Affidavit (Repaired)

Republic of the Philippines)
City of Pasig.......................) s.s
AFFIDAVIT OF CANCELLATION WITH NO FINANCIAL OBLIGATION
I, PRINCESS ARLESTHER STA. ANA LUCADING, of legal age, Filipino citizen,

single, and with business address at B3 L33 San Juan St., Pinalad Centennial II,
Pinagbuhatan, Pasig City, after having been duly sworn to in accordance with law,
hereby depose and say:
1. That I am the Single Proprietor of PRINCESS ARLESTHER STA. ANA LUCADING,

with business address at B3 L33 San Juan St., Pinalad Centennial II,
Pinagbuhatan, Pasig City, NCR Second District, National Capital Region;
2. That I am in the process of cancellation and/or revocation of my business

registration with the Department of Trade and Industry and that one of the
requirements for such cancellation is the submission of an Affidavit stating
among others that the said business at the time of cancellation I had no
creditors, or if there were creditors copy of notice were sent to them, hence,
this Affidavit;
3. That I am no longer interested in the continuance of the operation of the said

business, thus I am now requesting for its cancellation and/or revocation of its
registration with the Department of Trade and Industry;
4. That I am executing this Affidavit to attest to the truth and veracity of the
foregoing facts and for purposes of my application for cancellation and/or
revocation of its registration and for the re-issuance of new business name
and for whatever legal purpose it may serve.
IN WITNESS WHEREOF, WE have hereunto set our hand this ____ day of ____ at
Pasig City, Metro Manila.
PRINCESS ARLESTHER STA. ANA LUCADING

Affiant
SUBSCRIBED AND SWORN to before me this ___ day of ______ at Pasig City.
Doc. No.
Page No.
Book No.
Series of 2016
Pasig City )s.s.
AFFIDAVIT OF OWNERSHIP
I, MARIA TERESA O. TUASON, of legal age, Filipino, married, and with

postal address at 1843 B F. Castillo Street, Bambang, Pasig City, after having
been duly sworn to in accordance with law, hereby depose and say:
That, I am the registered owner of a residential house located at the

above given address declared under Tax Declaration No. E-004-06272;
That said residential house is built on the lot owned by my father

LEONCIO A. TUASON, covered and embraced by Transfer Certificate of Title No.
259425 and that the residential house was built through the consent to “utilize
the portion of the property for the construction of her residential house” given
by my father by virtue of an Affidavit of Consent executed by him on November
22, 2004, a copy of which is hereto attached;
That the said residential structure is built under Building Permit issued by
the City Building Official which also has been the basis of the Office of the City
Assessor of Pasig to declare the said structure under my name, hence, TAX
DECLARATION NO. E-004-06272;
That the above residential house is owned by the undersigned and that I
strongly refute any documents proving the transfer and any other form of
conveyance or authority to sell, dispose, and convey the above
mentioned house. Any existing document if present is hereby disputed
by the herein affiant.
That, I am executing this Affidavit knowing that the above-described land

is free from all encumbrances and for all legal purpose it may serve;
IN WITNESS WHEREOF, I have set my hand this ___ day of __________,

2014 at Pasig City, Philippines.
MARIA TERESA O. TUASON

Affiant
Doc. No.
Page No.
Book No.
Series of 2014
Republic of the Philippines )
Pasig City )s.s.
AFFIDAVIT OF AUTHENTICITY OF
DOCUMENTS/IDENTIFICATIONS
I, RACHEL CARIZA A. LACUNA, of legal age, Filipino, single, and with

residence and postal address at No. 105 M. H. Del Pilar St., Sto. Tomas, Pasig
City, after having been duly sworn to in accordance with law, hereby depose
and say:
1. That I am applying to work abroad at Qatar as Clerk/Receptionist

and among the requirements thereto is the submission of my
Authenticated Documents such as Certification dated June 22, 2014
issued by MC De Vera Medical Clinic and Certificate of Employment
issued by PANCRATIUS MANPOWER CORPORATION;
2. That I hereby undertake that the said documents hereto attached

are the authenticated copy of the same;
3. That I hereby affirm and confirm the authenticity and validity of the
attached documents;
4. That I further declare and attest that the foregoing documents are
genuine and authentic;
5. That I am executing this Affidavit to attest to the truth and veracity

of the foregoing facts for all intents and for whatever legal purpose
it may serve;
IN WITNESS WHEREOF, I have set my hand this ___ day of __________, at

Pasig City, Philippines.
RACHEL CARIZA A. LACUNA

Affiant
SUBSCRIBED AND SWORN to before me, Notary Public this ___ day of ___
2015 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2015.
Pasig City )s.s.
I, JOHNFREY LOUIE G. PACIS, of legal age, Filipino, single, and with

residence and postal address at No. 12 Pearl St., Doña Juana Subd., Rosario,
Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am applying to work abroad at ABU DHABI as Ambulance

Nurse and among the requirements thereto is the submission of my
Authenticated Documents such as Certification issued on 1 st day of June 2015
by Lifeline Ambulance Rescue, Inc.;
2. That I undertake that the said document hereto attached is the

authenticated copy of the same;
attached document;
4. That I further declare and attest that the foregoing document is


of the foregoing facts for all intents and for whatever legal purpose it may
serve;

JOHNFREY LOUIE G. PACIS

Affiant
2015 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2015.
Pasig City )s.s.
I, JAMES O. MANGADLAO, of legal age, Filipino, single, and with

residence and postal address at Block 40, Lot 14, Holiday Homes, Biclatan,
Gen. Trias, Cavite, after having been duly sworn to in accordance with law,
5. That I am applying to work abroad and among the requirements

thereto is the submission of my Authenticated Documents such
as Certificate of Completion dated September 13, 2007 issued
by the City Government of Pasig and Certificate of Employment
issued on 03rd day of July 2009 by Proserve Manworks Inc;
6. That I undertake that the following documents hereto attached

7. That I hereby affirm and confirm the authenticity and validity of

the attached documents;


it may serve;

JAMES O. MANGADLAO
Affiant
2011 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
I, ADRIAN S. IMPERIO, of legal age, Filipino, single, and with residence

and postal address at #840 Gomez St., Brgy. Manggahan, Pasig City, after
having been duly sworn to in accordance with law, hereby depose and say:

thereto is the submission of my Authenticated Documents, to wit:
a. Authenticated Certificate of Live Birth issued by the National

Statistics Office;
b. Philippine Passport with No. EB89913687 valid until 26 August
2018;
c. Certificate of Training dated 20 Januay 2014 issued by MFI
Foundation,
Incorporated;
d. Certification dated 01 August 2013 issued by INCA Plastics
Philippines,Inc.;
e. Certificate of Employment dated 29 July 2013 issued by Byrnes
Motor Trust Restoration Inc; and
f. Certification issued by R.E. C. Auto Electrical & Motor Rewinding
Shop;
2. That I hereby undertake that the above mentioned documents hereto

attached are the authenticated copy of the same;
attached documents;

5. That I am executing this Affidavit to attest to the truth and veracity of

the foregoing facts for all intents and for whatever legal purpose it may serve;

ADRIAN S. IMPERIO
Affiant
2014 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2014
Pasig City )s.s.
AFFIDAVIT OF CHANGE OF COLOR
I, MARK ANTHONY NASOL FERNANDEZ, of legal age, single, Filipino and with postal
address at 3569 Kagitingan St., Caniogan, Pasig City, after having been duly sworn to in
accordance with law, hereby depose and say:
1. That I am the registered owner of a motor vehicle with Certificate of Registration CR

No. ________ and Official Receipt No. 78400153, more particularly described as
follows:
MAKE/SERIES : YAMAHA SNIPER T135 A/C

CHASIS NO. : MH35C80018K006247
COLOR : WHITE
ENGINE NO. : 5C8-006251
MV FILE NO. : 1380-00000528887
BODY TYPE : MC
MODEL : 2008
PLATE NO. : 5499PU
2. That the original color of the above-described motor vehicle is WHITE since from the
time of its acquisition;
3. That I intend to modify its color from WHITE to PINK, but prior thereof, there is a need
to seek clearance from the Traffic Management Group;
4. That I am executing this Affidavit to attest to the truth and veracity of the foregoing facts
for all intents and for whatever legal purpose it may serve;
IN WITNESS WHEREOF, I have set my hand this ___ day of __________, at Pasig City,
Philippines.
MARK ANTHONY NASOL FERNANDEZ

Affiant
SUBSCRIBED AND SWORN to before me, Notary Public this ___ day of ___ in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2013
Pasig City )s.s.
AFFIDAVIT OF EXPLANATION FOR REQUEST OF RETRIEVAL
OF ELECTION DOCUMENTS
`
We, JENINIFER M. OBALDO, LEAH F. BALAJADIA and RAUL P.

BORILLA, all of legal age, Filipino, and with residence and postal address of No.
287 A-9 Dr. Sixto Antonio Ave., Canogan, Pasig City, No. 1072 Dahlia
St.,NAPICO, Manggahan, Pasig City and No, 23 M.H. Del Pilar St., San Nicolas,
Pasig City respectively, after having been duly sworn to in accordance with law,
1. That we are the duly appointed Board of Elections Inspectors in

Clustered Precint No. 137 of Barangay Caniogan Pasig City last
October 29, 2013 for the Barangay Elections;
2. That as such we were taked to conduct the election proper and act as
custodian of all election paraphernalias thereat;
3. That upon conclusion of the Election and Countinng Proper we

errouneously placed inside the ballot box election paraphernalias
which should not belong therein to wit:
a.) Computerized Voters Lists;

b.) Posted Computerized Voters Lists and
c.) Statistical Report of Clusterd Precint No. 137
4. That the said eror was due to the physical conditions we were
experiencing during those time considering that it was already late
and we were all tired and exhausted due to the conduct of the
elections;
5. That such acts were neither intentional nor deliberate but merely due
to the reasons above-stated;
6. That we are executing this Affidavit to attest to the truth and veracity
of the foregoing facts for all intents and for whatever legal purpose it
may serve;

JENINIFER M. OBALDO LEAH F. BALAJADIA RAUL P.

BORILLA Affiant Affiant Affiant
2013 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2013
Pasig City )s.s.
AFFIDAVIT OF EXPLANATION
`
I, ELIZABETH DOMINGO MIRANI-BARRETTO, of legal age, Filipino, and
with residence and postal address of No. 43 F. Antonio Street, Brgy. Bambang,
depose and say:
1. That I was born on January 10, 1955 in Brgy. Bambang, Pasig Rizal
(now City;
2. That I did not live with my biological parents but grew up with my
godmother Josefa Castillo who stood as my standing guardian and who gave
me my name ELIZABETH NATIVIDAD CASTILLO, taking my name after her
middle name and surname. My godmother allowed me to use ELIZABETH
NATIVIDAD CASTILLO and now appearing in my school records, my Passport,
Voter’s I.D. and my Marriage Contract with ROBERTO A. BARRETTO;
3. That it was only recently when I secured a copy of an authenticated

copy of my Birth Certificate from the National Statistics Office, that I discovered
that my name is ELLEN ELIZABETH DOMINGO MIRANI, my biological parents
being Khubchand Tejumal Mirani and Zenaida Domingo;
4. That considering that in the past years, the authenticated birth

certificate is not significant as proof of identity when enrolling in school,
applying for an employment, applying for a passport and registering as voter in
COMELEC, I used the name ELIZABETH NATIVIDAD CASTILLO even when I got
married;
5. That such acts were neither intentional nor deliberate but merely due
to the reasons above-stated;
6. That I hereby declare and attest that I opt to use my maiden middle
name DOMINGO and my surname MIRANI but choose not to use my first name
ELLEN ELIZABETH but instead ELIZABETH;
7. That for all legal intents and purposes, my name would be ELIZABETH
DOMINGO MIRANI-BARRETTO;


ELIZABETH DOMINGO MIRANI-

BARRETTO
Affiant
2014 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2014
Pasig City )s.s.
I, RHOWELL G. YTABLE, of legal age, Filipino, married and with

residence and postal address of 85 Bagong Taon St., Sto. Tomas, Pasig City,
after having been duly sworn to in accordance with law, hereby depose and
say:
9. That I am the youngest brother of ROBERT GOPONG YTABLE, II,

born on November 16, 1973 in Mary Chiles Gen. Hospital, Sampaloc,
Manila, being the son of Roberto Buya Ytable and Estelita Concillo
Gopong;
10. That the facts of my brother’s birth were duly registered in the
Office of the Local Civil Registry of Sampaloc, Manila and with the
National Statistics Office ;
11. That when I secured an authenticated copy of my brother’s

Certificate of Live Birth from the National Statistics Office, the entries
therein are indistinctly registered such that the person reading the
same would have the hard time identifying the true and correct
entries;
12. That due to the foregoing unclear entries, I hereby declare and
attest that the following are the important identity of my brother,
ROBERT GOPONG YTABLE, II and are the same entries registered in
the said Certificate of Live Birth, to wit:
NAME - ROBERT GOPONG YTABLE II

DATE OF BIRTH - November 16, 1973
PLACE OF BIRTH - MARY CHILES GEN.
HOSPITAL
SAMPALOC, MANILA
FATHER’S NAME - ROBERTO BUYA YTABLE
MOTHER’S NAME - ESTELITA CONCILLO
GOPONG
NATIONALITY - FILIPINO
DATE AND PLACE OF - JUNE 20, 1972 AT
MARRIAGE OF PARENTS LOS BANOS, LAGUNA
may serve;

RHOWELL G. YTABLE
Affiant
2013 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2013

Pasig City )s.s.
I, RHOWELL G. YTABLE, of legal age, Filipino, married and with

residence and postal address of 85 Bagong Taon St., Sto. Tomas, Pasig City,
say:
1. That I am the brother-in-law of JUDY GADO JAVIER-YTABLE, born on

January 12, 1974 in Hinag-oman, Odiongan, Romblon, being the
daughter of Gerardo dela Vega Javier and Gloriosa Blancia Gado;
2. That the facts of my sister-in law’s birth were duly registered in the
Office of the Local Civil Registry of Odiongan, Romblon and with the
National Statistics Office ;
3. That when I secured an authenticated copy of my sister’s-in-law

Certificate of Live Birth from the National Statistics Office, the entries
therein are indistinctly registered such that the person reading the
same would have the hard time identifying the true and correct
entries;
4. That due to the foregoing unclear entries, I hereby declare and attest
that the following are the important identity of my sister-in-law, JUDY
GADO JAVIER-YTABLE and are the same entries registered in the said
Certificate of Live Birth, to wit:
NAME - JUDY GADO JAVIER

DATE OF BIRTH - JANUARY 12, 1974
PLACE OF BIRTH - HINAG-OMAN, ODIONGAN
ROMBLON
FATHER’S NAME - GERARDO DELA VEGA JAVIER
MOTHER’S NAME - GLORIOSA BLANCIA GADO
NATIONALITY - FILIPINO

the foregoing facts for all intents and for whatever legal purpose it
may serve;

RHOWELL G. YTABLE
Affiant
2013 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2013

Pasig City )s.s.
AFFIDAVIT
I LETICIA M. AMON, of legal age, Filipino and with office address at Ground Floor,
Notarial Office, Pasig City Hall Building, Pasig City, after having been duly sworn to in
1. That I am a commissioned notary public for Pasig, Taguig, Pateros and San Juan
duly approved by the Regional Trial Court of Pasig City;
2. That I personally know ROBERT C. EUSEBIO, being the Mayor of Pasig City with
Community Tax Certificate Number 11130188 issued on January 9, 2012 at Pasig
City;
3. That the VERIFICATION WITH CERTIFICATION OF NON FORUM SHOPPING

attached to the Expropriation Case, City of Pasig versus Linear Dimension Realty,
Inc. and American Machinery and Parts Mfg., Inc. docketed as SCA 3750-PSG RTC
branch 157 is duly entered in my notarial registry as Document Number 450; Page
Number 90; Book Number VII Series of 2012.
4. That I am executing this Affidavit to attest to the truth and veracity of the foregoing
facts for all intents and for whatever legal purpose it may serve;
IN WITNESS WHEREOF, we have set our hands this ___ day of __________, 2013
at Pasig City, Philippines.
Atty. LETICIA M. AMON

Affiant
SUBSCRIBED AND SWORN to before me, Notary Public this ___ day of ___ 2013
in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2013
Pasig City )s.s.
AFFIDAVIT
I RODELIE ANGOSTA, of legal age, Filipino and with postal address at Block 1, Lot
1 Georosville Subd., Pag-asa 2 Imus Cavite, after having been duly sworn to in
accordance with law, hereby depose and say;
1. That I am the mother of DAN PAULO ANGOSTA JACINTO, the latter was born on
January 27, 1998 in Cavite City;
2. That the facts of my child’s birth were duly registered at the Office of the Local Civil
Registry of Cavite City;
3. That in the said birth of my child, it was indicated therein that I was married to his
father DANILO JACINTO on October 2, 1994 In Manila, when the truth and in fact I
was not married to him or to anybody locally or in abroad;
4. That for all intents and purposes, I hereby declare and attest that I remain the status
of SINGLE; .
IN WITNESS WHEREOF, I have set my hand this ___ day of __________, 2013 at
RODELIE ANGOSTA
Affiant
in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2013
7

Pasig City )s.s.
AFFIDAVIT
I REBECCA S. LUNA, of legal age, Filipino and with postal address at No. J10-400
M.H. del Pilar Street, Purok Camia, Pinagbuhatan, Pasig City, after having been duly
sworn to in accordance with law, hereby depose and say;
1. That since 1981, I was employed at STANFORD MICROSYSTEMS, INC. for which
which I am a member of Social Security System,
2. That in the year 1987, the said company has ceased to operate and its
establishment has been closed; Thereafter, I have neven been employed;
3. That I am now in the process of claiming my retirement benefit and that I am being
required for the submission of Certification of Separation from the last employer
which is STANFORD MICROSYSTEMS, INC., and in the absence of Certificate of
Separation, an Affidavit of Separation, hence, this Affidavit;
4. Considering that the said company has ceased to operate and its establishment has
been closed in 1987, thus, I could not submit the required Certification;
5. For all intents and purposes, I have been employed in the said company from 1981
until its closure in 1987;
REBECCA S. LUNA
Affiant
in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2013

Pasig City )s.s.
AFFIDAVIT
I TEODORA MARQUEZ-JOSEPH, of legal age, Married, Filipino and with postal

address at no. 10 Avocado St., Balangkas, Valenzuela City, after having been duly sworn
to in accordance with law, hereby depose and say;
1. That I am the mother of MARICEL M. JOSEPH, the latter who was born on May 12,
1979 in Obando, Bulacan, Philippines;
2. That my said daughter gave birth to her son name KELVIN JOSEPH who was born
on February 20, 1996 in Pasig City at the age of sixteen (16);
3. That the facts of the said child’s (KELVIN JOSEPH ) birth were duly registered at
the office of local civil registry of Pasig City;
4. That being the mother of MARICEL M. JOSEPH, I hereby declare that she gave
birth on her child during her teenage years at the age of sixteen (16).
TEODORA MARQUEZ-JOSEPH
Affiant
in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2013
Pasig City )s.s.
JOINT SUPPLEMENTAL
FOR THE MINORITY OF THE MOTHER
We, SPOUSES JUDY S. CARIAGA and MARIE GEANE H. CARIAGA, both of

legal age, Filipinos and with postal address at No. 49 Faculty St., Sta. Ana, Taguig City,
respectively, after having been duly sworn to in accordance with law, hereby depose and
say:
1. We are the parents of J.M. M. HERRADURA, who was born out of wedlock on
April 27, 1999 in Pasig City, Metro Manila, and considered an illegitimate child in
view of the fact that we are not married at that time and I, MARIE GEANE H.
CARIAGA is still minor (18 years old) at the time of birth of our son, J.M. M.
HERRADURA;
2. That we got married only on January 12, 2000, in Taguig City, Metro Manila;
3. I, JUDY S. CARIAGA, hereby acknowledge that the abovenamed child is my

son who was born out of wedlock on April 27, 1999 in Pasig City, Metro Manila
and by subsequent marriage of the undersigned and her mother, MARIE
GEANE H. CARIAGA, my son shall be known as J.M. HERRADURA
CARIAGA;
4. We are executing this Affidavit to attest to the truth and veracity of the foregoing
JUDY S. CARIAGA MARIE GEANE H. CARIAGA

Affiant Affiant
in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2013

Pasig City )s.s.
JOINT SUPPLEMENTAL
FOR THE MINORITY OF THE FATHER
We, SPOUSES ROSELLER C. DE LEON and IMELDA T. DE LEON, both of legal

age, Filipinos and with postal address at Blk. 4, Lot 16, Unit No. 6 Jade St., Emerald Court
Subdivision, Sto. Rosario-Kanluran, Pateros, Metro Manila, respectively, after having been
duly sworn to in accordance with law, hereby depose and say:
1. We are the parents of ROSE AIMEE TORRES, who was born out of wedlock on
December 11, 1993 in Pasig City, Metro Manila, and considered an illegitimate
child in view of the fact that we are not married at that time and I, ROSELLER C.
DE LEON is still minor (21 years old) at the time of birth of our daughter, ROSE
AIMEE TORRES;
2. That we got married only on April 10, 1996, in Pateros, Metro Manila;
3. I, ROSELLER C. DE LEON, hereby acknowledge that the abovenamed child is

my daughter who was born out of wedlock on December 11, 1993 in Pasig City,
Metro Manila and by subsequent marriage of the undersigned and her mother,
IMELDA T. DE LEON, my daughter shall be known as ROSE AIMEE TORRES
DE LEON;
ROSELLER DE LEON IMELDA T. DE LEON

Affiant Affiant
in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2013

Pasig City ) S.S.
AFFIDAVIT
I, MA. CORAZON G. DE VERA, of legal age, Filipino, and with residence address at 1
Yakal Street, Maybunga, Pasig City, after having been duly sworn in accordance with law hereby
depose and state:
1. That sometime in the year 1996, I entered into a contract to purchase of a property of China
Banking Corporation located at above address covered and embraced by a Transfer
Certificate of Title No. PT-100247containing an area of Three Hundred Thirty Six (336)
Square Meters subject matter of a Deed of Conditional Sale, a copy of which is hereto
attached;
2. That I transferred in said property sometime in 2003 and consequently applied for an
electrical facilities with Manila Electric Company under my name.-+
3. /’]=-
4. That considering that the title is still in the name of China Banking Corporation as the
transfer of ownership of tilte has not yet been processed, I hereby declare and attest that
the improvement referring to the residential house should be registered in the name of
China Banking Corporation for tax purposes in the City Assessor’s Office of Pasig;
5. That I am executing this Affidavit to attest to the truth of the foregoing statements for all
intents and for whatever legal purpose it may serve.
AFFIANT FURTHER SAYETH NAUGHT.
IN WITNESS WHEREOF, I have set my hand this ___ day of __________, 2008 at Pasig
City, Philippines.
MA. CORAZON G. DE VERA

Affiant
SUBSCRIBED AND SWORN to before me, Notary Public this ___ day of ___ 2008 in
Pasig City. Affiant exhibited to me her Community Tax Certificate No. 23745579 issued on
February 29, 2008 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2008
Pasig City ) S.S.
AFFIDAVIT
(Re: No Record)
I, REBECCA T. TRASMONTE, of legal age, Filipino, and with residence address at

no.6547 Rambutan St. Villacuana II Brgy. Pinagbuhatan, Pasig City, after having been duly sworn
in accordance with law hereby depose and state:
1. That I was born on August 30, 1944 in Tigbauan, Ilo-Ilo;
2. That I am applying for Housing and one of the requirement is the submission of Certificate
of Live Birth issued by NSO;
3. That my birth was not registered in the proper Civil Registry, thus I secured a Negative
Result from National Statistics Office to registered the said birth;
4. That I hereby declare and attest that the herein affiant was born August 30, 1944 in
Tigbauan, Ilo-Ilo
City, Philippines.
REBECCA T. TRASMONTE
Affiant
SUBSCRIBED AND SWORN to before me, Notary Public this ___ day of ___ in Pasig
City. .
Doc. No.
Page No.
Book. No.
Series of 2014
Pasig City ) S.S.

