REPUBLIC OF THE PHILIPPINES)

CITY OF MARIKINA )S.S.

JOINT AFFIDAVIT OF COHABITATION

WE ____________________, born on ____________________ in

__________________ and __________________________________________ born
on ___________________ in __________________________________________,
both Filipino, single (Living together) and resident of
________________________________ ____________________________. After
having been duly sworn to in accordance with law, depose and state THAT:

1. We have been living together as husband and wife under the same roof,
continuously and without any interruption since ______________________ or a
period of almost _____________(-___) years;

2. We are blessed with one child,

Name Date of Birth Place of Birth
___________________ __________________ __________________

3. We are executing this affidavit to attest to the foregoing facts and for the
purposes of contracting marriage without the need of securing the marriage
license pursuant to provisions of Article 3 of the Family Code of the Philippines.

IN WITNESS WHEREOF, we have hereunto set our hands, this ___ day of
September, 2020 in Marikina City, Philippines.

______________________ ______________________
Affiant Affiant
______________________ _____________________
______________________ _____________________

SUBSCRIBED AND SWORN TO before me this ___ day of September, 2020 in

Marikina City, Philippines.

Doc. No. ____;

Page No. ____;
Book No. ____;
Series of 2020.