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REPUBLIC OF THE PHILIPPINES)

CITY OF ______……………………) s.s.

VERIFICATION

We, __________, of legal age, married, and with residence


address at __________; and _________________, likewise of legal
age, single, and a resident of ________________, after having been
duly sworn to in accordance with law, depose and say:

1. That we are the Respondents in the above-entitled case;

2. That we have caused the preparation of the foregoing


___________; and

3. We have read and understood the same and that all the
allegations stated therein are true and correct of our own
knowledge and information and/or based on authentic
documents and records in our possession.

_____________________
Respondent-Affiant

____________________
Respondent-Affiant

I
N
T
H
R
O
P
A
.
P
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A
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SUBSCRIBED AND SWORN to before me this
______________ in _______, affiants exhibited to me their
competent evidence of identity_____________________________.

Doc No._____ Notary Public


Page No._____
Book No._____
Series of 2023.

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