Pasig City ) S.S.
AFFIDAVIT
I, RODRIGO CARTAGENA JR., of legal age, Filipino, and with residence address at no.
1520 Monggo St., Napico, Manggahan, Pasig City, after having been duly sworn in accordance
with law hereby depose and state:
attached;
electrical facilities with Manila Electric Company under my name.
City, Philippines.

Affiant
Doc. No.
Page No.
Book. No.
Series of 2008

Pasig City ) S.S.
AFFIDAVIT OF DISCLOSURE
I, MARITA A. CALAJE, of legal age, Filipino, and with residence address at

Block 3 Lot 19 Phase 5A Apitong Bend, Greenwoods Executive Village,
PInagbuhatan, Pasig City, after having been duly sworn in accordance with law
hereby depose and state:
1. That I am the incumbent City Treasurer of Pasig City Government;
2. That I am not releated to any political candidate particularly in the

forthcoming May 13, 2013 national and local election;
3. That I am executing this Affidavit to attest to the truth of the foregoing

statements for all intents and for whatever legal purpose it may serve.

MARITA A. CALAJE
Affiant
SUBSCRIBED AND SWORN to before me, Notary Public this ___ day of
___ 2013 in Pasig City. Affiant exhibited to me her Community Tax Certificate No.
______________ issued on __________________ in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2013

Pasig City ) S.S.
I, MA. THERESA D. VIDAL, of legal age, married, Filipino, and with

residence address at No. 611 Yakal St. Napico Manggahan, Pasig City, after
having been duly sworn in accordance with law hereby depose and state:
1. That I am a previous employee (Service Crew) of TOKIO JOE’S

TEREYAKI HOUSE INC (TOKYO TOKYO) with business address at no.
85 P. Tuazon Street Cubao, Quezon City covering the period from October
6, 2003 up to March 6, 2004, attach herein is my Contract of Employment
for reference;
2. That when I secured a copy of Certificate of Employment on the above

mentioned company I was informed that the said business was already
closed and presently under the management of KFC (Ramcar of
Companies);
3. That I wasn’t able to secure such document due to the closure of said
business;


MA. THERESA D. VIDAL

Affiant
____ in Pasig City. Affiant exhibited to me her SSS I.D with No. 0033-859341-3
issued by Social Security System.
Doc. No.
Page No.
Book. No.
Series of 2013

Pasig City ) S.S.
AFFIDAVIT
I, REY V. BERMAS, of legal age, single, Filipino, and with residence address at no. 181 Dr.
Pilapil St., San Miguel, Pasig City, after having been duly sworn in accordance with law hereby
depose and state:
5. That I am the father of ALIZZA REIN GERNALE, who was born out of wedlock on May 5,
2002 in Irosin, Sorsogon;
6. That being illegitimate child, her surname was followed to the surname of her mother
NADINE N. GERNALE;
7. That pursuant to RA 9255 an illegitimate child may use the surname of his father, thus I
executed an affidavit to give my consent to my child to use my surname;
8. That my child ALIZZA REIN GERNALE shall be known as ALIZZA REIN GERNALE
BERMAS pursuant to RA 9255 and the names stated refers to one and the same person;
Philippines.
REY V. BERMAS
Affiant
City. .
Doc. No.
Page No.
Book. No.
Series of 2013

Pasig City ) S.S.
AFFIDAVIT
I, LEA V. OLIVAR, of legal age, Filipino, and with residence address at 141 A Dr. Pilapil
Street, San Miguel, Pasig City, after having been duly sworn in accordance with law hereby depose
and state:
1. That I have been as Treasurer of United Architect of the Philippines-Pasig Chapter from
July 2011 to June 2012;
2. That during my incumbency as Treasurer, I have been designated as one of the signatories
of checks for and on behalf of the UAP-Pasig Chapter. Also signatory to the check during
my incumbency was the then President Almar Joseph V. Rubio;
3. That I remember having released the following amounts to various _______
4. That the release of such amounts werev with the full express conformity and verbal consent
and/or instruction of the then President Mr. Almar R. Joseph V. Rubio.
City, Philippines.
LEA V. OLIVAR
Affiant
Pasig City. Affiant exhibited to me her Community Tax Certificate No. ____________________
issued on ___________________ in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2012

Pasig City )s.s.
AFFIDAVIT of NON- OF PROFESSION
I, ENGR. ANNA MARIE DIMALANTA, of legal age, Filipino and with residential
address at Lot 2 Block 32 Daites Street, Greenwoods Executive Village, Pinagbuhatan,
Pasig City, after having been duly sworn to in accordance with law, hereby depose and
say:
1. That I am a Civil Engineer by profession;
2. That accordingly, I am a holder of Professional Regulation Commission

Identification Card with Registration No. 0108965 and valid until January 14,
2014;
3. That I was not able to practice my profession as a Civil Engineer from the year
2009 up to 2011 as I had to attend some personal matters ;
foregoing facts for the purpose of securing Professtional Tax Receipt for this
year 2012;
ENGR. ANNA MARIE DIMALANTA
Affiant
in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2012
REPUBLIC OF THE PHILIPPINES )

CITY OF PASIG…………………… ) SS
AFFIDAVIT OF CHANGE/REPLACEMENT OF CLAIMANT
I, ROSALINA FRANCISCO REYES, of legal age, Filipino citizen, and with postal
address at No. 162 R. Valdez Ext. Bagong Ilog, Pasig City, after having been duly sworn to
in accordance with law, hereby depose and say:
1. That I am a bonafide member of Senior Citizens Affairs, Pasig City, and that
accordingly, I am a holder of Blue eCard with No. I.D. No. 01-01342;
2. That in the said Blue eCard, I delegated my daughter Marie Yvonne Reyes as the
registered claimant of any benefits due me as a bonafide holder of said Blue eCard;
3. However, because Marie Yvonne Reyes could no longer act as claimant because of
change of her residence, I would manifest my intention to change the claimant from
MARIE YVONNE REYES to MARIE ANGELIQUE F. REYES, also my daughter, to
act as claimant;
4. That I am executing this affidavit to attest to the veracity of the foregoing

statements, for all intents and for whatever legal purpose it may serve.
AFFIANT SAYETH NAUGHT.
IN WITNESS WHEREOF, I have hereunto affixed my signature this ___ day of ___
2011 in Pasig City.
ROSALINA FRANCISCO REYES

Affiant
in Pasig City.
Page No.
Doc. No.
Book No.
Series of 2011

AFFIDAVIT
I, NAYAO B. TAMPOGAO, of legal age, widower, Filipino citizen, and with

residence and postal address at No. 35-A-5 Esguerra St., Pinagbuhatan, Pasig City, after
1. That I am the wife and the sole surviving heir of the late 3LT Abidin M. Tampogao
who died on October 23, 1995 at Tangkal, Tubaran;
2. That my late husband, 3LT Abidin M. Tampogao is a bonafide member of

Philippines Veterans Affairs Office (PVAO);
3. That I am now claiming for pension and any other benefits of my deceased
husband, and one of the requirements thereto is an Spot Investigation to determine
my whereabouts including the name(s), date (s) of birth and address (es) of my
surviving children to be issued by the Chief of Police of the Pasig City Police
Station, hence this Affidavit;
4. That for all intents and purposes, I hereby declare and attest that I am the claimant
of the late 3LT Abidin M. Tampogao;

2012 in Pasig City.
NAYAO B. TAMPOGAO
Affiant
in Pasig City.
Page No.
Doc. No.
Book No.
Series of 2012

AFFIDAVIT OF CIVIL STATUS
I, FELICIDAD SANTOS-GAVIERES of legal age, Filipino citizen, married

to EDUARDO P. GAVIERES, and with residence and postal address at No. 21 A
Villa San Juan, Sto. Tomas, Pasig City, after having been duly sworn to in
1. That I am married to EDUARDO P. GAVIERES, of which our marriage

was celebrated sometime on March 7, 1978 duly solemnized at
Sampaloc, Manila;
2. That sometime on April 24, 2014, we executed an Extrajudicial

Settlement of Estate of the Late Cristina L. Santos, my eldest sister, and
I indicated thereon that my civil status is “MARRIED” and I omitted the
name of my husband, EDUARDO P. GAVIERES;
3. That for all intents and purposes, my civil status is MARRIED and I
hereby request with the Register of Deeds of Pasig City that the name of
my husband, EDUARDO P. GAVIERES, be included in the new title to be
transferred under my name;

IN WITNESS WHEREOF, I have hereunto affixed my signature this ___ day

of ___ 2015 in Pasig City.
FELICIDAD SANTOS-GAVIERES
Affiant
2015 in Pasig City.
Page No.
Doc. No.
Book No.
Series of 2015
I, BENEDICTO CRUZ SANDOVAL, of legal age, Filipino citizen, and with postal
address at 390 Dr. Sixto Antonio Avenue, Rosario, Pasig City, after having been duly
sworn to in accordance with law, hereby depose and say:
5. That I am married to ROMANA BALAJADIA SANDOVAL, of which our marriage was

celebrated sometime on January 25, 1970 duly solemnized at Morong Rizal;
6. That for all intents and purposes, my civil status is MARRIED ;
7. That I am executing this affidavit as a requirement for the registration of my property

located at Maybunga, Pasig City with the Register of Deeds of Pasig City which has
been applied as pre-patent and to attest to the veracity of the foregoing statements,
for all intents and for whatever legal purpose it may serve.
2013 in Pasig City.
BENEDICTO CRUZ SANDOVAL

Affiant
in Pasig City.
Page No.
Doc. No.
Book No.
Series of 2013

AFFIDAVIT
I, NELDA CABALQUINTO-CIRUJANO, of legal age, married to GERRY D.
CIRUJANO, Filipino citizen, and with present address at 13 C 4, Esuebio Bliss
Village, Jenny’s Ave., Maybunga, Pasig City, after having been duly sworn to in
1. That me and my husband GERRY D. CIRUJANO, are the lawful owners of
a parcel of land identified as “LOT 493–B located at San Antonio, Pili,
Camarines Sur, containing an area of TWO HUNDRED TWO (202)
SQUARE METERS, more or less, together with the improvements foud
thereon, by virtue of our “Agreement of Payment To A Deed of Absolute
Sale” by and between the undersigned and ANTONIO C. TOLENTIONO also
of legal age, Filipino, married to Malve Sumayao-Tolentino, executed on
October 06, 2011 and dcoketed as Doc. No. 1470-A; Page No. 284; Book No. VII,
Series of 2011 and entered in the Notarial Registry of Atty. Rodolfdo B.
Bismonte, copy of which is hereto attached for ready reference;
2. That sometime on May 27, 2013, we paid an additional amount of ONE
HUNDRED THOUSAND PESOS (Php 100,000.00), Philippine currency to
Malve Sumayao-Tolentino in relation to the aforesaid lot, xerox copy of Receipt
of Partial Payment dated 27th of May is hereto attached;
3. That I am now processing for the installation of electric meter with
CASURECO Office and among the requirements thereto is the submission of
this Affidavit of Undertaking;
4. That I will solely laible shoul any untoward incident and damage may be
caused to person or property as a consequence and incidental to installation of
power connection of my residential house;
5. That I hereby absolutely remise, release and forever discharge CASURECO

and any concerned office, agency, entity, and its administrators and assigns
and/or any of its officers or employees from any and all claims, suits, actions or
causes of action which I, my successors or assigns now have or in the future in
connection with the aforesaid electric connection over the said property;
6. That I hereby undertake to comply all the policies and requirements being
imposed by CASURECO;
7. That I am executing this Affidavit voluntarily and without any mental
reservation to attest to the truth and veracity of the above statements and for
whatever legal purpose it may serve;

NELDA CABALQUINTO CIRUJANO

Affiant
2014 in Pasig City.
Page No.
Doc. No.
Book No.
Series of 2014

I, EVELYN S. RAFA, of legal age, Filipino citizen, married to ROBERTO T.

RAFA, and with postal address at 181 P. Santos St., San Juan City, after having
1. That me and my husband ROBERTO T. RAFA, are the lawful owner of a

parcel of land covered and embraced by Transfer Certificate of Tiitle
No. 40793 together with the improvements foud thereon situated at Bo.
of Santolan, Mun. of Pasig, Metro Manila, by virtue of a Deed of Absolute
Sale executed on November 19, 2013 and dcoketed as Doc. No. 296;
Page No. 61; Book No. XLIII, Series of 2013 and entered in the Notarial
Registry of Atty. Raymundo S. Senga;
2. That I am now processing for the transfer of the aforesaid title with the
Register of Deeds and one of the requirements thereto is the submission
of an affidavit stating therein my civil status;
3. That I hereby declare and attest that I am lawfully married to my

husband ROBERTO T. RAFA of which our marriage was celebrated
sometime on March 02, 1994 duly solemnized at Manila City Hall, Manila;
4. That for all intents and purposes, my civil status is MARRIED ;
5. That I am executing this affidavit as a requirement for the registration of

my property located at Bo. of Santolan, Mun. of Pasig, Metro Manila with
the Register of Deeds of Pasig City and to attest to the veracity of the
foregoing statements, for all intents and for whatever legal purpose it
may serve.

EVELYN S. RAFA
Affiant
2013 in Pasig City.
Page No.
Doc. No.
Book No.
Series of 2013

AFFIDAVIT
I, IRMA H. GERONIMO-DUMAPIT, of legal age, Filipino citizen, and with
postal address at Lopez Jaena St., Katipunan, Pasig City, after having been duly
1. That I am the Attorney-in-Fact of IRMANELY H. GERONIMO-WIESE, the

registered owner of a parcel of land covered and embraced by Transfer
Certificate of Tiitle No. PT-138402 containing an area of One Hundred Ten
(110) Square Meters, more or less;
2. That on February 04, 2015, I sold to EDGARDO TESALONA, JR. the

PORTION identified as LOT B-1-A of the aforesaid parcel of land containing an
area of THIRTY (30) SQUARE METERS, more or less, by virtue of a Deed of
Absolute Sale dcoketed as Doc. No. _____; Page No. ______; Book No. ______,
Series of 2015 and entered in the Notarial Registry of Atty. Edwin Condaya;
3. That the buyer is now processing for the transfer of the aforesaid title
with the Bureau of Internal Revenue, Register of Deeds and in any government
agencies and one of the requirements thereto is the submission of an affidavit
stating therein that the PORTION of the aforesaid parcel of land identified as
LOT B-1-A containing an area of THIRTY (30) SQUARE METERS, more or less
has no existing improvements;
4. That being the registered owner, I hereby declare and attest that the
portion of the aforesaid lot has no existing improvements;
5. That I am executing this affidavit as a requirement of the Bureau of

Internal Revenue for the transfer of my property located at Bo. of San Jose ,
Mun. of Pasig, Metro Manila with the Register of Deeds of Pasig City and to
attest to the veracity of the foregoing statements, for all intents and for
whatever legal purpose it may serve.

IRMA H. GERONIMO-DUMAPIT
Affiant
2015 in Pasig City.
Page No.
Doc. No.
Book No.
Series of 2015

AFFIDAVIT
I, NICOLAI REFUGIA GROESBECK, of legal age, Filipino citizen, and with postal
address at No. 9988 Chamatchili St., Nagpayong, Pinagbuhatan, Pasig City, after having
1. That I am the common-law husband of Leah Dadulla Solayao and we live as

husband and wife under one and the same roof without the benefit of marriage
since July 2007 up to the present;
2. That out of said relationship we were blessed with three (3) children;
3. That I am presently employed at Globe Telecom, DDTKI, Taguig City;
4. That my common-law wife Leah Dadulla Solayao gave birth to our 3 rd and youngest
child named NICKA SOLAYAO GROESBECK who was born out of wedlock on
December 14, 2011 and for that reason I filed my Paternity Leave for one (1) week
from December 17, 2011 up to December 24, 2011;
5. That I am now claiming for my Paternity Leave at Globe Telecom, DDTKI and one of
the requirements thereto is the submission of this affidavit;
6. That for all intents and purposes I am the common-law husband of Leah Dadulla
Solayao and the father of Nicka Solayao Groesbeck by evidence of the attached
Certificate of Live Birth;

2012 in Pasig City.
NICOLAI REFUGIA GROESBECK

Affiant
in Pasig City.
Page No.
Doc. No.
Book No.
Series of 2012

Pasig City )s.s.
AFFIDAVIT OF CORRECTION
I, AMELIA B. (BAGA) FRESNOZA, of legal age, married, Filipino and with and
presently residing at No. 447 J.V. Concio St., San Joaquin, Pasig City, after having been duly sworn
to in accordance with law, hereby depose and say:
1. That I was born to MR. POLICARPIO BAGA (D) and SOCORO DAMIAN in Pasig,
Metro, Manila on June 28, 1952;
2. That I was baptized in Leveriza Catholic Church with the name, Amelia D. Baga;
3. That when I secured my Certificate of Live Birth at the Office of Registrar, Pasig, Metro
Manila, I discovered that the name appearing therein is IRENEA D. BAGA;
4. That since my childhood up to the present I have been using the name, Amelia D. Baga;
5. That in my school records, employment and pertinent papers, the name appearing
therein is Amelia D. Baga and not Irenea D. Baga;
6. That Amelia D. Baga and Irenea D. Baga refers to one and the same person;
facts and for purposes of my application for retirement and for whatever legal purpose it
may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of ____ at Pasig
City.
AMELIA B. (BAGA) FRESNOZA

Affiant
SUBSCRIBED AND SWORN to before me this ______ day of ___ in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT OF DISCREPANCY
I, JENNIFER BITAO AGUIRRE, of legal age, single, Filipino and with and
presently residing at No. 30-C Jenny’s Avenue, Rosario, Pasig City, after having been duly
1. That I was born on August 22, 1989 being the daughter of Spouses Pablo Aguirre
and Judith Bitao-Aguirre in Pasig, Metro, Manila;
2. That I was baptized in Parokya ng Sto.Rosario, Catholic Church on January 01, 1990
and Rafael Rosales Dela Cruz, Jr. is one of my godfather, with the name RAQUEL
B. AGUIRRE, being the name of my eldest sister;
3. That I hereby declare and attest that I am the one who was baptized on January 01,
1990 at Parokya ng Sto.Rosario, Catholic Church and the name appearing therein as
“RAQUEL B. AGUIRRE” is a mere inadvertence on the part of my mother who gave
wrong information;
4. That I hereby declare and manifest my intention to change my Baptismal

Certificate, thus I am now requesting for its correction with the Parokya ng
Sto.Rosario, Catholic Church and request for a new copy of Baptismal Certificate
under my name. Copy of my Birth Certificate issued by the National Statistics
Office is hereto attached;
foregoing facts and for purposes of my request for the correction of my
Baptismal Certificate and for the re-issuance of the same under my name and for
IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of ____ at
Pasig City.
JENNIFER BITAO AGUIRRE

Affiant
Conforme:
Rafael Rosales Dela Cruz, Jr.

