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CITY OF MAKATI
) S.S.
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AFFIDAVIT OF SELF-ADJUDICATION
I, MARIA B. DELA CRUZ, of legal age, Filipino, single and a resident of 6789 Washington
Street, Pio del Pilar, Makati City, after having been duly sworn to in accordance with law, depose
and state:
1. That I am the only daughter of JUAN B. DELA CRUZ who died without any last will
and testament on July 20,2013 in Makati city as evidenced by his death certificate issued
by the city of Makati hereto attached as Annex A and made an integral part of this
Affidavit;
2. That the time his death, my father had no debts, liabilities or obligations to any persons,
agency or institution;
3. That the only property he left is a parcel of land consisting of 60 square meters located in
J.B. Roxas Street, Makati City more particularly described in TCT No. 112233 hereto
attached as Annex B and made an integral part of this Affidavit;
4. That pursuant to the Rule 74, Sec. 1 of Rules of Court, I hereby adjudicate unto myself
the above described real estate by means of this Affidavit and hereby files the same with
the Register of Deed of Makati City with the request that the said adjudication be made
effective without judicial proceeding as prescribed by the aforementioned provision of
the Rules of Court.
IN WITNESS WHEREOF, I have hereunto set my hand this 26 th day September 2013 in
May 2013 in Makati City, Metro Manila, Philippines.