REPUBLIC OF THE PHILIPPINES)

CITY OF _______________) S.S.

AFFIDAVIT OF CANCELLATION OF ENCUMBRANCE

I, _______________________________________, of legal age, Filipino, ____________, and presently residing at ________________ _________________________________________________, after having been duly sworn to in accordance with law, depose and state:

1. I am the registered owner of a parcel of land situated in Tagaytay City, with Transfer Certificate of Title No. T- 73879 of the Registry of Deeds for Tagaytay City.

2. It was annotated in the previous certificate of title, which was copied from the certificate of title in my name, “Pursuant to Sec. 8 of Republic Act No. 26, this certificate of title is without prejudice to any party whose right or interest in the property was duly noted on the original of the reconstituted certificate of title RT- 5 (130-a-1337) at the time it was lost or destroyed.”

3. From the time of the encumbrance was duly annotated, more than two (2) years have already lapsed since the title was transferred in my name.

4. Thus, as can be deduced from the foregoing, the cancellation of the said encumbrance is warranted and is in order.

5. I therefore have executed this Affidavit to attest the truth I mentioned herein and for whatever legal purposes it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this _____ day of __________ 20____ in ____________, __________, Philippines.

_______________________________________

Affiant

Philippine Passport No. ___________

valid until ____________ ____, 20____

SUBSCRIBED AND SWORN TO before me this ____ day of ___________ 20____ in _____________, _________, Philippines, affiant exhibiting to me her competent evidence of identity indicated below his above- stated name.

Doc. No. _____;

Page No. _____;

Book No. _____;

Series of 20____.