General Affidavit

GENERAL AFFIDAVIT

REPUBLIC OF THE PHILIPPINES )
____________________ ) SS.

I, ____________________, Filipino, of legal age, single/married to ____________________/widow/widower, and a resident of ____________________, after having been duly sworn in accordance with law, hereby depose and say:

(list statements, numbered consecutively)

IN WITNESS WHEREOF, I have hereunto affixed my signature this day of 20___ at , Philippines.

_________________________________

(Signature of Affiant over Printed Name)

SUBSCRIBED AND SWORN TO before me, a notary public in and for _____________________ this ____ day of ____________ 20___. The affiant, whom I identified through the following competent evidence of identity: (ID type and number), valid from (date) to (date) issued by (issuing authority), personally signed the foregoing instrument before me and avowed under penalty of law to the whole truth of the contents of said instrument.

Notary Public

Doc. No. ……..;
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Book No. …….;
Series of 2010.