REPUBLIC OF THE PHILIPPINES)

PROVINCE OF ALBAY ) S.S.

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

AFFIDAVIT OF HEIRSHIP

WE, ________________________, ______________________, ____________________, and

____________________, all of legal age, Filipinos and residents of
________________________________, after being duly sworn to in accordance with law,
depose and state THAT:

1. We are the surviving children of _____________________ who died on _______________ in

________________ and his deceased spouse __________________;

2. That our parents were survived by the following children/heirs:

Full Names of Children/Heirs

1. ___________________________________________

2. ___________________________________________

3. ___________________________________________

4. ___________________________________________
Dates of Birth

_________________________

_________________________

_________________________

_________________________
3. As evidence of our legal relation to the deceased, photocopies of our birth certificates are
herein attached; and

4. We are executing this affidavit in good faith to attest to truth that there is no other heir or
heirs except for the above-named heirs of the said deceased spouses and for whatever legal
purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of ___________ 20____ in
____________, _____________, Philippines.
______________________________________

Affiant

SSS ID No. _____________

______________________________________

Affiant

SSS ID No. _____________

______________________________________
 Affiant

SSS ID No. _____________

______________________________________

Affiant

SSS ID No. _____________

SUBSCRIBED AND SWORN to before me, this ____ day of __________ 20____, in the City of
__________________, by ___________________ with Passport No.________________ issued
on __________________ at _____________.

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