Republic of the Philippines

MUNICIPAL TRIAL COURT

8th Judicial Region
Dulag, Leyte

IN RE: APPLICATON FOR LAND REG. CASE NO. N-02

ORIGINAL REGISTRATION LRA RECORD NO. E-ORD-
OF TITLE OF A PARCEL OF 012670058
LAND SITUATED AT
DULAG, LEYTE

SPS. ______
Applicant/ Petitioner
X- - - - - - - - - - - - - - - - - - - - - - - - - - X

JUDICIAL AFFIDAVIT
I, ___________, of legal age, Filipino, married and a resident of
Market Site, Dulag, Leyte, and presently the Municipal Assessor of the
Local Government Unit of Dulag, Leyte, after having been duly sworn to in
accordance with law, hereby deposes and states as follows:

Question 1: Mr. witness, you said you are the Municipal Assessor of Dulag,
Leyte, since when have you been in that office?

Answer: Since the year 1982.

Question 2: You said also that you are a resident of Market Site, Dulag,
Leyte, are you familiar of a lot also situated at Market Site which is the
subject of this case?

Answer: Yes, I have personal knowledge being a long time resident of the
said barangay.

Question 3: What is the lot number of this land?

Answer: It is Lot No. 9788-B.

Question 4: Who is the present owner and possessor of Lot No. 9788-B?

Answer: It is the spouses ______and ______;

Question 5: What documentary evidence can you present to prove this fact?

Answer: I have here the Tracer of Lot No. 9788-B.

Question 6: In the said tracer who was the declared owner prior to the said
spouses?

Answer: _________?

Question 7: Prior to _____ and ______ who was it’s declared owner?

Answer: It was ______.

Question 8: In that tracer kindly state for the record who was the owner and
possessor of the lot for the period covered from the first primitive owner
thereof up to the present?

Answer: Based on the tracer the declared owner and possessor under tax
declaration No. 10051-R3 was ______ from the year 1948 up to 1975;
_____ and ______ Juarez for the period 1977 up to 2009 and spouses
Marcial ______. and Mylene _______ for the period 2012 up to the present;

Question 9: Prior to 1948 particularly the period before 1945 who was the
owner and possessor of the said lot?

Answer: It was still _____ as normally the declared owner and possessor in
the tax declarations of revision 1 up to revision 2 are the same however we
have no record of the declared owner of the lot for the period prior to 1945
as it was destroyed during the Second World War.

Question 10: So based on the said tracer it is clear now that the spouses
Marcial M. ____. and Mylene L. _____and their predecessors were in the
concept of owners thereof in open, continuous and uninterrupted possession
of the said lot prior to the year 1945 up to the present, is that correct?

Answer: Yes.

Question 11: What else could you say of this case?

Answer: That is all I can say for the meantime.

IN WITNESS WHEREOF, I have hereunto affixed my signature this

___ day of September, 2014 at Tacloban City, Philippines.

Affiant

SUBSCRIBED AND SWORN to before me this ___ day of January,

2016 at Tacloban City, Philippines, after I have personally examined the
affiant and that I am convinced that he voluntarily executed this affidavit
and understood the contents thereof.

Doc. No._____
Page No._____
Book No._____
Series of 2016.