Republic of the Phils.

)
Butuan City )ss.
x------------------------/
AFFIDAVIT OF NO LEGAL IMPEDIMENT TO MARRY
I, ANTHN! "A#$% BTT"$N, of le&al a&e, sin&le an' a (esi'ent of
Alen'ale City, A(i)ona, *.%.A., un'e( oath, state THAT+
,. I inten' to -a((y .$/I%A P$CA%A/$% PI$, of le&al a&e, sin&le
an' a (esi'ent of Butuan City0
1. I a- le&ally capacitate' to -a((y he( an' I ha2e no le&al
i-pe'i-ent to -a((y he( since I a- sin&le, ha2in& ac3ui(e' a le&al
'i2o(ce in the *nite' %tates of A-e(ica se2en yea(s a&o0
4. I a- executin& this affi'a2it 5illin&ly an' 2olunta(ily to attest to
the t(uth of the fo(e&oin& facts fo( 5hate2e( le&al pu(pose it -ay
se(2e.

In 5itness 5he(eof, I he(eby affix -y si&natu(e this 6666666 'ay of
#a(ch 1778 at Butuan City, Philippines.
ANTHONY JAMES BOTTJEN
Affiant
%ubsc(ibe' an' s5o(n to befo(e -e this 6666666666666 at Butuan City,
Philippines.
9oc6666
Pa&e6666
Boo: 666
%. 1778