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___________________________ ) S.S.
AFFIDAVIT OF CITIZENSHIP
I, Mary Rose Ann R. Epres, single, citizen of the United States of America, of legal age
with residence and postal address at 1380 Hardt Street San Bernardino, California, USA 92408,
after having been sworn in accordance with law, hereby depose and state that:
1. I was a natural-born Filipino citizen, born in San Antonio, Iriga City, Camarines Sur on
November 18, 1991 to Filipino parents, namely: Moises Flor P. Epres and Fe R. Epres who
are alive and now residing at 1380 Hardt Street, San Bernardino, California, USA 92408. I
am single.
2. I have lost my Filipino citizenship through naturalization on May 23, 2018 and since then I
have been a citizen of the United States of America;
3. I am acquiring through purchase a parcel of land located in Kumintang Ibaba, Batangas City
with an area of 169.15 square meters. I hereby affirm that this purchase combined with all of
my other land holdings in the Philippines do not exceed 1,000 square meters aggregate;
5. I am executing this sworn statement in compliance with Land Registrtion Authority, Registry
of Deeds for the City of Batangas.
WITNESS WHEREOF, I have hereunto set our hand this _________________ day of at
____________________________________.
Affiant
SUBSCRIBED AND SWORN to before me, a Notary Public for and in the
_________________________________, this ____ day of _________________, 2022 affiants
exhibited to me her __________________________.