NOTARIZATION BY THUMBMARK

IN WITNESS WHEREOF, I have hereunto affixed my thumbmark this __ day of _______ at _____________,
Philippines.

______________________
Affiant

____________________ ____________________
(Sgd.) Witness (Sgd.) Witness

Thumbmark affixed by _______, in the presence of Mr/Ms _________________, of legal age, Filipino, and a
resident of _________________; and Mr/Ms ____________, of legal age, Filipino, and a resident of
_____________; and the undersigned Notary Public.

(Sgd.) Notary Public

SUBSCRIBED AND SWORN TO before me this __ day of ___, in the City of _____________, affiant who
thumbmarked the foregoing instrument exhibiting to me his competent evidence of identity, to wit: _______, and
avowing under penalty of law as to the truth of the contents hereof.

Doc. No. ____; NOTARY PUBLIC

Page No.: ______; FOR THE CITY OF:
Book No.: _______; UNTIL:
Series of ________. NOTARIAL COMM. NO.
PTR NO.
IBP NO.
ATTORNEY’S ROLL NO.
MCLE NO. V
OFFICE ADDRESS

OATH OF THE TWO WITNESSES

We, ___________ and ____________, both of legal age, Filipino citizens, married, residents of ____________
and ___________, respectively, affirm under the penalty of law, that the following statements are true:

1. That _______, the affiant presently affixing his thumbmark on the affidavit is the same person named in
the affidavit;
2. That the undersigned witnesses were personally present and witnessed the execution of the affidavit of
_____________ and his affixing therein of his/her thumb mark.
3. That the undersigned witnesses are not privy to the affidavit presented and signed; and
4. That the undersigned witnesses have presented their respective valid identification documents issued by
an official agency, to wit:

Witness 1 with Driver’s License No. ______ Valid Until ______.

Witness 2 with Driver’s License No. ______ Valid Until ______.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this ___ day of ____________, in the City of
_____, Philippines.

(Sgd.) ___________ (Sgd.) ___________

SUBSCRIBED AND SWORN TO before me this __ day of ________, in the City of _____________, affiants
exhibiting to me their competent evidence of identity as stated above, and avowing under penalty of law as to the
truth of the contents hereof.

Doc. No. ____; NOTARY PUBLIC

Page No.: ______; FOR THE CITY OF:
Book No.: _______; UNTIL:
Series of ________. NOTARIAL COMM. NO.
PTR NO.
IBP NO.
ATTORNEY’S ROLL NO.
MCLE NO. V
OFFICE ADDRESS