REPUBLIC OF THE PHILIPPINES)

) S.S.

JOINT AFFIDAVIT
WE, ____________________ and _________________, married to each other, both of legal age, both
Filipinos and with residence address at ________________________________________, Philippines,
after having been duly sworn to in accordance with the law, do hereby depose and state :

1. That we are the biological and legitimate parents of _________________________

2. That our daughter ___________________ is now married _________________, and

consequently changed her full name from _______________ to _________________;

3. That ______________ ________________ is one and the same person, and currently residing at
____________________________________;

4. That we are physically incapable to work anymore, due to illness that require avoidance of
stressful and strenuous activities;

5. That as biological and legitimate parents of ________________, we are consistently receiving

financial support from her ____________________________;

6. That we are solely dependent on her financial assistance;

7. That we are no receiving any financial help or assistance from the Philippine
government and we have no job and source of income;

8. That our eldest and youngest son are not capable to support us, since they have no regular
work and no other income;

9. That we are executing this affidavit to attest to the truthfulness of the foregoing facts and
for other legal purposes.

IN WITNESS WHEREOF, we have hereunto affixed our signatures on this

__________________ in ________________________, Philippines.

_____________________ _____________________

Affiant Affiant

WITNESSES:

______________________ ______________________

SUBSCRIBED AND SWORN TO BEFORE me, this _____________________in

_______________
Philippines. Affiants exhibited to me their Senior Citizen Identifications indicated
underneath their respective names.

Doc No. _________

Page No. ________
Book No. ________
Series of 2020.