Professional Documents
Culture Documents
Province of ) S.S.
AFFIDAVIT
I, ______________, of legal age, Filipino, married, with residence and postal address at
______________, after having been sworn to in accordance with law, hereby depose and state
that:
2. At the time the Titles were issued, I was still single and was using the name
“____________” or “___________”. Attached hereto is a copy of my birth
certificate as evidence of my maiden name (Annex “B”);
…………………
Affiant
SUBSCRIBED AND SWORN to before me this … day of …. 2018 at ………, ………, Affiant
exhibited to me her Identification Card No. …………. issued on ……… as competent proof of
her identity.
Notary Public