REPUBLIC OF THE PHILIPPINES )

_______________________________ )S.S.
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JOINT AFFIDAVIT OF COHABITATION

(PURSUANT TO ART. 34 OF THE FAMILY CODE)

We, __________________________ and ____________________, both of legal age,

Filipino, and residents of _______________________________________________________,
Philippines, after having duly sworn to in accordance with law, depose and say:

1. That we have been living in the concept of husband and wife but without the
benefit of marriage ever since 2013 or a period of more than five (5) years;

2. That we intend to lawfully enter into a contract of marriage pursuant to Art. 34 of

the Family Code and E.O. No. 209;

3. That ever since we lived together and up to this date, we remain both of single
status and hence there is no legal impediment for us to marry each other;

4. That we are executing this affidavit to attest to the foregoing facts and for whatever
legal purpose it may serve best.

IN WITNESS WHEREOF, we have hereunto set our hands this

_________________ in the ________________________________, Philippines.

Affiant Affiant
ID Type: __________________ ID Type: __________________
ID No. ____________________ ID No. ____________________
Issued on __________________ Issued on __________________
Issued by __________________ Issued by __________________

SUBSCRIBED AND SWORN to before me this ___________________ in the

_______________________________, Philippines. Affiants exhibited to me their
government issued IDs as competent evidence of identity (CEI) shown below their
names.

Doc. No. ________; Notary Public

Page No. ________;
Book No. ________;
Series of 2018.