Republic of the Philippines.

)
CITY OF TAGUM.. )S.s.
Proince of !""o #el $orte. )
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AFFIDAVIT OF ADVERSE CLAIM
I( JOSLYN JEAN Y. NAHINE( of le)"l ")e( *"rrie# to +oel ,. $"hine( "n#
resi#ent of Puro- M"cop"( ,is"."n ,ill")e( T")u* Cit.( !""o #el $orte( Philippines( "fter
h"in) been #ul. s/orn to in "ccor#"nce /ith l"/( hereb. #epose "n# s".0
1. Th"t on !ece*ber 12( 1341( I h"e entere# into " !ee# of Absolute S"le /ith 5eirs
of ROSARIO G. MIRAFU6$T6S( inolin) " p"rcel of l"n# loc"te# in the 7"rrio of
M")u)po( T")u* Cit.( !""o #el $orte( Philippines( cont"inin) "n "re" of Si8 5un#re#
9233) s:u"re *eters( *ore or less( "s e*br"ce# "n# coere# b. Transfer
Certificate of Title No. T!1"#"( "n# *ore p"rticul"rl. #escribe# "s follo/s0
A parcel of land (Lot 5, Block 16 of the subdivision plan Psd-71!, "heet 1, bein# a portion
of Lot $!% of the &adastral "urve' of (a#u), L*+*&* &ad* +ecord ,o* -o)estead Patent ,o* 5%6!5.
situated in the Barrio of /a#u#po, /unicipalit' of (a#u), Province of 0avao* Bounded on the ,1*,
alon# line 1-2 b' Lot 23 on the ,4*, alon# line 2- b' Lot 6, both of Block 163on the "4*, alon# line -$
b' +oad Lot 3 and on the "1*, alon# line $-1 b' Lot $, Block 16, all of the subdivision plan* Be#innin#
at a point )arked 15 on plan bein# "* $! de#* $61*, 1!%7*!5 )* fro) B*L*L*/* 5, (a#u), &adastre*
thence777
,* 7 de#* 566 4*, 2!*!! )* to point 23
"* 52 de#* !$6 4*, !*!! )* to point 3
"* 7 de#* 566 1*, 2!*!! )* to point $3
,* 52 de#* !$61*, !*!! )* to point of be#innin#3
containin# an area of SIX HUNDRED (600) SQUARE METERS, )ore or less5*
$. Th"t the s"i# #ee# #escribe# "s 68tr";u#ici"l Settle*ent /ith !ee# of Absolute S"le
/"s not"ri<e# "n# "c-no/le#)e# before Att.. M"ti"s T. A:ui"t"n( " $ot"r. Public for
"n# in the Proince of !""o #el $orte( "n# entere# in his $ot"ri"l Re)ister "s !oc.
$o. 4=>? P")e $o. @=? 7oo- $o. %%%? Series of 1341. A cop. of the 68tr";u#ici"l
Settle*ent /ith !ee# of Absolute S"le is hereto "tt"che# "n# *"#e "n inte)r"l p"rt
of this "ffi#"it "s ANNE% &A'(
". Th"t the tr"nsfer of title un#er *. n"*e coul# not be processe# in the *e"nti*e in
ie/ of the unsettle# est"te t"8 inole# "ccruin) fro* the #e*ise of ROSARIO G.
MIRAFU6$T6S( the re)istere# o/ner of "fore&#escribe# propert.. Conse:uentl.( the
heirs of the re)istere# o/ner "lso f"ile# to settle the re"l propert. t"8es of the
sub;ect propert.?
#. Th"t in or#er to full. protect *. ri)hts "n# interest in the sub;ect propert.( I "*
e8ecutin) this "ffi#"it in support of *. for*"l re:uest for the "nnot"tion of "n
A#erse Cl"i* in Transfer Certificate of Title No. T!1"#"/ith the Office of the
Re)istr. of !ee#s?
). Th"t I c"n be sere# /ith notices( p"pers "n# other ;u#ici"l processes "t Puro-
M"cop"( ,is"."n ,ill")e( T")u* Cit.( !""o #el $orte?
*. Th"t I "* e8ecutin) this "ffi#"it to "ttest to the truth of the fore)oin) st"te*ents to
infor* the proper "uthorities of /h"teer le)"l purpose this "ffi#"it *". sere best.
IN +ITNESS +HEREOF( I h"e hereunto "ffi8e# *. si)n"ture this
AAAAAAAAAAAAAAAAAAAAAAAA( "t T")u* Cit.( !""o #el $orte Philippines.
JOSLYN JEAN Y. NAHINE
Affi"nt
C6I0 P"ssport $o. 114>>34B>
S,-SCRI-ED AND S+ORN to before *e this AAAAAAAAAAAAAAAAAAAAAAAA( "t
T")u* Cit.( !""o #el $orte Philippines( the "ffi"nt h"in) e8hibite# to *e her
co*petent ei#ence of i#entit. "ppe"rin) belo/ her n"*e "n# si)n"ture.
!oc $o. AAAAAAA?
P")e $o. AAAAAA?
7oo- $o. AAAAAA?
Series of 134>