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I, IMELDA A. MARIANO, of legal age, Filipino citizen, and a

resident of Barangay Pinasling, Gerona, Tarlac, after having been
duly sworn to in accordance with law, do hereby depose and state –

1. I am the attorney-in-fact of the petitioner in the above-stated


2. I have caused the preparation and filing thereof before the

Honorable Court;

3. I have read the foregoing Petition and facts stated therein are
true and correct of my personal knowledge and/or on the based
on authentic/official records;

4. I have not commenced any other action or filed any claim

involving the same issues in any court, tribunal or quasi-judicial
agency and, to the best of my knowledge, no such other action
or claim is pending therein;

5. To the best of my knowledge and belief, no such action or

proceeding is pending in the Supreme Court, the Court of
Appeals, or any other tribunal or agency;

6. Should I thereafter learn that the same or similar action has

been filed or is pending, I undertake to report such fact within
five (5) days therefrom to this Honorable Court wherein this
petition has been filed.


SUBSCRIBED AND SWORN to before me this ___ day of

___________ at Tarlac City affiant exhibiting to me her
___________________________ as competent proof of his identity.

Doc. No. ____;

Page No. ____; NOTARY PUBLIC
Book No. ____;
Series of 2019.

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