________;
Page No. ________;
Book No. ________;
Series of 2006.