Republic of the Philippines ) S.

S
Municipality of Pateros ) S. S

x…………………………….x

AFFIDAVIT OF ACKNOWLEDGEMENT OF PATERNITY

AND USE OF THE SURNAME OF FATHER

I, Juanito L Suarez, Filipino citizen, of legal age, single/married, and presently residing
at E Ragas St., Barangay Sta Ana, Pateros Metro Manila after having been duly sworn to in
accordance with the law, do hereby depose and say;

That I am the biological father of the minor/child Zachary M Maceda, who was born on
June 4, 2000 in Pasay City Philippines.

That at the time of the birth of said minor/child, I was not legally married to his/her
biological mother;

That I hereby acknowledge my paternity/filiation of the minor/child Zachary M Maceda;

That I am giving my consent for the minor/child to use my surname and that the same
be reflected in his/her birth certificate;

That I am executing this affidavit to attest to the truth of the foregoing facts and for
whatever legal purpose it may serve.

IN WITNESS WHEREOF, I hereby affix my signature this 6 th day of October in the year
2020 in Pateros Metro Manila.

_________________________________
Signature of Father over Printed Name

SUBSCRIBED AND SWORN to before me this _____________________at

_______________________ Philippines.

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