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Attesting To The Death of A Person

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(Attesting to the Death of a Person)

REPUBLIC OF THE PHILIPPINES )


Province of ____________________ )  S.S.
City/Municipality of _____________ )

JOINT AFFIDAVIT

            We, _____________ and _____________, both of legal ages, Filipinos,


and residents of _____________ and _____________, respectively, after having
been duly sworn to in accordance with law, do hereby depose and state the
following:
 

That we are Barangay Officials of the aforementioned Barangay being the


_______________________ and ______________________, respectively.

That we know the person of _________________ because he was a


resident of the aforementioned Barangay of which we are officials;

That we know for a fact the said ______________ died on _____________


at ________________ due to ________________;

 That we are executing this affidavit to attest to the truthfulness of the fact of
death of the person of _____________ and for whatever legal purposes
that this statement may serve.

           

            IN WITNESS WHEREOF, we have hereunto set our hands this ________,
in the City of _____________, Philippines.

  ___________________ __________________
  AFFIANT                                                AFFIANT

 SUBSCRIBED AND SWORN to before me, this _____________, by


_____________ who exhibited to me (his/her) Community Tax Certificate No.
_____________ issued at _____________ on _____________ and by
_____________ who exhibited to me (his/her) Community Tax Certificate No.
_____________ issued at _____________ on _____________.

 NOTARY PUBLIC

Doc. No. ______;


Page No. ______;
Book No. ______;
Series of ______;
 
 
 

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