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REPUBLIC OF THE PHILIPPINES } CITY OF BAGUIO } S.S.

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AFFIDAVIT OF ADJUDICATION OF ESTATE OF DECEASED PERSON


I, JULIEBETH S. FERNANDEZ of legal age, Filipino, single and a resident of No. 123 Trancoville, Baguio City, Philippines, after having been duly sworn in accordance with law, do hereby depose and say: 1. That I am the only daughter of MICHAEL A. FERNANDEZ who died intestate in the Municipality of Baguio, Province of Benguet, on April 08, 2011 as evidenced by Death Certificate issued by the Municipality of Baguio, Province of Benguet, hereto attached as ANNEX A and made an integral part of this Affidavit; 2. That the said deceased left deposit in the Bank of the Philippine Islands, BaguioSession Branch in the amount of Five hundred Thousand Pesos (P500,000;) and a commercial building located in Magsaysay Road, Baguio City. 3. That the said deceased left no debts; That pursuant to Rule 74, Sec. 1 of the 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 Baguio City with the request that the said adjudication be made effective without judicial proceeding as prescribed by the aforementioned Rules of Court. IN WITNESS WHEREOF, I have hereunto set my hand this 25th day of November 2012, in Baguio City, Philippines.

JULIEBETH S. FERNANDEZ Affiant SUBSCRIBED AND SWORN to before me in the City of Baguio this 25th day of November 2012, by Juliebeth S. Fernandez, who has satisfactorily proven her identity through MARCO F. DE SILVA, who is personally known to me and who personally knows the principal, that she is the same person who executed and personally signed the foregoing affidavit before me and acknowledged that she executed the same.

FLOR-ANN A. CAJAYON
Notary Public

1 Doc. No. ____; 1 Page No. ____; Book No. ____; I Series of 2012.

3F Piao Yan Bldg., Bonifacio St., Baguio City Tel. No.:(074) 434-9870 PTR No. 65432; 1/03/2012; Baguio City IBP OR No.: 39617; 1/03/12; Baguio City Roll of Attorneys No. 317120; 3/18/2004 Commission Serial No.: 56-NC-12 MCLE Compliance No.: IV-36286; 4/28/12 TIN No: 226-753-759

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