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Republic of the Philippines) S.s.

Makati City

AFFIDAVIT OF COUNSEL

I, ___________, of legal age, Filipino, and a resident of Blk 28


Lot 5, Galaxy St., Ridgemont Executive Village, San Isidro, Taytay, Rizal,
after having been duly sworn to in accordance with law, depose and state that:

1. I am the counsel of the Petitioner,____________.

2. I personally interviewed the Petitioner and she revealed to me


that her address and her residence is located at _____________________
3. I personally solicited the proof of residency and verified that the
petitioner is residing thereat for more than 6 months.

4. To prove her residency, she exhibited to me the following:

4.1. Utility bills under the name of her husband ________for at


least 6 months;
4.2. Her government issued ID bearing her address;
4.3. Transfer Certificate of Title No. ____________under the name
_______________and_________________.

5. The above-stated documents are attached herein as Annex


“A”,”B”, and “C” of this affidavit.

6. I execute this affidavit to attest to the truth of the foregoing and to


comply with the requirements set forth in OCA-Circular-No.-63-2019.

IN WITNESS THEREOF, I set my hand on this 1st of June 2022 in


Makati City, Philippines.

ATTY. _____________________

Affiant
SUBSCRIBED AND SWORN TO before me this ____ May 2022 at
Makati City, Philippines showing her IBP ID with Roll__________________.

Doc. No. ____;


Page No. ____;
Book No. ___;
Series of 2022.

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