REPUBLIC OF THE PHILIPPINES )

CITY OF MANILA )S.S.

JOINT AFFIDAVIT OF THE NEAREST RELATIVES

OF DECEASED ROMEO P. CARAYAO

We, LEONARDO P. CARAYAO and ARNOLFO P. CARAYAO, both

Filipinos, of legal age, and with residence address at Purok 3,
Lublub, Alfonso Castaneda, Nueva Vizcaya, after having been
sworn under into law, hereby despose and state that:

1. We are the siblings of ROMEO P. CARAYAO (hereinafter

referred to as “the decedent”), who died on 11 September 2019
in Makati City, Philippines.

2. The decedent was legally married to his wife, GILDA

O. CARAYAO, and together they had two (2) daughters, DARYL O.
CARAYAO and MARIBEL AILYN O. CARAYAO, who are both
currently residing at 2268 Pasigline Street, Sta. Ana, Manila.

3. Due to irreconcilable differences between the

spouses, both Romeo Carayao and his wife Gilda Carayao were
separated sometime around 1988 until the former’s death in
2019.

4. During their separation, Romeo Carayao married

CRISTINA M. SUBIBI until the former’s death. In addition, Gilda
Carayao co-habited with her partner RODOLFO DEO, JR., until
the latter’s death in 2018.

5. Romeo Carayao and Gilda Carayao did NOT have any

children from their respective partners.

6. Despite the aforementioned separation and the

subsequent marriage/co-habitation of Romeo Carayao and
Gilda Carayao, their daughter MARIBEL AILYN CARAYAO still
depended on her father, the decedent, for financial support.

7. We are attesting the truth of the foregoing facts for

the purpose of the application of Romeo P. Carayao’s Death
Benefits/Claims before the Social Security System (SSS) and for
whatever legal purpose this may serve.

Further, affiants sayeth naught.

Affidavit

IN WITNESS WHEREOF, we have hereunto set our hands this

th
19 day of January 2023 at the City of Manila, Philippines.

LEONARDO P. CARAYAO ARNOLFO P. CARAYAO

Affiant Affiant

SUBSCRIBED AND SWORN to before me this 19th day of

January 2023 at the City of Manila, Philippines, affiants
exhibited to me

Government-issued ID Date/Place of issue

Leonardo P. Carayao National ID No. 6104-
5329-4781-7398
Arnolfo P. Carayao Passport No. Issued at PE Riyadh
P8973123B Valid until
02/15/2032

bearing both their photographs and signatures.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2023.