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REPUBLIC OF THE PHILIPPINES )

NATIONAL CAPITAL REGION ) S.S.


LAS PINAS CITY )
X----------------------------------------X

AFFIDAVIT OF SINGELNESS

I, CARMEN T. AMACIO, legal age, Filipino, single and presently residing


at # 38 Regatta Classics Subd., Anabu II-B, Imus City, after having been duly
sworn to in accordance with law, depose and state that:

1. That the person and individual of CONSEJO PRADO AMACIO was


personally and familiarly known to me for simple reason that the subject
is of legal age, having been born on April 25, 1939, in Malay, Aklan;

2. That CONSEJO PRADO AMACIO died on August 10, 2021 in


Tanza, Cavite;

3. That CONSEJO PRADO AMACIO has no child or children;

4. That I am executing this affidavit to attest to the truth that CONSEJO


PRADO AMACIO was single until the last day of her life, and has
never been married before, in compliance with the requirement and for
any other legal purpose this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 12th of August


2021 at Las Piñas City, Metro Manila.

CARMEN TACDERAN AMACIO


Affiant
SSS ID No. # 03-8973891-2

SUBSCRIBED AND SWORN to before me, a Notary Public, this 12th,


Auguis 2021 by the above affiants, who have satisfactorily proven to me their
identities through their identifying documents written below their names and
signatures.

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