1. That I am the registered owner of that parcel of land located at Barangay Bancal, Municipality of San Carlos, Pampanga which contains an area of FIVE HUNDRED (500) HECTARES and is covered by Transfer Certificate of Title No. _____ of the Registry of Deeds of Pampanga and is now the subject of a Deed of Sale in favor of _______;

           2. That the above parcel of land is not planted to any tree or crops and has no improvement contemplated by the Agrarian Reform Law;

           3. That I am executing this affidavit in order to attest to the truth of the foregoing circumstances and for the purpose of compliance with the requirements of the Agrarian Reform Law.

           IN WITNESS WHEREOF, I have hereunto set my hand this ____day of March, 2003 at the Municipality of San Carlos, Pampanga.