REPUBLIC OF THE PHILIPPINES }

PROVINCE OF ___________________ } S.S.

x--------------------------------------------x

JOINT AFFIDAVIT OF
TWO DISINTERESTED PERSONS

We, _______________ and _________, both of legal age, Filipino, with residences at
______________, after being duly sworn in accordance with law, hereby depose and say:

1. That we have been residents of ____________ for a long period of time, and during
this period of time, we have personally known the deceased ____________________;

2. That during the same period of time, we have personally known that
______________, prior to his demise, was a widower and had no children, legitimate
or otherwise, deceased or surviving, living with him or in some place other than
the family home or abode, or any knowledge of any other child born outside
wedlock or had been claiming or establishing filiation to deceased
__________________ by adoption or other legitimate process of establishing filiation;

3. That we are executing this Joint Affidavit to attest to the truth and veracity of the
foregoing set of facts without any promise or reward or any other monetary
consideration but solely for the purpose of declaring that the deceased
_______________ has no surviving compulsory heirs, other than his brothers and
sisters and for all other legal intents it may serve.

IN WITNESS WHEREOF, we have hereunto set our hands this _______________ at

_________________.

________________________________________ _____________________________

Affiant Affiant

SUBSCRIBED AND SWORN to me before this ________________, Affiants exhibited to me

their respective ____________ as their competent evidence of identity.

Doc. No. ________

Page No. _______
Book No.________
Series of 2021.