You are on page 1of 2

Republic of the Philippines )

Province of Sorsogon ) S.S.


Municipality of Bulan )

AFFIDAVIT OF BEING SINGLE

I, FERNANDO B. BAŇARES, JR. of legal age, Filipino, single and with residence at Brgy. San
Isidro, Bulan, Sorsogon, after being duly sworn to in accordance with law, do hereby depose and say:

1. That I was born on October 19, 1995 at Brgy. San Isidro, Bulan, Sorsogon and I am now 26
years old;

2. That I hereby attest that up to this present time I am still single and had never been married
or had any children;

3. That by virtue of which my legal beneficiaries are my parents namely FERNANDO B.


BAŇARES, SR., and MARILOU B. BAŇARES;

4. That I am executing this affidavit to attest to the foregoing facts and for any legal purposes
this may serve.

IN WITNESS WHEREOF, I have hereunto signed my name below, this 18 th day of November
2021 at Bulan, Sorsogon.

FERNANDO B. BAŇARES, JR.


Affiant

SUBSCRIBED AND SWORN TO before me, this 18th day of November 2021 at Bulan,
Sorsogon, by affiant who exhibited to me his Philhealth ID with No. 21-025488155-9.
Republic of the Philippines )
Province of Sorsogon ) S.S.
Municipality of Bulan )

AFFIDAVIT OF LEGAL BENEFICIARIES

I, FERNANDO B. BAŇARES, JR., of legal age, Filipino, single and with residence at Brgy.
San Isidro, Bulan, Sorsogon, after being duly sworn to in accordance with law, do hereby depose and
say:

1. That I hereby attest that up to this present time I am still single and had never been married
or had any children;

2. That by virtue of which my legal beneficiaries are my parents namely FERNANDO B.


BAŇARES, SR., and MARILOU B. BAŇARES who are presently residing at Brgy. San
Isidro, Bulan, Sorsogon;

3. That I am executing this instrument to attest to the foregoing facts and for any legal
purposes this may serve.

IN WITNESS WHEREOF, I have hereunto signed my name below, this 18 th day of November
2021 at Bulan, Sorsogon.

FERNANDO B. BAŇARES, JR.


Affiant

SUBSCRIBED AND SWORN TO before me, this 18th day of November 2021 at Bulan,
Sorsogon, by affiant who exhibited to me his Philhealth ID with No. 21-025488155-9.

You might also like