JAGO C/B Form No.

15 (Series of 19/2005) Late Cpl Willy L Macatigbac 827699 (Inf) PA

REPUBLIC OF THE PHILIPPINES ) S. S. (Subject Deceased)
PROVINCE OF____________________)
Municipality of City Of ) Mrs Cypress A Macatigbac
(Claimant)

JOINT AFFIDAVIT

We Sgt Felybert M Perolino 803438 (FS) PA and Sgt Relly C Vasquez 803687 (AGS) PA
Filipinos of legal age, resident of Kalantas St Bermudez, Plain Subd. Apokon , Tagum City and
Prk San Miguel, Tagum City , Davao del Norte respectively, after having been sworn to according
to law, depose and say.
1. That we know personally the late Cpl Willy L Macatigbac 827699 (Inf) PA who was
born on 23 June 1979 at Saub, San Ricardo, So Leyte and died on 04 December 2013 at
Davao Regional Hospital, Tagum City .
2. That the deceased died single/married with/without legally adopted illegitimate or
acknowledge natural children or natural children by legal fiction; or
3. That the nearest relative of the deceased within classes; (1) legitimate
acknowledged natural children, or natural children by legal fiction, and illegitimate children and
descendants, including adopted children; (2) legitimate parents and other ascendants; (3) brothers
and sisters, nephews and nieces; (4) surviving spouse; and (5) collateral relative with the sixth (6 th)
civil degree, are the following:
Relationshi State if Single or
NAME Date of Birth p with the married & in the Address
deceased latter case date
of marriage
Cypress A 11 January Wife Widow Prk Mangga, Inacayan, Laak
Macatigbac 1977 CVP
Shessah A 15 February Daughter Single Prk Mangga, Inacayan, Laak,
Macatigbac 2010 CVp
Note: Attach necessary birth, marriage and/or death certificate issued by the Local Civil Registrar
concerned.
4. That Mrs Cypress A Macatigbac has begot one ( 1) child with Late Cpl Willy L
Macatigbac 827699 (Inf) PA until the time of his death ( minors and below 21 years of age ).
5. That no other person/s are related (living or dead) to the deceased within the sixth
(6th) civil degree except those mentioned above;
6. That this affidavit is expressly made for the purpose of establishing the identities of
the legal heirs of the deceased.

Sgt Felybert M Perolino (FS) PA Sgt Relly C Vasquez (AGS) PA

(Affiant) (Affiant)
Res Cert Nr: 20378980 Res Cert Nr: 20378993
Issued at Tagum City Issued at Tagum City
On 2 February 2014 On 4 February 2014

SUBSCRIBED AND SWORN to before me this _____ day of _________ at affiant exhibit
to me their Community Tax Certificate below their signature.

: Except from :
: Documentary : Doc No:
: Stamp Under : Page No:
: Republic Act : Book No:
: No. 136 : Series of:
JAGO C/B Form No. 15 (Series of 19/2005) Late Cpl Jay P Labayno 814615 (Inf) PA
REPUBLIC OF THE PHILIPPINES ) S. S. (Subject Deceased)
PROVINCE OF Davao Del Norte )
Municipality of City Of ) Mrs Ruby T Labayno
(Claimant)

JOINT AFFIDAVIT

We Cpl Felybert M Perlino (FS) PA and Cpl Julius Perez (Inf) PA Filipinos of legal age,
resident of Kalantas St Bermudez, Plain Subd. Apokon , Tagum City and Mesa, Tagum City ,
Davao del Norte respectively, after having been sworn to according to law, depose and say.
1. That we know personally the late Cpl Jay P Labayno 814615 (Inf) PA who was born
on 30 June 1976 at Mlang, North Octabato and died on 21 June 2011 at Pag-asa PB, Prk Pag-
asa, Brgy Poblacion, Lake Sebu, South Coatabato .
2. That the deceased died single/married with/without legally adopted illegitimate or
acknowledge natural children or natural children by legal fiction; or
3. That the nearest relative of the deceased within classes; (1) legitimate
acknowledged natural children, or natural children by legal fiction, and illegitimate children and
descendants, including adopted children; (2) legitimate parents and other ascendants; (3) brothers
and sisters, nephews and nieces; (4) surviving spouse; and (5) collateral relative with the sixth (6 th)
civil degree, are the following:
Relationship State if Single or
NAME Date of with the married & in the Address
Birth deceased latter case date of
marriage
Ruby T Labayno 29 Dec 75 Wife Widow Poblacion B Mlang Cotabato
Rubijay Lyza T Labayno 07 Jan 05 Daughter Single -do-
Alstier Jay T Labayno 25 Mar 09 Son Single -do-
Note: Attach necessary birth, marriage and/or death certificate issued by the Local Civil Registrar
concerned.
4. That Mrs Ruby T Labayno was begot Two ( 2) children with Late Cpl Jay P
Labayno 814615 (Inf) PA until the time of his death (Minors are those heirs below 21 years of
age).
5. That no other person/s are related (living or dead) to the deceased within the sixth
(6th) civil degree except those mentioned above;
6. That this affidavit is expressly made for the purpose of establishing the identities of
the legal heirs of the deceased.

Cpl Felybert M Peroino (FS) PA Cpl Julius Perez (Inf) PA

(Affiant) (Affiant)
Res Cert Nr: 02271111 Res Cert Nr: 02271115
Issued at Mawab, CVP Issued at Mawab CVP
On 15 January 2011 On 15 Jan 2011

SUBSCRIBED AND SWORN to before me this _____ day of _________ at affiant exhibit
to me their Community Tax Certificate below their signature.

