Republic of the Philippines )

Tacloban City ) S.S.

AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, ___________ and _____________, both Filipinos, of legal ages, and residents
of __________________, and of ________________, respectively, after having been duly
sworn to in accordance with law hereby depose and state that:

1. We personally know __________, Filipino, of legal age, and a resident of

___________________;

2. We are not related to the abovementioned person within the fourth civil degree
of consanguinity or affinity, nor are we interested in the foregoing matter and
that we personally know her since we have been family friends for a very long
time;

3. We have not been subjected to any form of duress, force, intimidation, and/or
pressure, nor have we been promised any gift or reward, monetary or otherwise,
in the execution of this affidavit;

4. We personally know that ______________, as appearing in the record(s) of the

______________ and _______________, as appearing in an extrajudicial
settlement, refer to ONE AND THE SAME PERSON and we hereby state the
same under pain of perjury and without any intent to mislead the public;

5. We have executed this affidavit to attest to the truth of the foregoing statements,
for whatever legal purposes this affidavit may serve.

IN WITNESS WHEREOF, WE have hereunto affixed our signatures this ______

day of ____________, in __________________, Philippines.
     ______________________ _____________________________
   Affiant   Affiant
    ID NO.: _________________                   ID NO.: _________________

SUBSCRIBED AND SWORN TO before me a Notary Public this ________________, in

the ___________________, Philippines, affiants having shown to me their
aforementioned valid IDs, and swore before me that the same is of their free and
voluntary act and deed. Witness my hand and seal.
Doc. No.: ____;
Page No.: ____;
Book No.: ____;
Series of 20__.