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____________________
___________________) S.S.
x---------------------------------/
1. We are the above – named affiants as well as the personal circumstances to whom
they pertain;
2. We have been living together as husband and wife under the same roof, continuously
and without any interruption since January 2004 or a period of more than five (5)
years;
3. During our cohabitation and even until the present, we remain both of single status,
hence, there exists no legal impediment for us to marry each other; and
4. We are executing this affidavit to attest to the foregoing facts and for the purposes of
contracting marriage without the need of securing the marriage license pursuant to
the provisions of Article 34 of the Family Code of the Philippines.
IN WITNESS WHEREOF, we have hereunto set our hands this 31st day of January
2023 in ________________________, Philippines.
____________________ _______________
Affiant Affiant
_____________________________________ _______________________________________
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