VERIFICATION AND CERTIFICATE

AGAINST FORUM SHOPPING

I, LORENZO BACUNOT, of legal age, married Filipino citizen and resident of No. 30 San
Miguel, Baggao, Cagayan, in accordance with law, do hereby depose and state:

1. That I am the Petitioner in the instant case;

2. That I have caused the preparation of the foregoing Petition;

3. That the allegations contained therein are true and correct to the best of my own
knowledge and based on authentic documents.

I FURTHER CERTIFY THAT:

I have not therefore commenced any action or proceeding involving the same issue in
the Supreme Court, the Court of Appeals or any other tribunal or agency;

To the best of my own knowledge no such action or proceeding is pending in the

Supreme Court, the Court of Appeals or different division thereof, or any other tribunal or
agency;

If I should learn thereafter, that there has been a case filed or pending before the
Supreme Court, the Court of Appeals or different division thereof, or any other tribunal or
agency, I will undertake to informed this court and such other tribunal or agency of that fact
within five (5) days therefrom.

LORENZO BACUNOT
Affiant

SUBSCRIBED AND SWORN to before me this ____ day of _________, 2013 at

Tuguegarao City, Cagayan, upon presentment of his Community Tax Certificate No. 25509742
as competent proof of his identity.
Republic of the Philippines)
Province of CAGAYAN ) S.S.
City of Tuguegarao )

AFFIDAVIT OF INDIGENCY

I, LORENZO BACUNOT of legal age, married, Filipino and resident of 30 San Miguel,
Baggao, Cagayan, after having been duly sworn to in accordance with law, hereby depose and
say that:

1. I am the Petitioner in the above-entitled case;

2. I have no fix income that exceed the indigency level of the Public Attorney’s Office;

3. I do not own any property with a market value of more than P300,000.00;

4. I am executing this Affidavit to attest to the truth and veracity of the foregoing
statements.

IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of ___________,
2013 at Tuguegarao City, Cagayan.

LORENZO BACUNOT
Affiant

SUBSCRIBED AND SWORN to before me this _____ day of January, 2013 at Tuguegarao
City, Cagayan, upon presentment of his Community Tax Certificate No. 25509742 as competent
proof of his identity.
Republic of the Philippines
City of Tuguegarao )S.S.

AFFIDAVIT OF TWO
DISINTERESTED PERSONS

WE, JOYLYN AGUINALDO and EDMUND MIGUEL both legal ages, Filipino citizens and
residents of SAN Miguel, Baggao, Cagayan, after having been sworn to in accordance with law,
hereby depose and state, to wit:

That we personally know LORENZO BACUNOT who is a resident of San Miguel, Baggao,
Cagayan, because we are his common friends and neighbors.

That we know for fact that the above-named belongs to an indigents class.

That we also know for a fact that his family do not own any property that exceed market
value of P300,000.00.

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

Tuguegarao City, Cagayan - _________ _____, 2013.

JOYLYN AGUINLADO EDMUND MIGUEL

Affiant Affiant

SUBSCRIBED AND SWORN to before me this ____ day of __________, 2011 at

Tuguegarao City, Cagayan, upon presentment of their
 ATTY. JOSE M. ENAMAN
District Public Attorney
PUBLIC ATTORNEY’S OFFICE
Department of Justice
Carig, Tuguegarao City, Cagayan
(PURSUANT TO R.A. 9406)