Godfather
Doc. No.
Page No.
Book. No.
Series of 2012

Pasig City )s.s.
(AS TO NON-USAGE OF SURNAME)
I, ROGELIO D. LOPEZ, JR., of legal age, Filipino and with and presently
residing at No. 181 Dama de Noche Street, Lupang Pari, San Miguel, Pasig City, after
1. I am then natural father of KYLA DENNISE PLACIDO who was born on January 14,
2001 in Pasig City, being my daughter to Shirley Ruiz Placido;
2. The facts of my daughter’s birth were duly registered at the Office of the Local Civil
Registry of Pasig in such surname PLACIDO for her mother and the undersigned
were not married;
3. Pursuant to Republic Act No. 9255, I filed an Affidavit of Paternity and an Affidavit
to Use the Surname of the Father seeking the change of surname from PLACIDO to
LOPEZ. The latter being the surname she had been used when she entered
schooling;
4. However, such change of surname from PLACIDO to LOPEZ failed to endorse by

the Office of the Local Civil Registry to the National Statistics Office, hence, still the
surname PLACIDO is appearing in the authenticated copy of my daughter’s Birth
Certificate;
4. That I hereby declare and manifest my intention to change my Baptismal

Certificate, thus I am now requesting for its correction with the Parokya ng
Sto.Rosario, Catholic Church and request for a new copy of Baptismal Certificate
under my name. Copy of my Birth Certificate issued by the National Statistics
Office is hereto attached;
foregoing facts and for purposes of my request for the correction of my
Baptismal Certificate and for the re-issuance of the same under my name and for
Pasig City.
ROGELIO D. LOPEZ, JR.

Affiant
Conforme:
Rafael Rosales Dela Cruz, Jr.

Godfather
Doc. No.
Page No.
Book. No.
Series of 2012
Pasig City )s.s.
I, JENNIFER BITAO AGUIRRE, of legal age, single, Filipino and with and
presently residing at No. 30-C Jenny’s Avenue, Rosario, Pasig City, after having been duly
1. That I was born on August 22, 1989 being the daughter of Spouses Pablo Aguirre
and Judith Bitao-Aguirre in Pasig, Metro, Manila;
2. The facts of my birth were duly registered at the Office of the Local Civil Registry of
Pasig, Metro, Manila;
3. That a discrepancy was apparent in my records/Identification Card at Comelec

Office wherein my date of birth was erroneously registered therein as August 22,
1987 instead of my true and correct date of birth August 22, 1989 as correctly
reflected copy of my authenticated Certificate of Live Birth issued by the National
Statistics Office (NSO);
4. For all intents and purposes, I was born on August 22, 1989 at Pasig, Metro,
Manila;
5. That I hereby declare and attest that the date of birth August 22, 1987 as
appearing in my Voter’s ID issued by Comelec and the date of birth August 22,
1989 being my true and correct date of birth as correctly appearing in my
authenticated Certificate of Live Birth issued by the National Statistics Office, refers
to one and the same person, the herein affiant;
6. I am executing this affidavit to attest to the veracity of the foregoing statements, for
all intents and for whatever legal purpose it may serve.
IN WITNESS WHEREOF, I have hereunto affixed my signature this ___ day of ___ 2012
in Pasig City.
JENNIFER BITAO AGUIRRE

Affiant
in Pasig City.
Page No.
Doc. No.
Book No.
Series of 2012

Pasig City )s.s.
AFFIDAVIT
I, ROSE MARIE C. HERNANDEZ, of legal age, Filipino and presently residing at No. 15
A. Luna Street, Malinao, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. I am the Vice-President of HILARCH BUILDERS CORP. (hereinafter referred to as
“Hilarch”), a corporation duly organized and existing in accordance with laws of the
Republic of the Philippines, with principal office at No. 15 A. Luna Street, Malinao,
Pasig City;
2. Hilarch is neither “blacklisted” nor barred, nor was it blacklisted or barred at any time
in the past, from bidding by the Government or any of its agencies, offices, corporations
or local government units (LGUs);
3. The same business entity is not included in the Consolidated Blacklisting Report issued
by the Government of Procurement Policy Board for the current year;
4. I am executing this Affidavit to attest to the truth and veracity of the foregoing facts and
to fulfill the requirements to bid for the Proposed Project.
City.
ROSE MARIE C. HERNANDEZ

Affiant
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT
I, JUANITO A. CALISAY JR., of legal age, Filipino and presently residing at No. 94 A.
Flores St. Bagong Ilog, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say that:
1. I am on the process for the completion of requirements for my business (food services)
but, however, I was required by Bureau of Internal Revenue to secure this affidavit
before they will issue the herein affiant an official receipt that will be used for the said
business;
2. The official address of the said business is in/at No. 87 F. Asidillo St., Bagong
Katipunan, Pasig City;
3. The property lot was registered under the name of the late VICTORIA DUCANES being
the grandmother of my husband RODOLFO DUCANES JR.;
4. Neigther we are leasing the said property nor renting it to any person, because my
husband and his siblings are the only surviving heir and administrators of the deceased
owner;
and purposes and for whatever legal purpose it may serve.
City.
JENALYN ASTRONOMO-DUCANES
Affiant
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT
I, JUANITO A. CALISAY JR., of legal age, Filipino and presently residing at No. 94 A.
Flores St. Bagong Ilog, Pasig City, after having been duly sworn to in accordance with law, hereby
1. I am the father of a minor named JOHN BERVON L. CALISAY;
2. The said child filed a complaint in Women’s and Children Protection Desk against
SHELMER I. TOCO, attachd hereto the statement of the said scenario as annex “A”;
3. Being the father of the minor child, we decided not to file a case against SHELMER I.
TOCO for violation of RA 7610 for we have amicably settle the problem;
4. Neigther we are leasing the said property nor renting it to any person, because my
husband and his siblings are the only surviving heir and administrators of the deceased
owner;
facts and purposes and for whatever legal purpose it may serve.
City.
JENALYN ASTRONOMO-DUCANES
Affiant
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
AFFIDAVIT OF DISCLOSURE OF NO RELATIONSHIP
I, ROSE MARIE C. HERNANDEZ, of legal age, Filipino and presently residing at No. 15
A. Luna Street, Malinao, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. I am the Vice-President of HILARCH BUILDERS CORP. (hereinafter referred to as

“Hilarch”), a corporation duly organized and existing in accordance with laws of the
Republic of the Philippines, with principal office at No. 15 A. Luna Street, Malinao,
Pasig City;
2. I am the authorized representative of HILARCH BUILDERS CORP.;
3. Hilarch, or any of its officers, directors, controlling stockholders and members, is not
related by consanguinity or affinity up to the third civil degree to the head of agency, to
the PBAC or Secretariat members, or to any Procuring Entity official, who will directly
or indirectly take part in the bidding process;
4. I am making this statement in compliance with Section 47 of the Implementing Rules

and Regulations of Republic Act No. 9184, and in accordance with the requirements of
the Pasig Bids and Awards Committee;
City.
ROSE MARIE C. HERNANDEZ

Affiant
Doc. No.
Page No.
Book. No.
Series of 2011

I, CHARITO MARTA S. CRUZ, of legal age, Filipino and with present residential address at
No. 15 F Imson St. Pateros Metro Manila, after having been duly sworn to in accordance with law,
hereby depose and say that:
1. I am the biological mother of CRIZZA ANNE CRUZ who was born out of wedlock on
November 23, 1997 in Pasig City. She is my child to my common law husband HERNANIE
S. ESGUERRA;
2. The facts of her birth were duly registered at the Office of the Local Civil Registry of Pasig
City;
3. During her elementary and high school days the records shows that she has been
using the name CRIZZA ANNE CRUZ, without using any Middle name due to the fact
that she used my Surname CRUZ , as such the use of middle name is not
necessary, but when I secured her Certificate of Live Birth her name is registered as
CRIZZA ANNE SANTOS CRUZ, the Middle Name SANTOS being my Surname
was followed;
4. For all legal intents and purposes, my daughter true and correct name is CRIZZA
ANNE CRUZ and not CRIZZA ANNE SANTOS CRUZ;
5. I am executing this affidavit to attest to the veracity of the foregoing statements, for all
IN WITNESS WHEREOF, I have hereunto affixed my signature this ___ day of ___ 2011 in
Pasig City.
CHARITO MARTA S. CRUZ

Affiant
Pasig City.
Page No.
Doc. No.
Book No.
Series of 2014

Pasig City )s.s.
AFFIDAVIT
I, LANI M. GARCIA, of legal age, single, Filipino and with residence address at No. 17
Almond St. Phase 1B Greenwoods Executive Village, Rizal, after having been duly sworn to in
1. That, LANI M. GARCIA is my registered name;
2. That I am executing this Affidavit and declare that the person of LANI M. GARCIA ,
LANIE M. GARCIA, and LEILANI M. GARCIA are one and the same persons and refer
to one alone more particularly with regards to the documents I am executing in favor of
BPI Family Savings Bank and the Transfer Certificate of Title No. 727869/727870 which
submitted to them as collateral to secure our loan among others;
“AFFIANT FURTHER SAYETH NONE”
LANI M. GARCIA
Affiant
SUBSCRIBED AND SWORN to before me this ______ day of ___ 2010 affiant showing to
me her Residence Certificate ____________ issued at ____________ on _______.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT
I, LORNA M. RODRIGUEZ, of legal age, single, Filipino and with residence address at
No. 50-B Gen. Malvar St., San Antonio Village, Pasig City, after having been duly sworn to in
5. That I am a licensed nurse with Profeesional Regulation Commission ID no. 0531339;
6. That I passed the Saudi Licencing Examination Examination for Health Specialties
conducted in May 12, 2011 and hereto attached the result;
facts and for purposes of my application for retirement and for whatever legal purpose it
may serve.
City.
LORNA M. RODRIGUEZ
Affiant
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT
I, NORGEL F. TUASON, of legal age, Filipino and with residence address at No. 35
Catalina Subd., Rosario, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am Galley Steward from Carnival Legend with crew ID no. 424960, which I was
emergency signed off last May 3, 2001 at Cozumel , Mexico, to settle my family
problem;
2. That by these present, my wife and the herein affiant are now now in good
terms/condition, thus our family problem is now amicably settled/resolved;
facts and for whatever legal purpose it may serve.
City.
NORGEL F. TUASON
Affiant
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT
I, DRA. FRANCISCA JONA JOY C. PANOPIO, of legal age, Filipino and with official
address at City Health Office, LGU Pasig City, after having been duly sworn to in accordance with
law, hereby depose and say:
1. That I am a Dentist by profession and presently emploed with the City Government of
Pasig duly assigned at the City Health Office as Dentist;
2. That the City Government of Pasig has conducted a “Libreng Pustiso”, a project of Pasig
for the indigents of Pasig;
3. That the operational expenses incurred reached the amount of P120,000.00 which were
used for the purchase of dental supplies and materials as specified in the attached
document;
4. That I hereby declare and attest that the amount P120,000.00 was legitimately used
during the program “Libreng Pustiso”;
facts and for purposes of my application for replenishment of petty cash advance for the
operational expenses and for whatever legal purpose it may serve.
City.
DRA. FRANCISCA JONA JOY C. PANOPIO

Affiant
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT
I, ROWELA B. PICADIZO, of legal age, Filipino, married and with official

address at City Health Office, LGU Pasig City, after having been duly sworn to
1. That I am a Pharmacist by profession and presently emploed with the

City Government of Pasig from October 4, 2004 up to present duly assigned at
the City Health Office as Pharmacist;
2. That I was required to submit my Professional Tax Receipt to be

submitted to the Food and Drug Authority for the accreditation of Pasig City
Maternity Clinic and Family Wellness Center, a project of the City Government
located at Caruncho Ave., San Nicolas, Pasig City;
3. That considering that I am a government employee from October 4,

2004 up to present, I was not able to secure my Professional Tax Receipt;

the foregoing facts and for whatever legal purpose it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of ____
at Pasig City.
ROWELA B. PICADIZO
Affiant
SUBSCRIBED AND SWORN to before me this ______ day of ___ in Pasig

City.
Doc. No.
Page No.
Book. No.
Series of 2014
Pasig City )s.s.
AFFIDAVIT
I, ALEJANDRO REPAYO, of legal age, Filipino and with postal address at no. 6 Sitaw
St., Napico Manggahan, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am a holder of rights of possession over a certain property lot situated at no. 6
Sitaw St., Napico Manggahan, Pasig City containing an area of 86 Square Meters more
or less;
2. That on November 19, 2004, I executed a deed of sale, for undevided portion of said lot
containing 22 SQM, between the herein affiant and GRACE D. MORENO notarized by
ATTY. JOSE J . PIERAZ, hereto attached ;
3. That due to the execution of the said document, GRACE D. MORENO is now possessing
the said portion of the said property lot;
4. That I hereby declare and attest that I am now only possessing the 64 sqm more or less
of the said property and the 22 sqm is now in the possession of GRACE D. MORENO in
which she constructed her residential house;
facts, purposes and for whatever legal purpose it may serve.
City.
ALEJANDRO REPAYO
Affiant
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
SWORN STATEMENT
ANA LUCIA B. ENRIQUEZ, of legal age, Filipino, and a resident of no. 52

M.H. del Pilar Street, San Nicolas, Pasig City, after having been duly sworn to in accordance
with law, hereby depose and say:
1. That I personally know MAGDALENA TAN as my friend who borrowed THREE

MILLION PESOS (Php3,000,000.00) on January 12, 2009, from the undersigned with an
agreement to pay the same on or before December 31, 2011 with an interest of One
Hundred Twenty Thousand Pesos (Php.120,000.00) subject matter of Loan Agreement
executed on January 12, 2009 .
2. That said Magdalena Tan died in September 2010. But as of June 30, 2010,
her outstanding obligation was in the amount of Two Million Three Hundred Forty One Six
Hunded Fifty Five Thousand (P2,341,655.00), which amount includes the balance in
principal and the accrued interest and penalty.
3. That as agreed upon in the Loan Agreement, her surviving children will
continue to pay said obligation left by their mother;
foregoing facts and for whatever legal purpose it may serve.
Pasig City.
ANA LUCIA B. ENRIQUEZ

Affiant
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
I, VIRGINIA GALE- PEDRESO, of legal age, Filipino and with residential address
at No. 24 San Roque St. Bagong Ilog, Pasig City, after having been duly sworn to in
1. That I am the mother of CATHERINE GALE PEDRESO, who was born on May
25, 1996 in Pasig City;
2. That the facts of her birth were duly registered at the Office of the Local Civil
Registry of Pasig;
3. That there are apparent mistakes on the Certificate of Live Birth of my daughter
Catherine Gale Pedreso and for which reason I caused the filing of
administrative correction of errors; and to further support such application, I
am being required to submit an Affidavit of Explanation, for which the name of
my daughter and my maiden name was erroneously registered therein as
CATHERINE AGERAS PEDRESO and VIRGINIA PIMENTAL AGERAS
respectively, hence, this Affidavit;
4. The middle name of my daughter and my maiden name, “AGERAS” which is

erroneously registered in my daughter’s Birth Certificate probably derived from
my mother’s middle name “AYERAS” instead of the true and correct middle
name “GALE” and the middle name “PIMENTEL” registered in my name, came
from the Maiden name of my Mother, instead of the true and correct middle
name “AYERAS” The said error on the birth certificate particularly on my
daughter’s name and the mother’s column was a mere inadvertence, confusion
and misperception on the part of the person who registered the same;
5. That for all legal intents and purposes, I hereby declare and attest that the name
VIRGINIA AYERAS GALE, being my true and correct maiden name and the
name VIRGINIA PIMENTEL AGERAS, as erroneously appearing in my
daughter’s birth certificate, furthermore, the true and correct name of my
daughter CATHERINE GALE PEDRESO and the name CATHERINE AGERAS
PEDRESO as erroneously appearing in the latter’s birth Certificate refer to one
and the same person;
foregoing facts and for purposes of further support to my application for
PETITION FOR ADMINISTRATIVE CORRECTION and for whatever legal
purpose it may serve.
Pasig City.
VIRGINIA GALE- PEDRESO

Affiant
Doc. No.
Page No.
Book. No.
Series of 2015

Pasig City )s.s.
I, EXCIL ARMINTA - GALISIM, of legal age, Filipino and with residential address at
No. 65 V- Baltazar St. Pinagbuhatan, Pasig City, after having been duly sworn to in
1. I am the mother of the minor children JOHN MARK ARMINTA GALISIM and
JUSTIN ARMINTA GALISIM, who was both born out of wedlock on August
23, 2002 and June 15 2006 respectively, in Pasig City;
2. That the facts of their birth were duly registered at the Office of the Local
Civil Registry of Pasig;
3. That there are apparent mistakes on the Certificate of Live Birth of the
aforenamed children and for which reason I caused the filing of
administrative correction of errors; and to further support such application, I
am being required to submit an Affidavit of Explanation, for which my
maiden name was erroneously registered therein as JUDITH ENIEGO
ARMENTA, hence, this Affidavit;
4. The herein affiant’s true and correct maiden name as shown in my Birth
Certificate is EXCIL INFANTE ARMINTA. The first name “JUDITH” which is
erroneously registered in my children’s Birth Certificate is derived from my
accustomed name, which I have been using since childhood, it is only from
the time when I was about to get married to their father, upon securing a
copy of authenticated Certificate of Live Birth from NSO I discovered that my
true and correct first name is EXCIL. Moreover, The middle name “ENIEGO”
was derived in my stepfather’s surname instead of my true and correct
middle name “INFANTE” and the surname “ARMENTA” was likewise
erroneously registered in my children’s Birth Certificate instead of the true
and correct surname “ARMINTA” The said error on the birth certificate was a
mere inadvertence, confusion and misperception on the part of the person
who registered the same;
5. That for all legal intents and purposes, I hereby declare and attest that the
name EXCIL INFANTE ARMINTA , being my true and correct maiden name
and the name JUDITH ENIEGO ARMENTA, as erroneously appearing in my
children’s birth certificate refer to one and the same person;
foregoing facts and for purposes of further support to my application for
PETITION FOR ADMINISTRATIVE CORRECTION and for whatever legal
Pasig City.
EXCIL ARMINTA - GALISIM

Affiant
Doc. No.
Page No.
Book. No.
Series of 2015
Pasig City )s.s.
I, ROSALINA CAPIZ LORENZO, of legal age, Filipino and with residential address at 194
M.H. del Pilar Street, Palatiw, Pasig City, after having been duly sworn to in accordance with law,
7. That I am the mother of JASON CAPIZ LORENZO, who was born on November
8. That the facts of his birth were duly registered at the Office of the Local Civil
Registry of Pasig;
9. That there are apparent mistakes on the Certificate of Live Birth of my son Jason
Capiz Lorenzo and for which reason I caused the filing of administrative correction
of errors; and to further support my such application, I am being required to
submit an Affidavit of Explanation where the maiden last name “DELA CRUZ”
came from, hence, this Affidavit;
10. That the said error on the birth certificate particularly on the mother column was
probably is an inadvertence on the part of the person who typed the same when he
randomly put the name “DELA CRUZ” without reference. As per my submitted
documents, nothing would show the name “DELA CRUZ” on them;
11. That honestly, I have no idea where the name “DELA CRUZ” came from;
12. That for all legal intents and purposes, I hereby declare and attest that the name
ROSALINA LACBAYO CAPIZ, being my true and correct name and the name
ROSALINA CAPIZ DELA CRUZ, as erroneously appearing in my son’s birth
certificate, refer to one and the same person;
facts and for purposes of further support to my application for PETITION FOR
ADMINISTRATIVE CORRECTION and for whatever legal purpose it may serve.
City.
ROSALINA CAPIZ LORENZO

Affiant
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
I, BERNIE W. BANGSAIL, of legal age, Filipino and with residential address at Blk. 3,
Lot 1, Igorot Village, Valley Golf Road, Cainta, Rizal, after having been duly sworn to in
1. I was born on September 1, 1972 in Pasig, Rizal (now Pasig City, Metro
Manila), son of Juan A. Bangsail and Imelda A. Wanan;
2. The facts of my birth were duly registered at the Office of the Local Civil
Registry of Pasig City and National Statistics Office (NSO);
3. When I secured a copy of my authenticated Certificate of Live Birth from

