DEED OF SALE OF PRIVATE AGRICULTURAL LAND

AFFIDAVIT

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF ________________) SS.

MUNICIPALITY OF _____________)

I, __________________, of legal age, single (or married to ________________), resident of ______________________________, after being sworn in accordance with law, depose and say:

That I am the vendee in the sale of the above-described private agricultural land; That I am a naturalized citizen of the Philippines, by virtue of a final decision of the CFI _____________ ; on ________________ that a certified copy of my certificate of naturalization is hereto attached as Annex “A”; that I am qualified to acquire and hold public and private lands in the Philippines.

__________________________________

(Signature of Affiant)

SUBSCRIBED AND SWORN to before me, this ____ day of __________ 20____, in the City of __________________, by ___________________ with Passport No.________________ issued on __________________ at _____________.

Notary Public

Doc. No. ______;

Page No. ______;

Book No. ______;

Series of ______;