3E Mendiola ACT2 Affidavit-of-Self-Adjudication

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REPUBLIC OF THE PHILIPPINES )

MANILA CITY ) S.S.


AFFIDAVIT OF SELF-ADJUDICATION
I, LEONORA JOAQUIN, of legal age, married, Filipino, married,
and a resident of 157 España Boulevard, Sampaloc, Manila City,
after having been sworn in accordance with law, hereby deposes and states
the following:
1. To the exclusion of all others, am the only legitimate heir of Mr. Leo
Joaquin and Mrs. Nora Joaquin, both of whom died in an accident
without any last will and testament on November 05, 2011 in Quezon
City as evidenced by their Death Certificates issued by the City of
Quezon, hereto attached as Annex “A” and made integral part of this
affidavit;

2. Hereby, certify that the deceased, Mr. Leo Joaquin and Mrs. Nora
Joaquin, and had no debts, liabilities, or obligations to any persons,
agency, or institution;

3. That the properties left by the deceased consist of (1) insurance policies
due on Insurance Policy Nos. 001157 and 007511 with an amount of
P100,000.00 each; (2) bank deposits due on Current Deposit Account
No. 1157-7511-5171 in the total amount of P150,000.00; (3) house and
lot, more particularly described in TCT No. 115700, valued at
P350,000.00; and (4) the wrecked vehicle with depreciated value of
P250,000.00;

4. That pursuant to Rule 74, Sec. 1 of the Rules of Court, I hereby


adjudicate unto myself the above described properties by means of this
Affidavit and hereby files the same with the Register of deeds of
Quezon 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 hereby set my hand this 19th day of May


2022 at Manila City.

____________________
LEONORA JOAQUIN
Affiant
SUBSCRIBED AND SWORN to me before me this 19th day of May
2022 at Manila City, affiant exhibiting to me her Unified ID CRN: 0011-

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5707511-5 issued on 7 May 2017 and which expires on 7 May 2027, as
competent evidence of her identity.

Witness my hand and notarial seal.

ATTY. REYZEN PAUL UNITE MENDIOLA


Notary Public – Manila City
Notarial Commission No. 11570 / valid until 02-29-24
IBP Member No. 11570 / 02-29-20 / PPLM
PTR Exempt / SC Bar Matter No. 1157
Roll of Attorneys No. 11570
MCLE Compliance No. VI-0011570 / valid until 02-29-24

Doc. No. 1157


Page No. 11
Book No. 57
Series of 2022

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