Republic of the Philippines Province of Northern Samar Municipality of Catarman )S.S AFFIDAVIT OF CONFIRMATION OF ANTIQUE/ANCIENT PUBLIC SALE I, JUAN DELA CRUZ, of legal age, married, Filipino, and a resident of Brgy. Quezon, Catarman, Northern Samar, after being sworn to in accordance with law, deposes and says: 1. That I am now the present Barangay Captain of Brgy. Quezon, Catarman, Northern Samar by virtue of succession; 2. That I am residing in Brgy. Quezon, Catarman, Northern Samar for quite a long time; 3. That it is a public knowledge in our barangay that PEDRO MARCOS sold for good value his lot designated as Lot No. 4155, PIs 112-D covered by Original Certificate of Title No. 18884 situated at Brgy. Quezon, Catarman, Northern Samar to LENI ROBREDO; 4. That such abovementioned transaction of sale was been executed sometime on 1970's; 5. That I confirm the execution of private sale and further attest that LENI ROBREDO or her representative/heirs was not in actual possession of such lot situated in Brgy. Quezon, Catarman, Northern Samar since time immemorial; and 6. I attest to the truthfulness of the foregoing statements with full knowledge that false testimony of perjury is punishable by law, and for whatever purpose this affidavit it may serve. IN TRUTH WHEREOF, I have hereunto affixed my signature this 8" day of April 2021 at Brgy. Quezon, Catarman, Northem Samar. JUAN DELA CRUZ Affiant SUBSCRIBED AND SWORN TO before me this , Affiant personally appeared to me and exhibited to me his identification card and known to me to be the person who executed the foregoing instrument and who acknowledged to me that the same was his free and voluntary act and deed. Under my hand and seal, Catarman, Northern Samar, Philippines.On September 5, 2022, at about 2:00 o'clock in the morning, Gorgonia Simbahan, a resident of San Antonio, San Pascual, Batangas, was driving a motor vehicle registered in the name of her husband Porfirio Simbahan coming from Lipa City and going south to Batangas City. The motor vehicle is particularly described as follows: Certificate of Registration No. 234568 Motor Vehicle File No. 54321 Make Subaru Year Model -2011 Engine No. 9856743286 Chassis Serial No. 09899654KL90 Plate No. PSJ 357 She was somewhere in Calansayan, San Jose, Batangas, when she noticed that a motor vehicle travelling the opposite direction is occupying her lane. She timely swerved to the extreme right preventing a collision, but side-swept the aluminum guard rail situated along the edge of the shoulder of the highway. As a result, the motor vehicle was deeply scratched from the right front fender to the right rear door. She did not report the incident to the police and no estimate as to the amount of the damage was made. The motor vehicle is covered by a comprehensive insurance policy and will shoulder the amount for the repairs subject to the payment of participation fee by the owner. Required: Draft an Affidavit of Accident (with jurat) executed by Gorgonia Simbahan. She exhibited to you her PRC card with no. 98765