AFFIDAVIT OF TWO DISINTERESTED PERSONS

We, -------------------- and ------------------, both of legal ages, Filipinos, and a

resident of Purok Alpine and Purok Bear Brand, respectively, Brgy. Gatas,
Pagadian City, Zamboanga del Sur, after having been duly sworn to in accordance
with the law, hereby depose and state:

1. That we have been residents of Brgy. Gatas, Pagadian City, Zamboanga del
Sur, for more than 50 years, and during this period of time, we have
personally known MR. ____________, being our neighbor and close
acquaintance;

2. That we know the person of _________________, who married to

________________________, because he was a resident of the
aforementioned Barangay of which we are currently living;

3. That we know for a fact that Mr._________ died on July 30, 1972, at
Pagadian City, Zamboanga del Sur due to sickness;

4. That during the same period of time we have personally known

______________, the child of the aforecited spouse;

5. That we are executing this joint affidavit to attest to the truth and veracity of
the foregoing set of facts without any promise of reward or any other
monetary consideration but solely for the purpose of declaring the fact of the
death of the person of MR._________________ and for other legal intents.

FURTHER AFFIANTS SAYETH NONE.

IN WITNESS WHEREOF, we have hereunto affixed our respective

signatures this ______ day of _________________, at _______________.

ROS--------------------NO M-------------------MO
Affiant Affiant
OSCA ID 117 OSCA ID 194

SUBSCRIBED AND SWORN to before me this _______ day of _________,

________ at the City of ______________, Philippines, the affiants exhibiting to me their
Government issued IDs written below their respective names.

Doc. No. ________

Page No. ________
Book No. ________
Series of ________