I, SERGIO BENEDICTO GACUSAN, of legal age, Filipino citizen,
married and a resident of Barangay Nagmisaan, Paniqui, Tarlac, after having been duly sworn to in accordance with law, depose and state:
1. That I am the TRANSFEREE of a parcel of land located at Barrio of
Nagmisaan, Municipality of Paniqui, Province of Tarlac, with an area of TWO THOUSAND FIFTY NINE (2,059) square meters, more or less, covered by Transfer Certificate of Title No. 03865 Emancipation Patent No. A-141715;
2. That aside from the above-mentioned parcel of land, I do not own any agricultural land in Paniqui, Tarlac or anywhere in the Philippines;
3. That I am executing this affidavit to attest to the truth of the foregoing
facts and for whatever legal intents and purposes that it may legally serve;
IN WITNESS WHEREOF, I have hereunto set my hand this
______________, in the City of Tarlac, Philippines.
SERGIO BENEDICTO GACUSAN
Affiant
SUBSCRIBED AND SWORN to before me this ____________ in the
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