J o i n t A ffi d a v i t | 1

REPUBLIC OF THE PHILIPPINES)

TAGUIG CITY )S.c.

JOINT AFFIDAVIT OF FACT OF DEATH

We, _________________, Filipino, of legal age, and resident of ________________________________ and
___________________________, Filipino, of legal age, and resident of ____________________________________, having
been duly sworn to in accordance with law, do hereby depose that:

1. We personally know _______________________ (________________ for brevity). The latter died on

_______________ in _______________.

2. We know for a fact that the _____________________________was died on due to _____________________.

3. We are the ___________________________ of __________________ and we have the knowledge of his/her

death.

4. We know for the fact that the death of _______________________ was not registered in Local Civil
Registrar of ____________________ and in Philippine Statistics Office.

5. We know the foregoing facts having been long-time friends and acquaintances of the
_______________ Family; we are not related either by affinity or consanguinity and we are not in any
manner interested on the result for which this Affidavit is being executed.

6. We know for the foregoing facts having the long-time friends of ____________ Family.

7. In view thereof, we are executing this Joint Affidavit for whatever purpose it may serve.

8. Affiant further sayeth naught.

IN WITNESS WHEREOF, we have hereunto set our hands this _________________ at Taguig City.

__________________ _____________________________
ID No. ________________ ID No. ________________
Issued by: __________________ Issued by: __________________

SUBSCRIBED AND SWORN TO BEFORE ME this _________________, at Taguig City. Personally appeared the
above stated parties showing their Identification documents as stated below their names and known to
me as the parties who executed this Joint Affidavit and they acknowledged to me as their free and
voluntary act and deed.

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