Republic of the Philippines)

CITY OF DAVAO . . . . . ..)S.S.

X ----------------X

AFFIDAVIT OF WEDLOCK

I, ANICETA C. MALLORCA, of legal age, Filipino, Widow and a resident of

Ula, Tugbok Dist., Davao City and UNDER OATH do hereby depose and say:

That I hereby declare upon my honor that deceased FLORENTINO LIGALIG

MALLORCA and TRINIDAD SIMBUAN are living together as husband and wife
without the benefits of lawful marriage and out of their union they are blessed with one child
namely: MARLON SIMBUAN MALLORCA;

That I am executing this affidavit to attest to the truth and to inform the proper
authorities concerned and for whatever legal purposes this may serve.

IN WITNENESS HEREOF, I have hereunto affix my signature this _____ day of

__________________ at Davao City, Philippines.

ANICETA C. MALLORCA
Affiant

SUBSCRIBE AND SWORN TO before me this ____ day of ___________________

at Davao City, Philippines.