REPUBLIC OF THE PHILIPPINES) CITY OF BAGUIO) x-----------x AFFIDAVIT OF SELF – ADJUDICATION I, Nieu Z. Land, of legal age, Filipino, single and a resident of Blk 55, Lot 66, Ibarra Homes, Baguio City, Philippines, after having been duly sworn to in accordance with law, depose and state: 1. That I am the sole heir of the late HUGH HEFNER, being his only biological daughter; 2. The late HUGH HEFNER passed away on December 2, 2016, and died without any last will and testament; 3. That at the time of death my father, he had no debts, liabilities or obligations to any persons, agency or institution; 4. The only property left by my late father is a house and lot, more particularly described as follows: TCT No. T-2222 A PARCEL OF LAND (Lot 32 of the consolidation subdivision plan (LRC) Pcs-5141, being a portion of the consolidation of Lots 1 and 2, Psu-112287 Amd., LRC (GLRO) Rec. No. N-17511), situated in the Dist. Of Concepcion, City of Sta. Rosa, Laguna, Island of Luzon. Bounded on the NE., points 3 to 6, by Lot 85; on the S., points 6 to 1 by Lot 30; on the SW., points 1 to 2, by Lot 31; and on the N., points 2 to 3 by Lot 35, all of the consolidationsubdivision plan. Beginning at a point marked "1" on plan, being N. 51 deg. 36' E., 1321.76 m. from B.L.L.M. No.1, Sta. Rosa, Laguna. 5. That as sole heir of the herein decedent, I hereby adjudicate the abovementioned property solely for and in my name as well as any and all liabilities arising from the said property; 6. That I hereby execute this affidavit for the purpose of processing the transfer of the said property in my name, the settlement of the estate of the late HUGH HEFNER, as well as for the release of any other claim or benefit in relation to his death before any government/private office and banking institution and for any other legal purpose this may best serve.
IN WITNESS WHEREOF, I hereunto affix my signature this 18 th day of January 2017 in Baguio City Philippines.
Nieu Z. Land Affiant SUBCRIBED AND SWORN TO before me this 18th day of January 2017 in Baguio City, Philippines, affiant exhibiting to me Driver’s License ID No. D11-125477 issued by the Land Transportation Office and valid until May 1, 2017, at Baguio City bearing his photograph and signature, known to me as the same person who personally signed the foregoing instrument before me and avowed under penalty of law to the whole truth of the contents of said instrument.
ATTY. MARY THERESE GABRIELLE B. ESTIOKO Notary Public Commission Serial No. 93-NC-13 Notary Public for Baguio City Until December 31, 2019 Office: Room 718, Ireland Bldg., Upper Session Road, Baguio City Roll No. 71813 IBP Lifetime Membership No. 01004218: 07/18/16: Baguio–Benguet PTR No. 718100421: 10/04/00: Baguio–Benguet MCLE Compliance Cert. No. IV-0001984, 10/21/05
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