REPUBLIC OF THE PHILIPPINES)
C I T Y O F ______________________)s.c.
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AFFIDAVIT
I, (Insert Name of Affiant) , Filipino, of legal age, single/married to (Insert Name of Spouse if any), and a resident of (Insert Address of Affiant), after having been duly sworn in accordance with law, do hereby depose and say:
1. That .................................................................................................................
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2. That .................................................................................................................
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3. That..................................................................................................................
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4. That I am executing this Affidavit to attest to the truthfulness of the foregoing
statements and to (request for the/establish the fact that) ....................................
(copy your request/allegation in the preceding paragraph) and for whatever legal
purpose this may serve best.
Further Affiant sayeth none.
IN WITNESS WHEREOF, I have hereunto affixed my signature this ......... day of ..................... , 20__ in ..................................... Philippines.
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(Signature of Affiant over Printed Name)
SUBSCRIBED AND SWORN before me this........ day of ........................... 20__, by ............................................. who exhibited to me his CTC No. ................................... issued on ................................. at ...........................................
Notary Public
Doc. No. .........:
Page No. .........;
Book No. .........;
Series of 20__.
