AFFIDAVIT OF SERVICE

I, , with office address at, after being duly sworn, state that:

On -, I served and filed by registered mail copies of the

foregoing nameof pleading for the case of “---.” in accordance with
Rule 13 of the 1997 Rules of Civil Procedure, by depositing
copies thereof at the ___________ City Post Office, and with
instructions to the postmaster to return the mail to the sender after
ten (10) days if undelivered, to the following addressees:

State the names and

addresses of the copy
furnished persons

NAME OF MESSENGER
Affiant

SUBSCRIBED AND SWORN to before me, a Notary Public for

and in __________________, Philippines on
__________________ by affiant, known to me to be the same
person who executed the foregoing, and whose identity I have
confirmed through SSS No. 123435456, bearing his photograph
and signature.

Doc. No.: ___;

Page No.: ___;
Book No.: ___;
Series of 2021.