REPUBLIC OF THE PHILIPPINES)

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, ______ and ________, both of legal age, Filipino citizens, and with residential
address at ___________ after having been duly sworn to in accordance with law, do hereby
depose and say:

1. That we personally know ________ who was born on ______ at _________ to spouses
____________;

2. That we declare, confirm, and attest that the names ___________, which appears in
her Certificate of Death with _________; and ___________, which appears in her
Certificate of Birth, refer to one and the same person;

3. That we are executing this Joint Affidavit to attest to the truth of all the foregoing
facts, and for whatever legal purpose this may serve.

IN TRUTH WHEREOF, we have hereunto set our hands, this ____________ at

Affiant Affiant

SUBSCRIBED AND SWORN TO BEFORE ME this ________________, at ______affiants

exhibiting to me their ________.

Doc. No.: ___;

Page No.: ___;
Book No.: ___;
Series of 2022.