Republic of the Philippines

MUNICIPAL TRIAL COURT

8th Judicial Region
Dulag, Leyte
IN RE: APPLICATON FOR
CASE NO. N-02
ORIGINAL REGISTRATION
E-ORDOF TITLE OF A PARCEL OF
LAND SITUATED AT
DULAG, LEYTE

LAND REG.
LRA RECORD NO.
012670058

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 its 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.