Republic of the Philippines)

Province of Rizal ) S.S

__________________)

JOINT AFFIDAVIT OF TWO (2) DISINTERESTED PERSON

RE: DISCREPANCY

WE, TEODORO C. GONZALES and JEREMIAS L. DIMAYUGA, both of legal

ages, Filipino citizens, with residence and postal address at Brgy. Bayugo Jalajala, Rizal, after
having been duly sworn to in accordance with law, hereby and depose and say:

1. That we knew personally REMEDIOS PANGUITO FRANCISCO;

2. That we knew REMEDIOS PANGUITO FRANCISCO, because we are neighbors

in Brgy. Bayugo Jalajala, Rizal;

3. That lately, we discovered the discrepancies of the following:

As per Senior Citizen ID No. 2010371

Name: REMEDIOS PANGUITO FRANCISCO
Date of Birth: December 03, 1942

As per Marriage Contract

Name: NORA PANGUITO
Date of Marriage: March 5, 1961

4. That these discrepancies of his Senior Citizen ID, Marriage Contract of REMEDIOS
PANGUITO FRANCISCO refers to one and the same person.

5. That we execute this affidavit in order to ratify and stating therein the correct name.

6. That we attest to the truth of the above-mentioned facts.

AFFIANTS FURTHER SAYETH NAUGHT.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this __________,

2023 at _____________________.

TEODORO C. GONZALES JEREMIAS L. DIMAYUGA

Affiant Affiant
Senior Cit. ID No.: 20111214 Senior Cit. ID No.: 201061

SUBSCRIBED AND SWORN TO BEFORE me this ________________, 2023 at

___________________.

Doc. No. _______ Notary Public

Page No. _______
Book No. _______
Series of 2023