Republic of the Philippines)

QUEZON CITY, M. M.
)S.s.
x------------------------------x

AFFIDAVIT OF NON-COHABITATION
I, PATRICIA PACIFICO VENTURA, of legal age, Filipino, married
and a resident of Road 5 Area C, Bagong Silangan, Quezon City, after
having been duly sworn to in accordance with law hereby deposes and
states that:
1.

I am currently married to JOEL D. VENTURA;

2.

However, the above stated person and I have been separated

for almost One(1) year and Six(6) months now;

3.

That I have been living with my daughter Ma. Christina

Ventura since 2015;

4.

That the purpose of the execution of this affidavit is to affirm

the facts alleged herein and for any legal purpose it may
serve.

FURTHER AFFIANT SAYETH NAUGHT.

PATRICIA PACIFICO VENTURA

Affiant
SUBSCRIBED AND SWORN TO, before me this 1st day of August 2016,
in Quezon City, Philippines, affiant exhibiting to me her Voters ID with Control
7404-1844A-C1376PPV20000, bearing her picture and signature.
WITNESS MY HAND and NOTARIAL SEAL on the date and place abovewritten.

Doc No.
Page No.
Book No.
Series of 2016