Republic of the Philippines )

________________________ ) S.S.

AFFIDAVIT OF KINSHIP

I, ________________________, of legal age, Filipino, married, and with

residence address at _____________________________________________, after
having been duly sworn to in accordance with law, do hereby depose and state:

1. That, I am the person who personal circumstances are mentioned above;

2. That, I am the next kin of the late _________________ who died on

________________ in _____________________;

3. That, I personally know him/her being his/her ____________;

4. That, the decedent did not leave a surviving spouse as he is only nine (9)
years old when he died;

5. That, I am executing this affidavit to attest to the truth of the foregoing

facts and for whatever legal purposes this affidavit may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this

_______ day of ________________ in the _______________________.

__________________________
Affiant

SUBSCRIBED AND SWORN to before me this _____ day of

_______________ in the _______________________, by
______________________________, who has satisfactorily proven her identity to
me through her _________________________________, that she is the same
person who personally signed the foregoing affidavit of kinship before me and
acknowledged that she executed the same.

Doc. No. _______;

Page No._______;
Book No._______;
Series of 2020.