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I, CELIE, of legal age, Filipino, and a resident of block 3 lot 6 San Pedro,
Laguna, Philippines, with current address at Commonwealth, Quezon City,
Philippines, and also representing JOHN AND MARIE, 6 and 3 years old
respectively, after having duly sworn to in accordance with law, depose and state
that:
That we, CELIE and my two minor children, JJOHN AND MARIE, are
the only surviving heirs of the late Jason Arenajo Del Mundo. We are the
beneficiaries of the deceased’s life insurance policies under _________for EURO
12,500.00 and _____________ for EURO 45,000.00.
That I am executing this affidavit to attest to the truth and veracity of the
foregoing facts and for all legal intents and purposes that it may serve.
_____________________ JOHN
CELIE Date of Birth: July 25, 2012
Date of Birth: April 10, 1983 Son of Deceased
Spouse of the Deceased Represented by:
_____________________
CELIE
MARIE
Date of Birth: August 19, 2015
Daughter of Deceased
Represented by:
_____________________
CELIE