Republic of the Philippines)

)S.S
X-----------------------------Xdffdfdf

JOINT AFFIDAVIT

We, _____________ and _______________ of legal ages, filipino, and a

resident of _________________and ___________________, Negros
Occidental, Philippines after having duly sworn to in accordance with law
hereby depose and state THAT;

1. We are the ________________ of the spouses

_________________for________years, more or less at
___________________Negros, Occidental, Philippines;

2. We know for a fact , that ________________ and

__________________ are legally married to each other on
_________________ at ________________, Negros Occidental, Philippines as
evidenced by their certificate of marriage issued by the Philippine Statistics
Authority herein attached and marked as Annex A.

3. We further attest that _______________ is the first wife/husband of

____________________ as evidenced by the certificate of list of marriages
issued by the Philippine Statistics Authority herein attached and marked as
Annex B.

4. We execute this Joint Affidavit to Attest to the truthfulness of the

forgoing declarations and for any legal purpose that this affidavit may serve;

IN WITNESS WHEREOF, We hereunto affix our signatures this

________________ at Kabankalan City, Philippines.

____________________ ________________________
Affiant Affiant

SUBSCRIBE AND SWORN to before me this __________at