NSO, I noticed a discrepancies and for which reason I caused the filing of
administrative correction of errors; and to further support my such
application, I am being required to submit an Affidavit of Explanation where
the middle name of my father registered therein as “ADONG” came from,
hence, this Affidavit;
4. The said error in my Certificate of Live Birth particularly on my father’s

middle name was probably is an inadvertence on the part of the person who
typed the same when he randomly put the middle name “ADONG” without
any reference. As per my submitted documents, nothing would show the
middle name “ADONG”;
5. Honestly, I have no idea where the middle name “ADONG” came from;
6. For all legal intents and purposes, I hereby declare and attest that the name
JUAN ADONG BANGSAEL which was erroneously entered in my Certificate
of Live Birth as the name of my father and the name JUAN AYTA
BANGSAIL being my father’s true and correct name, refer to the name of
one and the same person, the father of the herein affiant;
7. I am executing this Affidavit to attest to the truth and veracity of the foregoing
facts and for purposes of further support in my application for PETITION
FOR ADMINISTRATIVE CORRECTION of my Certificate of Live Birth and for
Pasig City.
BERNIE W. BANGSAIL
Affiant
Doc. No.
Page No.
Book. No.
Series of 2015
Pasig City )s.s.
AFFIDAVIT
I, ELOISA E. TAGAYUNA, of legal age, married, Filipino and with residence address at
No. 576 Magsaysay Street, Manggahan, Pasig City, after having been duly sworn to in accordance
1. That I am no longer engaged in selling beauty products since 2007;
2. That I am executing this Affidavit as one of the requirements of the Social Security
System and attest to the truth and veracity of the foregoing statement;
ELOISA E. TAGAYUNA
Affiant
Doc. No.
Page No.
Book. No.
Series of 2011

City of Pasig.......................) s.s
AFFIDAVIT
I, ANTONIETTA D. RATIO, of legal age, widower, Filipino and with postal and residential
address at No. 165 8th Ave., Riverside Village, Ortigas Ext., Pasig City, after having been duly sworn to in
1. I am a bonafide member of Social Security System with SSS I.D. No. 03-4291347-3 and I
am religiously paying my monthly contributions since 1974 up to present;
2. On August 10, 2007, I filed at SSS my Self-Employed Data Record (RS-1) for my Sari-Sari
Store business. However, the operation of the said business did not come to materialize due
to transfer of residence and lack of financial resources to operate the same, thus I am now
continuing to pay my monthly contribution as voluntary payor;
3. I am executing this Affidavit to attest to the truth and veracity of the foregoing facts and for
purposes of my application for retirement and for whatever legal purpose it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of ____ at Pasig City.
TERESITA DEMATERA BELLAS

Affiant
Doc. No.
Page No.
Book No.
Series of 2010

City of Pasig.......................) s.s
AFFIDAVIT
I, TERESITA DEMATERA BELLAS, of legal age, married, Filipino and with postal and
residential address at No. 1470 Kalamansi St., Napico, Manggahan, Pasig City, after having been duly sworn
1. I am a bonafide member of Social Security System with SSS I.D. No. 03-3167674-7 and
I am religiously paying my monthly contributions since 1974 up to present;
2. On August 10, 2007, I filed at SSS my Self-Employed Data Record (RS-1) for my Sari-Sari
Store business. However, the operation of the said business did not come to materialize due to
transfer of residence and lack of financial resources to operate the same, thus I am now
continuing to pay my monthly contribution as voluntary payor;
TERESITA DEMATERA BELLAS

Affiant
Doc. No.
Page No.
Book No.
Series of 2010

City of Pasig.......................) s.s
AFFIDAVIT
I, ANTONIETTA DELFIN RATIO, of legal age, widow, Filipino and with postal and residential
address at No. 165 8th Ave., Riverside Village, Ortigas Extension, Pasig City, after having been duly sworn to
1. I am a bonafide member of Social Security System with SSS I.D. No. 03-42913473 and I am
religiously paying my monthly contributions since 1976 up to December 2011;
2. On April 1, 1997, I filed at SSS my Self-Employed Data Record (RS-1) for my Buy and Sell
business. However, the operation of the said business did not come to materialize because I
have to personally take care of my children, thus I am continuing to pay my monthly
contribution as voluntary payor and not as self-employed;
3. I hereby declare and attest that I am paying my monthly contribution as voluntary payor and I
increased my salary earning from P5,000.00 to P15,000.00 by the support of my husband’s
salary earnings. However, sometime in March 2011, my husband died and I decided to stop my
monthly contributions sometime in December 2011 and I am now applying for my pension
benefits at SSS;
ANTONIETTA DELFIN RATIO

Affiant
Doc. No.
Page No.
Book No.
Series of 2012

City of Pasig.......................) s.s
JOINT AFFIDAVIT
WE, IVY MARIE B. PAULETE and YVES DOMINIC S. LIM, both of legal age, Filipino citizens
and with business address at Block 4, Lot 19, English St., Teacher’s Village, Manggahan, Pasig
City, after having been duly sworn to in accordance with law, hereby depose and say:
1. That we are the Proprietors of IVYS LEAGUE TUTORS LTD. CO, with business address
at Block 4, Lot 19, English St., Teacher’s Village, Manggahan, Pasig City;
2. That we are in the process of cancellation and/or revocation of our Company

Registration No. PL201019876 with the Securities and Exchange Commission and that
one of the requirements for such cancellation is the submission of an Affidavit stating
among others that the said business is not operational, hence, this Affidavit;
3. That the operation of the said business did not come to materialize due to lack of
financial resources to operate the same, thus we are now requesting for its
cancellation and/or revocation of its registration with the Securities and Exchange
Commission;
5. That we are executing this Affidavit to attest to the truth and veracity of the
foregoing facts and for purposes of our application for cancellation and/or
revocation of its registration and for whatever legal purpose it may serve.
IN WITNESS WHEREOF, WE have hereunto set our hand this ____ day of ____ at Pasig City,
Metro Manila.
IVY MARIE B. PAULETE YVES DOMINIC S. LIM

Affiant Affiant
Doc. No.
Page No.
Book No.
Series of 2011

City of Pasig.......................) s.s
JOINT AFFIDAVIT
WE, ARTURO TADEO, PRECILLA BELMONTE, REALIZA GONZALES, ROMAN BELMONTE

and ARNOLD TADEO, all of legal age, Filipino citizens and with business address at Unit 204 and
205 , Pelbel Building 1, Shaw Boulevard, Pasig City, after having been duly sworn to in
1. That we are the Board of Directors of A & P SERVICES, INC, with business address at
the abovegiven address;
2. That we are in the process of cancellation and/or dissolution of our Private

Recruitment and Placement Agency (PRPA) License with the Department of Labor and
Employment and that one of the requirements for such cancellation and/or dissolution is the
submission of this Affidavit;
3. That for all intents and purposes, we are now requesting for its cancellation and/or
dissolution of our Private Recruitment and Placement Agency (PRPA) License with the
Department of Labor and Employment;
foregoing facts and for purposes of our application for cancellation and/or dissolution of its
license and for whatever legal purpose it may serve.
IN WITNESS WHEREOF, WE have hereunto set our hand this ____ day of ____ at Pasig City,
Metro Manila.
ARTURO TADEO PRECILLA BELMONTE REALIZA GONZALES

President Treasurer Corporate Secretary
ROMAN BELMONTE ARNOLD TADEO

Board of Director Board of Director
Doc. No.
Page No.
Book No.
Series of 2014
City of Pasig.......................) s.s
AFFIDAVIT OF CANCELLATION
I, PATRICK JAMES NGO COMSTI, of legal age, singled, Filipino citizen, and with
business address at No. 4 Ford St., Parkwood Subd., Maybunga, Pasig City, after having
1. That I am the Single Proprietor of LUCKY STAR PAINT CENTER, with business
address at Sagad, Pasig City;

this Affidavit;
3. That the operation of the said business did not come to materialize in view of
our intention to change its business name to operate the same, thus I am now
requesting for its cancellation and/or revocation of its registration with the
Department of Trade and Industry and request for a new business name,
COLOR MIX TRADING;
PATRICK JAMES NGO COMSTI

Affiant
Doc. No.
Page No.
Book No.
Series of 2011
City of Pasig.......................) s.s
I, LOURDES BONIFACIO GREGAS, of legal age, Filipino citizen, and with business
address at No. 607 Suarez Street, Maybunga, Pasig City, after having been duly sworn to
1. That I am the Single Proprietor of AMLEHT TRADING, with business address at
Maybunga, Pasig City, NCR Second District, National Capital Region;

this Affidavit;

LOURDES BONIFACIO GREGAS

Affiant
Doc. No.
Page No.
Book No.
Series of 2014

City of Pasig.......................) s.s
I, RUEL MERCADO MILAMBILING, of legal age, Filipino citizen, married, and with
business address at No. 370 N. Cruz Street, Villa Raymundo, Palatiw, Pasig City, after
1. That I am the Single Proprietor of NEOTANCHAI TRADING, with business
address abovegiven;

this Affidavit;
revocation of its registration and for whatever legal purpose it may serve.
RUEL MERCADO MILAMBILING

Affiant
Doc. No.
Page No.
Book No.
Series of 2014

City of Pasig.......................) s.s
I, DR. MARIA THERESA LISSA ESCONDO-CRUZ, of legal age, married, Filipino

citizen, and with residence and postal address at No. 46 San Pedro St., Kapitolyo, Pasig
1. That I am a doctor by profession with PRC Registration No. 0090812 and was
expired last December 12, 2007 ;
2. That I was not able to practice my profession as a Doctor from the year 2004 up to
present;
3. That I am now in the process of cancellation and/or revocation of my business

registration (Certificate of Registration) with the Bureau of Internal Revenue
of Pasig City and that one of the requirements for such cancellation is the
submission of an Affidavit stating among others that I did not practice my
profession, hence, this Affidavit;
4. That the operation of the said business did not push through, thus I am now
Bureau of Internal Revenue of Pasig City;
foregoing facts and for purposes of my cancellation and/or revocation of its
registration with the Bureau of Internal Revenue of Pasig City and for
DR. MARIA THERESA LISSA ESCONDO-CRUZ

Affiant
Doc. No.
Page No.
Book No.
Series of 2012
City of Pasig.......................) s.s
AFFIDAVIT OF NON-PRACTICE
I, RICHARD CAMARO, of legal age, married, Filipino citizen, and with residence
and postal address at No. 108 Mahogany St., Acacia, Pinagbuhatan, Pasig City, after
1. I am an Insurance Agent of Manulife Phil. Insurance and a holder of

Professional Tax Receipt (PTR) with No. 9859935 issued by the City
Government of Pasig;
2. I was not able to practice my profession as an Insurance Agent from year 2014 up to
present, as I had to attend to my personal family matter;
3. I am now filing for the cancellation of my PTR for my profession as Insurance

Agent with the City Government of Pasig;
facts and for purposes of my cancellation of my PTR for my profession as
Insurance Agent and for whatever legal purpose it may serve.
RICHARD CAMARO
Affiant
Doc. No.
Page No.
Book No.
Series of 2015
City of Pasig.......................) s.s
AFFIDAVIT OF NON-PRACTICE
I, MA. RUTH G. ABSALON, of legal age, married, Filipino citizen, and with
residence and postal address at No. 507 Banana St., Napico, Manggahan, Pasig City, after
having been duly sworn to in accordance with law, hereby depose and say, THAT:
1. I am a Sales Associate of Philippine Life Financial Assurance Corp. with agent’s

code No. 84423;
2. I was not able to practice my profession as Sales Associate from year 2013 up to
2014, as I had to attend to my personal family matter;
facts and for purposes of my cancellation of my PTR for my profession as
Insurance Agent and for whatever legal purpose it may serve.
MA. RUTH G. ABSALON

Affiant
Doc. No.
Page No.
Book No.
Series of 2015
City of Pasig.......................) s.s
I, ELEUTERIO JALASAN YAÑEZ, of legal age, Filipino citizen, married to MARIA
ELIZABETH G. YAÑEZ and with business address at 14232 Block 25, Lawaan St.,
Nagpayong II, Pinagbuhatan, Pasig City, NCR< Second District, National Capital Region
(NCR), after having been duly sworn to in accordance with law, hereby depose and say:
1. That I am the Proprietor of ELJELULAY TAXI, with business address at 14232
Block 25, Lawaan St., Nagpayong II, Pinagbuhatan, Pasig City, NCR< Second
District, National Capital Region (NCR);

this Affidavit;
our intention to change its business name to operate the same, thus I am now
Department of Trade and Industry and request for a new business name that is
available and convenient at the said office;
ELEUTERIO JALASAN YAÑEZ

Affiant
Doc. No.
Page No.
Book No.
Series of 2011

City of Pasig.......................) s.s
(With No Financial Obligation)
I, CHERYL ANNE USON ESPINOSA, of legal age, Filipino citizen, single and with
business address at No. 445 N. Cruz St., Villa Raymundo, Palatiw, Pasig City, National
Capital Region (NCR), after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am the sole Proprietress of EDCEL PURIFIED DRINKING WATER, with
previous business address at San Andres (Pob.) Cainta, Region 4-A
(Calabarzon);
2. That I am in the process of cancellation of my business registration with the

Department of Trade and Industry and that one of the requirements for such
cancellation is the submission of an Affidavit stating among others that the
said business at the time of cancellation I had no creditors, or if there were
creditors copy of notice were sent to them, hence, this Affidavit;
our intention to change its business address, thus I am now requesting for its
cancellation of its registration with the Department of Trade and Industry and
request for the change of its business address;
foregoing facts and for purposes of my application for cancellation of its
registration and for the re-issuance of the same with new business address at
No. 445 N. Cruz St., Villa Raymundo, Palatiw, Pasig City, National Capital
Region (NCR and for whatever legal purpose it may serve.
CHERYL ANNE USON ESPINOSA

Affiant
Doc. No.
Page No.
Book No.
Series of 2013

City of Pasig.......................) s.s
JOINT AFFIDAVIT OF CANCELLATION OF ADVERSE CLAIM
WE, SPOUSES ROMEO F. ACOSTA and JUANITA M. ACOSTA, both of

legal age, Filipino citizens, and with residence and postal address at Lupang
Pari, San Miguel, Pasig City, after having been duly sworn to in accordance with
1. That we are the buyers of a parcel of land situated in Lupang Pari, San
Miguel, Pasig City, covered and embraced by TCT NO. PT- 10894 containing an
area of Twenty Seven Square Meters and Twenty Five Square Decimeters
(27.25sq.m);
2. That the undersigned executed a “Joint Affidavit of Adverse Claim”

duly notarized before Atty. Lucila M. Lawas-Yutok as Doc. No. 444; Page No. 89;
Book No. 387; Series of 2003 which we caused to annotate with the Register of
Deeds of Pasig City over the claim of BERCELI B. MACALINO, et al , for a parcel
of land covered and embraced by TCT NO. PT- 10894;
3. That considering that the controversy between BERCELI B. MACALINO

and her children namely: Ma. Theresa M. Posadas and Ma. Isabel A. Posadas
over the subject parcel of land has been fully settled, we do hereby CANCEL the
Affidavit of Adverse Claim as inscribed in the said TCT of the above property
with the Register of Deeds of Pasig City;
of the foregoing facts and for whatever legal purpose it may serve.
IN WITNESS WHEREOF, WE have hereunto set our hand this ____ day of
March 2012 at Pasig City, Metro Manila.
ROMEO F. ACOSTA JUANITA M. ACOSTA

Affiant Affiant
SUBSCRIBED AND SWORN to before me this ___ day of ______ at Pasig
City.
Doc. No.
Page No.
Book No.
Series of 2012

City of Pasig.......................) s.s
AFFIDAVIT OF CANCELLATION OF ADVERSE CLAIM
I, ROWENA FRANCESCA T. SANCHEZ - MAGORA, of legal age, Filipino

citizen, and with residence and postal address at No. 1 Rhine St. Cor. Windsor
East Side Manors Subd, Maybunga Pasig City, after having been duly sworn to
1. That I am the Vendee of two (2) parcels of land situated at Brgy.

Tabang Guiguinto, Bulacan, covered and embraced by TCT NO. T- 79297 and
TCT No. 101522 registered with the registry of Deeds of Guiguinto, Bulacan;
2. That the undersigned executed an “Affidavit of Adverse Claim” duly

notarized before Atty. Manolito Dela Cruz JR. docketed as Doc. No. 83; Page No.
02; Book No. 114; Series of 2010 which I caused to annotate with the Register
of Deeds of Bulacan for the reason that the said Owner’s Copy of the Titles has
not been surrendered to me as the vendee of the property;
3. That considering that the Title covered by TCT NO. T- 79297 and TCT
No. 101522 had already been released to the undersigned, I do hereby CANCEL
the Affidavit of Adverse Claim as inscribed in the said TCTs of the above
property with the Register of Deeds of Guiguinto, Bulacan;

the foregoing facts and for whatever legal purpose it may serve.
IN WITNESS WHEREOF, WE have hereunto set our hand this ____ day of
March 2015 at Pasig City, Metro Manila.
ROWENA FRANCESCA T. SANCHEZ -

MAGORA
Affiant

City.
Doc. No.
Page No.
Book No.
Series of 2015

Pasig City )s.s.
AFFIDAVIT
I, DR. SENNA S. LIM, MD., of legal age, Filipino citizen and with official address c/o Pasig
City General Hospital, Maybunga, Pasig City, after having been duly sworn to in accordance with
1. That I am the attending physician of patient ELCIDITA ROBLES MIGUEL, who is

suffering from a malignant brain tumor and currently confined at the Pasig City
General Hospital, Medical Intensive Care Unit (ICU);
2. That because of her present health condition, said ELCIDITA ROBLES MIGUEL is
unable to speak and write, she could not personally sign documents and/or perform
any and all acts in relation to withdrawals and other related transactions with the
Bank of the Philippine Islands, Laguna Technopark-PEZA Branch, Sta. Rosa,
Laguna, in connection with and for the purpose of making payments for
hospitalization expenses and other related expenses and that by reason of the
disability of said Elcidita Robles Miguel, she requires assistance from her relatives,
namely: Fulceda Robles, her mother Rizaldy Robles, Raul M. Robles, her brother, to
affix her thumb mark when and where necessary for the affected transactions;
3. That I am executing this affidavit in order to attest to the truth of the foregoing
circumstances and for whatever legal purpose it may serv.
IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of ______, 2010 at
the City of Pasig.
DR. SENNA S. LIM, MD.

Affiant
SUBSCRIBED AND SWORN to before me this ______ day of ___ 2010 at Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010
Pasig City )s.s.
JOINT AFFIDAVIT
WE, FRANCISCO , Filipinos, and all residents of 18-A Dr. Sixto Antonio Avenue,
Kapasigan, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. As the wife and surviving children of the late Fernando F. Jugo, who died
on June 5, 1998, we executed an Extrajudicial Settlement of the estates of Fernando
Jugo;
2. Among the estates/properties included in the said Extrajudicial

settlement is a road right of way under Tax Declaration No. E-008-00401 Block
No. 6, more particularly described as follows:
Boundaries :
North : NE: Lot 1 & 3 South : SW-Lots 5 & 4;
East : SE: Nicanor West : NW-Callejon #1
3. The subject Extrajudicial Settlement is now with the Register of Deeds of

Pasig for registration;
4. We agree to the information that the road right of way above described
should not be transferred to the undersigned legal heirs, and that the same should be
remained in the name of the deceased, hence, we submit that only Tax Declaration
No. E-008-00945 Block No. 3, and Tax Declaration No. E-008-00918 Block
No. 4, agreed to divide and adjudicate, in a manner equally and pro indiviso pursuant
to Sec. 1, Rule 74 of the Revised Rules of Court of the Philippines;
5. We are executing this affidavit in order to attest to the truth of the

foregoing circumstances and for the purpose of filing for registration of the subject
Extrajudicial Settlement with the Register of Deeds of Pasig and for whatever legal
IN WITNESS WHEREOF, we have hereunto set our hand this ____ day of ______,
2011 at the City of Pasig.
VICTORIA FAJARDO JUGO
VICTORIA ROSE F. JUGO JAMIE ROSE F. JUGO
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT
I, CAPT. BERNARD PEREZ, of legal age, Filipino citizen and with official
office address at Barangay Hall, Brgy. Caniogan, Pasig City, after having been
1. That I am the incumbent Barangay Captain of Caniogan, Pasig City;
2. Sometime in March 2011, one Editha Garcia who is a bonafide resident

of Brgy. Caniogan sought the assistance of the undersigned regarding
her application for late registration of her marriage with the Office of
the Local Civil Registry of Pasig City;
2. Her marriage contract lacks signature of the solemnizing officer,

the then Mayor Hon. Mario S. Raymundo, which needs to be signed
prior to its registration;
3. That on April 15, 2011, I accompanied her to Hon. Mario S.

