REPUBLIC OF THE PHILIPPINES )
CITY OF TARLAC ) S.S.
AFFIDAVIT OF ADVERSE CLAIM
I, ELEONOR, of legal age, Filipino, (single / married / widow), and a
resident of _____________, after having been sworn to in accordance with
law, depose and say:
That the late ________________________________, was the registered
owner of a parcel of land (including the improvements thereon) located at
_____________, more particularly described as follows:
(Technical Description of Property)
That on _____________, the late ________________________, executed a
Deed of Sale in my favor for valuable consideration which document is
more particularly identified as Document No. ______, Page No. ______,
Book No. ______, Series of ______ in the Notarial Register of Notary
Public _____________ and a certified copy of which is attached herein as
Annex “A”.
However, it has very recently come to my knowledge that
_____________________, one of the heirs of the late
____________________________, is presently claiming to still have an
interest over the aforementioned parcel of land and is attempting to sell or
dispose of the same despite the fact that the late ___________________ has
already previously conveyed to me all his rights and interests thereon on the
above-described property.
That unless an adverse claim is annotated on the afore-described Transfer
Certificate of Title, the heirs of _____________ are in danger of being
defrauded and deprived of their just and valid right over the afore0described
parcel of land and, as such, I am executing this Affidavit in support of my
request for the annotation of an adverse claim over the parcel of land
described herein.
FURTHER AFFIANT SAYETH NAUGHT.
IN WITNESS WHEREOF, I have hereunto set my hand this
_____________, in the City / Municipality of _____________, Philippines.
Affiant
JURAT
SUBSCRIBED AND SWORN TO BEFORE ME THIS
_____________, Affiant personally presented to me his _____________ ID,
bearing No. ________________, and issued/expiring on
__________________, issued at _____________________, as avalid and
acceptable proof of his identity.
Doc. No. _______;
Page No. _______;
Book No. ______;
Series of 20____.