AFFIDAVIT OF CITIZENSHIP FOR BATASANG PAMBANSA BLG.

185

I, JENNIFER BALATAN BALUCA, citizen of the United States of America, of

legal age, with residence and postal address at 1554 Trailwood Ave., Chula Vista,
California, USA, after having been sworn in accordance with law, hereby depose and
state that:

1. I was a natural-born Filipino citizen, born in Nabua, Camarines Sur on

December 13, 1974 to Filipino parents, namely: Elisa Almazan Francia
(deceased) and Jose Guevara Balatan who is alive and residing with me
at 1554 Trailwood Ave., Chula Vista, California, USA;

2. I am married to Pete G. Baluca, also a natural-born Filipino citizen with

address at 1554 Trailwood Ave., Chula Vista, California, USA;

3. I have two (2) children namely: ERIN B. BALUCA and ELISA B. BALUCA;

4. I have lost my Filipino citizenship through naturalization on 5 August 2004

and since then I have been a citizen of the United States of America;

5. I am acquiring through purchase of a parcel of land located in Nabua,

Camarines Sur with an area of 295 square meters. I hereby affirm that
this purchase combined with all of my other land holdings in the
Philippines do not exceed 1,000 square meters aggregate.

6. I intend to use the aforementioned land to permanently reside in the

Philippines; and

7. I am executing this sworn statement in compliance with Batasang

Pambansa Blg. 185 and its Implementing Rules and Regulations.

IN WITNESS WHEREOF, I have hereunto set my hand this _____ day

of ____________ at _________________.

JENNIFER BALATAN BALUCA

Affiant

SUBSCRIBED AND SWORN to before me this _____ day of

_______________ at ________________ by the abovesigned affiant who
presented her ID _________________.