Raymundo and there personally witnessed Hon. Mario S. Raymundo
when he personally affixed his signature on the space provided his
name, as the duly soleminizing officer;
4. That because of his old age and present health condition, said Hon.
Mario S. Raymundo had a hard time in affixing his signature;
5. For all legal intents and purposes, I hereby affirm and confirm the
authenticity and validity of the signature appearing over the name
of the solemnizing officer;
6. That I am executing this affidavit in order to attest to the truth of

the foregoing circumstances and for the purpose of filing for late
registration of marriage and for whatever legal purpose it may
serve.
IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of

______, 2011 at the City of Pasig.
CAPT. BERNARD PEREZ

Affiant
SUBSCRIBED AND SWORN to before me this ______ day of ___ 2011 at

Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT
I, MA. MICHELLA A. SANTOS, of legal age, Filipino citizen, single and
with 715 Villa Antonio, Bambang, Pasig City, after having been duly sworn to in
1. That I am the biological mother of JOHN NAZARENE ALIGNAY

SANTOS
who was born out of wedlock on 09 January 2007 at Pasig City;
2. That on the same date, the herein affiant signed the Certificate of Live
Birth of my son copy of which is on filed with the Office of the Local
Civil Registry of Pasig City and with the National Statisitics Office;
3. That on his Certificate of Live Birth, l personally signed/affixed my

signature on the space provided my name, as the mother/informant
which needs to be signed prior to its registration;
4. That because of my present condition during that time, I had a hard

time in affixing my signature;
authenticity and validity of the signature appearing over the name of
the
mother/informant in the said Certificate of Live Birth;
6. That I am executing this affidavit in order to attest to the truth of the

foregoing circumstances and for whatever legal purpose it may
serve.

MA. MICHELLA A. SANTOS

Affiant

Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2014

Pasig City )s.s.
SUPPLEMENTAL AFFIDAVIT
I, FLORIDA SALVATIERRA ENDRINO, of legal age, Filipino citizen,
married, and with residence and postal address at No. 43 Bunyi Street, Buting,
depose and say:
1. That I am now applying for a Philippine Passport in lieu of my lost

Passport, with the Department of Foreign Affairs, and among the
requirements thereto is the submission of my Birth Certificate,
Marriage Contract and two (2) valid Identification Cards such as Postal
ID and UMID Card;
2. That last February 24, 2010, I executed an Affidavit of Loss, copy of

which is hereto attached and received on March 15, 2010 by the
Department of Foreign Affairs, however, there is a discrepancy in the
signature of the herein affiant in the said Affidavit of Loss and in my
two (2) valid Identification Cards such as Postal ID and UMID Card;
3. That on the said Affidavit of Loss, l personally signed/affixed my

signature on the space provided my name, as Affiant which needs to
be signed prior to its notarization;
4. That because of my present condition during that time, I had a hard

time in affixing my signature thereat;
authenticity and validity of my signature appearing over the name of
the
Affiant in the said Affidavit of Loss and my signatures in my two (2)
valid Identification Cards such as Postal ID and UMID Card;
6. That I am executing this affidavit in order to attest to the truth of the

foregoing circumstances and for whatever legal purpose it may serve.

FLORIDA SALVATIERRA ENDRINO

Affiant

Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2015
Pasig City )s.s.
AFFIDAVIT
I, ANTONIO FONTANILLO, of legal age, Filipino citizen and with postal address in Lubiran
St., Bacood, Sta. Mesa, Manila, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That on March 30, 2005 around 7:00 a.m., while I was outside and sweeping the front of
my house in Acacia Pinagbuhatan, Pasig City, I found a baby boy crying. which is
apparently new born due to the appearance of his uncut umbilical cord;
2. That due to my concern, I picked him up and looked around to find who is the person left
him alone, but unfortunately no one claim him either his parent nor his guardian;
3. That due to the foregoing, I considered the said child as “parentless”, and I kept him under
my custody, send him to the clinic and take good care of him as “diligent as a good father” ;
4. That by these present the said child is in good condition which is under our custody and we
gave him the name BABY BOY STEPHEN;
circumstances and for the legal purpose it may serve.
the City of Pasig.
ANTONIO FONTANILLO
Affiant
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
JOINT AFFIDAVIT
We, MARIA PINGA FERRER and JESUS DELLOTA ABELLA, both of legal age, Filipino
citizen and with common residential address at 24-F Acacia Street, PInagbuhatan, Pasig City, after
1. We personally know AMANDA PINGA FERRER, as the registered owner of

a parcel of land situated in Barangay Pinagbuhatan, Pasig City, covered and embraced by
TCT No. PT-90450 containing an area of Three Hundred Twenty Nine Square Meters;
2. We, the undersigned as well as AMANDA PINGA FERRER, are all parties in
the Deed of Absolute Sale with Partition Agreement executed on November 9, 2010 entered
in the notarial register of Atty. Romeo T. Telpo as Doc. No. 485; Page No. 97; Book No.
XXXV; Series of 2010;
3. Because of her present health condition, said AMANDA PINGA FERRER

could not personally sign documents, and in connection with the execution of the said Deed
of Absolute Sale with Partition Agreement, she affixed her thumbmark on it and required
assistance from her relatives, namely: her son Romano Ferrer and one Elisa Ferrer, to do it
so, whose signatures are also appearing in the said Deed as the witnesses;
4. We hereby attest to the authenticity of said Deed of Sale with Partition

Agreement and the genuineness of the transaction and in furtherance thereof, we hereby
release the officers and staff of the Register of Deeds of Pasig from any liability which may
occur in the event that there is any flaw or legal infirmities in said transaction;
5. We are executing this affidavit in order to attest to the truth of the foregoing
the City of Pasig.
MARIA PINGA FERRER JESUS DELLOTA ABELLA.
Affiant Affiant
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT OF RECONCILIATION OF DATA
I, GEOFFREY BARRO SASI, of legal age, single, Filipino citizen and with official address
at No. 43 San Guillermo Avenue, Buting, Pasig City, after having been duly sworn to in accordance
1. That I am among the eldest of the three (3) children of Spouses JAVIER GRUZO
SASI and RUTH PALOMA BARRO;
2. That my parents celebrated their marriage on January 20, 2011 before Metropolitan
Trial Court, Pasig City, which celebration was after submitting the pertinent documents, such as:
Certificate of No Marriage (CENOMAR), Marriage License, etc.;
3. That when I secured a copy of an authenticated copy of my parents’ Marriage

Contract, it would appear that there is an existing marriage contract which was held on OCTOBER
6, 1980 while the January 20, 2011, which is the subject of my request is none;
4. That upon learning that circumstances, I talked to my parents and surprised that
their marriage which took place on October 6, 1980 is duly registered. The same could happened
because of the fault of my father, when they were securing Certificate of No Marriage with the
National Statistics Office that he inadvertently declared his nickname “BOBBY” and not “JAVIER”,
for which the latter is the registered name in their Marriage Contract. Precisely, the result of their
request for CENOMAR indicating the name “BOBBY” would be granted, Had they applied for a
correct name which is JAVIER, a Certificate of Marriage for October 6, 1980 would be yielded;
5. It is evident on my Birth Certificate and my siblings’ that the date of marriage of my

parents is OCTOBER 6, 1980 and that we are all considered legitimate because of the validity of
my parents’ marriage on October 6, 1980;
6. It is only caused by the inadvertence of my parents when they do not have
knowledge of their marriage on October 6, 1980 is registered which compelled them to marry again
on January 20, 2011;
7. By these presents, I hereby declare and attest that the true and correct date of
marriage of my parents is OCTOBER 6, 1980, being my parents: JAVIER GRUZO SASI and RUTH
PALOMA BARRO as the contracting parties, as correctly reflected in my Birth Certificate and my
other siblings;
8. I hereby request for the cancellation of Certificate of Marriage celebrated on January

20, 2011 under Registry No. 2011 158 issued for my parents;
the City of Pasig.
GEOFFREY BARRO SASI

Affiant
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT
I, JILL P. MONDARES, of legal age, Filipino citizen and with residential address at No. 109
Paseo De Animales St., Santolan, Pasig City, after having been duly sworn to in accordance with
1. That I am previously enrolled at Pamantasan ng Lungsod ng Valenzuela;
2. That sometime in June 2010, we transferred our residency from Malanday Valenzuela
to Santolan Pasig City which caused me to transfer to other school (for my trnsportation
purposes)
3. That I am a new enrollee of Far Eastern University, Manila for the second semester of
School Year 2010-2011 for Bachelor of Business Administration, major in Marketing
Management;
4. That even the second semester already started I am causing my withdrawal for the said
enrollment, due to my financial instability and some personal issues: problems;
5. That the said withdrawal was brought by our family financial problems;
the City of Pasig.
JILL P. MONDARES
Affiant
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT
I, DONATO S. ARBOLEDA, of legal age, Filipino citizen and with residential address at No.
183 R. Baldes St., Bagong Ilog, Pasig City, after having been duly sworn to in accordance with law,
1. That I am the husband of ELIZABETH MANUEL and our marriage was celebrated
sometime on September 20, 1975 in Pasig Rizal (now city);
2. That the said ELIZABETH MANUEL received a paraphernal tae ;
3. That according to him, when he is still living, after one year of his married life with
MAGDALENA they decided tio live separately due to some of differences in life. They
are not blessed any child and they live separately without any Judicial Decree;
4. That the herein affiant and the deceased were blessed with three (3) children, hereto
attached the photocopy of their birth, brought by their union without the benefit of
marriage for almost 30 years from 1979 up to the time of his death;
5. That even we are not married, I stand as her wife until to the point of his death and I am
the one who fulfill needs trough thick and thin;
IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of ______at the City
of Pasig.
AIDA GERSAVA GUTIERREZ

Affiant
CORROBORATION
We, ROSALINO GUTIERREZ and SHERLY G. LAQUI, both of legal age, Filipinos, residing
at 4493 E. Santos St., Pinagbuhatan, Pasig City and siblings of the deceased respectively, hereby
declare and attest that the statements made by AIDA GERSAVA GUTIERREZ are true and
correct to the best of our knowledge and belief.
ROSALINO GUTIERREZ SHERLY G. LAQUI

Witness Witness
SUBSCRIBED AND SWORN to before me this ______ day of ___ at Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
REPUBLIC OF THE PHILIPPINES)

PASIG CITY, METRO MANILA ) S.S
AFFIDAVIT
I, REYNALDO D. CONDE, Filipino, of legal age, married to Vicenta A. Lopez, with

residence and postal address at #2 Champaca Street, De Castro Subd., Sta. Lucia, Pasig
City, after having been sworn to in accordance with law, hereby depose and say, that:
1. I am the son of the late Spouses DEMETRIA D. CONDE & JOSE C. CONDE,
who both died intestate on June 2, 2009 and June 21, 1991, respectively, in Pasig City.
2. My deceased parents have been residing/living in my house located at No. 2
Champaca Street, De Castro Subdivision, STa. Lucia, Pasig City, until the time of their
death;
3. My above property is under my name covered by TCT No. PT-112938/T-566-II.

The same is adjacent to the lot (No. 3 Champaca St., De Castro Subd., Sta. Lucia, Pasig
City) now being subject of extrajudicial settlement among heirs now pending with the
Bureau of Internal Revenue;
4. For all intents and purposes, I hereby declare and attest that the property estate
being settled has no house and that my parents were living in my house which is adjacent
to it.
5. I am executing this affidavit to attest to the veracity of the foregoing
IN WITNESS WHEREOF, I have hereunto set my hand this _______ day of

________________, 2013.
REYNALDO D. CONDE
Affiant
SUBSCRIBED AND SWORN to before me this ____ day of

_____________________, at Pasig City.
Doc. No. _ ;
Page No. ;
Book No. ;
Series of 2013.
AFFIDAVIT
I, EILEEN P. MANZANO, Filipino, of legal age, single, with residence and postal
address at #97 San Agustin St., Palatiw, Pasig City, after having been sworn to in
accordance with law, hereby depose and say, that:
1. I am on the process of completion of requirements for my employment at
Metropolitan Trial Court Of Marikina City, Branch 95
2. That among the requirements is the submission of this affidavit stating that I have
no relatives presently working at the Marikina Justice Hall.
3. That I hereby declare and attest that I have no existing relatives in the said Justice
Hall, and I applied for the position of stenographer through my own effort;


________________, 2012.
EILEEN P. MANZANO
Affiant

_____________________, affiant exhibiting to me her Senior Citizen’s I.D. No. 22658
issued on March e1, 2008 at Makati City.
Doc. No. _ ;
Page No. ;
Book No. ;
Series of 2012.

AFFIDAVIT
I, ROBERTO F. GACHE, Filipino, of legal age, with residence and postal

address at #2057 Jordan St., Malaria, Caloocan City, after having been sworn to
in accordance with law, hereby depose and say, that:
1. I am a taxi driver and accordingly I am a holder of a professional driver

license duly issued by Land Transportation Office;
2. That the said license was inadvertently lost sometime in January 2010
which I caused the execution of affidavit of loss and then submitted to
LTO, Quezon City on January 25, 2010 in which the said office issued the
herein affiant a duplicate copy of the said ID;
3. That I continue using the said license, since taxi driving is the
only
source of my income, up to the time I was apprehended by TPMO, Pasig
City sometime on October 8, 2012 around 6:00 pm-7:00pm for violation
of DEFECTIVE HEADLIGHT;
4. That yesterday, October 15, 2012, I am about to pay for the violation I
committed for the release of my license, the TPMO personnel informed
me about the prior violation I committed;
5. That it was stated in their record that on March 16, 2010, I

committed the violation of LOADING/UNLOADING IN
PROHIBITED AREA, when the truth and in fact I did not
committed such violation, it is disputably presumed that someone
was using the said lost license on my behalf;
6. That due to the foregoing, I hereby categorically deny that I am the

person who was charged by TPMO for the violation of
LOADING/UNLOADING IN PROHIBITED AREA, since that time
and up to the date of my apprehension I am possessing my genuine
driver’s license which is a proof that I have no prior apprehension;
7. I am executing this affidavit to attest to the veracity of the

foregoing statements, for all intents and for whatever legal purpose
it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this _______

day of ________________, 2012.
ROBERTO F. GACHE
Affiant

_____________________, at Pasig City.
Doc. No. _ ;
Page No. ;
Book No. ;
Series of 2012.

AFFIDAVIT
I, ANDRICO M. NANONG, Filipino, of legal age, married, with residence

and postal address at #434 Elisco Road SYS, Kalawaan, Pasig City, after having
been sworn to in accordance with law, hereby depose and say, that:
1. I am a taxi driver and accordingly I am a holder of a professional driver
license duly issued by Land Transportation Office;
2. That sometime on October 18, 2007, I was apprehended by a Traffic
Enforcer at EDSA-Aurora for violation of at the said license was inadvertently
lost sometime in January 2010 which I caused the execution of affidavit of loss
and then submitted to LTO, Quezon City on January 25, 2010 in which the said
office issued the herein affiant a duplicate copy of the said ID;
8. That I continue using the said license, since taxi driving is the
only
source of my income, up to the time I was apprehended by TPMO, Pasig
City sometime on October 8, 2012 around 6:00 pm-7:00pm for violation
of DEFECTIVE HEADLIGHT;
9. That yesterday, October 15, 2012, I am about to pay for the violation I
committed for the release of my license, the TPMO personnel informed
me about the prior violation I committed;
10. That it was stated in their record that on March 16, 2010, I
committed the violation of LOADING/UNLOADING IN
PROHIBITED AREA, when the truth and in fact I did not
committed such violation, it is disputably presumed that someone
was using the said lost license on my behalf;
11. That due to the foregoing, I hereby categorically deny that I

am the person who was charged by TPMO for the violation of
LOADING/UNLOADING IN PROHIBITED AREA, since that time
and up to the date of my apprehension I am possessing my genuine
driver’s license which is a proof that I have no prior apprehension;
12. I am executing this affidavit to attest to the veracity of the

foregoing statements, for all intents and for whatever legal purpose
it may serve.

day of ________________, 2012.
ANDRICO M. NANONG
Affiant

_____________________, at Pasig City.
Doc. No. _ ;
Page No. ;
Book No. ;
Series of 2012.
AFFIDAVIT
I, ELOISA MACOSPAG, Filipino, of legal age, married, with residence and postal
address at #14-A Mamerto Street, Rosario, Pasig City, after having been sworn to in
1. I am in the process of securing Building Permit from the City Building Official,
necessary for my planned construction of 2-storey 4 Door residential building
located at 38 Mamerto District, Rosario, Pasig City;
2. That I hereby declare that the said planned construction is to be used only for
residential purpose only and to be occupied by the members of my family, namely:
Elaine Macospag Pelicano, Editha Macospag Nepomuceno;
________________, 2013.
ELOISA MACOSPAG
Affiant

_____________________, affiant exhibiting to me her __________________
____________ issued on __________________ at _____________.
Doc. No. _ ;
Page No. ;
Book No. ;
Series of 2013.

AFFIDAVIT
I, MARIVIC M. GALLARDO, Filipino, of legal age, single, with residence

and postal address at #7 Meleguas St., De castro Subd., Sta. Lucia, Pasig City,
after having been sworn to in accordance with law, hereby depose and say,
that:
1. I am in the process of securing my Occupancy Permit from the City

Building Official of Pasig City, necessary for the construction of 3-storey
residential house located at the abovementioned address;
2. That I hereby declare that the said residential house is to be used only
for residential purpose only and to be occupied by the members of my
family, namely: Mr. & Mrs. Raymundo S. Gallardo, Sr., Mildred M.
Gallardo; and the herein affiant;


day of ________________, 2013.
MARIVIC M. GALLARDO
Affiant

____________ issued on __________________ at _____________.
Doc. No. _ ;
Page No. ;
Book No. ;
Series of 2013.

AFFIDAVIT
I, HONESTO B. GOROBAT, JR., Filipino, of legal age, married, with

residence and postal address at #830 Labanos St., Napico, Manggahan, Pasig
City, after having been sworn to in accordance with law, hereby depose and
say, that:
1. I am the father of CYRUS P. GOROBAT, who is now in the process of
securing Building Permit from the City Building Official, necessary for his
planned construction of 3-storey residential house located at the
abovementioned address;
2. That I hereby declare that the said planned construction is to be used
only for residential purposes only and to be occupied by the members of
our family, namely: Dexter P. Gorobat; Cyrus P. Gorobat; Jennielyn P.
Gorobat; and Ira Jane P. Gorobat;

day of ________________, 2013.
HONESTO B. GOROBAT, JR.

Affiant

_____________________, affiant exhibiting to me his __________________
____________ issued on __________________ at _____________.
Doc. No. _ ;
Page No. ;
Book No. ;
Series of 2013.

AFFIDAVIT
I, MANUEL CONCEPCION, Filipino, of legal age, single, with residence and postal
address at #23 M. Concepcion Ave., San Joaquin, Pasig City, after having been sworn to
necessary for my planned construction of 2-storey residential building located at the
above given address;
residential purpose only and to be occupied by my household members;


________________, 2012.
MANUEL CONCEPCION
Affiant

____________ issued on __________________ at _____________.
Doc. No. _ ;
Page No. ;
Book No. ;
Series of 2013.

AFFIDAVIT
I, MILA B. JANEO, Filipino, of legal age, with residence and postal address at
Pleasant Village, Manggahan, Pasig City, after having been sworn to in accordance with
law, hereby depose and say, that:
necessary for my planned construction of 2-storey residential building located at the
above given address;
residential purpose only and to be occupied by the members of my family;

________________, 2012.
MILA B. JANEO
Affiant

____________ issued on __________________ at _____________.
Doc. No. _ ;
Page No. ;
Book No. ;
Series of 2012.
AFFIDAVIT
I, MA. MAGDALENA WENCESLAO MEJIA, Filipino, single, of legal age, with residence
and postal address at #44 Pasig Boulevard, Barangay Bagong Ilog, Pasig City, after having been
sworn to in accordance with law, hereby depose and say, that:
1. I am among the children and surviving legal heirs of the late Nicasio F. Mejia, the
registered owner of property lot situated in the Barrio of Bagong Ilog, Pasig City embraced and
cover by TCT No. (118321) 17661, containing an area of One Hundred Fifty Seven (157) Square
Meters;
2. In the absence of proper segregation of the acquired property, a portion containing
an area of 109 Square Meters of the above-described property was acquired by the Department of
Public Works and Highways through sale; Such acquisition was thereafter annotated at the back
portion of the title as Entry No. PT-543/T-17661 duly inscribed on September 12, 1996;
3. Thereafter, the same entity, Department of Public Works and Highways (DPWH)
again by way of Deed of Absolute Sale executed on March 22, 2000, acqquired, NINE (9)
SQUARE METERS from the remaining 48 Square Meters in the same TCT No. No. (118321)
17661,. Said sale is likewise annotated at the back portion of its title as Entry No. PT-17797/T-
17661, which is quoted hereunder:
“Entry No. PT-17797/T-17661 – SALE – in favor of THE REPUBLIC OF THE PHILIPPINES,

Department of Public Works and Highways, covering 48 square meters of undivided portion of
the property described herein for the sum of P270,000.00) in accordance with Doc. No. 347;
Page No. 50, Bk. XVI, Series of 2000 of Not. Pub. Of Atty. Ricardo A. Castillo.
Date of Instrument – March 22, 2000
Date of inscription – May 12, 2000- 2:00 p.m.
(Bold emphasis supplied)
4. However, it would appear in the annotation concerning the sale of Nine (9) Square
Meters portion, that the sale pertains to FORTY-EIGHT (48) SQUARE METERS, when in truth
and in fact, as clearly stated in the Deed of Absolute Sale executed on March 22, 2000, the sale
only affects Nine (9) Square Meters and not the entire remainder (48 Square Meters);
5. Due to the foregoing, for and on behalf of other heirs, I hereby request the Register
of Deeds to correct the annotation contained in Entry No. PT-17797/T-17661 from the 48 square
meters to 9 Square Meters, the latter being the correct area that was last taken by the DPWH by
virtue of a Deed of Absolute Sale executed on March 22, 2000 and affected for the construction of
VARGAS FLYOVER along E. Rodriguez Avenue and Pasig Blvd., Bagong Ilog, Pasig City;
6. Therefore, out of the original One Hundred Fifty Seven (157) Square Meters area of
the above described property only THIRTY NINE (39)SQUARE METERS is left for the heirs to
adjudicate among ourselves;

________________, 2012.
MA. MAGDALENA WENCESLAO MEJIA

Affiant
SUBSCRIBED AND SWORN to before me this ____ day of ___________, affiant exhibiting
to me her Community Tax Certificate bearing No. __________ issued on ______________ at
Pasig City.
Doc. No. _ ;
Page No. ;
Book No. ;
Series of 2012.

