REPUBLIC OF THE PHILIPPINES )

CITY OF ) S.S.
PROVINCE OF )

AFFIDAVIT OF FACT OF MARRIAGE

I, ________________ of legal age, married, Filipino, a resident of --------------------------, after having been
sworn according to law, hereby depose and state that:

1. I, together with my brother, ---------------------., executed an Extrajudicial Settlement, wherein we failed to

include the names of our respective spouses;
2. In order to supplement the lack of names of our spouses in the said document, I am hereby stating the
following facts of marriage, as reflected in the attached copies of our respective marriage contracts:
a. INFO 1
b. INFO 2;
3. I am executing this affidavit in good faith to attest the truthfulness of the foregoing statements for whatever
legal purpose it may serve.

IN WITNESS WHEREOF, we have hereunto affixed our signature this ----------- at the -------------

_______________________________________
AFFIANT

SUBSCRIBED AND SWORN TO before me this this --------------- at the ---------------------, affiants having
exhibited to me his competent evidence of identity as indicated above.

WITNESS MY HAND AND SEAL.

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