Republic of the Philippines)

Quezon City )S.S

AFFIDAVIT
I, CLARITA DELA CRUZ GROSPE , of legal age, Filipino Citizen, widow, and a
resident of Blk. 5 Lot 12 Rivera Compd. Brgy. Kaligayahan Novaliches, Quezon
City, after having duly sworn in accordance with the law, do hereby depose and
state;

That I am the legal wife of the deceased EDWIN LAGUISMA GROSPE

died on October 13, 2022 at Novaliches, Quezon City;

That I am executing this affidavit to attest to the truth of the foregoing

facts and for whatever legal purposes it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 3rd day of

January 2023 in Quezon City.

CLARITA DELA CRUZ GROSPE

AFFIANT

SUBSCRIBED AND SWORN to me this 3rd day of January 2023 in

Quezon City. Affiant exhibited to me her OSCA ID No. 18097 issued on August
16, 2016 as her valid proof of identity.

DOC No. 301;

PAGE No. 61;
BOOK No. XXI
SERIES OF 2023