AFFIDAVIT
I, IRMA MIDEM WEBER, Filipino Citizen, of legal age, widow, with residence and
postal address at No. 2084 C. Cruz 2nd St., Malasaga, Pinagbuhatan, Pasig City, after
having been sworn to in accordance with law, hereby depose and say, that:
1. I am the surviving spouse of the late SIEGFRIED WEBER, the latter being a
German Citizen who died on January 21, 1991 in Germany;
2. The herein affiant is a pensioner of Deutsche Post Renten Service in Germany with
Pension Card No. 72424131044W01321 and I am receiving my monthly pension
since year 1993 up to present. However, I have not yet receive my pension for the
month of October 2012;
3. Due to the foregoing, I hereby request the Deutsche Post Renten Service for the
release of my pension for the month of October 2012 under my new account at
Banco De Oro, Luneta Branch, T.M. Kalaw, Manila, Philippines with Savings
Account No. 4564287;

________________, 2012.
IRMA MIDEM WEBER

Affiant

_____________________, affiant exhibiting to me her SSS I.D bearing the No. 34-
0864628-3.
Doc. No. _ ;
Page No. ;
Book No. ;
Series of 2012.

I, CARINA DELA CRUZ ABIOG, Filipino, of legal age, single, with residence and
postal address at #266 Dr. Sixto Antonio Avenue, Caniogan, Pasig City, after having been
1. The undersigned and my sister CECILIA DELA CRUZ ABIOG, are co-registered
owners of a 2-storey residential house which was built on the land of our late
grandparents Cresencia and Dionisio Dela Cruz;
2. The said improvement (residential house) is declared under Tax Declaration No. E-
007-09216 by the City Assessor’s Office;
3. That however, it would appear that in Tax Declaration No. E-007-09216, only my
name is reflected as the registered owner, when in fact, the ownership is common
with my sister Cecilia Dela Cruz Abiog, as all the expenses to the construction of
house was financed by both of us;
4. Due to the foregoing, I hereby request the Assessor Office of Pasig City that the
Tax Declaration of the said house (improvement) be registered in the name of and
be reflected as CARINA DELA CRUZ ABIOG and CECILIA DELA CRUZ ABIOG;

________________, 2012.
CARINA DELA CRUZ ABIOG

Affiant
Conforme:
CECILIA DELA CRUZ ABIOG

_____________________, affiant exhibiting to me her Community Tax Certificate
issued on ____________________ at Pasig City.
Doc. No. _ ;
Page No. ;
Book No. ;
Series of 2012.

AFFIDAVIT
I, FORTUNATA A. DACANAY, Filipino, of legal age, with residence and postal

address at #2328 San Lorenzo Ruiz Compd., Manggahan, Pasig City, after having been
1. I am the registered owner of property lot situated at #2328 San Lorenzo Ruiz
Compd., Manggahan, Pasig City embraced and cover by TCT no. 126344;
2. My daughter ELSA DACANAY-PABLO caused the construction of her three (3)
storey house over the said property in which the herein affiant consented her;
3. All the expenses to the construction of house was financed by ELSA DACANAY-
PABLO;
4. Due to the foregoing, we hereby request the Assessors Office of Pasig City that the
Tax Declaration of the said house (improvement) be registered in the name of
ELSA DACANAY-PABLO;


________________, 2012.
FORTUNATA A. DACANAY
Affiant

_____________________, affiant exhibiting to me her Community Tax Certificate bearing
the. No. CC12012 01641208 issued on September 12, 2012 at Pasig City.
Doc. No. _ ;
Page No. ;
Book No. ;
Series of 2012.

JOINT AFFIDAVIT OF LEGAL BENEFICIARIES/HEIRS
WE, LAGRIMAS M. CABALE, married; DOROTHY M. BAUTISTA, widow;

MARILYN M. CAUAN, married; ABRAHAM C. MANLINCON, single; ABELARDO C.
MANLINCON, married; MA. LUZ C. MANLINCON, single; MERLITA M. ECAL,
married; MARITA M. SABILE, married; ARIEL C. MANLINCON, married; RAFAELITO
C. MANLINCON, married; MICHELLE C. MANLINCON, single; LORELIE M.
VERGARA, widow, all of legal age, Filipinos, with residence and postal address at No. 105
1st Agapito Subdivision, Rosario, Pasig City, after having been duly sworn in accordance
with law, do hereby depose and say:
That, the above-named parties are the surviving children and the legitimate heirs
of deceased Spouses RAFAEL MANLINCON and EMILIA MANLINCON, who died on
January 6, 2001 and February 17 2013, respectively, both at No. 105 1 st Agapito
Subdivision, Rosario, Pasig City;
That, said deceased afore-mentioned died intestate, without Testament and

without leaving any debts whatsoever;
That, said deceased RAFAEL MANLINCON and EMILIA MANLINCON, at the
time of their death are registered owners in conjugal partnership of a parcel of land with
improvement, covered by Transfer Certificate of Title No. --22387-- containing an area of
258 Square Meters more or less, with improvements, more particularly described as
follows:
Transfer Certificate of Title No. –22387--
---A parcel of land (Lot 1-Q of the subdivision plan (LRC) Psd-167681,
being a portion of Lot 1, Psu-141177-Amd., LRC Rec. No. N-20256), situated in the
Barrio of Rosario, Mp. Of Pasig, Province of Rizal. Bounded on the N. pts. 1-2 by
Lot 1-AA; on the E. pts. 2-3 by Lot 1-E; on the S. pts. 3-4 by Lot 1 PP (Road 10 m.
wide); and on the W., pts. 4-1 by Lot 1-P, all of the subdivision plan. Beginning at
a point marked “1” plan xxx containing an area of TWO HUNDRED FIFTY EIGHT
(258) SQUARE METERS, more or less xxx”
-with improvements under Tax Declaration Nos. E-018-06326, E-018-06327,
E-018-06328, E-018-06329 and E-018-00460.
That, pursuant to Sec. 1, Rule 74 of the Revised Rules of Court of the Philippines,
and the parties herein being all of age, and with full civic capacity to contact, we have
agreed to divide and adjudicate, as they do hereby divide and adjudicate, among
themselves, the parcel of land herein above described including the improvements under
Tax Declaration Nos. E-018-06326, E-018-06327, E-018-06328, E-018-06329 and E-018-
00460.
That we are fully aware that LAGRIMAS M. CABALE, DOROTHY M.

BAUTISTA, MARILYN M. CAUAN, MICHELLE C. MANLINCON solely shouldered all
the expenses in settling the estate of our parents. The same was made not to disinherit
nor deprive the right of ABRAHAM C. MANLINCON, single; ABELARDO C.
C. MANLINCON, married; and LORELIE M. VERGARA over the said property but to
protect everyone’s right over our respective share as they are the ones who authorized by
our parents when they were still living;
That we, ABRAHAM C. MANLINCON, single; ABELARDO C. MANLINCON,

married; MA. LUZ C. MANLINCON, single; MERLITA M. ECAL, married; MARITA M.
SABILE, married; ARIEL C. MANLINCON, married; RAFAELITO C. MANLINCON,
married; and LORELIE M. VERGARA have affirmed that we have executed the
Extrajudicial Settlement with our respective rights waived of our own voluntary free will
without force or violence upon our persons;
That, for all legal intents and purposes, we have agreed to divide and adjudicate,
as we do hereby divide and adjudicate, among ourselves in EQUAL SHARE, the parcel of
land herein above described including the improvements under Tax Declaration Nos. E-
018-06326, E-018-06327, E-018-06328, E-018-06329 and E-018-00460;
That when the time comes that we decide to sell/dispose the above said property
we shall receive our just and proper share on the proceeds and will have no further claim
or demand against each other.
That we, LAGRIMAS M. CABALE, DOROTHY M. BAUTISTA, MARILYN M.

CAUAN, MICHELLE C. MANLINCON hereby undertake to safekeep the new title and
while we are now the new registered owners, we are barred from selling/mortgaging or
executing any form of transaction that would effect transfer to any person without
securing authority from ABRAHAM C. MANLINCON, single; ABELARDO C.
C. MANLINCON, married; and LORELIE M. VERGARA;
In witness whereof, we hereby set/affixed our hands this day of ______________

2014 in City of Pasig.
LAGRIMAS M. CABALE DOROTHY M. BAUTISTA
MARILYN M. CAUAN ABRAHAM C. MANLINCON
ABELARDO C. MANLINCON MA. LUZ C. MANLINCON
MERLITA M. ECAL MARITA M. SABILE
ARIEL C. MANLINCON RAFAELITO C. MANLINCON
MICHELLE C. MANLINCON LORELIE M. VERGARA
SUBSCRIBED AND SWORN to before me this ____ day of _____________________,

affiant exhibiting to me their Communiity Tax Certificates issued on _______________________ at
_____________________.
Doc. No. _ ;
Page No. ;
Book No. ;
Series of 2014.

WE, LAGRIMAS M. CABALE, married; DOROTHY M. BAUTISTA, widow;

MARILYN M. CAUAN, married; ABRAHAM C. MANLINCON, single; ABELARDO C.
C. MANLINCON, married; MICHELLE C. MANLINCON, single; LORELIE M.
VERGARA, widow, all of legal age, Filipinos, with residence and postal address at No. 105
1st Agapito Subdivision, Rosario, Pasig City, after having been duly sworn in accordance
with law, do hereby depose and say:
That, the above-named parties are the surviving children and the legitimate heirs
of deceased Spouses RAFAEL MANLINCON and EMILIA MANLINCON, who died on
January 6, 2001 and February 17 2013, respectively, both at No. 105 1 st Agapito
Subdivision, Rosario, Pasig City;
That, said deceased afore-mentioned died intestate, without Testament and

That, said deceased RAFAEL MANLINCON and EMILIA MANLINCON, at the
time of their death are registered owners in conjugal partnership of a parcel of land with
improvement, covered by Transfer Certificate of Title No. --22387-- containing an area of
258 Square Meters more or less, with improvements, more particularly described as
follows:
Transfer Certificate of Title No. –210285—

Caloocan City
---A parcel of land (Lot 104, Blk. 1 of the subd. plan (LRC) Psd-38985, being
a portion of Lot 444-B, LRC (GLRO) Rec. No. 6563), situated in the District of
Novaliches, Caloocan City, Island of Luzon. Bounded on the NE. points 2 to 3 by Lot
458, Tala Estate; on the SE., points 3 to 4 by Lot 10; Blk. 1; on the SW., points 4 to
1 by Road Lot 6; on the NW., points 1 to 2 by Lot 103, Blk. 1, all of the subd.
plan. . Beginning at a point marked “1” plan xxx containing an area of TWO
HUNDRED SIXTEEN (216) SQUARE METERS, more or less xxx”
That, pursuant to Sec. 1, Rule 74 of the Revised Rules of Court of the Philippines,
and the parties herein being all of age, and with full civic capacity to contact, we have
agreed to divide and adjudicate, as they do hereby divide and adjudicate, among
themselves, the parcel of land herein above described.
That we are fully aware that LAGRIMAS M. CABALE, DOROTHY M.

BAUTISTA, MARILYN M. CAUAN, MICHELLE C. MANLINCON solely shouldered all
the expenses in settling the estate of our parents. The same was made not to disinherit
nor deprive the right of ABRAHAM C. MANLINCON, single; ABELARDO C.
C. MANLINCON, married; and LORELIE M. VERGARA over the said property but to
protect everyone’s right over our respective share as they are the ones who authorized by
our parents when they were still living;
That we, ABRAHAM C. MANLINCON, single; ABELARDO C. MANLINCON,

married; MA. LUZ C. MANLINCON, single; MERLITA M. ECAL, married; MARITA M.
SABILE, married; ARIEL C. MANLINCON, married; RAFAELITO C. MANLINCON,
married; and LORELIE M. VERGARA have affirmed that we have executed the
Extrajudicial Settlement with our respective rights waived of our own voluntary free will
without force or violence upon our persons;
That, for all legal intents and purposes, we have agreed to divide and adjudicate,
as we do hereby divide and adjudicate, among ourselves in EQUAL SHARE, the parcel of
land herein above described including the improvements under Tax Declaration Nos. E-
018-06326, E-018-06327, E-018-06328, E-018-06329 and E-018-00460;
That when the time comes that we decide to sell/dispose the above said property
we shall receive our just and proper share on the proceeds and will have no further claim
or demand against each other.
That we, LAGRIMAS M. CABALE, DOROTHY M. BAUTISTA, MARILYN M.

CAUAN, MICHELLE C. MANLINCON hereby undertake to safekeep the new title and
while we are now the new registered owners, we are barred from selling/mortgaging or
executing any form of transaction that would effect transfer to any person without
securing authority from ABRAHAM C. MANLINCON, single; ABELARDO C.
C. MANLINCON, married; and LORELIE M. VERGARA;
In witness whereof, we hereby set/affixed our hands this day of ______________

2014 in City of Pasig.
LAGRIMAS M. CABALE DOROTHY M. BAUTISTA
MARILYN M. CAUAN ABRAHAM C. MANLINCON

ABELARDO C. MANLINCON MA. LUZ C. MANLINCON
MERLITA M. ECAL MARITA M. SABILE
ARIEL C. MANLINCON RAFAELITO C. MANLINCON
MICHELLE C. MANLINCON LORELIE M. VERGARA

_____________________.
Doc. No. _ ;
Page No. ;
Book No. ;
Series of 2014.

AFFIDAVIT
I, JULIETA A. LANDRITO- LORENZO Filipino, all of legal age, with residence and postal
address at #57 West Capitol Drive, Kapitolyo Pasig City, after having been sworn to in accordance
with law, hereby depose and say, that:
1. The undersigned and by right of representation of my deceased brother, RAUL A.
LANDRITO, his surviving heirs JOHN RUEL T. LANDRITO, RICO ROMANO T. LANDRITO,
ANNA CHRISTINA L. VALDES and ANNA CARMINA T. LANDRITO are legal surviving heirs
of the late Sps. FLORENCIO LANDRITO and DOMINGA LANDRITO;
2. Our late father, FLORENCIO LANDRITO who died on AUGUST 27, 2004 left a parcel of
land located at 19 Dakila St. Sumilang, Pasig City, under TCT NO. E029-00094 with an
area of One Hundred twenty Five (125) Square Meteres for which the undersigned is
planning to apply for a building permit in connection with my plan for construction of a
house on the said property as a legal beneficiary and by virtue of the waiver of rights and
interest duly signed by the surviving heirs of my brother, RAUL A. LANDRITO, duly
notarized on June 18 2015 by Atty. Ramil joselito B. Tamatyo docketed as Doc No. 1643
Page No. 329 Book No. XV Series of 2015 the said heirs interposes No objection
whatsoever and give their full conformity on the said construction;
3. I hereby discharge the City Government of Pasig and other entity from any and all liability
arising from the issuance of Building Permit;
4. I Am executing this affidavit to attest to the veracity of the foregoing statements, for all

________________, 2015.
JULIETA A. LANDRITO- LORENZO

Affiant
CONFORME:
JOHN RUEL T. LANDRITO RICO ROMANO T. LANDRITO
ANNA CHRISTINA L. VALDES ANNA CARMINA T. LANDRITO
SUBSCRIBED AND SWORN to before me this ____ day of _____________________, on

_______________________ at _____________________.
Doc. No. _ ;
Page No. ;
Book No. ;
Series of 2015.

WITH CONSENT
I, ERLINDA RAMOS SALVADOR, FLOSERFIDA S. RAMOS, EMERSON S. RAMOS and

ERLITO S. RAMOS and JOHN RAMOS-VIÑAS, Filipinos, all of legal age, with residence and
postal address at #988 M. Billiones Street, Bambang, Pasig City, after having been sworn to in
1. We, the undersigned, together with MA. ELIZA RAMOS-DELA RAMA and EDWIN C. DELA
RAMA, are legal heirs of the late EPIFANCIO N. RAMOS and NATIVIDAD S. RAMOS;
2. Our late parents left a parcel of land located No. 988 M. Billiones Street, Bambang, Pasig
City, under TCT NO. ________________, and that pursuant to Sec. 1, Rule 74, of the
Revised Rules of Court of the Philippines, we hereby ADJUDICATE ourselves
extrajudicially the said property provided in Section 4, Rule 74 of the Rules of Court.;
3. Ms. Eliza Ramos Dela Rama is planning to apply for a building permit in connection with
her plan for construction of a house on the portion/share of the lot provided for her, as a
legal beneficiary.
4. We have no objection whatsoever and give our full conformity on the said construction;
5. We hereby discharge the City Government of Pasig and other entity from any and all
liability arising from the issuance of Building Permit;
6. We are executing this affidavit to attest to the veracity of the foregoing statements, for all

________________, 2013.
Affiants:
ERLINDA RAMOS SALVADOR FLOSERFIDA S. RAMOS
EMERSON S. RAMOS ERLITO S. RAMOS
JOHN RAMOS-VIÑAS
CONFORME:
MA. ELIZA RAMOS-DELA RAM EDWIN C. DELA RAMA

_____________________.
Doc. No. _ ;
Page No. ;
Book No. ;
Series of 2013.
AFFIDAVIT OF OWNERSHIP
I, NICASIO U. FULGENCIO, Filipino, of legal age, married and with residence and
postal address at No. 107 E. Mendoza St., Buting, Pasig City, after having been sworn to
1. I among the grandchildren of the late AGUSTIN FULGENCIO who is the registered
owner of a parcel of land with an area of two hundred sixteen square meters and
thirty decimeters (213.30) located at Buting, Pasig City under Tax Declaration No.
E- 005-00955. Attached hereto is a photocopy of the said Tax Declaration as annex
“A”
2. That said AGUSTIN FULGENCIO passed away last July 03, 2003 at California,
USA. Attached hereto is a photocopy of said death certificate as annex “B”;
3. I am applying for a new electrical connection with the Manila Electric Company,
(MERALCO) and one of the requirements is an affidavit of ownership;
7. I have no objection whatsoever and give our full conformity on the said application
with the Manila Electric Company;


________________, 2013.
NICASIO U. FULGENCIO
Affiant

_____________________, affiant exhibiting to me his Voter’s ID No. 7403-0121B as
complete evidence of the affiant’s identity in accordance with the Rules on Notarial
Practice.
Doc. No. _ ;
Page No. ;
Book No. ;
Series of 2013.
AFFIDAVIT OF LEGAL BENEFICIARIES/HEIRS

(OWNERSHIP)
I, JOAN A. LEGASPI, Filipino, of legal age, single, with residence and postal
address at #113Villa Tupaz San Joaquin, Pasig City, after having been sworn to in
1. I among the successors-in-interest and the legal heirs of the late SPS. FIDEL
LEGASPI and EVELYN A. LEGASPI, registered owner of the house and lot under
Tct No. PT-86911;
2. Pursuant to Sec. 1, Rule 74, of the Revised Rules of Court of the Philippines, we
hereby ADJUDICATE ourselves the said property provided in Section 4, Rule 74 of
the Rules of Court.;
3. I am planning to apply for a new electrical connection with the Manila Electric
Company to register the application under my name ;
9. I have no objection whatsoever and give our full conformity on the said application
with the Manila Electric Company;


________________, 2013.
JOAN A. LEGASPI
Affiant

_____________________, affiant exhibiting to me their Communiity Tax Certificates
issued on _______________________ at _____________________.
Doc. No. _ ;
Page No. ;
Book No. ;
Series of 2013.
AFFIDAVIT
I, MARIANNE JOY R. MUNSOD, Filipino, of legal age, with residence and postal
address at 20-B David Cruz Street, Dr. Sixto Antonio Avenue, Rosario, Pasig City, after
1. I was issued by the Bureau of Internal Revenue of Tax Identification Number 302-
146-226-000 through on-line method and process;
2. Inadvertently, during the process of applying for the above Tax Identification
Number through on-line, I erroneously chose the “Professional” icon instead of
“Individual” type, when in fact, the purpose of such application is for employment
purposes;

statements to request for the rectification of my Tax Identification Number
from the erroneous “Professional” to “Individual”, the latter being the correct
type that I am applying for, and for all intents and for whatever legal purpose
it may serve.

