Republic of the Philippines
MUNICIPAL TRIAL COURT
8th Judicial Region
IN RE: APPLICATON FOR
CASE NO. N-02
E-ORDOF TITLE OF A PARCEL OF
LAND SITUATED AT
LRA RECORD NO.
X- - - - - - - - - - - - - - - - - - - - - - - - - - X
I, ___________, of legal age, Filipino, married and a
resident of Market Site, Dulag, Leyte, and presently the
Municipal Assessor of the Local Government Unit of Dulag,
Leyte, after having been duly sworn to in accordance with
law, hereby deposes and states as follows:
Question 1: Mr. witness, you said you are the Municipal
Assessor of Dulag, Leyte, since when have you been in that
Answer: Since the year 1982.
Question 2: You said also that you are a resident of Market
Site, Dulag, Leyte, are you familiar of a lot also situated at
Market Site which is the subject of this case?
Answer: Yes, I have personal knowledge being a long time
resident of the said barangay.
Question 3: What is the lot number of this land?
Answer: It is Lot No. 9788-B.
Question 4: Who is the present owner and possessor of Lot
Answer: It is the spouses ______and ______;
Question 5: What documentary evidence can you present to
prove this fact?
Answer: I have here the Tracer of Lot No. 9788-B.
and Mylene L. I have hereunto affixed my signature this ___ day of September. _____ and ______ Juarez for the period 1977 up to 2009 and spouses Marcial ______. 10051-R3 was ______ from the year 1948 up to 1975. IN WITNESS WHEREOF. _____and their predecessors were in the concept of owners thereof in open. Philippines. Affiant SUBSCRIBED AND SWORN to before me this ___ day of January. is that correct? Answer: Yes. Question 9: Prior to 1948 particularly the period before 1945 who was the owner and possessor of the said lot? Answer: It was still _____ as normally the declared owner and possessor in the tax declarations of revision 1 up to revision 2 are the same however we have no record of the declared owner of the lot for the period prior to 1945 as it was destroyed during the Second World War. Philippines. 2016 at Tacloban City. after I have personally examined the affiant and that I am convinced . Question 11: What else could you say of this case? Answer: That is all I can say for the meantime. ____. Question 10: So based on the said tracer it is clear now that the spouses Marcial M. and Mylene _______ for the period 2012 up to the present. Question 8: In that tracer kindly state for the record who was the owner and possessor of the lot for the period covered from the first primitive owner thereof up to the present? Answer: Based on the tracer the declared owner and possessor under tax declaration No. 2014 at Tacloban City.Question 6: In the said tracer who was the declared owner prior to the said spouses? Answer: _________? Question 7: Prior to _____ and ______ who was it’s declared owner? Answer: It was ______. continuous and uninterrupted possession of the said lot prior to the year 1945 up to the present.
No.that he voluntarily executed this affidavit and understood the contents thereof._____ Page No._____ Book No. Doc._____ Series of 2016. .