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Republic of the Philippines) Done in the City of Baguio) s.s.

AFFIDAVIT OF SELF-ADJUDICATION I, ELVIE COLAS KILEY, of legal age, widow, Filipino citizen, with residence and postal address at No. 30 Tacay Rd., Guisad, Baguio City, Philippines after having been duly sworn to in accordance with law hereby depose and states: 1. That I am the only surviving spouse of the late FRANKLIN STEVE Y. KILEY who died intestate on December 20, 2009 at Pines Hospital, Baguio City (copy of his death certificate is hereto attached as Annex A and made an integral part hereof), leaving a two (2) unit taxi, however, only one (1) unit is registered in his name and the other one (1) is not yet transferred to him and more particularly described as follows: UTILITY VEHICLE REGISTERED IN THE NAME OF MY LATE HUSBAND MAKE: TOYOTA SERIAL/CHASSIS NO: LF82-6005584 MOTOR NO: 2L-5437580 PLATE NO: AYR 523 MV FILE NO: 1308-00000277634 SERIES: REVO MODEL: 2004 COLOR: WHITE CR NO: 5612136-5 UTILITY VEHICLE REGISTERED IN THE NAME OF FLORENCE L. KILEY MAKE: TOYOTA SERIAL/CHASSIS NO: LF82 6000845 MOTOR NO: 2L 9782155 PLATE NO: AYP 498 MV FILE NO: 1380 00000261270 SERIES: REVO MODEL: 2003 COLOR: WHITE CR NO: 9219952-0 (For complete technical descriptions please see attached photocopy of CR No. 5612136-5 and 9219952-0 and marked as Annex B and C, respectively and made an integral part hereof.) 2. That at the time of his death, said decedent left no will and obligation;

3. That it is to the best of my interest I hereto adjudicate unto myself the said two (2) unit taxi and subsequently will be transferred in my name; 4. That this instrument is published in a local newspaper of general circulation for three (3) consecutive weeks in compliance with its proper and due registration; 5. I am executing this affidavit to attest to the veracity and truthfulness of the foregoing statements and for all legal intents and purposes it may serve. IN WITNESS WHEREOF, I have hereunto affixed my signature this _______ day of __________________, 2012 at Baguio City, Philippines.

ELVIE COLAS KILEY Affiant WITNESSES: __________________ Republic of the Philippines) Done: City of Baguio ) S.S. ACKNOWLEDGEMENT Before me a notary public for and in the City of Baguio, this ______day of ______________, 2012, personally came and appeared ELVIE COLAS KILEY personally known to me and presented to me her __________________________ an integrally complete instrument for identification and she acknowledged to me that the same is her own free act and deed. I further certify that the foregoing instrument, consisting of Two (2) pages, including the acknowledgment, relate to AFFIDAVIT OF SELF-ADJUDICATION pertaining to two (2) unit of taxi, signed by the affiant thereto and her witnesses. WITNESS MY HAND AND NOTARIAL SEAL. __________________

Doc. No. _________; Page No. ________; Book No. ________; Series of 2012.

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