AFFIDAVIT OF SOLE ADJUDICATION

PAGE 2

AFFIDAVIT OF SOLE ADJUDICATION

I, GLICERO INDIC GO, of legal age, Filipino, married to Emilia Edna Malulot Go, and with postal address at Poblacion, Julita, Leyte, after having been sworn according to law, depose and say: THAT---

1. I am the sole and only surviving heir of decedent CRISPIINA INDIC, widow, who died intestate on April 18, 1973 in Tacloban City, leaving certain real property in Julita, Leyte and more particularly described as follows:PARCEL 1

A parcel of residential land located at Poblacion, Julita, Leyte under Tax Declaration No. 02-20004-00161 (Year 2003) in the name of Crispina Indic (deceased) with an area of SIX HUNDRED SIXTY ONE (661) SQ.M. more or less; assessed at P16,340.00 only, bounded on the North by Flaviano Rivas; on the East by Fructusa Cayuba; on the South by Del Aqua St; and on the West by Gloria Pelicaro.

PARCEL 2

A parcel of land (Lot 4108 of the Cadastral Survey of Burauen), with the improvements thereon, situated in the Barrio of Julita, Municipalaity of Burauen. Bounded on the NE by Lot No. 4107; on the SE by Calle San Nicolas; on the SW by Lot 4119; and on the NW by Lot No. 4067 ...containing an area of ONE HUNDRED AND EIGHTY SEVEN (187) SQ.M. more or less, covered by Transfer Certificate of Title No. T-7283 of the Register of Deeds of the Province of Leyte and registered in the name of CRISPINA INDIK, and supported by current Tax Declaration No. 02-2004-00159 (Year 2003)with assessed value of P23,111.33 only.

PARCEL 3

A parcel of land (Lot No. 4623 of the cadastral survey of Burauen) with the improvements thereon, situated in the Barrio of Julita, Municipality of Burauen. Bounded on the NE by Lots Nos. 4632, 4629, 4630 and on the SE by Lots Nos. 4619, 4620 and 4622; on the SW by Lot No. 4624; and on the NW by Lots Nos. 4625, 4626, 4627, 4628 and a barrio road ... containing an area of TWENTY FOUR THOUSAND NINE HUNDRED AND FIFTY-FIVE (24,955) SQ.M. more or less, covered by ORIGINAL CERTIFICATE OF TITLE No. 32530 of the Register of Deeds of the Province of Leyte, and registered in the names of CRISPINA INDIC (deceased) and ANATALIA INDIC (deceased) in undivided equal shares, and supported by current Tax Declaration No. 02-20004-00160 (Year 2003) with assessed value of 27,140.00 only.

2. The decedent has left no known debts or obligations that have remained unpaid or unsettled; neither has she left any other heirs entitled to succeed in her estate, except the herein affiant who is her sole surviving son/child.

WHEREFORE, and invoking the provision of Section 1, Rule 74 of the Rules of Court, the herein affiant does hereby adjudicate unto himself the entire estate hereinabove described, subject only to contingent liabilities to creditors, heirs and other persons who might have been deprived of lawful participation therein in accordance with Section 4, Rule 74 of the Rules of Court.

FURTHER, AFFIANT SAYETH NAUGHT.

IN WITNESS WHEREOF, I have hereto have affixed my signature this _______________ at Tacloban City, Philippines.GLICERIO I. GOAffiantSIGNED IN THE PRESENCE OF:

_______________

_______________

Republic of the Philippines)

Province of Leyte

) SS

City of Tacloban

)

ACKNOWLEDGMENT

BEFORE ME, a Notary Public for Tacloban City, this ___________ at Tacloban City personally appeared GLICERIO INDIC GO, exhibiting to me his CTC No. ____________ issued on ________________ at __________________, known to me to be the same person who executed the foregoing instrument, and he acknowledged to me that the same is his free act and deed.

WITNESS MY HAND AND NOTARIAL SEAL.

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Page No. ___

Book No. ___

SERIES OF 2006PHILIPPINE CONSULATE GENERAL)

CITY AND COUNTY OF HONOLULU) SS

STATE OF HAWAII, U.S.A.

)ACKNOWLEDGMENT

BEFORE ME, ARLENE GONZALES-MACAISA, Counsel of the Republic of the Philippines in the City and County of Honolulu, HawaiI, U.S.A., duly commissioned and qualified, personally appeared GLICERIO INDIC GO, on this _______________________ at Honolulu, Hawaii, to me known and known to me to be the same person who executed the annexed AFFIDAVIT OF SOLE ADJUDICATION being informed by me of the contents of the said instrument, and acknowledged before me that the same is his own free will and deed.

This Consulate General assumes no responsibility for the contents of the annexed document.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of the Consulate General of the Republic of the Philippines at Honolulu, HawaiI, United States of America, this ______________________.

ARLENE GONZALES-MACAISA

Consul

Annexed document is an Affidavit of Sole Adjudication

Executed by Glicerio Indic Go

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