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    Affidavit Certified True

    Uploaded by

    Jhoanne Bautista
    This affidavit was made by Emeterio Ramos Delos Santos Jr. on May 10, 2016 in Roxas, Isabela, Philippines. He states that he is the surviving spouse of Teodocia Cabuyadao Delos Santos, who died on April 24, 2016 at Tuao District Hospital in Bulagao, Cagayan. He confirms that a true copy of Teodocia's death certificate issued on April 27, 2016 by the local civil registrar is attached. The affidavit was sworn before a public attorney and notary public.

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    Affidavit Certified True

    Uploaded by

    Jhoanne Bautista
    77 views1 page
    This affidavit was made by Emeterio Ramos Delos Santos Jr. on May 10, 2016 in Roxas, Isabela, Philippines. He states that he is the surviving spouse of Teodocia Cabuyadao Delos Santos, who died on April 24, 2016 at Tuao District Hospital in Bulagao, Cagayan. He confirms that a true copy of Teodocia's death certificate issued on April 27, 2016 by the local civil registrar is attached. The affidavit was sworn before a public attorney and notary public.

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    AFFIDAVIT CERTIFIED TRUE COPY

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    This affidavit was made by Emeterio Ramos Delos Santos Jr. on May 10, 2016 in Roxas, Isabela, Philippines. He states that he is the surviving spouse of Teodocia Cabuyadao Delos Santos, who died on April 24, 2016 at Tuao District Hospital in Bulagao, Cagayan. He confirms that a true copy of Teodocia's death certificate issued on April 27, 2016 by the local civil registrar is attached. The affidavit was sworn before a public attorney and notary public.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    77 views1 page

    Affidavit Certified True

    Uploaded by

    Jhoanne Bautista
    This affidavit was made by Emeterio Ramos Delos Santos Jr. on May 10, 2016 in Roxas, Isabela, Philippines. He states that he is the surviving spouse of Teodocia Cabuyadao Delos Santos, who died on April 24, 2016 at Tuao District Hospital in Bulagao, Cagayan. He confirms that a true copy of Teodocia's death certificate issued on April 27, 2016 by the local civil registrar is attached. The affidavit was sworn before a public attorney and notary public.

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    © All Rights Reserved
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    REPUBLIC OF THE PHILIPPINES )

    PROVINCE OF ISABELA )S.S.


    MUNICIPALITY OF ROXAS )
    x------------------------------------------x

    AFFIDAVIT

    I, EMETERIO RAMOS DELOS SANTOS JR., 52 years old, Filipino,


    widower, and a resident of Prk. 4 Binmonton, Mallig, Isabela, after having been duly
    sworn to in accordance with law, do hereby depose and say:

    That I am the surviving spouse of Teodocia Cabuyadao Delos Santos who died
    on April 24, 2016 at Tuao District Hospital, Bulagao, Tuao, Cagayan;

    That the death certificate of Teodocia Cabuyadao Delos Santos was issued on
    April 27, 2016 by the Office of the Local Civil Registrar General. Attached
    herewith as Annex “A” is a photocopy of the said certificate of death;

    That the attached Annex “A” of this affidavit is a true copy of the original copy
    of the death certificate of Teodocia Cabuyadao Delos Santos issued on April
    27, 2016 by the Office of the Local Civil Registrar General;

    That I am executing this affidavit in good faith, attesting to the truth of all the
    foregoing statements as above-stated, for all legal intents and purposes it may
    serve.

    IN WITNESS WHEREOF, I have hereunto set my hand this 10 th day of May


    2016 at Roxas, Isabela.

    EMETERIO R. DELOS SANTOS


    Affiant

    SUBSCRIBED AND SWOR to before me this this 10 th day of May 2016 at


    Roxas, Isabela. Affiant exhibited to me his COMELEC ID with No. 3119-0013B-
    K2864ERD10000 as a competent proof of his identity.

    ATTY. MARIA ANDREA C. LAGUNDI-SANTIAGO


    Public Attorney I
    Ex Officio Notary Public
    Doc. No. 135; Pursuant to PAO Law 9406
    Page No. 37;
    Book No. I;
    Series of 2016

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