: Except from :
: Documentary : Doc No:
: Stamp Under : Page No:
: Republic Act : Book No:
: No. 136 : Series of:
JAGO C/B Form No. 15 (Series of 19/2005) Sgt Marlon R Salva 735353 (MS) PA
REPUBLIC OF THE PHILIPPINES ) S. S. (Subject Deceased)
PROVINCE OF Davao Del Norte )
Municipality of City Of Tagum ) Mrs Fraida V Salva
(Claimant)

JOINT AFFIDAVIT

We Cpl Felybert M Perlino (FS) PA and Cpl Relly C Vaaquez (Inf) PA Filipinos of legal age,
resident of Kalantas St Bermudez, Plain Subd. Apokon , Tagum City and San Miguel Tagum City ,
Davao del Norte respectively, after having been sworn to according to law, depose and say.
1. That we know personally the late Sgt Marlon R Salva 735353 (MS) PA who was born
on 30 November 1963 at Ruparan ,Digos, Davao Del Sur and died on 10 April 2010 at P2 Sitio
Tibungco, Kamantangan, Montevista Compostela Valley Province .
2. That the deceased died single/married with/without legally adopted illegitimate or
acknowledge natural children or natural children by legal fiction; or
3. That the nearest relative of the deceased within classes; (1) legitimate
acknowledged natural children, or natural children by legal fiction, and illegitimate children and
descendants, including adopted children; (2) legitimate parents and other ascendants; (3) brothers
and sisters, nephews and nieces; (4) surviving spouse; and (5) collateral relative with the sixth (6 th)
civil degree, are the following:

Relationship State if Single or

NAME Date of Birth with the married & in the Address
deceased latter case date of
marriage
Fraida V Salva 25 Feb 66 Wife Widow Brgy 4 Maria, Aurora2x

Note: Attach necessary birth, marriage and/or death certificate issued by the Local Civil Registrar
concerned.
4. That Fraida V Salva has no children with Late Sgt Marlon Salva 735353 (MS) PA
until the time of his death (Minors are those heirs below 21 years of age).
5. That no other person/s are related (living or dead) to the deceased within the sixth
(6th) civil degree except those mentioned above;
6. That this affidavit is expressly made for the purpose of establishing the identities of
the legal heirs of the deceased.

Cpl Felybert M Peroino (FS) PA Cpl Relly C Vasquez (Inf) PA

(Affiant) (Affiant)
Res Cert Nr: 02271111 Res Cert Nr: 02271115
Issued at Mawab, CVP Issued at Mawab CVP
On 15 January 2010 On 15 Jan 2010

SUBSCRIBED AND SWORN to before me this _____ day of _________ at Tagum City
affiant exebiting to me their Community Tax Certificate below their signature.

: Except from :
: Documentary : Doc No:
: Stamp Under : Page No:
: Republic Act : Book No:
: No. 136 : Series of:
JAGO C/B Form No. 15 (Series of 19/2005) Cpl Christoteles G Teves 814907 (FA) PA
REPUBLIC OF THE PHILIPPINES ) S. S. (Subject Deceased)
PROVINCE OF Davao Del Norte )
Municipality of City Of Tagum ) Mrs Crisda C Teves
(Claimant)

JOINT AFFIDAVIT

We Cpl Felybert M Perlino (FS) PA and Cpl Relly C Vaaquez (Inf) PA Filipinos of legal age,
resident of Kalantas St Bermudez, Plain Subd. Apokon , Tagum City and San Miguel Tagum City ,
Davao del Norte respectively, after having been sworn to according to law, depose and say.
1. That we know personally the late Cpl Christoteles G Teves 814907 (FA) PA who was
born on 18 November 1973 at Talisayan, Parang ,Maguindanao and died on 11 April 2010 at
Prk Gemelina, San Jose ,Digos City .
2. That the deceased died single/married with/without legally adopted illegitimate or
acknowledge natural children or natural children by legal fiction; or
3. That the nearest relative of the deceased within classes; (1) legitimate
acknowledged natural children, or natural children by legal fiction, and illegitimate children and
descendants, including adopted children; (2) legitimate parents and other ascendants; (3) brothers
and sisters, nephews and nieces; (4) surviving spouse; and (5) collateral relative with the sixth (6 th)
civil degree, are the following:

Relationship State if Single or

NAME Date of Birth with the married & in the Address
deceased latter case date of
marriage
Crisda C Teves 29 Nov 73 Wife Widow Prk Gemilina, San Jose
Digos City
Cristelyn C Teves 31 Dec 98 Daughter Single -do-
Christian C Teves 26 Sept 01 Son Single -do
Christopher C Teves 20 Feb 03 Son Single -do-

Note: Attach necessary birth, marriage and/or death certificate issued by the Local Civil Registrar
concerned.
4. That Crisda C Teves has the care and custody of the minor/s Cristelyn, Christian
and Christopher all surnamed Teves (Minors are those heirs below 21 years of age).
5. That no other person/s are related (living or dead) to the deceased within the sixth
(6th) civil degree except those mentioned above;
6. That this affidavit is expressly made for the purpose of establishing the identities of
the legal heirs of the deceased.
 Cpl Felybert M Peroino (FS) PA Cpl Relly C Vasquez (Inf) PA
(Affiant) (Affiant)
Res Cert Nr: 02271111 Res Cert Nr: 02271115
Issued at Mawab, CVP Issued at Mawab CVP
On 15 January 2010 On 15 Jan 2010

SUBSCRIBED AND SWORN to before me this _____ day of _________ at Tagum City
affiant exhibiting to me their Community Tax Certificate below their signature.

: Except from :
: Documentary : Doc No:
: Stamp Under : Page No:
: Republic Act : Book No:
: No. 136 : Series of: