I, ___________________________, of legal age, single/married, and a resident of _____________________, being first sworn to in accordance with law, depose and state:

      That I am the true, lawful and absolute owner of that certain property, now in the possession of ___________________, and presently being levied upon and more particularly described as follows:

      That the value of the above described property is P_______________;

      That i hereby claim said property as my own, being entitled to its ownership and possession.

      Makati City, __________________, 2004.