REPUBLIC OF THE PHILIPPINES)

CITY OF NAGA ) S.S.

JOINT AFFIDAVIT OF COHABITATION
We, _____________________________, both of legal age, Filipinos, and
residents of _______________________________, after having been sworn
according to law, depose and say:
1. We both intend to cont!ct "!i!#e in !ccod!nce
$ith At. %& o' the F!"i() Code o' the Phi(i**ine+
$hich *o,ide+ !"on# othe+- .No (icen+e +h!(( be
nece++!) 'o the "!i!#e o' ! "!n !nd ! $o"!n $ho
h!,e (i,ed to#ethe !+ h/+b!nd !nd $i'e 'o !t (e!+t
'i,e 01) )e!+ !nd $itho/t !n) (e#!( i"*edi"ent to
"!) e!ch othe2.
3. We h!,e been (i,in# to#ethe !+ h/+b!nd !nd $i'e
$itho/t the bene'it o' "!i!#e4ch/ch $eddin# o
h!,e been coh!bitin# 'o !("o+t +i5 06) )e!+ no$.
In '!ct $e !e b(e++ed $ith ! +on7
8888888888888888887 no$ 'o/ 0&) )e!+ o(d.

%. We !e e5ec/tin# thi+ !''id!,it to !tte+t to the
'!ct th!t thee i+ no (e#!( i"*edi"ent 'o /+ to #et
"!ied !nd 'o */*o+e+ o' bein# e5e"*t 'o" the
*oc/e"ent o' 9!i!#e Licen+e !+ *o,ided /nde
At. %& o' the F!"i() Code o' the Phi(i**ine+ !nd
'o $h!te,e (e#!( */*o+e+ it "!) +e,e.
IN WITNESS WHEREOF7 $e h!,e hee/nto +et o/ h!nd thi+
1
+t
d!) o' Feb/!)7 3:1: !t 88888888888887 Phi(i**ine+.

________________________ _______________________
Affiant Affiant
SUBSCRIBED AND SWORN to before me this 1
ST
day of February,
2010 in ________________by ___________________________, personally known
to me, who were the same persons who personally signed before me the
foregoing afdavit and aknowledged that they e!euted the same"

Notary Public