Republic of the Philippines )

City of (Place) S.S.

AFFIDAVIT OF PUBLICATION

I, (Name of Affiant), of legal age. Filipino, single/married and a resident of (Place of Residence),
after having been duly sworn to according to law, hereby depose and state:

1. That I am the Classified Ads Manager of the (Name of Media or Publishing Company),
publisher of the (Name of Newspaper) which is being published daily in English, of general
circulation with editorial and business address at (Place of Business);

2. That at the order of (Court), Extrajudicial Settlement of Estate of the late (Name of
Deceased) dated (Date) was published in this newspaper in its issues of (Date of Issue or
Publication).

IN WITNESS WHEREOF, I have hereunto set my hand this (Day) of (Month), (Year) at the City
of (Place), Philippines.

(Name of Affiant)
Affiant
SUBSCRIBED AND SWORN to before me this (Day) of (Month), (Year) at the City of (Place),
Philippines, affiant exhibited a competent proof of his Identity as follows: (ID Details) issued on
(Date) at (Place).

Notary Public
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of _____.