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Republic of The Philippines) Dasmarinas, Cavite - . - . - . .) S.S. Affidavit of Guardianship

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REPUBLIC OF THE PHILIPPINES )

DASMARINAS, CAVITE . . . . . . . ) S.S.

AFFIDAVIT OF GUARDIANSHIP

I, NERISA V. CAON, Filipino, of legal age, widow and resident of


Blk. 110, Lot 9, Brgy. Sta. Lucia, Dasmarias City, Cavite, after being duly
sworn to in accordance with law, depose and state: That - -

1. I am the mother of the following minor children to wit:

NAME DATE OF BIRTH


KATHLENE MAE V. CAON JULY 5, 1999
ALDWIN V. CAON AUG 14, 2000
MARK ADRIANE V. CAON SEPT 12, 2006
ALBERT V. CAON OCT 14, 2009

2. My common-law-husband ALBERTO CAON died on 28


October 2016 at Army General Hospital, Fort Bonifacio, Taguig
City;

3. Since the demise of my common-law-husband I am the one


taking custody and guardianship over the above-mentioned
minor children;

4. Through this Affidavit, I hereby declare under oath that I am


the mother, guardian and the one taking custody of the above-
mentioned minor children since the demise of their father;

5. I am executing this Affidavit to attest to the truth and veracity


of the foregoing and for whatever legal purpose the same may
serve;

IN WITNESS WHEREOF, I have hereunto affixed my signature


this ____ day of ________________ in Dasmarias City, Cavite.

NERISA V. CAON
Affiant

SUBSCRIBED AND SWORN to before me this ____ day of


___________ affiant exhibiting to me her UMID # 0033-4873897-6

Doc. No. ___;


Page No. ___;
Book No. ___;
Series of 2016

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