You are on page 1of 1

Republic of the Philippines}

City of Zamboanga } S.s.


x----------------------------------x

AFFIDAVIT OF EXPLANATION
I, __________ , Filipino, of legal age, single, and a resident of Sibait, Vitali,
Zamboanga City, Philippines, after being sworn to in accordance with law,
depose and state:
1. That _______;
2. Last June 30, 2018, Saturday, at around 9 o’clock in the morning, my
mother received the note signed by _________;
3. Last July 1, 2018, at around 11 o’clock in the morning, I _________;
4. That because of this information, ______;
5. That because of the information disclosed to me _______;
6.
7. That this affidavit is executed for the purpose of stating the above facts
and to serve as my formal explanation to _________.

IN WITNESS WHEREOF, I have hereunto set my hand this 9th day of July,
2018 in the City of Zamboanga, Philippines.

Affiant

SUBSCRIBED AND SWORN before me this 9th day of July, 2018, City of
Zamboanga, with the above valid Identification Card numbers.

Doc. No. _____;


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

You might also like