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Republic of the Philippines )

Antipolo City )s.s.


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SWORN STATEMENT OF ZENAIDA RUBAYA

I, ZENAIDA RUBAYA, of lega age, Filipino, married , with residence address at Brgy. Looc
Cardona,Rizal, on oath, deposes and says that :

1. I am the mother of Mary Precious Rubaya-Shorter who is a permanent resident of


Friesenweg 1153117 Bonn Germany;

2. She left her daughter, Fiona Azareth Pinon, in my care and custody for more than four
years ;

3. To provide and support the needs of her daughter, such as her food and education,
Mary Precious Rubaya- Shorter has been sending money to the Philippines to cover-
up these expenses;

4. In addition, I am not employed and dependent to my daughter ( Mary Precious


Rubaya-Shorter) for support and to finance all of our day-to-day expenses;

5. I am executing this affidavit to attest to the truth of the foregoing and for whatever
purpose this may serve.

IN witness whereof, I have hereunto affixed my signature this 28th day of January 2020 at
Antipolo City, Philippines.

ZENAIDA RUBAYA
AFFIANT

SUBSCRIBED AND SWORN TO BEFORE ME this 28th day of January 2020 at Antipolo City,
Philippines, affiant exhibiting to me her ID NO._________________

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