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Republic of the Philippines)

Province of Cebu)
City of Bogo)
x-----------------------x

JOINT AFFIDAVIT OF
TWO DISINTERESTED PERSON

We, _________________, of legal age, Filipino citizen, married, and resident LPV, Bogo
City, Cebu, Philippines and S___________________, likewise of legal age, Filipino citizen,
widow and resident of Gairan, Bogo City, Cebu, Philippines, after being duly sworn to in
accordance with law, hereby depose and state:

1. That we have personally known the late LEONARDA DAMAYO SICLOT, being our
neighbor and friend for a long period of time;

2. That we know for the fact that the late LEONARDA DAMAYO SICLOT died on July 2,
1997 at Maranagog, Bogo City, Cebu, Philippines;

3. That we hereby declare, confirm and affirm that LEONARDA DAMAYO SICLOT died
on July 2, 1997 at Maranagog, Bogo City, Cebu, Philippines;

4. That we are not related to them by blood or by affinity nor we received any monetary
consideration from their family;

5. As such, we are executing this Affidavit to attest to the truth of the foregoing.

IN WITNESS WHEREOF, we have hereunto set our hands this ________ at Bogo City, Cebu,
Philippines.

Affiant Affiant

SUBCRIBED AND SWORN TO before me this ___________________ in Bogo City,


Cebu, Philippines, affiant/s exhibiting to me their valid proof/s of identification.

Doc. No. _____;


Page No. _____;
Book No. _____;
Series of 2023.

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