REPUBLIC OF THE PHILIPPINES)

CITY OF ILOILO ) S.S.

x-------------------------------------x

AFFIDAVIT OF NO IMPROVEMENT

I, LUIS TERCERO, of legal age, Filipino, married and a resident

of _________ City, after having been duly sworn to in accordance with
law, depose and state:

1. That I am the registered owner of a parcel of land/ or that I purchased a

parcel of land from situated at Brgy. ________, ______ containing an
area of TWENTY THOUSAND TWO HUNDRED (20,200) square meters,
more or less, covered by Transfer Certificate of Title No. 12345 of
the Register of Deeds of ______

(That one of the requirements for the transfer of the Certificate of Title
is the payment of real property taxes covering both the land and any
improvements, if any)

2. That I hereby certify that the above-mentioned property has no existing

improvements of whatever kind and nature and it remained idle up to
the present;

3. That I am executing this affidavit to attest to the truth of the foregoing

facts and for whatever legal intents and purposes that it may serve;

IN WITNESS WHEREOF, I have hereunto set my hand this 29th

day of August 2013 in _______ City, Philippines.

LUIS TERCERO
Affiant

SUBCRIBED AND SWORN TO before me this _____ day of

___________ in ______ City, Philippines, affiant exhibiting to me his
Competent Evidence of Identity by way of SSS Identification Card No.
12345 issued on April 5, 2012 in Manila.
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2013.