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REPUBLIC OF THE PHILIPPINES )

CITY OF BATANGAS ) S.S.

AFFIDAVIT OF TWO DISINTERESTED PERSONS


WE, HELEN PANGANIBAN and JIMMY AYA, both residents of Mahabang Dahilig,
Batangas City, of legal age, Filipinos, after having been duly sworn to in accordance with
law hereby depose and state:

That we personally know LAMBERTO SOLOMON because we are friends and


longtime neighbors;

That he died on May 15, 2016;

That in his Social Security System record, his date of birth was entered thereon as
September 17, 1932 instead of September 17, 1931;

That his true and correct date of birth is September 17, 1931;

That his correct date of birth may be confirmed from the copy of his Certificate of
Birth hereto attached as Annex 1 and his Certificate of Death hereto attached as
Annex 2;

That this statement was made not to deceive any legal authority or to evade any
criminal and/or civil liability;

That the LAMBERTO SOLOMON, whose correct date of birth is September 17,
1931, whom we have known for a long time is the same person of LAMBERTO
SOLOMON, whose date of birth was erroneously entered as September 17, 1932 in his
records with Social Security System.

IN VIEW THEREOF, we have hereunto set our hands this __________________ in


Batangas City.

HELEN PANGANIBAN JIMMY AYA


Affiant Affiant
OSCA ID No. ________________ OSCA ID No. ________________

SUBSCRIBED AND SWORN to before me this ____________________in Batangas


City.

ROBERTO IIGO D. SANCHEZ


Notary Public
Until December 31, 2017
Doc. No. _____; PTR No. 2576992 01.14.2016 Bats. City
Page No. _____; IBP No. 1011277 01.20.2016 Bats. City
Book No. _____; Roll No. 61644 Serial No. 2016-31
Series of 2016. Zenaida Arcade, 43 M.H. Del Pilar St., Batangas City

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