Republic of The Philippines) City of Baguio) S.S. X - X

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Republic of the Philippines)

City of Baguio ) S.S.


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

AFFIDAVIT OF GUARDIANSHIP

I, XXX of legal age, single/married/widow, Filipino citizen, and presently


residing at _____________________, after having been duly sworn to in
accordance with law, do hereby depose and say:

1. That I am the ___(state relationship)__ and guardian of the following minor/s


who has / have an interest in the _______________ of the
late _________________________ payable by ________________;

Full Name of Minor/s Date of Birth Age


_______________ _________ ______
_______________ _________ ______
_______________ _________ ______

2. That the above-mentioned minor/s is/are under my care and custody;

3. That I am competent to receive in behalf of the said minor/s any amount/s due
him/them; and

4. That I am not an imbecile, insane, a vagrant or a vicious person or


a habitual drunkard or a habitual criminal, and have not abandoned, neglected or
refused to support said minor/s or caused him/them to commit offenses against
the law.

5. That I am executing this affidavit to attest to the truth of all the foregoing
statements and for whatever legal purpose it may serve.

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


_______ 2019 at ______________, Philippines.

________________
Affiant

SUBSCRIBED AND SWORN to before me this ____ day of ______ 2019


in _________, Philippines, affiant exhibiting to me his/her competent evidence of
identity by way of _______________ issued at ___________
on ________________.

Doc No. : _____


Page No.: ______
Book No.: ______
Series of 2019.

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