Republic of the Philippines)
Municipality of Libmanan..) S.S.
Province of Camarines Sur
AFFIDAVIT OF TRANSFERROR
That I, LORENA OLIVA-DELOS SANTOS, of legal age, Filipino,
married to ARNOLD DELOS SANTOS, also a Filipino and with residence
and postal address at Barangay Potot, Libmanan, Camarines Sur,
Philippines, after having sworn to in accordance with law voluntarily
depose and say:
1. The agricultural land I sold to Angela J. Quillao, likewise a
Filipino and resident of Block D4, Lot 16, San Andres II,
Damariñas City, Cavite, Philippines, covered by OCT No. 24376
with an area of Two Thousand Eight Hundred Fifty-Nine (2,859)
square meters under Doc. No. 504, Page No. 102, Book No. 5,
Series of 2024 notarized by Alec Martin M. Alsisto does not
exceed five (5) hectares;
2. The said property is my RETENTION AREA as contemplated
under R.A. 6657 as amended or the Comprehensive Agrarian
Reform Program and the same is NOT TENANTED;
3. There is no pending case before the regular courts or any other
tribunal involving the above described landholding;
4. This Affidavit is executed as one of the requirements for the
issuance of DAR Land Transaction Clearance pursuant to DAR
Administrative No. 04 series of 2021.
IN TRUTH WHEREOF, I have hereunto signed my name below this
th
30 day of January 2024 at Libmanan, Camarines Sur, Philippines.
LORENA OLIVA-DELOS SANTOS
Representative
SUBSCRIBED AND SWORN to before me in the Municipality of
Libmanan, Camarines Sur, Philippines this 30 th day of January 2024 by
the affiant, exhibiting to me her Philippine National ID bearing no.4804-
7945-2635-6851, personally known to me to be the same person who
personally signed before me the foregoing Affidavit and acknowledged
that he executed the same.
Doc. No. ____;
Page No. ____;
Book No. ____;
Series of 2024