Republic of the Philippines )
City of __________ ) S.S.
AFFIDAVIT OF ADVERSE
CLAIM
I, (NAME OF
AFFIANT), of legal age,
Filipino, single/married, and a resident of (Place of Residence), after having
been sworn to in accordance with law, depose and say – THAT:
1. I am one of the heirs of the late (Name
of Deceased Ascendant/Parent/s);
2. By hereditary succession, ownership and
other real rights are transmitted by law to me and my co-heir over the parcel
of land located at (Location of Property), more particularly described as follows:
(Technical Description of Property)
3. It has come to my knowledge that (Name
of Person Involved) has caused the titling in his/her name and is presently
claiming to have an interest over the said parcel
of land;
4. Clearly, said title and claim are based
on forged or fraudulent documents executed sometime on (Date) in favor of the (Name
of Person Involved), copies of which are attached herein;
5. Unless an adverse claim is annotated on
the said Original Certificate of Title, the
heirs of (Name of Deceased Ascendant/Parent/s) are in danger of being defrauded
and deprived of their just and valid right over the said parcel of land; and
6. As such, I am executing this Affidavit in support 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 affixed my signature this (Date), in (Place), Philippines.
(NAME OF
AFFIANT)
Affiant
SUBSCRIBED AND SWORN to
before me this (Date) in (Place), with affiant exhibiting to me his (ID
details), a government-issued ID bearing his/her signature and photograph.
Doc. No. ____;
Page No. ____;
Book No. ____;
Series of _____.