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REPUBLIC OF THE PHILIPPINES)

Municipality of Bantay ) SS.

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

I, NARDA ANG BATO FIERO and CARDO TANGGOL


DALISAY, of legal ages, married to each other, Filipino and residing
at Anonang Menor, Caoayan, Ilocos Sur after being duly sworn to, in
accordance with law, do hereby depose and say:

1. That we personally know DONYA CI ELO FIERRO of


Sagayaden, Cabugao, Ilocos Sur, bei ng an acquaintance for a
long period of time;
2. That we declare, confirm and affirm that she was born at
Cabugao, Ilocos Sur on August 15, 1969;
3. That she has been using the said birth date in all her
documents;
4. We are not related by affinity or consangui nity to the above-
mentioned person; and
5. That we are executing this affidavit to declare the truth of the
foregoing facts and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, we have hereunto affixed my


signature this 28th day of June 2023 at Bantay, Ilocos Sur,
Philippines.

NARDA ANG BATO DALISAY


Affiant
Driver’s License No. A06 -11-1234567
Issued on January 1, 2022 at Bantay, Ilocos Sur

CARDO TANGGOL DALISAY


Affiant
Driver’s License No. A06 -11-7654321
Issued on January 1, 2022 at Quiapo, Manila
SUBSCRIBED AND SWORN to before me this 28 t h day of June 2023
at Bantay, Ilocos Sur, affiants exhibiting his/her identification with
details of issuance as mentioned above.

Doc No. 123;


Page No. 4;
Book No. 5;
Series of 2023

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