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Affidavit of Single Status

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Republic of the Philippines)

Ipil, Zamboanga Sibugay)S.S.


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

AFFIDAVIT OF SINGLE STATUS

I, ____________________, of legal age, Filipino citizen, with residence


address at _________________________, after having been duly sworn to in
accordance with law, do hereby depose and state that:

1. That I have never entered into any form of special contract of permanent
union with any woman/man for the establishment of conjugal and family
life;

2. That I therefore confirm and affirm that my civil status as of this date is
single and unmarried;

3. That as such, I have no knowledge of the existence of any record in any


Civil Registry of the Philippines which states the fact of my marriage;
and

4. That I am executing this affidavit to declare the truth of the foregoing


facts and for the purpose of applying for a Marriage License pursuant to
the provisions of the Family Code of the Philippines.

IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of


______, 2023 at Ipil, Zamboanga Sibugay.

___________________________
Affiant

SUBSCRIBED AND SWORN to before me this [day] of [month], [year],


in Ipil, Zamboanga Sibugay, Philippines, affiant exhibiting competent evidence of
identity through [type of identification card] with ID number [ID number], valid
until______.

Doc. No:____
Page No:____
Book No:_____
Series of 2023.

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