Republic of the Philippines   ]
City of Tagbilaran            ] S.S.
                               AFFIDAVIT OF OWNERSHIP
        We, ___________________________ and ___________________________, both
Filipinos, of legal age, and residents of _____________________, Philippines, after being duly
sworn in accordance with law, hereby depose and say:
   1. That we / our deceased ancestor _________________ cultivated and possessed a parcel
      of land situated at _________________ designated as Lot No. _____________;
   2. That we / our ancestor took possession over this lot for more than thirty (30) years which
      possession is open, public, and peaceful;
   3. That we / our ancestor have/has cultivated this lot from the time he took possession of the
      same;
   4. That there is no existing ownership or boundary dispute concerning the said lot;
   5. That we take the responsibility if any case may arise or anyone may claim ownership
      over the same.
       IN WITNESS WHEREOF, we hereunto set our hands this _________________ at
Tagbilaran City, Bohol, Philippines.
_______________________________                    _______________________________
Valid ID:                                          Valid ID:
              Attested by:
                        ______________________________________
                           Barangay Official, __________________
      SUBSCRIBED AND SWORN                    to    before   me   this   _______________       at
________________________, Philippines.
Doc. No. ________;
Page No. ________;
Book No. ________;
Series of 2020.