REPUBLIC OF THE PHILIPPINES)

QUEZON CITY………………………) S.S.

AFFIDAVIT OF ADVERSE CLAIM

ELIZABETH M. MENDOZA, of legal age, Filipino and a resident of

39-H P. Tuazon Street, Cubao, Quezon City, after having been duly
sworn in accordance with law, hereby depose and state that:

1. In 2001, a Deed of Donation was executed by Agapito Mendoza in

favor of the couple Daniel B. Mendoza and Elizabeth Mendoza
donating to them, jointly, that parcel of land located along P.
Tuazon Street, Cubao, Quezon City, more particularly described as
follows:

“A parcel of land (Lot 1-C-1-A of the subd. Plan

(LRC) Psd-22817, being a portion of Lot 1-C-B
(LRC) Psd-22274, LRC (GLRO) Rec. No. 917
situated in the Dist. of Cubao, Q. City, Is. of
Luzon. Bounded on the NE., and SE., 2 to 4 by
Lot 1-c-1B of the subd. Plan, on the SW., pts. 4
to 1 by Central Blvd. and on the NW., pts 1 to 2
by Lot 1-B, Psd-175. Beginning at a pt. marked
“1” on plan, being S. 72 deg. 01’W., 5610.75 m.
from BLIM No. 1, Mariquina, Rizal, thence N. 30
deg. 54’E., 62.43 m. to pt. 2; thence S. 59 deg.
31’E., 17.54 m. to pt. 3; thence S. 30 deg. 32’W.,
61.04 m. to pt. 4; thence N. 63 deg. 56’W.,
18.00m. to point beginning; containing an area
of ONE THOUSAND AND NINETY FIVE (1,095)
SQUARE METERS, more or less.”

2. After the Deed of Donation was registered, Transfer of Certificate of

Title No. N-232488 covering the aforedescribed parcel of land was
issued by the Register of Deeds for Quezon City in the name of
“Daniel B. Mendoza, of legal age, Filipino, married to Elizabeth
Mendoza”.

3. Having been donated to the couple jointly during their marriage,

Elizabeth Mendoza is a co-owner in equal share of the aforesaid
property.

4. It has come to the knowledge of Elizabeth Mendoza that her

husband Daniel B. Mendoza is claiming ownership of the entire
property and is attempting to sell or dispose of the entire property
despite the fact that he only owns one-half thereof.
5. Unless an adverse claim is annotated on the aforedescribed
Transfer Certificate of Title, Elizabeth Mendoza is in danger of
being defrauded and deprived of her just and valid right over the
aforedescribed parcel of land and for this reason she is executing
this Affidavit in support of her request for the annotation of an
adverse claim over the parcel of land described herein.

IN WITNESS WHEREOF, I have hereunto set my hand this ___ th

day of June 2012 in Quezon City.

ELIZABETH M. MENDOZA
Affiant

SUBSCRIBED AND SWORN to before me this ____th day of June

2012 in Quezon City, affiant exhibiting to me her Community Tax
Certificate No. 14394220 issued on January 23, 2003 at Makati City.

Doc. No. _______;

Page No. ______;
Book No. ______;
Series of 2012.