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Affidavit - ERRONEOUS ENTRY - AYING

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Republic of the Philippines)

Province of Surigao del Sur)


Municipality of Tago) s.s.
x- - - - - - - - - - - - - - - - - - -/

AFFIDAVIT OF TWO DISINTERESTED PERSONS


WE, RUTCHEL DIO SEGUIZ and EMMA ESTANIO BALILI, both of legal
ages, Filipinos and residents of Cortes, Surigao del Sur, Philippines, after having
been duly sworn to in accordance with the law, depose, and state:

1. That we personally know JOHN PAUL AYING MEJORADA,


who was born on March 26, 2001 at Mabahin, Cortes, Surigao
del Sur, to the spouses Marissa Antallan Aying and Pedro
Quijada Mejorada; he and his parents had been our neighbor
and our close friend for a long time;

2. That in his Certificate of Live Birth issued by the Philippine


Statistics Office, his middle name was erroneously entered
therein as ALZATE instead of AYING, which is his true and
correct middle name (which is the surname of her mother’s
maiden name) as evidenced by the Certificate of Live Birth of
Marissa Antallan Aying;

3. That also in his Certificate of Live Birth, his mother’s surname


was erroneously entered as ALZATE instead of AYING, which
is her true and correct surname;

4. That we hereby attest to the veracity of the foregoing and we


are not in any way related to JOHN PAUL AYING MEJORADA
within the fourth civil degree either by consanguinity or affinity,
nor do we have any pecuniary interest in this matter
whatsoever;

5. That we are executing this Affidavit to attest the veracity of the


foregoing and for all legal intents and purposes it may serve
best under the circumstance.

IN WITNESS WHEREOF, we have hereunto set our hands this 15 th day of


January, 2021 at Tago, Surigao del Sur.

RUTCHEL DIO SEGUIZ EMMA ESTANIO BALILI


Affiant Affiant
VIN: 6808-0020B-A0772RDS20000 VIN: 6808-0006A-D2861EEB20000

SUBSCRIBED AND SWORN to before me this 15th day of January, 2021


at Tago, Surigao del Sur.

ATTY. RONALD I. MAGALLANO


Notary Public
Doc No. ____ Under Serial No. SDS-07-2020
Page No. ___ Until December 31, 2021
Book No. ____ Roll of Attorneys No. 67773
Series of 2021. PTR No. 9109017 - 1/05/21
IBP No. 150721 – 1/13/21
MCLE Compliance No. VI-0012494
ATTY. RONALD I. MAGALLANO
Notary Public
Doc No. ____ Under Serial No. SDS-07-2020
Page No. ___ Until December 31, 2021
Book No. ____ Roll of Attorneys No. 67773
Series of 2021. PTR No. 9109017 - 1/05/21
IBP No. 150721 – 1/13/21
MCLE Compliance No. VI-0012494

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