Republic of the Philippines)

Province of La Union) S.S

City of San Fernando)
x--------------------x

AFFIDAVIT SOLO PARENT

I, SOCORRO CALLUENG y Diaz, 43 years old, Filipino, single and a resident of
Brgy. San Francisco, San Fernando City, La Union, Philippines, after having been duly sworn to
in accordance with law hereby depose and state it:

1. I am a single mother with two children namely: MERVIN FLOR (15 years old) and
ANGELO FLOR (10 years old);

2. I am presently in custody of ANGELO FLOR while MERVIN FLOR is with their father,
MELVIN FLOR;

3. I and MELVIN FLOR were never married and I remained as single until the present;

4. I am solely responsible for all the needs of ANGELO FLOR including his education;

5. I am executing this affidavit to attest to the truth of the foregoing and for whatever legal
purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this June 3, 2019 in San
Fernando City, La Union.

SOCORRO D. CALLUENG
Affiant

SUBSCRIBED AND SWORN to before me this June 3, 2019 in San Fernando City, La
Union.