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Republic of the Philippines ]

City of Tagbilaran ] S.S.

AFFIDAVIT OF TWO DISINTERESTED PERSONS

We, GERTRUDES SAMSON FUENTES, Filipino, of legal age, married and a resident of
Sambog, Corella, Bohol, and HELEN Q. IGOT, Filipino, of legal age, married and a resident of
Tagbilaran City, Bohol, after being sworn in accordance with law, hereby depose and say:

That we are the friends and thus personally know the person of JULIET CADENAS
SIPSIP;

That JULIET CADENAS SIPSIP was born to Spouses Lorenzo Cadenas and Matilde
Caderao on May 18, 1972 at Tabuan, Garcia-Hernandez, Bohol;

That the fact of birth of JULIET CADENAS SIPSIP was recorded in the Register of Births
of the Office of the Civil Municipal Registrar of Garcia-Hernandez, Bohol;

That by virtue of these presents, we hereby attest that JULIET CADENAS SIPSIP was
born at Tabuan, Garcia-Hernandez, Bohol on May 18, 1972 to Spouses Lorenzo Cadenas and
Matilde Caderao;

That we are not related to the said person either by consanguinity or affinity and that we
have no interest in whatever outcome these presents may bring unto her;

That we execute this Affidavit voluntarily to attest to the truth of the foregoing statements
for whatever legal purpose this may serve.

IN WITNESS WHEREOF, we hereunto set our hands this


_________________________ at Tagbilaran City, Bohol, Philippines.

GERTRUDES SAMSON FUENTES HELEN Q. IGOT


Affiant Affiant
UMID ID with CRN:006-0004-0553-1 PAG-IBIG ID No. 1670-0107-0321
Issued by GSIS-Bohol Issued by PAG-IBIG Fund

SUBSCRIBED AND SWORN to before me this ______________________ at


Tagbilaran City, Bohol, Philippines.

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