HQP-AAF-124

REPUBLIC OF THE PHILIPPINES)

___________ ) S.S.

AFFIDAVIT OF ABSOLUTE OWNERSHIP

I, , of legal age, Filipino, and with

official address at , after having
been duly sworn in accordance with law, depose and say:

1. That I am the Manager of Pag-IBIG FUND, a government financial

institution organized under Republic Act No. 9679, with principal office
at the Petron MegaPlaza Building, 358 Sen. Gil Puyat Avenue, Makati
City.

2. That on , the (Developer)

a corporation duly organized and existing under the laws of the
Republic of the Philippines with principal office at _
_____________ , executed an Absolute Deed of
Assignment I Deed of Assignment I Deed of Assignment with Special
Power of Attorney which transferred, assigned, and conveyed to Pag-
IBIG Fund all its rights, interest and participation on the condominium
unit! parcel of land subject of Contract to Sell dated
___________ , together with the housing unit
constructed thereon situated in
--------------
and covered by Transfer I Condominium Certificate of Title
No. of the Registry of Deeds for
___________ , to secure the payment of a housing loan
of the Buyer named therein in the amount of P .A
certified true copy of the aforementioned Deed of Assignment is hereto
attached for reference.

3. That the said Absolute Deed of Assignment I Deed of Assignment I

Deed of Assignment with Special Power of Attorney was
acknowledged by , a Notary Public for and in
______ , as Doc. No. __ , Page No. _; Book No. __ :
Series of __ , and same was further registered in the Registry of
Deeds of on
under Entry No. _

4. That Pag-IBIG Fund paid the developer in full the purchase price of the
residential property subject of the Contract to Sell mentioned above, in
the amount of (P),
Philippine Currency.

5. That having paid full consideration for the residential property covered
by TCT/CCT No. , Pag-IBIG Fund has become the
absolute owner thereof.

6. That this affidavit is executed for the purpose of transferring the title
over the said property to Pag-IBIG Fund, cancelling TCT/CCT No.
and issuing a new one in favor of the Fund.

r APPROVED: •.. 1Q.~ ...':?Q!a•.•.• -

(Revised February 13, 2013)

l.RES~~::f~MENT
. DEPARTMENT
----------..!
 IN WITNESSWHEREOF, I have hereunto affixed my signature on
----------------- at --------------

Affiant

SUBSCRIBED AND SWORN to before me this day of

__________ , , by , who has satisfactorily
proven to me his/her identity through his _
valid until , that he is the same person who personally signed
before me the foregoing Affidavit of Absolute Ownership and acknowledged that
he/she voluntarily executed the same for himself and that of the Pag-IBIG Fund
herein represented.

NOTARY PUBLIC

Doc. No.
Page No. _
Book No.
Series of 20 ----------

(Revised February 13, 2013) 2