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REPUBLIC OF THE PHILIPPINES ) _______________________________ ) S.S.


We, CARMELITA A. BAY and IRENEO M. MAZA both of legal age, both Filipino citizens, with residence address at Payapa Subdivision, Barangay Galicia 3, Mendez, Cavite, after having been sworn to in accordance with law, hereby depose and state as follows:

1. That, We are bonafide residents of Galicia 3, Mendez, Cavite, having born and lived here 2. 3. 4. 5.
6. for quite a long time up to the present; That, we personally know one DOROTEA NAME CUBIO, married, and presently residing at Payapa Subdivision, Galicia 3, Mendez, Cavite; That we know for a fact that DOROTEA NAME CUBIO was born on September 12, 1967 at Calatagan, Batangas evidenced by her COMELEC Voters ID hereto attached and marked as Annex A; That, ever since she came to reason she used the name spelled as DOROTEA in all her educational records and other important documents up to the present time; That, DOROTEA NAME CUBIO is her true and correct name and not DOROTEO M. NAME as it appeared in her Certificate of Live Birth and is made part of this instrument and marked as annex B; That our knowledge concerning the above facts was based on our being close family ties with them; That we execute this affidavit to attest the truth of what we have stated above and to inform all persons and offices concerned that the true and correct spelling of her first name is DOROTEA and not DOROTEO and that DOROTEA NAME CUBIO as appearing in her COMELEC Voters ID and DOROTEO M. NAME entered and recorded in her Certificate of Live Birth is one and the same person; AFFIANT FURTHER SAYETH NAUGHT.


IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of __________________ 2012, in __________________, Philippines.



SUBSCRIBED AND SWORN to before me this ____ day of ______________ 2012, affiant exhibiting to me his Community Tax Certificate as follows:
Name CTC No. Date & Place of Issue

Carmelita A. Bay Ireneo M. Maza

09568242 09568282

01/12/2012 at Mendez, Cavite 01/13/2012 at Mendez, Cavite

Doc. No. _____; Page No. _____; Book No. ____;

Series of 2012.