REPUBLIC OF THE PHILIPPINES)

______________________________) S.S.
  

AFFIDAVIT OF KINSHIP

      We, _____________________________, married, ________________________________,

single/married, Filipino, and with residence at ___________________________________, and
__________________________________ single/married, Filipino, and with residence at
___________________________________after being duly sworn to in accordance with law, do
hereby depose and state THAT:

1. We are the same persons whose circumstances stated above;

2. We are the nearest surviving kin of __________________________________,

who died on ____________________ in ________________ (cause of death) at
_________________________________________;

3. That the decedent died intestate and single (have no spouse and/or children);

4. We are executing this affidavit to attest to the truth of the foregoing statement and
in support of our intention to secure copies of said decedents’ CENOMAR, Birth
and Death Certificates from Philippine Statistics Authority in Diliman, Quezon
City;

5. We further execute this affidavit to attest to the truthfulness and veracity of our
statement above.

IN WITNESS WHEREOF, We have hereunto set our hands

this __________________ in ______________________, Philippines.

______________________________ _______________________________

 SUBCRIBED AND SWORN TO before me this ___________________ in

______________________, Philippines, affiants exhibiting to me
their ____________________________ as Competent Evidence of Identity (CEI).

NOTARY PUBLIC

Doc. No. _____;

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