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    Affidavit of Separation

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    Rob De rueda
    The document contains two affidavits of separation, one from a woman seeking a loan who has been separated from her husband for 15 years, and one from a man seeking health assistance who has stopped employment and can be declared separated from employment.

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    © All Rights Reserved
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    Affidavit of Separation

    Uploaded by

    Rob De rueda
    5K views2 pages
    The document contains two affidavits of separation, one from a woman seeking a loan who has been separated from her husband for 15 years, and one from a man seeking health assistance who has stopped employment and can be declared separated from employment.

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    The document contains two affidavits of separation, one from a woman seeking a loan who has been separated from her husband for 15 years, and one from a man seeking health assistance who has stopped employment and can be declared separated from employment.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    5K views2 pages

    Affidavit of Separation

    Uploaded by

    Rob De rueda
    The document contains two affidavits of separation, one from a woman seeking a loan who has been separated from her husband for 15 years, and one from a man seeking health assistance who has stopped employment and can be declared separated from employment.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    REPUBLIC OF THE PHILIPPINES)

    PROVINCE OF BULACAN ) S.S.


    CITY OF MALOLOS

    AFFIDAVIT OF SEPARATION

    I, VICTORIA F. JOSE, of legal age, Filipino, and presently residing at Blk 17 Lot
    2, Regatta North Subdivision, City of Malolos, Bulacan, after having been duly sworn to
    in accordance with law, do hereby depose and say that:

    1. I am requesting the Sto. Rosario Credit and Development Cooperative to grant


    me a loan assistance as it is essential in the business I am putting up;

    2. As such I was required to furnish them a copy of different documents, one of


    which is an Affidavit of Separation;

    3. I have been married to a certain Fernando G. Jose;

    4. I hereby certify that I have been separated and estranged with her for 15 years;

    5. The social service assistance shall be used solely for the said circumstance;

    6. This affidavit is executed to attest to the truth of the foregoing and for all legal
    intents this may serve best.

    IN WITNESS WHEREOF, I have hereunto set my hand this 18 th day of June 2019
    in the City of Malolos, Bulacan, Philippines.

    VICTORIA F. JOSE
    Affiant

    SUBSCRIBED AND SWORN to before me on the place and date above stated.
    Affiant exhibited to me her OSCA ID with no. 359448.

    Doc. No. 38; ATTY. JOEL B. ARELLANO


    Page No. 8; Commission No. PNC 24-MB-2018
    Book No. 48: Notary Public for the Province of Bulacan
    Series of 2019. Until December 31, 2019
    Provincial Capitol Malolos City Bulacan
    PTR NO. 0005584/01-04-2018 MALOLOS
    IBP NO. 028077-01-17-2018 BULACAN
    ROLL NO. 53884
    MCLE COMPLIANCE NO. V-0010161

    REPUBLIC OF THE PHILIPPINES)


    PROVINCE OF BULACAN ) S.S.
    CITY OF MALOLOS

    AFFIDAVIT OF SEPARATION FROM EMPLOYMENT

    I, MARIO C. BALLESTEROS, of legal age, Filipino, and presently residing at


    0235 Tabing-Ilog, Bulihan, City of Malolos, Bulacan, after having been duly sworn to in
    accordance with law, do hereby depose and say that:

    1. I am requesting the Philippine Heart Center to grant me a social service


    assistance as it is essential that I watch over my health;

    2. As such I was required to furnish them a copy of different documents, one of


    which is an Affidavit of Separation;

    3. I have been working as a laborer in various welding businesses;

    4. I certify that now that I have stopped any gainful employment and/or businesses
    and can be declared as separated from employment;

    5. The social service assistance shall be used solely for the said circumstance;

    6. This affidavit is executed to attest to the truth of the foregoing and for all legal
    intents this may serve best.

    IN WITNESS WHEREOF, I have hereunto set my hand this 29 th day of May 2019
    in the City of Malolos, Bulacan, Philippines.

    MARIO C. BALLESTEROS
    Affiant

    SUBSCRIBED AND SWORN to before me on the place and date above stated.
    Affiant exhibited to me his OSCA ID with no. 28779

    Doc. No. 16; ATTY. JOEL B. ARELLANO


    Page No. 5; Commission No. PNC 24-MB-2018
    Book No. 47: Notary Public for the Province of Bulacan
    Series of 2019. Until December 31, 2019
    Provincial Capitol Malolos City Bulacan
    PTR NO. 0005584/01-04-2018 MALOLOS
    IBP NO. 028077-01-17-2018 BULACAN
    ROLL NO. 53884
    MCLE COMPLIANCE NO. V-0010161

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