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Republic of the Philippines )

Province of Leyte )
Municipality of Hilongos )

Joint Affidavit for Late Registration

We, PUREZA V. RUADO and JOSE P. EUGENIO, of legal ages, both


married, Filipino citizens, with residences and postal addresses at Santiago,
Ilocos Sur, Philippines, after having been duly sworn to in accordance with
law hereby depose and say THAT:

1. That we personally know DENVER LAAGEN SABADO, the


SON of the spouses VILMA LAAGEN and ARSENIO SABADO
JR. of _____, Ilocos Sur, Philippines;
2. That said DENVER LAAGEN SABADO was born on August 19,
2009 at _________, Ilocos Sur, Philippines;

That we are fully aware and cognizant of the above-stated facts


because we are town mates and intimately acquainted with each other;

That we are executing this affidavit to the best of our own knowledge
and belief to substantiate the Birth Certificate of one DENVER LAAGEN
SABADO which could not be obtained from the Office of the Municipal Civil
Registrar this municipality due to the fact that after a thorough and diligent
search made on the existing records of births kept on file in this Office, the
name DENVER LAAGEN SABADO does not appear therein;

That we are both disinterested parties;

That we stand responsible to any suit that may arise against the
veracity of our statement hereinabove;

AFFIANTS further sayeth no more.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this


21 day of February 2011 at ______, Ilocos Sur, Philippines.
st

JOSE P. EUGENIO PUREZA V. RUADO


Affiant Affiant
Com. Tax Cert. No.: Com. Tax Cert. No.:
Issued at Issued at, Ilocos Sur
Issued on February 21, 2011 Issued on February 21, 2011
SUBSCRIBED AND SWORN TO before me this 21st day of February
2011 at ------- Ilocos Sur, Philippines. Affiants are known to me and to me
known to be the same person executing this foregoing instrument.

Municipal Mayor

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