REPUBLIC OF THE PHILIPPINES)

CITY OF LEGAZPI ) S.S

JOINT AFFIDAVIT OF COHABITATION

WE,______________________ born on __________________ in

Inopacan, Leyte , and ______________________________ born on
______________ in Inopacan, Leyte , both single , Filipinos, (living
together) and residents of ______________, Inopacan, Leyte , after having
been duly sworn to in accordance with law, depose and state THAT:

1. We have been living together as husband and wife under the same
roof, continuously and without any interruption, since ________March
17, 2010 or a period of more than ______five (5) years;

2. During our cohabitation and even until the present, we remain both of
single status and, hence, there exists no legal impediment for us to
marry each other;

3. We are blessed with three children, namely:

Name Date of Birth Place of Birth
AJ NIL VILLANUEVA April 1, 2011 San Jose,Neg.Or.
ANNA JANE VILLANUEVA Dec. 13, 2013 San Jose, Neg.Or.
ALDEN JADE EPIS Feb. 5, 2016 San Jose, Neg.Or.

4. We are executing this affidavit to attest to the foregoing facts and for
the purposes of contracting marriage without the need of securing the
marriage license pursuant to the provisions of Article 34 of the Family
Code of the Philippines.

IN WITNESS WHEREOF, we have hereunto set our hands this

_____________________ in Dumaguete City, Negros Oriental, Philippines.

EUGENE V. EPIS ANGIE B. VILLANUEVA

Affiant Affiant
___________________ ___________________
___________________ ___________________

SUBSCRIBED AND SWORN TO before me this

____________________ in Dumaguete City, Negros Oriental.

ATTY. ALDO A. MUÑOZ

Notary Public until Dec. 31, 2019
Serial No. 01-2017
MCLE Compliance No. IV-0023-523
Erames Law Office, G/F El Oriente Bldg.,
Real St., Dgte. City
Roll No. 34808
PTR No. 1485265A, 01-03-2017
IBP No. 1042136, 12-05-2016
Doc. No. ______ ;
Page No. ______;
Book No. ______;
Series of _______