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General Affidavit

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REPUBLIC OF THE PHILIPPINES)

_________________________)

AFFIDAVIT
 
            I, ________________________________, Filipino citizen, of legal age,
single/married/widow/widower, and a resident of
_______________________________, after having been duly sworn in accordance with
law, hereby depose and say that:
 
1. __________________________________________________________________
__________________________________________________________________
_________________________________________________________________;

2. __________________________________________________________________
__________________________________________________________________
_________________________________________________________________;

3. __________________________________________________________________
__________________________________________________________________
_________________________________________________________________;

4. __________________________________________________________________
__________________________________________________________________
_________________________________________________________________;
and,

5. I am executing this Affidavit to attest to the truth of the foregoing facts and for all
legal purpose it may serve.
 
            IN WITNESS WHEREOF, I have hereunto affixed my signature this
_________________, ___________________Philippines.

 
____________________________
Affiant
ID NO.____________________

 
SUBSCRIBED AND SWORN before me this ________________ at
___________________. Affiant exhibited to me his/her identification document
indicated below his/her name.

 WITNESS MY HAND and NOTARIAL SEAL at date and place above written.

Doc. No. ____;


Page No. ____;
Book No.____;
Series of ____.

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