Republic of the Philippines)
C I T Y OF D A V A O )s.s.
x------------------------------------x
AFFIDAVIT OF AGGREGATE LANDHOLDING OF TRANSFEROR, NON-TENANCY
AND RETENTION
I__________________________, Filipino, of legal age, single/married
__________________, and with residence and postal address at
____________________, Philippines, after having been duly worn to in accordance
with law, do hereby depose and say:
That, I am the registered landowner of a certain parcel of land
_______________ being a portion of ________________situated at ______________,
Davao City, with an area of _______________.
That my entire landholding here in Davao City, and within the three (3) provinces
Davao and in the entire Philippines, does not exceed FIVE (5) hectares, the limit
imposed by law, particularly RA 6657, otherwise known as the Comprehensive Agrarian
Reform Program (CARP);
That the said landholding is not tenanted or occupied by any other person in
whatever capacity;
That the said area/landholding is my retention;
That I am executing this affidavit to inform the proper authorities concerned, most
especially the Department of Agrarian Reform provincial Office of Davao City of the
foregoing facts;
IN WITNESS WHEREOF, I have hereunto set my hand this ________ day of
________________, 2018, at Davao City.
AFFIANT
SUBSCRIBED and SWORN to before me this ______day of _____________,
2018, Davao City, Philippines, affiant exhibited to me proof of identification consisting of
(any of the following, Office ID or Driver’s License, SSS, Senior Citizen ID No. ______
issued on ______________, issued at ____________________.
Doc No. ;
Page No. ;
Book No. ;
Series of 201___ Notary Public