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REPUBLIC OF THE PHILIPPINES)

PROVINCE OF LAGUNA ) Sci.

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS


KNOW ALL MEN BY THESE PRESENTS:

We, FERMIN T. DIAZ, Filipino, of legal age, with residential address at Canlalay,
Biñan City, Laguna and ALBERTO C. OLIVAREZ, Filipino, of legal, with residential address
at 151 Brgy. Tubigan, Biñan Laguna after having been sworn in accordance with law hereby
depose and state:

That we personally know ANGELITO BALIDOY DESIDERIO who died on January


2, 2023 Son of CLOVERIA SALLO BALIDOY;

That in the record of his Social Security System Membership (SSS) his mother’s name
appears as ZENAIDA B. DESIDERIO instead of CLOVERIA SALLO BALIDOY;

That the discrepancy in his mother’s name is mainly due to his husband OSCAR
CARAVANA DESIDERIO decided to change her name to ZENAIDA B. DESIDERIO at the
time they were registered;

That we are executing this Joint Affidavit of Two Disinterested Persons for the purpose
of affirming and confirming that ANGELITO B. DESIDERIO with Mothers name ZENAIDA
B. DESIDERIO and CLOVERIA SALLO BALIDOY are one and the same person.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 9 th day of


February, 2023 at Biñan City, Laguna, Philippines.

FERMIN T. DIAZ ALBERTO C. OLIVAREZ


D04-75-046914 CN-92780
Driver’s License Senior Citizens I.D

SUBSCRIBED and SWORN to before me this 9 th day of February, 2023 their


Government Issued ID as a competent proof of their identity.

ATTY. ALEXANDER M. MADRONA


Notary Public for Laguna
Notarial Commission No. 2022-42
Until December 31, 2024
Unit F, St. Joseph Commercial Apts.
Sto. Tomas Road, Binan City, Laguna
Roll of Attorneys No. 44450
IBP Lifetime No. LRN-02482
PTR No. 1834139, 01-03-23, Biñan City, Laguna
Doc. No. 194;
Page No. 39;
Book No. XXIII;
Series of 2023.

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