REPUBLIC OF THE PHILIPPINES)

QUEZON CITY, METRO MANILA) S.S.

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

AFFIDAVIT OF AFFINITY

I, ________________________, of legal age, Filipino, married and with

postal address at no. _____________________________Quezon City after
having been duly sworn to in accordance with law hereby depose and say:

1. That herein affiant is a resident of the above-mentioned address;

2. That herein affiant is presently working as

__________________________;

3. That ________________ of _______________________ is my

relative by affinity;

4. That he is the _______ of my husband, ________________. The

father of my husband and ________________ father are first
cousins ;

5. That the purpose of the execution of this affidavit is to affirm the

facts alleged herein and for any legal purpose it may serve.

FURTHER AFFIANT SAYETH NAUGHT.

IN WITNESS WHEREOF, I have hereunto sign this affidavit this ________

day of ____________ 2009, at Quezon City, Metro Manila.

MA. TERESA DELA RAMA MAGCAMIT

Affiant

SUBSCRIBED AND SWORN to before me this _____ day of May , 2009

at Quezon City, Metro Manila.

NOTARY PUBLIC
Doc. No.
Page No.
Book No.
Series of 2009