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Republic of the Philippines )

Province of Bulacan ) S.S.


City of San Jose del Monte )

AFFIDAVIT OF EXPLANATION

I, JOHN DOE, Filipino, of legal age, and presently residing at Zone 1


Grotto, Brgy. ACDFAe, City of FAFSCA, AHSX, after having been duly sworn to in
accordance with the law, do hereby depose on oath and say that:
1. I am the brother of deceased XXX who died on August 13, 2018.

2. Based on my knowledge, considering the fact that I had lived with him
since 1985, he only had two (2) children whose names and dates of birth
are as follows:

xx July 8, 1987
xx July 8, 1987

3. I affirm that XXX had only been married to YYY and that no other
marriage was entered into by him.

4. I have no knowledge of any person under the name of XXX who is


claiming to be related to my deceased brother.

5. I am executing this affidavit to attest to the truth of the foregoing facts


and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 13th of March


2019 in the City of San Jose del Monte, Bulacan.

XXXX
Affiant
Driver’s License No. 123-DAC-102

SUBSCRIBED AND SWORN to before me this 13th of March 2019


in the City of San Jose del Monte, Bulacan.

ASCSDFSDS
Notary Public

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