I, RENALYN MACSUSI MACABOCSIT, of legal age, single, Filipino and a resident of La Solidaridad, Phase III, Timbao, Bian, Laguna Philippines, after having been duly sworn to in accordance with law hereby depose and say: THAT I am the mother of the minor, JANELLE MACABOCSIT AYON, born on January 6, 2012 who was conceived and born out of marriage; THAT the father of my child is JOEY CABACABA AYON, who is willing and able to acknowledge our daughter as evidenced by the Affidavit of Acknowledgement of Paternity. A faithful machine reproduction of the Affidavit of Acknowledgement of Paternity is hereby attached; THAT pursuant to this acknowledgement, I can therefore register the birth of my child JANELLE MACABOCSIT AYON with the Local Civil Registry of Bian City where she was born; THAT the reason for the non-registration of the birth certificate is due to financial constraint and lack of time. THAT I am executing this Affidavit to attest to the truthfulness and veracity of the foregoing statements. FURTHER AFFIANT SAYETH NONE. IN WITNESS WHEREOF, I have hereunto affixed my signature this _________of ________ 2015 in________________ Philippines. Renalyn Macabocsit (Affiant)
M.
SUBSCRIBED AND SWORN to before me this ___th day of
_______ at the ___________. I hereby certify that I personally
examined the affiant and that I am satisfied that she voluntarily
executed and understood her affidavit. NAME Renalyn M. Macabocsit _________
CTC NO. ________
DATE
PLACE __________
NOTARY PUBLIC Doc. No. .........: Page No. .........; Book No. .........; Series of 2015.