Sample Adverse Claim 2m371

Republic of the Philippines) Province of ____________________)S.S. City/Municipality of _____________) x---------------x AFFIDAVIT OF ADVERSE CLAIM I,_____________, of legal age, Filipino, (single / married / widow), and a resident of _____________, Philippines, after having been sworn to in accordance with law depose and say: 1.On _____________, I have entered into a Deed of Conditional Sale which was acknowledged on the same date before Notary Public _____________ of _____________ and entered in his Notarial as Doc. No. ______; Page No. ______; Book No. ______, Series of ______.A copy of the said Deed is hereto attached 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. _____________, 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 P_____________ which is payable within _____________ (______) (year/months) from the date of g 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 of Deeds of _____________; 5. However, since the said Deed of Conditional Sale per se could not be annotated on the Title with the Office of the of Deeds, I am therefore executing this Affidavit for the purpose of attesting to the truthfulness of the foregoing allegations and in of my request for the annotation of an adverse claim over the parcel of land covered by the Transfer Certificate of Title No. _____________. IN WITNESS WHEREOF, I have hereunto set my hand this _____________ in the City/Municipality of _____________, Philippines. Affiant (JURAT)

Republic of the Philippines)

Province of ________________)S.S. City/Municipality of _____________) x-------------x AFFIDAVIT OF ADVERSE CLAIM I, _____________, of legal age, Filipino, (single / married / widow), and a resident of _____________, after having been sworn to in accordance with law, depose and say: That I am one of the heirs of the late _____________. That a certain _____________ previously entered into a Deed of Conditional Sale with the (Government Service Insurance System (GSIS) or Pag-IBIG) for the purchase of a parcel of land (including the improvements thereon) located at _____________, more particularly described as follows: (Technical Description of Property) That on _____________, _____________ executed a (Deed of Transfer of Rights / Assumption of Obligations) in favor of the late _____________, which document is more particularly identified as Document No. ______, Page No. ______, Book No. ______, Series of ______ in the Notarial of Notary Public _____________ and a copy of which is attached herein. That in said (Deed of Transfer of Rights / Assumption of Obligations), _____________, for valuable consideration received, ceded, transferred and conveyed to _____________, his heirs, successors and/or assigns, all his rights, interest and participation in the purchase of the aforedescribed parcel of land. That as such, _____________ has since then relinquished all his rights, interest and participation over the aforedescribed parcel of land in favor of the late _____________ and his heirs. However, it has come to my knowledge that _____________ is presently claiming to still have an interest over the aforementioned parcel of land and is attempting to sell or dispose of the same despite the fact that he has already conveyed all his rights and interests thereon to _____________ and his heirs. That unless an adverse claim is annotated on the aforedescribed Transfer Certificate of Title, the heirs of _____________ are in danger of being defrauded and deprived of their just and valid right over the aforedescribed parcel of land and, as such, I am executing this Affidavit in of my request for the annotation of an adverse claim over the parcel of land described herein. FURTHER AFFIANT SAYETH NAUGHT. IN WITNESS WHEREOF, I have hereunto set my hand this _____________, in the City / Municipality of _____________, Philippines.

Affiant (JURAT)