Republic of the Philippines) Quezon City ) S.S.

AFFIDAVIT
I,____________________, of legal age, Filipino, married to _______________, of legal age, Filipino, with residence at_________________________________________________, after having been sworn to in accordance with law, hereby depose and say: That I am one of the heirs of the late ______________, who owns a property described in __________________________located in _____________________________; That I entered into an Extrajudicial Settlement of Estate with Waiver of Rights together with _________________________________ pertaining to __________________, we waive our rights over the same for ____________________; That, however, in the aforesaid document, my civil status inadvertently omitted the name of my husband; That I therefore declare _____________________; my civil status as MARRIED TO

That I am executing this affidavit to attest to the truth of the foregoing and the purpose of including this sworn statement in my status as reflected in herein mentioned Extrajudicial Settlement of Estate with Waiver of Rights.

AFFIANT FURTHER SAYETH NONE. IN WITNESS HEREOF, I hereby affix my signature this ___ day of ___________, 2013, in Quezon City.

______________________________ Affiant

SUBSCRIBED AND SWORN TO before me this ____ day of ___________. 2013, affiant exhibiting to me her ___________________ issued on ________________at ____________. Notary Public Doc. No. ______ Page No. ______ Book No. ______ Series of 2013.