REPUBLIC OF THE PHILIPPINES)

PROVINCE OF ALBAY ) S.S.

TABACO CITY )
x------------------------------------------x

JOINT AFFIDAVIT OF COHABITATION

WE, ___________________ and ___________________, both of legal age, Filipino, single

(living together) and residents of _______________________________, 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 _________ or a period of more than five (5) 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 were blessed with one son named ___________________ who was born on

_________________ in _____________________;

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.
_________________________

Affiant

SSS ID No. _____________

_________________________

Affiant

GSIS ID No. _____________

SUBCRIBED AND SWORN TO before me this ___________________ in _________________,
Philippines, affiants exhibiting to me their valid proofs of identification.

ATTY. ANTHONY CLARK A. GAPIDO

Notary Public Tabaco City
For the Province of Albay
Roll No. 83746
IBP OR No. 227570; June 13, 2022
PTR No. 8843533; July 13, 2022 at Tabaco City
MCLE: N/A (Newly Admitted to the Bar)
2nd Floor Coastal Building Rental, Purok 2,
Morales Street, San Roque,Tabaco City, 4511

Doc No.____;
Page No. 450;
Book No. 35 ;
Series of 2022