REPUBLIC OF THE PHILIPPINES)

CITY OF MAKATI ) S.S.

AFFIDAVIT OF ADVERSE CLAIM

I, SASHA GREY, of legal age, Filipino, single and a resident of 2223 Washington
Street, Pio del Pilar, Makati City, after having been duly sworn to in accordance with
law, depose and state:

1. That on July 10, 2013, I have entered into a Deed of Conditional Sale which was
acknowledged on the same date before Notary Public Juan Tamad of Makati City
and entered in his Notarial Register as Doc. No. 2, Page 2, Book II, Series of
2013.

A copy of the said Deed is hereto attached as ANNEX A and made an integral
part of this Affidavit;

2. That in the said Deed of Conditional Sale, I was the VENDEE of a certain parcel of
land covered by Transfer Certificate of Title No. 111222, more particularly
described as follows:
(Technical Description of Property)

3. That because I still have a balance on the purchase price in the amount of
P500,000.00 which is payable within one (1) (year) from the date of signing thereof,
it was stipulated in the aforementioned Deed that title and ownership over the
subject property will only be transferred upon full payment of the same;

4. That the VENDOR in the said Deed of Conditional Sale agreed that upon its
execution, said Deed shall be annotated in the Title with the Office of the Register of
Deeds of Makati City;

5. However, since the said Deed of Conditional Sale per se could not be annotated on
the Title with the Office of the Register of Deeds, I am therefore executing this
Affidavit for the purpose of attesting to the truthfulness of the foregoing allegations
and in support of my request for the annotation of an adverse claim over the parcel
of land covered by the Transfer Certificate of Title No. 111222.

IN WITNESS WHEREOF, I have hereunto set my hand this 27TH day of January
2014 in Makati City, Metro Manila, Philippines.

SASHA GREY
Affiant
With Philippine Passport No. 123456

SUBCRIBED AND SWORN TO before me this 27TH day of January 2014 in Makati
City, Metro Manila, Philippines, affiant exhibiting to me her Philippine Passport No.
123456 issued in Manila on January 12, 2012 and valid until January 12, 2017.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2014.