I, MARIA S. CRUZ, of legal age, Filipino, single, and a resident of 89 San Diego St., Brgy. Canumay, Valenzuela City, Philippines, after having been duly sworn in accordance with law hereby, do hereby depose and state that:
1. I am the sole heir of the late MARIO F. CRUZ, being his only biological daughter;
2. The late MARIO F. CRUZ passed away on June 30, 2013 and died without any last will and testament;
3. At the time of his death, my father had no debts, liabilities or obligations to any persons, agency or institutions;
4. The only property left by my late father is a parcel of land situated in 56 Corinthians St., St. Peters Subdivision, Brgy. Canumay, Valenzuela City, more particularly described as follows, to wit:
TCT No. 289678. A parcel of land (lot 56, S4, Area II, of the subdivision plan, Bsd-04-000987, being a portion of theland described on plan Swo- 04-000878, parcel 1, LRC Rec. No. 787), situated in Brgy. Canumay, City of Valenzuela. Bounded on the NE., along lines 2 to5 by lots 57, block 40, of the Sub. Plan on the S., along lines 1 to 3 by Road Lot 54, Bsd. 04- 000767, on the W., along line 5 to 6 by lot 52 to, block 40, and on the N., alongline by alley 1 both of the subd. Plancontaining an area of ONE HUNDRED SQUARE METERS (100)
5. As the sole heir of the herein decedent, I hereby adjudicate the abovementioned property solely for and in my name as well as any and all liabilities arising from the said property;
6. I hereby execute this affidavit for the purpose of processing the transfer of the said property in my name, the settlement of the estate of the late MARIO F. CRUZ, as well as for the release of any other claim or benefit in relation to his death before any government/private office and banking institution and for any other legal purpose this may best serve.
July 30, 2013.
MARIA S. CRUZ Affiant
2 REPUBLIC OF THE PHILIPPINES ) CITY OF VALENZUELA ) ss.
SUBSCRIBED AND SWORN to before me this 30 th of July 2013 at Valenzuela City, Philippines. Affiant exhibited to me her Land Transportation Office Non-Professional Drivers License No. N-26-04- 089769 issued on 5 March 2012 and which expires on 6 March 2015.
WITNESS MY HAND AND SEAL on the date and place above written.
PEDRO JOSE V. REYES Notary Public Valenzuela City Appointment No. M-308 Until December 31, 2014 Roll No. 60789 PTR No. 10064532, 1-20-12 IBP No. 989977, 1-23-12 CaMaNaVa Doc. No. 213; Office 5 th Flr., Atlantica Bldg., Page No. 42; Malinta, Valenzuela City Book No. 2; Series of 2013.