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REPUBLIC OF THE PHILIPPINES

VERIFICATION AND CERTIFICATION

I, EDMOND MORALES ACOSTAN , of legal age, under oath dispose and say that:
I am the Petitioner in the above entitled Petition; I have caused the preparation of the
same;
I have read its contents and the same are true of my own personal knowledge and
based on authentic documents;

I herby state that I have not filed any similar petition involving the same subject
matter of this case before any court of justice or government office, and that none is
pending before any court of justice or government office. That if later on it will come to
my knowledge that there in another case involving the same subject matter pending
before other courts of justice or government office, I shall immediately inform this court
within five (5) days from knowledge thereof;

IN WITNESS WHEREOF, I have hereunto set my hand this _____ day of


_________ at .

EDMOND MORALES ACOSTA


Petitioner / Affiant

SUBSCRIBED AND SWORN to before me this ___________________, affiant


exhibiting to me his SSS id # 07-1150576.

Doc. No. ________;


Page No. _______;
Book No. _______;
Series of 2017

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