Republic of the Philippines
City of Dipolog )S.S
AFFIDAVIT OF CONSOLIDATION
We ASUNCION SUPANGAN, of legal age, single/married, Filipino, with postal
address at _________________________________, declared owner of Lot No. 4963-A
with an area of TEN THOUSAND FOUR HUNDRED FORTY EIGHT (10,448) SQUARE
METERS, LUCAS SUPANGAN, of legal age, single/married, Filipino, with postal address at
________________________________, declared owner of Lot No. 4963-B with an area
of SIXTEEN THOUSAND THREE HUNDRED SEVENTY NINE (16,379) SQUARE METERS and
ANTONIO SUPANGAN, of legal age, single/married, Filipino, with postal address at
________________________________, declared owner of Lot No. 4963-C with an area
of SEVEN THOUSAND NINE HUNDRED FORTY EIGHT (7,948) SQUARE METERS after
having been sworn to in accordance with law hereby depose and say:
That we have paid our real property taxes individually based on our executed
extra judicial partition of the above-mentioned land;
That we are executing this affidavit for the consolidation of our declaration of
real property taxes;
That such consolidation of our declaration of our real property taxes is required
to match the CLOA issued by the Department of Agrarian Reform (DAR) in the name of
ANTONIO SUPANGAN, ET. AL., with TCT NO./OCT NO. T-2048 of Lot No. 4963, with an
area of FORTY EIGHT THOUSAND SIX HUNDRED NINETY FIVE (48,695) SQUARE
METERS;
IN WITNESS WHEREOF, We, have hereunto set our hands this ____ day of ________,
____ at _______________________________, Philippines.
____________________ __________________ _________________
Affiant Affiant Affiant
SUBSCRIBED AND SWORN to before me, this _____________, by _____________ who
exhibited to me his __________________. _____________ issued in _____________,
Philippines on _____________.
Notary Public
Doc. No. ______;
Page No. ______;
Book No. ______;
Series of 2021