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AFFIDAVIT/VERIFICATION AND CERTIFICATION

OF NON-FORUM SHOPPING

I, MAUREEN ANTONETTE D. BEREBER-LEDESMA, of legal age, after


having been duly sworn in accordance with law, depose and state that:

1. I am the Petitioner in the above-stated case;

2. I have caused the preparation and filing thereof before the Honorable
Court;

3. I have read its contents and the allegations stated therein are true and
correct based on my personal knowledge and/or on the basis on authentic
documents and records in my possession;

4. This is not filed to harass, cause unnecessary delay, or needlessly increase


the cost of litigation;

5. The factual allegations herein have evidentiary support or will have


evidentiary support after reasonable opportunity for discovery;

6. To date, I have not commenced any other action or proceeding involving


the same issues in the Supreme Court, the Court of Appeals, or any other
tribunal or agency;

7. To the best of my knowledge and belief, no such action or proceeding is


pending in the Supreme Court, the Court of Appeals, or any other tribunal
or agency;

8. If I should thereafter learn that a similar action or proceeding has been


filed or is pending before the Supreme Court, the Court of Appeals, or any
other tribunal or agency, I undertake to report that fact within five (5)
calendar days therefrom to this Honorable Court.

MAUREEN ANTONETTE D. BEREBER-LEDESMA


Affiant
ID No.________________

SUBSCRIBED AND SWORN to before me this ___ day of ____________


2021 at Iloilo City affiant exhibiting to me her ___________________________
as competent proof of her identity.

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2021.

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