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Republic of the Philippines

City of Roxas

)
)S.S.

AFFIDAVIT

I, WALDEN B. DINERO, Filipino, of legal age, married to DAINA
DINERO, and a resident of Brgy. Sublangon, Pontevedra, Capiz, and I,
WILMA B. LAMAZON, Filipino, of legal age, married to JERRY LAMAZON,
and a resident of Brgy. Sublangon, Pontevedra, Capiz, after having been duly
sworn in accordance with law, do hereby depose and say:
1. That, we personally know ANITA JOLAMPONG who was born on June
13, 1956 at Sublangon, Pontevedra, Capiz to parents Emmanuel
Jolampong and Estrella Corros Jolampong;
2. That, we likewise fully know that she was baptized according to the
rites of Roman Catholic church at Pontevedra, Capiz;
3. That, ANITA JOLAMPONG and ANTONIA JOLAMPONG pertain to one
and the same person who should be ANTONIA JOLAMPONG;
4. That, in her Baptismal Certificate, Marriage Certificate and Certificate
of Live Birth of her children, Rodejelio Burio, Efren Burio Jr., Ramil Burio,
Anna Mae Burio, Raymund Burio and Rowell Burio, certain error appear
such as ANITA JOLAMPONG which should be ANTONIA
JOLAMPONG;
5. That, we are not in any way related to any of the foregoing persons
within the fourth civil degree either by consanguinity or affinity, nor do
we have any peculiar interests in this matter whatsoever;
6. That, we are executing this Affidavit to attest to the truthfulness of the
foregoing statements and to establish that ANITA JOLAMPONG and
ANTONIA JOLAMPONG pertain to one and the same person who
should be ANTONIA JOLAMPONG and for whatever legal purpose this
may serve best.
Further AFFIANT sayeth none.
IN WITNESS WHEREOF, I have affixed my signature this 28th of July
2015 in Roxas City Philippines.
WALDEN B. DINERO
Affiant

WILMA B. LAMAZON
Affiant

Senior Citizen/ 097602 issued on 11/17/2010. No. . 1912-0141AE0752WBD10000 issued onand Wilma B. _______. Series of _______.SUBSCRIBE AND SWORN before me this 28 th of July 2015 by Walden Dinero who exhibited to me his Voter’s ID with ID No. ACKNOWLEDGMENT Republic of the Philippines City of Roxas ) ) S. at the place and on the date above written. Voter’s ID/ 1912-0141A-E0752WBD10000 issued on and Wilma B. Lamazon with ID and ID No. this 28th day of July 2015 at Roxas City. Philippines. This instrument consisting of two (2) pages including this page on which this acknowledgment is written is duly signed by the parties and their instrumental witnesses on each and every page thereof and refers to a Contract of Sale. BEFORE ME. Book No. Lamazon with her Senior Citizen’s ID with ID No. 097602 issued on 11/17/2010.S. _______. Doc. Page No. _______. known to me and to me known to be the same persons who executed the foregoing instrument and they acknowledged to me that the same are their free and voluntary act and deed. personally appeared Walden Dinero with ID and ID No. WITNESS MY HAND AND SEAL.