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Republic of the Philippines)

) s.s

AFFIDAVIT OF KINSHIP
I, ANALIZA O. FRANCO, of legal age, single/married, Filipino and a resident of
No.#12 TORRES BUGALLON ST., EXT. CONCEPCION UNO, MARIKINA CITY, after
having been duly sworn to in accordance with law, do hereby declare and state THAT:

1. I am the sister of the late RICHARD DE PEÑA ORDINES of #12 TORRES


BUGALLON ST., EXT. CONCEPCION UNO, MARIKINA CITY;

2. That our parents are both deceased;

3. That my brother is single and no child;

4. I am the nearest surviving kin of RICHARD DE PEÑA ORDINES being his sister;

5. My brother died intestate on March 16, 2020, attached hereto is a copy of his Death
Certificate, and has not instituted any administrator nor representative for any
purpose;

6. During the lifetime of my deceased brother, I have never been disowned neither did I
disowned him;

7. Further, I am executing this Affidavit of Kinship to support my request/application


with the Philippine Statistics Authority (PSA) for the issuance of a BIRTH
CERTIFICATE. I hereby undertake to be solely responsible for the contents of my
Affidavit in case of any resulting damage or prejudice and hereby further hold the
government or PSA free therefrom;

8. Finally, I am executing this Affidavit of Kinship to attest to the truthfulness of the


foregoing facts and for all legal intents and purposes this may serve well;

IN WITNESS WHEREOF, I have hereunto set my hand


this________________________ at___________________________.

ANALIZA O. FRANCO
Affiant

SUBSCRIBED AND SWORN to before me a Notary Public for and in Quezon City,
Philippines this______________________ by the above Affiant personally known to me and
exhibiting to me Valid Identification Card (IDs) with picture above his name and personally
identified by me of his identity to be the same person who personally signed before me the
foregoing Affidavit.

Doc No. ______


Page No. _____
Book No. _____ Notary Public
Series 2020

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