Republic of the Philippines )

Quezon City ) S.S.

AFFIDAVIT OF COHABITATION

We, Nanloko and at nagpaloko, of legal ages, Filipinos, and presently residing at , after
having sworn to in accordance with law do hereby deposes and state:

1. That we are live-in partners living together as husband and wife for more than five
(5) years in one and the same roof at __.

2. That we have been contributing, both financially and industry, to support and
maintain our conjugal dwelling.

3. That we are executing this affidavit to attest to the truth of the foregoing instrument
and for any legal purpose and intents this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 14 th day of September, 2022 in
Quezon City.

Nanloko at nagpaloko
Affiant Affiant
ID No. _______________________ ID No. ________________

SUBSCRIBED AND SWORN TO before me this 14th day of September, 2022 in Quezon
City. Affiant exhibited to me his/her Identification documents as proof of his/her identity.

Doc No. ____;

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