REPUBLIC OF THE PHILIPPINES )

Province of____________________) S.S.

City/Municipality of______________)
x---------------------------------------x

AFFIDAVIT OF PUBLICATION

I, ________________(name of affiant)____________, Filipino, of

legal age, [single]/[married to _________(name of
spouse)_________], and a resident of
___________________(address of affiant)_______________, after
having been duly sworn in accordance with law, hereby depose and
state:

1. That I am the Classified Ads Manager of the ________(name

of newspaper)_____________, publisher of the which is being
published daily in English, of general circulation with editorial
and business address at
__________________________________;

2. That at the order of _____________, Extrajudicial Settlement

of Estate of the late _____________________ dated
________________ was published in this newspaper in its
_________ issue(s) of __________________;

IN WITNESS WHEREOF, I have hereunto affixed my signature this

___th day of __________, 20___ at _____________, Philippines.

_________________________________

(Signature of Affiant over Printed Name)

SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and for

_________(City/Province)____________ this ____th day of ____________
20___. Affiant personally came and appeared with _____________(Competent
Evidence of Identity)______ issued by the _________(Government
Agency)______ on ___(date)__ at ________(place)_________, bearing his
photograph and signature, known to me as the same person who personally
signed the foregoing instrument before me and avowed under penalty of law to
the whole truth of the contents of said instrument.

Atty _______________________________________
Notary Public
Doc. No. ____ Commission Serial No. __________________
Page No. ____ Notary Public for ____(Province/City)________
Book No. ____ Until December 31, 20__
Series of 20__ Office: _________(address)_______________
Roll No. __________
 IBP Lifetime Roll No. ________; __/__/__ ; (Province)
PTR No. _________ ; __/__/__ ; _(Province)_
MCLE Compliance Cert. No. __________; __/__/__

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Note: Issued by a newspaper after the publication of a legal notice in its pages.
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