REPUBLIC OF THE PHILIPPINES)
ILOILO CITY
) S.S.
x-------------------------------------x
AFFIDAVIT OF SELF-ADJUDICATION
I, ROSALEI H. PEDROSA, of legal age, Filipino, single and a
resident of No 121 Lopez Jaena Street, Jaro, Iloilo City, after having been
duly sworn to in accordance with law, depose and state:
1. That I am the only daughter of EDUARDO B. PEDROSA
who died without any last will and testament on July 20, 2014
in Iloilo City as evidenced by his Death Certificate issued by the City
of Iloilo hereto attached as Annex A and made an integral part of this
Affidavit;
2. That at the time his death, my father had no debts, liabilities or obligations to
any persons, agency or institution;
3. That the only property he left is a parcel of land consisting of 60 square
meters located in J.B. Roxas Street, Iloilo City more particularly described
in TCT No. 112233 hereto attached as Annex B and made an integral part
of this Affidavit;
4. 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 Makati City with the
request that the said adjudication be made effective without judicial
proceeding as prescribed by the aforementioned provision of the Rules of
Court.
IN WITNESS WHEREOF, I have hereunto set my hand this 1st day
of December 2014 in Iloilo City, Philippines.
RIZALEE J. PEREZ
Affiant
SUBCRIBED AND SWORN TO before me this 2nd day of December
2014 in Iloilo City, Philippines, affiant exhibiting to me her Philippine
Passport No. 123456 issued in Manila on January 12, 2012 and valid
until January 12, 2017.
Cecilia Ochavo
Notary Public for and in the
City and Province of Iloilo
Commission Serial. No. 5689
Valid until December 31, 2015
#051 Lopez Jaena Street, Pototan, Iloilo
Roll of Attorney No. 54236
PTR No. 25643, Iloilo City, January 10, 2014
IBP No. 24358, Iloilo City, January 4, 2014
MCLE Compliance No. IV-000698
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2013.