________________, 2012.
MARIANNE JOY R. MUNSOD

Affiant

____________ issued on __________________ at _____________.
Doc. No. _ ;
Page No. ;
Book No. ;
Series of 2012.
AFFIDAVIT
I, JULIET DELA CRUZ VASAYLAJE, Filipino, of legal age, with residence and
postal address at Block 5 Lot 17 Virgo Street, Centennial II, Pinagbuhatan, Pasig City,
after having been sworn to in accordance with law, hereby depose and say, that:
1. I am the biological mother of ARDEN JAY DELA CRUZ, who was born out of
wedlock on December 16, 1993 in Nasugbu, Batangas, thus, he is considered
illegitimate child. He is my love child to my former boyfriend;
2. During his elementary and high school days and up to his college records in
Polytechnic University of the Philippines, he has been using the name ARDEN JAY
A. DELA CRUZ , his middle initial stands for my maiden middle name which is
ALCAIRO, different from the name registered in his Birth Certificate which is
“ARDEN JAY DELA CRUZ;
3. For all legal intents and purposes, his true and correct name is ARDEN JAY DELA
CRUZ and not ARDEN JAY A. DELA CRUZ;
4. I hereby declare and attest that I am the biological mother of ARDEN JAY DELA
CRUZ, who was born out of wedlock on December 16, 1993 in Nasugbu, Batangas,
thus, he is considered illegitimate child;

statements and for all intents and for whatever legal purpose it may serve.

________________, 2012.
JULIET DELA CRUZ VASAYLAJE

Affiant

____________ issued on __________________ at _____________.
Doc. No. _ ;
Page No. ;
Book No. ;
Series of 2012.
AFFIDAVIT
I, ROWENA KAKILALA VILLANUEVA, Filipino, of legal age, widow, with residence

and postal address at 502 Dr. Sixto Antonio Ave., Maybunga, Pasig City, after having been
1. I am the biological mother of REIGENE REX PATIÑO KAKILALA, who was born out
of wedlock on April 19, 1992 in Sta. Cruz, Laguna;
2. The facts of his birth was late registered on July 8, 1992 at the Local Civil Registry
of Sta. Cruz, Laguna;
3. However, in the Certificate of Live Birth of my son it appears that I am married to

his father Reynaldo C. Villanueva on May 25, 1992 in Pasig, Metro Manila where in
truth and in fact we are not yet married at the time our son was born. Our marriage
was registered therein to make our child legitimate;
4. I got married to his father, Reynaldo C. Villanueva on May 25, 1992 in Pasig, Metro
Manila and by subsequent marriage I am now filing for the correction of my son’s
Certificate of Live at the Local Civil Registry of Sta. Cruz, Laguna;

statements and for all intents and for whatever legal purpose it may serve.

________________, 2012.
ROWENA KAKILALA VILLANUEVA
Affiant

____________ issued on __________________ at _____________.
Doc. No. _ ;
Page No. ;
Book No. ;
Series of 2012.

AFFIDAVIT
I, MOISES H. GUINAOB, Filipino, of legal age, married, with official and postal
address at Unit 812 AIC Burgundy Emipre Tower, Ortigas Center, Pasig City, after having
been sworn to in accordance with law, hereby depose and say, that:
1. I am the duly authorized representative of FLUID SOLUTIONS, INC., the latter
being the owner of a newly renovated office under Building Permit No. BP-12C-
0081
2. I am now applying for the issuance of Occupancy Permit from the Office of the
Building Official, Pasig City;
3. The plans and specifications has been approved by Engr. Juni A. Azachee;
4. Engr. Juni A. Azachee who is supposed to sign on the Certificate of

Occupancy could not be located, thus, I am constrained to hire Engr. Mary
Jane B. Laynesa to cause the final inspection and who shall also sign the
Certificate of Occupancy;
5. That Engr. Mary Jane B. Laynesa certified that the construction works has
been completed in accordance with approved plans and specifications on file
with the Office of the Building Official and National Building Code IPD 1096);

statements for and for all intents and for whatever legal purpose it may serve.
________________, 2012.
MOISES H. GUINAOB
Affiant

____________ issued on __________________ at _____________.
Doc. No. _ ;
Page No. ;
Book No. ;
Series of 2012.

AFFIDAVIT
I, NESTOR P. ESPOLONG, Filipino, of legal age, married to Susan Espolong, with

official and postal address at 35 Rome St., Ciudad Grande, Rosario, Pasig City, after
1. I am the registered owner of a newly 3 storey residential house under Building
Permit No. BP-11R-0381 located at the above given address;
2. I am now applying for the issuance of Occupancy Permit from the Office of the
Building Official, Pasig City;
3. The plans and specifications has been approved by Arch. Michael U.

Basquina;
4. That Arch. Michael U. Basquina who is supposed to sign on the Certificate of

Occupancy could not be located, thus, I am constrained to hire Engr. Jose
Angelo Dee to cause the final inspection and who shall also sign the
Certificate of Occupancy;
5. That Engr. Jose Angelo Dee certified that the construction works has been
completed in accordance with approved plans and specifications on file with
the Office of the Building Official and National Building Code IPD 1096);


________________, 2013.
NESTOR P. ESPOLONG
Affiant
____________ issued on __________________ at _____________.
Doc. No. _ ;
Page No. ;
Book No. ;
Series of 2013.

AFFIDAVIT
I, MARIA CELESTER VILLARIN ABIOG BAUTISTA, Filipino, of legal age,

married, with official and postal address at 147-B Dr. Sixto Antonio Avenue, Rosario, Pasig
City, after having been sworn to in accordance with law, hereby depose and say, that:
1. I am a holder of a Philippine Passport with NO. XX2509952 duly issued by the
Department of Foreign Affairs of Manila on November 15, 2008 and set to be
expired on November 14, 2013;
2. I have been issued the aforesaid passport under my maiden name MARIA
CELESTER VILLARIN ABIOG;
3. On October 10, 2010, I got married to Benson Louid Bautista, a Filipino

citizen, at Edmonton, Alberta, Canada under Registration No. 2010-08-
014987 duly officiated by S.E. Mattershead;
4. Considering that I am now married, I intend to use my married name MARIA

CELESTER VILLARIN ABIOG BAUTISTA, in the renewal of my Passport;


________________, 2012.
MARIA CELESTER VILLARIN ABIOG BAUTISTA

Affiant

____________ issued on __________________ at _____________.
Doc. No. _ ;
Page No. ;
Book No. ;
Series of 2012.

Pasig City )s.s.
AFFIDAVIT
I, CLEMENCIO DS. JUANILLO, of legal age, Filipino citizen and with residential address at
No. 132-L Villarosa St/. Sto. Tomas, Pasig City, after having been duly sworn to in accordance with
1. That I am one of the subscribers of BAYAN TELECOMMUNICATION;
2. That my subscription in the said company was registered under the name of MR.
CACHO, PLACINO and addressed in Blk. 20 Lot 81 Phase 1 Kasiglahan Village,
Kasiglahan Ave, Rodriguez, Montalban Rizal;
3. That I acquired the property of MR. CACHO, PLACINO situated Blk. 20 Lot 81 Phase 1
Kasiglahan Village, Kasiglahan Ave, Rodriguez, Montalban Rizal sometime in February
2010 and the said subscription happened to register under the name of MR. CACHO,
PLACINO due to the requirements needed is the proof of ownership of the said
property, in which that time of application the property was registered in the latter’s
name;
4. That I am no longer residing at Blk. 20 Lot 81 Phase 1 Kasiglahan Village, Kasiglahan

Ave, Rodriguez, Montalban Rizal and I am intending to transfer;
5. That the said withdrawal was brought by our family financial problems;
the City of Pasig.
JILL P. MONDARES
Affiant
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT OF EXPLANATION/ADMISSION/UNDERTAKING
I, ROWENA ANGELA RAYMUNDO, of legal age, single, Filipino and with residence
address at 242 M.H. del Pilar Street, Palatiw, Pasig City, , after having been duly sworn to in
1. That I am a teacher by profession and presently employed at Pasig City Science High
School as Special Science Teacher under casual status employment;
2. That
3. That I am executing this Affidavit and declare that the person of LANI M. GARCIA ,
LANIE M. GARCIA, and LEILANI M. GARCIA are one and the same persons and refer
to one alone more particularly with regards to the documents I am executing in favor of
BPI Family Savings Bank and the Transfer Certificate of Title No. 727869/727870 which
submitted to them as collateral to secure our loan among others;
LANI M. GARCIA
Affiant
Doc. No.
Page No.
Book. No.
Series of 2010
Pasig City )s.s.
AFFIDAVIT of NON-PRACTICE OF PROFESSION
I, ENGR. RENATO C. BATINGAN, of legal age, married, Filipino and with residential
address at No. 10 Banaag Street, Brgy. Pineda, Pasig City, after having been duly sworn to in
1. That I am a Chemical Engineer by profession;
2. That accordingly, I am a holder of Professional Regulations Identification Card with

PRC I.D. No. 5033 issued in 1970;
3. That I was not able to practice my profession as a Chemical Engineer from the year
2004 up to the present;
for the purpose of securing Professtional Tax Receipt for this year 2011;
City, Philippines.
ENGR. RENATO C. BATINGAN

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
I, MELANIO NOAH BUENAVIDES DE GUIA, of legal age, Filipino and with present
address at Lot 20, Blk. 4, Doña Isidora St., Don Antonio Heights, Quezon City, after having been
1. I am a Pharmacist by profession;
2. Accordingly, I am a holder of Professional Identification Card under Registration No.

0033788 which was issued on February 14, 1994 and has to be valid until May 20,
2013;
3. I was not able to practice my profession as a Pharmacist from the year 1994 up to 2010
for I was employed in office;
4. I am executing this Affidavit to attest to the truth and veracity of the foregoing facts for
the purpose of securing Professtional Tax Receipt for this year 2011;
City, Philippines.
MELANIO NOAH BUENAVIDES DE GUIA

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
I, EMERITA B. RICARTE, of legal age, Filipino and with present address at 154 Floodway,
Maybunga, Pasig City, after having been duly sworn to in accordance with law, hereby depose and
say:
1. I am a Masseuse by profession;
2. Accordingly, I am a holder of MASSEURS ID issued by the Department of Health under

License No. 12-97-1438 which was issued on December 22, 1997 and has to be valid
until September 22, 2010;
3. I was not able to practice my profession as a Masseuse from the year 2009 up to
present due to health problems;
4. I am executing this Affidavit to attest to the truth and veracity of the foregoing facts
City, Philippines.
EMERITA B. RICARTE
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
AFFIDAVIT
I, CLARINA GENERAL DELOS SANTOS, of legal age, Filipino and with residential
address at Block 5 Lot 12 Kabisig, Cainta Rizal, after having been duly sworn to in accordance
1. That I am the common law wife of the late HIGINO Q. DELOS SANTOS who died on
December 25, 1998 in Quezon City;
2. That we lived as husband and wife from 1965 up to the time of his death;
3. That before I met the late HIGINO Q. DELOS SANTOS, he had a five children from his
first wife( VIRGINIA DELOS SANTOS) namely BIENVENIDO T. DELOS SANTOS,
JOSE T. DELOS SANTOS, JUAN DELOS SANTOS, ERLINDA DELOS SANTOS and
FEDERICO DELOS SANTOS;
4. That due to the foregoing, I hereby declare and attest that I am not the mother of
BIENVENIDO T. DELOS SANTOS;
and for whatever legal purpose it may serve;
Philippines.
CLARINA GENERAL DELOS SANTOS

Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT
I, RICHARD ROLLAND RUNALD BAMIE WILLIAMS, of legal age, Sierra Leonean, with
residential address at 11 , Freetown Road, Wilberforce, Freetown, Siera Leone, West Africa, and
with temporary address here in the Philippines at Riverfront Residences Unit 418 Maybunga,
Pasig City, after having been duly sworn to in accordance with law, hereby depose and say:
1. That I am a Sierra Leonean and temporarily staying here in the Philippines holding a
Sierra Leone Passport with No. 0161374 and a visa as tourist;
2. That my reason of staying here in the Philippines is due to my intention to marry a

Filipina in the name of ARACELI KNAIK, who resides in Maybunga, Pasig City;
3. That as of now, we are securing a marriage license for the intended marriage and that
one of the requirements is to submit an Affidavit stating to the fact that there is no
embassy of Sierra Leone, West Africa here in the Philippines;
4. That for all legal intents and purposes, I hereby declare and attest that indeed there is
no embassy of Sierra Leone, West Africa here in the Philippines;
and for whatever legal purpose it may serve me;
City, Philippines.
RICHARD ROLLAND RUNALD BAMIE WILLIAMS

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009

Pasig City )s.s.
AFFIDAVIT OF APPOINTMENT OF ESTATE TRUSTEE
I, SYLVIA G. URBANO, of legal age, Filipino citizen, widow, with residential address at 31
Gen. Delgado St., Barangay San Antonio, Pasig City, after having been duly sworn to in
1. That I am the surviving wife and the sole surviving heir and the legal beneficiary
of the late Manuel S. Urbano, III who died on January 3, 2008. Copy of the
death certificate is hereto attached;
2. That I hereby declare and attest that I am the estate trustee of my deceased
husband insured at SunLife Assurance Co. of Cananda with Policy Nos.
3789860 & 3717027;
3. That as of now, I am claiming any and/or all benefits due me relative to the
death benefit of my husband and one of the requirements is to submit an
Affidavit stating to the fact that I am the estate trustee;
foregoing facts and for whatever legal purpose it may serve me;
City, Philippines.
SYLVIA G. URBANO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT
I, EDWIN JULIUS E. LIPANA, of legal age, Filipino citizen, widower, and

with residence and postal address at No. 34 Garnet Ext., Dona Juana Subd.,
Rosario, Pasig City, after having been duly sworn to in accordance with law,
1. That I am the surviving spouse and the sole surviving heir and
the legal beneficiary of the late JERILYN LACAP-LIPANA who died
on November 25, 2011 at Pasig City. Copy of the death
certificate is hereto attached;
2. That I hereby declare and attest that I am the legal beneficiary

of my deceased wife insured at BPI-PHILAM LIFE ASSURANCE
CORP. with Policy No. 7000287501;
5. That as of now, I am claiming any and/or all benefits due me

relative to the death benefit of my wife and one of the
requirements is to submit an Affidavit stating to the fact that I
am the legal beneficiary;
6. That I am executing this Affidavit to attest to the truth and

veracity of the foregoing facts and for whatever legal purpose it
may serve me;

EDWIN JULIUS E. LIPANA

Affiant
2012 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2012

Pasig City )s.s.
AFFIDAVIT
I, EMIL L. STAYKOV, of legal age, divorced, Bulgarian citizen, with residential address at
13 Regents Court, Beckenham Kent BR3 5HR, UK, and with temporary address here in the
Philippines at 128-8 Urbano Velasco, Pinagbuhatan, Pasig City, after having been duly sworn to in
1. That I am a Bulgarian and temporarily staying here in the Philippines holding a

Bulgarian Passport with No. 353974206;
2. That my reason of staying here in the Philippines is due to my intention to marry a

Filipina in the name of CLAIRE A. APELO, who resides in 128-8 Urbano Velasco,
Pinagbuhatan, Pasig City;
3. That as of now, we are securing a marriage license for the intended marriage and that
one of the requirements is to submit an Affidavit stating to the fact that there is no
embassy of Bulgaria here in the Philippines;
4. That for all legal intents and purposes, I hereby declare and attest that indeed there is
no embassy of Bulgaria here in the Philippines;
and for whatever legal purpose it may serve me;
City, Philippines.
EMIL L. STAYKOV
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010
Pasig City )s.s.
AFFIDAVIT
I, ALEJO SUPOT RIVERO, of legal age, Filipino, and with residential address at Block 29
U.S.A. Street, Lot 43 SALUMNAI, Bagong Pag-Asa, Brgy. Sta. Ana, Taytay Rizal, after having been
1. That I am a bona fide member of Block 29 U.S.A. Street, Lot 43 SALUMNAI,

beneficiary of a Thirty (30) Square Meters parcel of land located at Block 29 U.S.A. Street, Lot 43
SALUMNAI, Bagong Pag-Asa, Brgy. Sta. Ana, Taytay Rizal;
7. That I have long been separated with my legal wife for almost thirty (30)
8.
9. years and since then, we have got no communication between each other as well as
my children. At present, I am living with Lourdes Arcoles in the house erected on
the above-described parcel of land.
3. That the said house were made out of the personal money/earnings/income of my
common law wife LOURDES ARCOLES;
1. That we have been in possession of this house and there is no conflict or dispute
arising from its ownership and possession thereof by Lourdes Arcoles;
5. That I hereby WAIVE all my rights, interest and participation over the said house in
favor of LOURDES ARCOLES, who hereby accepts the same;
6. That I hereby absolutely remise, release and forever discharge any concerned
office, agency, entity, and its administrators and assigns and/or any of its officers or employees
from any and all claims, suits, actions or causes of action which I, my successors or assigns now
have or in the future may be against the said banking instiution/agency in connection with the
waiver of rights over the said property, and I hereby further obligate myself solidarily liable to
indemnify the said entity, its administrators and assigns and/or its officers or employees for any
loss or damage which they may sustain arising out of any claim, suit or proceedings initiated by
any creditor, third person or entity whether private or governmental including but not limited to
claims by excluded heirs or tax claims by the government;
7. That I am executing this Affidavit voluntarily and without any mental reservation to
attest to the truth and veracity of the above statements and for whatever legal purpose it may
serve;
City, Philippines.
ALEJO SUPOT RIVERO

Affiant
CONFORME:
LOURDES ARCOLES
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT
I, MA. ELOISA SALANDANAN-CAYARI, of legal age, Filipino, married to
Rommel B. Cayari, and with residential address at Kankungan Site, Napico
Manggahan, Pasig City, after having been duly sworn to in accordance with law,
1. That I am applying for a Housing Project of the Pasig City Government;
2. That my husband, Rommel B. Cayari, is a bona fide awardee of a
parcel of land located at 411 Kaimito St., Napico Manggahan, Pasig City;
3. That I have long been separated with my legal husband for almost
five (5) years. At present, I am living at the abovementioned address in the
house erected on the above-described parcel of land, and will be the subject of
the demolition in view of the on-going project of the City Government of Pasig;
4. That I have been in possession of the said house and there is no
conflict or dispute arising from its ownership and possession thereof by my
legal husband, Rommel B. Cayari, considering that we were already separated;
5. That I hereby absolutely remise, release and forever discharge any
concerned office, agency, entity, and its administrators and assigns and/or any
of its officers or employees from any and all claims, suits, actions or causes of
action which I, my successors or assigns now have or in the future may be
against the said banking instiution/agency in connection with the waiver of
rights over the said property, and I hereby further obligate myself solidarily
liable to indemnify the said entity, its administrators and assigns and/or its
officers or employees for any loss or damage which they may sustain arising
out of any claim, suit or proceedings initiated by any creditor, third person or
entity whether private or governmental including but not limited to claims by
excluded heirs or tax claims by the government;
6. That I am executing this Affidavit voluntarily and without any
mental reservation to attest to the truth and veracity of the above statements

MA. ELOISA SALANDANAN-CAYARI

Affiant
2011 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
AFFIDAVIT
I, MARILOU M. CESAR, of legal age, Filipino, and with residential address at

No. 217 Lupang Pari, Sasn Miguel, Pasig City, after having been duly sworn to in
1. That I am applying for a Housing Project of the City Government Pasig;
2. That my brother, Raul M. Cesar, is a bona fide awardee of a parcel of land
located at No. 217 Lupang Pari, Sasn Miguel, Pasig City with improvements thereon;
3. That sometime in 2007, my brother left for the province to permanently live
there, and on the same year I transferred residence at the abovementioned address in
the house erected on the above-described parcel of land, and will be the subject of the
demolition in view of the on-going project of the City Government of Pasig;
4. That I have been in possession of the said house since 2007 and there is no
conflict or dispute arising from its ownership and possession thereof by my brother,
Raul M. Cesar, considering that he is now living in our province in Burawe, Leyte;
5. That I hereby absolutely remise, release and forever discharge any
concerned office, agency, entity, and its administrators and assigns and/or any of its
officers or employees from any and all claims, suits, actions or causes of action which
I, my successors or assigns now have or in the future may be against the said banking
instiution/agency in connection with the waiver of rights over the said property, and I
hereby further obligate myself solidarily liable to indemnify the said entity, its
administrators and assigns and/or its officers or employees for any loss or damage
which they may sustain arising out of any claim, suit or proceedings initiated by any
creditor, third person or entity whether private or governmental including but not
limited to claims by excluded heirs or tax claims by the government;
6. That I am executing this Affidavit voluntarily and without any mental
reservation to attest to the truth and veracity of the above statements and for
MARILOU M CESAR
Affiant
in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2012
Pasig City )s.s.
AFFIDAVIT OF NO CHANGE OF CIRCUMSTANCE
I, FERDINAND B. PACULAN, of legal age, Filipino, married, and with official address at
No. 55 5th Street, Isla Homes 2 & 3, Sandoval Avenue, PInagbuhatan, Pasig City, after having been
1. That I am the President of FLOW HARMONIC COMMERCIAL, INC., doing

business at above given address;
2. The FLOW HARMONIC COMMERCIAL, INC., is duly accredited and registered

importer as per Certificate of Accreditation and Registration CAR No. 651011-10 issued by the
Bureau of Customs/Assessment and Operations Coordinating Group/Interime-Customs
Accreditation and Registration (ICARE) Unit and such will expire on November 10, 2011;
3. That by virtue of a Board Resolution, I am being authorized to cause the renewal of
Certificate of Accreditation and Registration with the Bureau of Customs, and that one of the
requirements is the submission of duly executed Affidavit stating to the fact whether or not there
has been material changes in the date and circumstances as appearing in the previous application
for accreditation, hence, this affidavit;
4. For all legal intents and purposes, I hereby declare that there has NO CHANGE OF
DATA/CIRCUMSTANCE OR INFORMATION previously declared in the previous application for
accreditation as there has no additional information to this renewal;
5. I am executing this Affidavit voluntarily and without any mental reservation to attest
to the truth and veracity of the above statements and for whatever legal purpose it may serve;
City, Philippines.
FERDINAND B. PACULAN
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT OF AUTHENTICITY
I, EMILYN CRUZ, of legal age, Filipino, and with official address at No.
86 East Drive Capitol, Brgy. Kapitolyo, Pasig City, after having been duly sworn
1. That I am the President of E. LLANA MARKETING & INDUSTRIAL

