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REPUBLIC OF THE PHILIPPINES}

CITY OF ILIGAN…………………… }S.S.

JOINT-AFFIDAVIT OF TWO DISINTERESTED PERSONS

We, AJILIA N. BITAISAR and JOSE GINO Z. SABERON, both of legal ages,
Filipino, married, and with residence at #19 Tieza St., Brgy. Dadiangas North, General
Santos City and Purok 7 New Society, respectively, after being sworn to in accordance with
law do hereby depose and say;

That we are the friends and acquaintances of the LOILLA VANESSA O.


LUMPAN, for twenty (20) years;

That being the friends and neighbors hereof, we knew that her father BREZELIO
JORDANLUMPAN, SR. died last May 17, 2011 at General Santos City as evidenced by the
Certificate of Death duly issued by the Local Civil Registrar, General Santos City;

That the true and correct name of the late BREZELIO JORDAN LUMPAN, SR.
parents are CAYETANO LUMPAN and JULIANA LUMPAN , as evidenced by his
Certificate of Live Birth duly issued by the National Statistics Office;

That there exists discrepancy in the name of the late BREZELIO JORDAN
LUMPAN, SR. parents in his records before the Office of the Social Security System;

That said discrepancy is to the name of his parents as “ANTHONIO and ANITA per
E1 form under SSS Account No. 09-12750150 which is erroneously far different from
his new existing SSS account No. 09-1079772-0 bearing the true name of his parents as
CAYETANO LUMPAN and JULIANA LUMPAN;

That the former SSS Account bearing No. 09-12750150 was already cancelled
for the reason that it bears error in the name of the late BREZELIO JORDAN
LUMPAN, SR. parents;

That the name “ANTHONIO” and “ANITA” were used by the late BREZELIO JORDAN
LUMPAN,SR. in his prior E1 form bearing SSS No. 09-12750150 representing his parents
because he was uncertain to write the name of his biological parents in the said E1 form
since during the said application his parents were already dead;

That “ANTHONIO” is a godfather and a long-time friend of BREZELIO JORDAN


LUMPAN, SR. while “ ANITA” is a mother-in-law of BREZELIO JORDAN LUMPAN,
SR.;

That the use “ANTHONIO” and “ANITA” is in good faith and without intention to
violate any law or hide any crimes thereof;

That the true and correct name of BREZELIO JORDAN LUMPAN, SR.
parents are CAYETANOLUMPAN and JULIANA LUMPAN, as evidenced by his Certificate
of Live Birth duly issued by the National Statistics Office;

That we are executing this affidavit to attest the truthfulness and veracity of
the foregoing statements.

IN WITNESS WHEREOF, We have hereunto set our hands this 24th day of January,
2014, in the City of General Santos, Philippines.

JOSE GINO Z. SABERON AJILIA N. BITAISAR


Affiant Affiant
TIN: 428-206-661 Postal ID No. 9823152

SUBSCRIBED AND SWORN to before me, this 24th day of January, 2014, at General
Santos City, Philippines, affiants exhibiting to me their ID Nos. written below their names.

ATTY. JOSE EDMAR J . YUMANG


NOTARY PUBLIC, GSC
DECEMBER 31, 2015
ROLL NO. 57439
IBP NO. 942389
TIN NO. 161-923-968
PTR NO. 00000GS-5301916
MCLE COMP. NO. IV-0015346
(4th Compliance period)

Doc. No: 281;


Page No. 57 ;
Book No. XXXII ;
Series of 2014.

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