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Republic of the Philippines)

Province of Quirino) S.S.


Municipality of Diffun
x------------x

UNDERTAKING

I, KARISSA MAE L. BUGARIN, of legal age, Filipino, widow, and


presently residing at JE DE GUZMAN Purok 5 Taringsing, Cordon, Isabela, after
having been duly sworn to in accordance with law do hereby depose and say:

1. I am the legal wife of the Late SN1 BENEDICT B. BUGARIN PCG;

2. I have no knowledge, whatsoever of my husband’s relationship with


another woman outside our marriage except for _______________
whose children with my husband I have recognized;

3. While processing my papers, no known issued or child outside marriage


(Illegitimate Children), except for _______________ and
_______________, is claiming against my husband _______________ or
against his estates;

4. In the event that another person with better right claims the benefits due
my late husband or an issue or child outside marriage (Illegitimate Child)
would likewise claim said benefit, against his estate or the monthly
annuity, I hereby undertake that I will return and give whatever amount I
have received to that person with better right and/or to any issue or
illegitimate child and in case of my inability to do so, I hereby authorize
the PCG to proceed against my assets until my obligation is satisfied in
full;

5. I am executing this document in compliance with the requirements of the


state and for all legal intents and purposes;

AFFIANT FURTHER SAYETH NAUGHT.

IN WITNESS WHEREOF, I hereby set my hand this 1st day of October,


2021 in Diffun, Quirino.

KARISSA MAE L. BUGARIN


(Affiant)

SUBSCRIBED AND SWORN to, BEFORE ME this 1st day of October, 2021


exhibiting to me her Government Issued ID No. 16-025674594-9 issued on
September 6, 2021 at Santiago City, Isabela.

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 2021.

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