Republic 

of the Philippines )
Province of Palawan )S.S.
City of Puerto Princesa )
  

AFFIDAVIT OF HEIRSHIP

      WE, ________________________, ______________________, ____________________,

and ____________________, all of legal age, Filipinos and residents of
________________________________, after being duly sworn to in accordance with law,
depose and state THAT:

1. We are the surviving children of  _____________________ who died on _______________ in

________________ and his deceased spouse __________________;

2. That our parents were survived by the following children/heirs: 

        Full Names of Children/Heirs      Dates of Birth

1. ______________________ ___________________ 
2. ______________________ ___________________ 
3. ______________________ ___________________ 
4. ______________________ ___________________ 

3. As evidence of our legal relation to the deceased, photocopies of our birth certificates are herein
attached; and 

4. We are executing this affidavit in good faith to attest to truth that there is no other heir or heirs
except for the above-named heirs of the said deceased spouses and for whatever legal purpose
it may serve.

IN WITNESS WHEREOF, we have hereunto set our hands

this ___________________ in Makati City, Metro Manila, Philippines.

____________________
Affiant
____________________ SSS ID No. _____________
Affiant
SSS ID No. _____________
____________________
Affiant
____________________ SSS ID No. _____________
Affiant
SSS ID No. _____________
 SUBCRIBED AND SWORN TO before me this ___________________ in
_________________, Philippines, affiants exhibiting to me their SSS Identification Cards as
Competent Evidence of Identity (CEI).

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2013.