I, FRANCIA ESTEVEZ VALENCIA, Filipino, of legal age, married
and resident of Barangay Mayapa, Calamba City, Laguna, after being sworn in accordance with law, depose and say:
THAT sometime on June 20, 1962, my parents LOLITA SILO and
CESAR ESTEVEZ entered into a MARRIAGE CONTRACT at Pasig City;
THAT the original copy of said MARRIAGE CONTRACT was lost
inside our house and cannot be located despite diligent efforts, hence considered lost;
THAT my mother died last September 2, 2002 at Las Pinas Medical
Center, Las Pinas City due to “CARDIAC EMPHYSEMA;”
THAT during the lifetime of my mother, she was a member of the
SSS, SSS No. 04-0436989-7, Xerox copy is attached and made an integral part of this affidavit of loss;
THAT I am executing this affidavit to attest to the truthfulness of the
above-stated facts for the SOCIAL SECURITY SYSTEM grant of pension to my father CESAR ESTEVEZ and for whatever lawful purpose it may serve.
MRS FRANCIA ESTEVEZ VALENCIA
Affiant
SUBSCRIBED AND SWORN TO before me this 24th day of
September 2001, at Calamba City, Laguna, Philippines, Affiant exhibiting to me her Community Tax Certificate No. 02902719 issued at Calamba City, Laguna on January 2, 2001.
ATTY. GREGORIO E. MAUNAHAN
Notary Public Until December 31, 2001 PTR NO. 4885838, 1-02-2001, Calamba, Laguna IBP LIFETIME Roll No. 1404, Pasig City