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Affidavit of Next of Kin

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REPUBLIC OF THE PHILIPPINES)

City of Tacloban ) S.S.

x-----------------------x

AFFIDAVIT

I, ALEX B. BALINGASA, of legal age, Filipino, single, and with


residential address at 222 Avenida Veteranos St., Tacloban City, after
having been duly sworn to in accordance with law, do hereby depose and
state that:

1. That I am the next of kin of Eduardo Balingasa, who died


sometime in October, 2018;

2. That the decedent did not leave a surviving spouse;

3. That no personal representative has been appointed for the


decedent’s estate in this state or elsewhere and no application for
such an appointment is pending in this state or elsewhere.

4. That this affidavit is made in support of the undersigned’s request


for the release of birth and death certificate of Eduardo Balingasa
at the City Civil Registrar of Tacloban City.

Further, your affiant sayeth naught.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


th
28 day of December 2020 at Tacloban City, Philippines.

ALEX B. BALINGASA
AFFIANT

SUBSCRIBED AND SWORN to before me this 28th day of


December 2020 in Tacloban City, Philippines, Affiant personally appeared
and affixed his signature before me.

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