Republic of the Philippines)

Province of ___________)
x--------------------x

AFFIDAVIT OF ONE AND SAME PERSON

I, THERESA PALACIO PELEA, Filipino, of legal age, and resident of Barangay Tanagan,
Calatagan, Batangas, respectively, having been duly sworn in accordance with law, hereby
depose and state:

1. That I, hereby declare that my name mentioned in some documents written as MA.THERESA
M. PALACIO and in some documents name written as MARIA TERESA M. PALACIO, TERESA
PALACIO and THERESA PALACIO PELEA.

2. I hereby declare that both the name pertain to the one and same person.

3. That my real name is THERESA PALACIO PELEA.

4. That it is my true and correct statement.

.
IN WITNESS WHEREOF, I have set our hands this _____________, at _____________, Philippines.

Affiant

Doc. No. _______

Page No. ______
Book No. ______
Series of 2019.