Affidavit of Change of Address
Affidavit of Change of Address
Affidavit of Change of Address
I, CORAZON C. REYES, of legal age, married, Filipino and residing at #0989 Sta.
Monica, Hagonoy, Bulacan, after having been duly sworn to in accordance with law, do hereby
depose and say:
4. That taking into consideration that I am presently now residing at Hagonoy, Bulacan, I
am requesting the SSS to change my address from Block 4 Lot 12 Tanong, Malabon City to
#0989 Sta. Monica, Hagonoy, Bulacan in my record;
5. That I am executing this affidavit to attest to the veracity of the facts contained herein
and for whatever legal intents and purposes it may serve.
CORAZON C. REYES
Affiant
SUBSCRIBED AND SWORN to before me this 17th day of June, 2008 at Malolos City,
Bulacan.
I, ESTHER DOMINGO CAPULE, of legal age, married, Filipino and residing at #317
Azucena St., Panasahan, Malolos City, Bulacan, after having been duly sworn to in accordance
with law, do hereby depose and say:
1. That I am a bona fide member of Social Security System with SSS No. 02-20490678;
2. That in my SSS record, my address therein appeared at 243 Dama de Noche St.,
Panasahan, Malolos City, Bulacan;
3. That at present I am now residing at #317 Azucena St., Panasahan, Malolos City,
Bulacan;
4. That taking into consideration that I am presently now residing at #317 Azucena St.,
Panasahan, Malolos City, Bulacan, I am requesting the SSS to change my address from 243
Dama de Noche St., Panasahan, Malolos City, Bulacan to #317 Azucena St., Panasahan, Malolos
City, Bulacan in my record;
5. That I am executing this affidavit to attest to the veracity of the facts contained herein
and for whatever legal intents and purposes it may serve.
SUBSCRIBED AND SWORN to before me this 16th day of April, 2009 at Malolos City,
Bulacan.
I, NELSON C. GARCIA, JR., of legal age, Filipino and residing at #274 Gusi Sto.
Rosario, Paombong, Bulacan, after having been duly sworn to in accordance with law, do hereby
depose and say:
3. That at present I am now residing at #274 Gusi, Sto. Rosario, Paombong, Bulacan;
4. That taking into consideration that I am presently now residing at #274 Gusi, Sto.
Rosario, Paombong, Bulacan, I am requesting the LTO to change my address from 274 Sto.
Nino, Paombong, Bulacan to #274 Gusi, Sto. Rosario, Paombong, Bulacan in my record;
5. That I am executing this affidavit to attest to the veracity of the facts contained herein
and for whatever legal intents and purposes it may serve.
SUBSCRIBED AND SWORN to before me this 16th day of July, 2009 at Malolos City,
Bulacan.
AFFIDAVIT OF DISCREPANCY
I, JAN CARLO P. SANTOS, of legal age, Filipino and residing at #378 Santor, Mlolos
City, Bulacan, after having been duly sworn to in accordance with law, do hereby depose and
say:
2. That unfortunately, my address appeared therein is at #822 San Pablo, Malolos City,
Bulacan which is incorrect, when in truth and in fact it should be #378 Santor, Malolos City,
Bulacan;
3. That I am executing this affidavit to attest to the veracity of the facts contained herein
and for whatever legal intents and purposes it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this __ day of June, 2013 at
Malolos City, Bulacan.
SUBSCRIBED AND SWORN to before me this __ day of June, 2013 at Malolos City,
Bulacan.
4. That taking into consideration that I am now presently residing at Barcie Hotel,
Malolos City, Bulacan, I am requesting the proper authorities concerned to
change my address from UN Avenue, Paco, Manila to Barcie Hotel, Malolos City,
Bulacan in my record;
5. That I am executing this affidavit to attest to the veracity of the facts contained
herein and for whatever legal intents and purposes it may serve;
IN WITNESS WHEREOF, I have hereunto set my hand this 19 th day of July 2016 at
Malolos City, Bulacan.
ABOUBAKAR MANIRAGUHA
Affiant
SUBSCRIBED AND SWORN to before me this 19 th day of July 2016 at Malolos City,
Bulacan, affiant exhibiting to me his Passport ID No. _________, competent proof of
identity, and known to me and to me known personally to be the same person who
executed the foregoing Affidavit.
I, JAN CARLO P. SANTOS, of legal age, Filipino and residing at #378 Santor, Mlolos
City, Bulacan, after having been duly sworn to in accordance with law, do hereby depose and
say:
2. That unfortunately, my address appeared therein is at #822 San Pablo, Malolos City,
Bulacan which is incorrect, when in truth and in fact it should be #378 Santor, Malolos City,
Bulacan;
3. That I am executing this affidavit to attest to the veracity of the facts contained herein
and for whatever legal intents and purposes it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this __ day of June, 2013 at
Malolos City, Bulacan.
SUBSCRIBED AND SWORN to before me this __ day of June, 2013 at Malolos City,
Bulacan.
.
REPUBLIC OF THE PHILIPPINES )
MALOLOS CITY, BULACAN . . . . ) S.S.
AFFIDAVIT OF CHANGE OF ADDRESS