REPUBLIC OF THE PHILIPPINES)

CITY/MUN. OF ____________ ) S.S.

x------------------------------------x

JOINT AFFIDAVIT OF COHABITATION

WE, ALADIN T. DELA CRUZ and FELY V. CORPUZ, both of legal age,
Filipino, single (living together) and residents of B55 L08 P4 WELLINGTON
RESIDENCE BRGY. TRES CRUSES TANZA CAVITE, after having been duly
sworn to in accordance with law, depose and state THAT:

1. We have been living together as husband and wife under the same roof,
continuously and without any interruption, since August 2016 or a period
of more than Six (6) years;

2. During our cohabitation and even until the present, we remain both of
single status and, hence, there exists no legal impediment for us to marry
each other;

3. We have no children as of this time as live in partner for a long time;

4. We are executing this affidavit to attest to the foregoing facts and for the
purposes of contracting marriage without the need of securing the
marriage license pursuant to the provisions of Article 34 of the
Family Code of the Philippines.

IN WITNESS WHEREOF, we have hereunto set our hands

this ___________________ in _______________, Philippines.

FELY V. CORPUZ ALADIN T. DELA CRUZ

Affiant Affiant
ID No. _____________ ID No. _____________

SUBCRIBED AND SWORN TO before me this ___________________ in

_________________, Philippines, affiants exhibiting to me their valid proofs of
identification.

Doc. No. _____; Notary Public

Page No. _____;
Book No. _____;
Series of 2022.