I, CARLO BAHIAN ANDAM, of legal age, married, Filipino
and a resident of Barangay Tablon, Cagayan de Oro City, after having been sworn to an oath in accordance with law hereby depose and say:
1. That I am married to Judith L. Hermax.
2. That we have no common children. 3. That we have separated in fact for fifteen (15) years. 4. That we did not enter into a marriage settlement before the wedding. 5. That we did not acquire properties, real or personal during the marriage. 6. That I execute this affidavit as to the truth of the foregoing facts and for whatever legal purpose/s this may serve.
IN WITNESS WHEREOF, I have hereunto affixed my
signature this 13th day of August, 2019 in the City of Cagayan de Oro, Philippines.
CARLO BAHIAN ANDA
Affiant Driver’s License No. K02-19-004557
SUBSCRIBED AND SWORN TO before me this 13th day of
August, 2019 in the City of Cagayan de Oro, Philippines.