Sample Affidavit of Self-Adjudication by Sole Heir

CITY OF MAKATI                      ) S.S.


         I, MARIA B. DELA CRUZ, of legal age, Filipino, single and a resident of 6789 Washington Street, Pio del Pilar, Makati City, after having been duly sworn to in accordance with law, depose and state:

1. That I am the only daughter of JUAN B. DELA CRUZ who died without any last will and testament on July 20, 2013 in Makati City as evidenced by his Death Certificate issued by the City of Makati hereto attached as Annex “A” and made an integral part of this Affidavit; 

2. That at the time his death, my father had no debts, liabilities or obligations to any persons, agency or institution;

3. That the only property he left is a parcel of land consisting of 60 square meters located in J.B. Roxas Street, Makati City more particularly described in TCT No. 112233 hereto attached as Annex “B” and made an integral part of this Affidavit;

4. That pursuant to Rule 74, Sec. 1 of the Rules of Court, I hereby adjudicate unto myself the above-described real estate by means of this Affidavit and hereby files the same with the Register of Deed of Makati City with the request that the said adjudication be made effective without judicial proceeding as prescribed by the aforementioned provision of the Rules of Court.

         IN WITNESS WHEREOF, I have hereunto set my hand this 26th day of September 2013 in Makati City, Metro Manila, Philippines.


    SUBCRIBED AND SWORN TO before me this 26th day of September 2013 in Makati City, Metro Manila, Philippines, affiant exhibiting to me her Philippine Passport No. 123456 issued in Manila on January 12, 2012 and valid until January 12, 2017.

Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2013.