REPUBLIC OF THE PHILIPPINES )

PROVINCE OF CAVITE
) S.S.

AFFIDAVIT OF ENDORSEMENT
WE, _________ and _________________, both of legal age, Filipinos,
married , with address at __________________, subscribing under oath ,
depose and say :

1 That we are residents of _______________ and Spouses

________________ are our neighbors in the barangay ;
2 That we know the said spouses to be of good moral
character and as far as we know they have no derogatory
record in the barangay ;
3 That we also come to know that the said spouses are
intending to adopt a certain __________ about ____8 years
old now , who has been living with them and who is being
treated by spouses __________ like their own son ;
4 That we strongly endorse the adoption of said
_____________ by the _____________________ because we are
well aware that they are capable both financially and
morally to support ____________ ;
5 That we are executing this affidavit to attest to the truth
of the facts herein contained and for whatever legal
purpose it may serve.

___________
Affiant
CTC No. ______________
Issued at _____________

________________
Affiant
CTC No. ______________
Issued at _____________

Issued on ____________

Issued on ____________

SUBSCRIBED AND SWORN to before me this ______ day of

_______________.

Doc. No. _____ ;

Page No. _____ ;
Book No. _____ ;
Series of __________________.