REPUBLIC OF THE PHILIPPINES)

CITY OF DAVAO )SS.

x------------------------------------------x

AFFIDAVIT OF NO IMPROVEMENT

I, RODEL D. BARCELONA, single, of legal age, Filipino, and a resident of Island

Garden City of Samal, Philippines, after being duly sworn to in accordance with law, do
hereby depose and say that:

1. I am the vendee of a parcel of land situated in the Barangay of Miranda, Babak,

Island Garden City of Samal, and covered by Transfer Certificate of Title No.
142-2017010499 of the Register of Deeds of the Province of Davao del Norte,
with an area of ONE HUNDRED TWENTY (120) SQUARE METERS more or
less.

2. The above mentioned parcel of land have no improvement of any kind

introduced thereon;

3. I am executing this affidavit to attest to the truth of the foregoing and apprise
the Bureau of Internal Revenue, the City Assessor’s Office, the City Treasurers
Office, as well as all other governmental entities charged with the regulation of
improvements on real properties of such fact, and for whatever other legal
purposes this affidavit may serve.

IN WITNESS WHEREOF, we have hereunto set our hands this _____________,

at Davao City, Philippines.

RODEL D. BARCELONA
Afiiant
TIN:409-521-429

SUBSCRIBED AND SWORN to before me this ______________, at Davao City,

Philippines affiant exhibiting to me her competent evidence of identity first written above
below her name.

Doc No.____;
Page No. ____;
Book No. ____;
Series of 2018.