ENTERPRISE, doing business at above given address;
2. That I hereby attest and declare to the authenticity and validity of the
attached Certificate of Registration for the renewal of its accreditation and all
the contents thereof are true and correct;

the foregoing facts and for whatever legal purpose it may serve;

EMILYN CRUZ
Affiant
2013 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2013
2. The E. LLANA MARKETING & INDUSTRIAL ENTERPRISE , is duly accredited

and registered as per Certificate of Accreditation and Registration CAR with No. 651011-10 issued
by the Bureau of Customs/Assessment and Operations Coordinating Group/Interime-Customs
Accreditation and Registration (ICARE) Unit and such will expire on November 10, 2011;
3. That by virtue of a Board Resolution, I am being authorized to cause the renewal of

Certificate of Accreditation and Registration with the Bureau of Customs, and that one of the
requirements is the submission of duly executed Affidavit stating to the fact whether or not there
has been material changes in the date and circumstances as appearing in the previous application
for accreditation, hence, this affidavit;
4. For all legal intents and purposes, I hereby declare that there has NO CHANGE OF
DATA/CIRCUMSTANCE OR INFORMATION previously declared in the previous application for
accreditation as there has no additional information to this renewal;
5. I am executing this Affidavit voluntarily and without any mental reservation to attest
to the truth and veracity of the above statements and for whatever legal purpose it may serve;
City, Philippines.
EMILYN CRUZ
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City ) S.S.
AFFIDAVIT
I, AVELINA JALDO-BELARDO, of legal age, Filipino Citizen, and with residential address
at no. 26 A. Bonifacio St., Bagong Katipunan, Pasig City, after having been sworn in accordance
with law do hereby depose and state that:
1. That I am a bonafide member of Social Security System bearing the no. 33-4997269-2;
2. That I am a vegetable vendor and I am voluntary contributor of SSS since1997 up to

June 2009 when I stops selling vegetables;
3. That after I stop selling vegetables, I also stops my voluntary contribution at SSS due to
I have no other source of income;
4. That due to the foregoing, I hereby declare and attest that I stops my contribution at
SSS since July 2009 up to the present only;
5. That I am executing this Affidavit to attest to the truth of the foregoing statement for all
City, Philippines.
AVELINA JALDO-BELARDO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009

Pasig City ) S.S.
AFFIDAVIT
I, SUSAN F. MORENO, of legal age, married, Filipino Citizen, and with residential address
at Block 10 Lot 22 Suntan Street, Sta. Ana, Lupang Arienda, Taytay Rizal, after having been sworn
in accordance with law do hereby depose and state that:
1. That I am the mother of EDUARDO F. MORENO, who was examined and treated at the
Pasig City General Hospital and found with lacerated wounds as a result of mauling
incident occurred in the area of Suntan Street, Sta. Ana, Lupang Arienda, Taytay Rizal
last October 25, 2009;
2. That in the record of Pasig City General Hospital, it would appear that the place of
incident is mistakenly registered as BLOCK 10 LOT 22 EUSEBIO AVENUE,
PINAGBUHATAN, PASIG CITY, when in truth and in fact, it was in Block 10, Lot 22
Suntan Street, Sta. Ana, Lupang Arienda, Taytay Rizal;
3. That I hereby declare and attest that it is a mere inadvertence on the part of the person
who caused the registration of the same and that the place of incident is indeed
happened is at Suntan Street, Sta. Ana, Lupang Arienda, Taytay Rizal;
City, Philippines.
SUSAN F. MORENO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009

Pasig City ) S.S.
AFFIDAVIT
I, AVELINA JALDO-BELARDO, of legal age, Filipino Citizen, and with residential address
at no. 26 A. Bonifacio St., Bagong Katipunan, Pasig City, after having been sworn in accordance
6. That I am a bonafide member of Social Security System bearing the no. 33-4997269-2;
7. That I am a vegetable vendor and I am voluntary contributor of SSS since1997 up to
June 2009 when I stops selling vegetables;
8. That after I stop selling vegetables, I also stops my voluntary contribution at SSS due to
I have no other source of income;
9. That due to the foregoing, I hereby declare and attest that I stops my contribution at
SSS since July 2009 up to the present only;
City, Philippines.
AVELINA JALDO-BELARDO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009

Pasig City ) S.S.
AFFIDAVIT
I, LOURDES P. CORONEL, of legal age, Filipino Citizen, and with residential address at
no. 682 Jabson St., Sumilang, Pasig City, after having been sworn in accordance with law do
hereby depose and state that:
1. That I engage in a door to door business by delivering frozen goods such as marinated
chicken, bacon, and chicken nuggets.;
2. That the frozen goods that I am delivering were supplied to herein affiant by JEFF
SUGUITAN and RUBEN ALCANTARA;
3. That products bought by JEFF SUGUITAN and RUBEN ALCANTARA are from GENOSI
INC. Sto. Domingo, Cainta Rizal;
4. That I hereby declare that my products are coming from GENOSI INC. Sto. Domingo,
Cainta Rizal through the effort of JEFF SUGUITAN and RUBEN ALCANTARA;
Philippines.
LOURDES P.
CORONEL
Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
AFFIDAVIT OF SURVIVING LEGAL SPOUSE
I, ANNABELLE P. SARTE-CARIAGA, of legal age, Filipino and with postal address at 173
(old) 13 (new) M.H. del Pilar Street, Palatiw, Pasig City, after having been duly sworn to in
1. That I am the surviving wife of the late MAURO B. CARIAGA, who died on May 9, 2007
in Angono Rizal;
2. That the facts of our marriage was celebrated sometime on May 19, 1979 in Tipas,
Taguig Rizal (now City);
3. That my husband is a bona fide member of the Social Security System since 1977 and
way back when we were still not married;
4. That during the first years of our marriage, we had a happy relationship, and that we
were blessed with a child. However, during my pregnancy with our second child, my
husband started to become irresponsible and with his vice of womanizing, we had
constant fights over the same. Until such time that he decided to leave our domestic
abode in 1990, leaving with me the custody of our first child couple with the fact that I
was pregnant then to our second child. Since then, I never got information as to his
whereabouts, I had rumors that he has been together with other woman. I worked very
hard to support my children despite of my emotional feelings. Later in 1998, my
husband came to appear and begging for our reunion. I had nothing else to do but to
accept him. That time, we again blessed with a third child. Thereafter, he again back
to his old vices of womanizing and left me again together with my three (3) children. and
from then on, they never had any communication;
City, Philippines.
ANNABELLE P. SARTE-CARIAGA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009
Pasig City )s.s.
JOINT AFFIDAVIT OF RELATIVES
We, GLORIA DISTOR and JIMMY MAS, both of legal age, Filipinos and with postal
address at Parang Marikina and San Mateo, Rizal, after having been duly sworn to in accordance
1. That we are the siblings of the late SAMUEL M. MERZA, who died on January 19, 2010
in San Jose, Del Monte, Bulacan;
2. That our brother is a bona fide member of the Social Security System with SSS No.
0203209996;
3. That he is married to Leticia R. Merza and their marriage was celebrated sometime on
March 17, 1971 in Zambales;
4. That during their thirty years of marriage, they had a happy relationship, and that they
were blessed with three (3) children. However, our brother started to become
irresponsible and with his vice of womanizing, they had constant fights over the same.
Until such time that he decided to leave their domestic abode in 2002, leaving with
Leticia R. Merza the custody of their children.
5. That after their separation, Leticia R. Merza did not cohabited with another man;
6. That our brother Samuel M. Merza, cohabited Concepcion Taruc sometime in 2002 and
they lived as husband and wife under one and the same roof and they did not bless a
child;
City, Philippines.
GLORIA DISTOR JIMMY MAS

Affiant Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010
Pasig City )s.s.
I, PERLITO I. CRUZ, of legal age, Filipino and with postal address at 025 Youngstown
Avenue, Youngstown Village, Cainta Rizal, after having been duly sworn to in accordance with law,
1. That I am married to LEONORA S. CASTILLO on May 2, 1994 at the Office of the

Municipal Mayor of Navotas, Metro Manila.
2. That prior to our legal marriage on the abovementioned date, we have been a long time
common law spouses as of October 25, 1985 which at that particular time we begot a child
named Jonathan Castillo Cruz who was born on February 26, 1989;
3. That however, in the Birth Certificate of Jonathan Castillo Cruz, it would appear that there is
a date and place of marriage of parents as OCTOBER 25, 1985 IN PATEROS, when in
truth and in fact, during the time my said son was born, we were not yet married;
4. That I hereby declare and attest that the date and place of marriage OCTOBER 25, 1985 in
PATEROS was only fictitious and made it only to appear that my son is legitimate. That the
said error was committed by my wife when she supplied such wrong information having the
feeling of remorse;
5. That for all legal intents and puposes, our true and correct date of marriage is on MAY 2,
1994;
6. That I am executing this Affidavit to attest to the truth and veracity of the foregoing facts for
all intents and for whatever legal purpose it may serve;
City, Philippines.
PERLITO I. CRUZ
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009

Pasig City )s.s.
I, RODERICK D. VIRAY, of legal age, Filipino and with postal address at 025 Youngstown
Avenue, Youngstown Village, Cainta Rizal, after having been duly sworn to in accordance with law,
1. That I am married to LEONORA S. CASTILLO on May 2, 1994 at the Office of the

Municipal Mayor of Navotas, Metro Manila.
7. That prior to our legal marriage on the abovementioned date, we have been a long time
common law spouses as of October 25, 1985 which at that particular time we begot a child
named Jonathan Castillo Cruz who was born on February 26, 1989;
8. That however, in the Birth Certificate of Jonathan Castillo Cruz, it would appear that there is
a date and place of marriage of parents as OCTOBER 25, 1985 IN PATEROS, when in
truth and in fact, during the time my said son was born, we were not yet married;
9. That I hereby declare and attest that the date and place of marriage OCTOBER 25, 1985 in
PATEROS was only fictitious and made it only to appear that my son is legitimate. That the
said error was committed by my wife when she supplied such wrong information having the
feeling of remorse;
10. That for all legal intents and puposes, our true and correct date of marriage is on MAY 2,
1994;
City, Philippines.
RODERICK D. VIRAY
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series o
Republic of the Philippine

Pasig City )s.s.
AFFIDAVIT OF LEGAL BENEFICIARIES
I, PEDRO A. ESTEBAN, of legal age, Filipino, married, and with postal address at 26 A
ROTC Street, Rosario, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am the surviving ;
2. That among the requirements is the submission of the list of my legal beneficiaries;
3. That considering that I am single in civil status, my legal beneficiaries are my parents
GEORGE F. GUIMERA and LUCIA ESTRELLA GUIMERA and my SIX (6) siblings, namely:
Zaldy Guimera, Ernesto Guimera, George Guimera, Jr., Gregory Guimera, Georginia
Guimera and Gretchie Guimera, who will be dependent upon my regular support out of my
earnings;
City, Philippines.
RAMON CHRISTOPHER E. GUIMERA

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009

Pasig City )s.s.
I, ALFIE N. ALFONSO of legal age, Filipino, single, and with postal address at 521 Duhat
St. Manggahan, Pasig City, after having been duly sworn to in accordance with law, hereby depose
and say:
1. That I am applying for a Philippine Army at the Armed Forces of the Philippines;
2. That among the requirements is the submission of the list of my legal beneficiaries;
3. That considering that I am single in civil status, my legal beneficiaries are my parents
BERNABE G. ALFONSO and WENNIFREDA N. ALFONSO, who will be dependent
upon my regular support out of my earnings;
City, Philippines.
ALFIE N. ALFONSO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2012

Pasig City )s.s.
I, LODY P. GARCIA-TOLENTINO, of legal age, Filipino, married to

William B. Tolentino, and with residence and postal address at 87 Barrio Bulaon,
San Fernando City, PAmpanga, after having been duly sworn to in accordance
1. That I am presently employed at LEILAN PAMPANGA’S BINALOT

RESTAURANT and a bonafide member of Social Secuirty System;
2. That I am now processing for the change/amendment of my

beneficiaries with the Social Security System, and among the
requirements thereto is the submission of this affidavit stating therein
the list of my legal beneficiaries;
3. That considering that I am separated with my husband since 2001

and we have no child, I hereby declare and attest my intention to
change/amend my legal beneficiaries, to wit: ILUMINADA P. GARCIA
and ENRIQUE D. GARCIA who will dependent upon my regular
support out of my own earnings;
4. That I hereby remove the name of my husband, William B. Tolentino as

one of my legal beneficiaries at SSS considering the fact that we are
separated for almost eleven (11) years;
may serve;

LODY P. GARCIA-TOLENTINO
Affiant
2012 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2012

Pasig City )s.s.
AFFIDAVIT
I, BENITO D. RIGON, of legal age, married, Filipino and with postal address at Block 4
Bougaivilla Street, Eusebio Avenue, Nagpayong II, Pinagbuhatan, Pasig City, after having been
1. That I was previously employed with ED Buenviaje Builders Inc., for which I filed my
resignation on May 28, 2009;
2. That I voluntarily filed my resignation with the company out of my own freewill and
decision and nobody forced me or intimidate me to do so. There was no pending
criminal/administrative case filed against me by the company, thus, I have no
derogatory record for me to terminate my service;
City, Philippines.
BENITO D. RIGON
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009
Pasig City )s.s.
AFFIDAVIT
I, EVELYN A. CORPUZ, of legal age, married, Filipino and with postal address at No. 562
Acacia Street, Napico Manggahan, Pasig City, after having been duly sworn to in accordance with
1. I am previously employed with SERG’S PRODUCTS, INCORPORATED, with business

address in Ortigas Extension, Cainta Rizal;
3. I worked at the said Company as Factory Worker from 1978 to 2002 and that
accordingly, I am a bonafide member of the Social Security System;
4. I am now 60 years old, thus, I am now applying for the pension from the SSS, and that
one of the requirements is the submission of Certificate of Employment;
5. However, I could not secure the desired Certificate of Employment from SERG’S
PRODUCTS, INCORPORATED for reason that the said company has ceased from its
operation since 2002 and the business establishment is already closed.
6. For all intents and purposes, I hereby declare and attest that I was employed with
SERG’S PRODUCTS INCORPRATED as Factory Worker from 1978 to 2002;
City, Philippines.
EVELYN A. CORPUZ
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2012

Pasig City )s.s.
AFFIDAVIT
I, CELSO E. CAPARAS, of legal age, Filipino and with postal address at no. 34 E. Dela
Paz St., San Roque, Marikina City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am the authorized representative of the spouses ESTELITA E. SIENA and

DELFIN SIENA being the registered owner of property lot situated at Santolan, Pasig
City under TCT No. 90196;
2. That as of now no residential building or any other structure have been built on the said
lot and have no other improvement which may be subject to taxation;
City, Philippines.
CELSO E. CAPARAS
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009

Pasig City )s.s.
AFFIDAVIT
I, RELLIE B. BORGONES, of legal age, married, Filipino and with postal address at 1176
Mt. Era, Pinagbuhatan, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am the son of RAYMUNDO B. BORGONES, who was born on Janaury 13,
1937 at Liliw, Laguna ;
2. That my aforesaid father lived in my residence since 2006;
3. That he has the intention in registering at Comelec, Pasig City;
4. That I hereby declare and attest that my aforesaid father lived in my residence since
2006;
City, Philippines.
RELLIE B. BORGONES
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009

Pasig City )s.s.
AFFIDAVIT
I, LEONOR G. CANTANERO, of legal age, Filipino and with postal address at2 Purple St.,
Munting Bahayan Subd., Pinagbuhatan, Pasig City, after having been duly sworn to in accordance
1. That I am the landlord of JEODELYN JAMORA-ALBURO, who was born on August 21,
1988 at Had. Torono, Victorias, Negros Occidental;
2. That my aforesaid tenant lived in my residence since 2006;
3. That she has the intention in registering at Comelec, Pasig City;
4. That I hereby declare and attest that my aforesaid tenant lived in my residence since
2006;
City, Philippines.
LEONOR G. CANTANERO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009
Pasig City )s.s.
AFFIDAVIT
1. That I am the landlord of ARCELI AGUILAR-SESE, who was born on June 27, 1969 at
Dupax, Nueva Vizcaya;
3. That she has the intention in registering at Comelec, Pasig City;
2006;
City, Philippines.
LEONOR G. CANTANERO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009
Pasig City )s.s.
AFFIDAVIT
1. That I am the landlord of JAIME JUAN CASTRO, who was born on May 17, 1958 at La
Paz, Tarlac;
3. That he has the intention in registering at Comelec, Pasig City;
2006;
City, Philippines.
LEONOR G. CANTANERO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009
Pasig City )s.s.
AFFIDAVIT
I, ERICA R. CELIS, of legal age, Filipino and with postal address at no. 219 NP, SM Mall of
Asia, Macapagal Blvd, Pasay City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am the inventory custodian who issued sales invoice to MARILYN P. DE

CASTRO, for the purchased of three items, PC Package, Printer HP Deskjet and
A4Tech Headset, for the total amount of Php 26,000.00;
2. That in the said sales invoice bearing the no. 13107, I accidentally indicated therein
that she purchased two items only PC Package and Printer HP Deskjet , A4Tech
Headset was not included as free;
3. That due to the foregoing, I issued her another sales invoice bearing the no.13112 for
the A4Tech Headset;
4. That I hereby declare and attest that MARILYN P. DE CASTRO purchased the following
items PC Package, Printer HP Deskjet and A4Tech Headset, for the total amount of Php
26,000.00 as evidenced by two sales invoice under nos. 13107 and 13112;
City, Philippines.
ERICA R. CELIS
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2008
Pasig City )s.s.
AFFIDAVIT
I, NARCISO REVILLO, of legal age, Filipino and with postal address at no. 017 Sampaloc
Street, Santolan, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am among the grandchildren of the late LUCAS VICTORINO, who is the father of
my mother MARIA VICTORINO;
2. That my grandfather died in 1947 while my mother Maria Victorino died on August 22,
1997;
3. That my grandfather left a parcel of land located in the above given address which is
declared under Tax Declaration No. E-024-03139, where my mother lived, raised and
formed a family thereon since the death of my grandfather;
4. That as being among the grandchildren and the successors-in-interest of ithe above
parcel of land, the undersigned along with my legitimate siblings Consuelo Revillo and
Delia Revillo hereby adjudicate among ourselves the above property pursuant to Sec. 1
Rule 74 of the Revised Rules of Court of the Philippines;
City, Philippines.
NARCISO REVILLO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009
Pasig City )s.s.
AFFIDAVIT
I, RAUL JEFHERSON SAN JUAN TUAZON, of legal age, Filipino and with postal address
at No. 06 P. Bernal Street, Rosario, Pasig City, after having been duly sworn to in accordance with
1. That I am the biological son of the late RAUL SANTOS TUAZON, who died on April 25,
2009 in Pasig City and was interred on May 2, 2009 in Evergreen Memorial Park, Pasig
City ;
2. That in connection with the untimely death of my father, I took my leave of absent from
April 25, 2009 up to May 2, 2009 in ALL AROUND SERVICES, with business address at
Denver Street, Cubao Quezon City, where I am presently employed with;
City, Philippines.
RAUL JEFHERSON SAN JUAN TUAZON

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009

Pasig City )s.s.
AFFIDAVIT
I, JOSEPHINE BADAJOS, of legal age, Filipino and with postal address at NO. J9-914
Evangelista Avenue, Santolan, Pasig City, after having been duly sworn to in accordance with law,
1. That I am the daughter of SPOUSES FRANCISCO, Jr. and NELLY BADAJOS;
2. That I am living with my parents at the above given address along with my common law
husband and one child;
3. That last Christmas 2007, as a token of love and appreciation to the kindness of my
parents, I gave them a water dispenser;
City, Philippines.
JOSEPHINE BADAJOS
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2008
Pasig City )s.s.
AFFIDAVIT
I, RAYMUNDO C. GARCIA, of legal age, Filipino and with postal address at No. 57 F.
Legaspi St. Phase 4 Parkwood, Maybunga, Pasig City, after having been duly sworn to in
1. That I am the father of KING M. GARCIA, who was born on April 24, 1979 at San Juan
Metro Manila;;
2. That he was baptized according to the rites of the Iglesia ni Cristo on January 30, 1993
at Guadalupe, Makati City a copy of his Certificate hereto attached
City, Philippines.
RAYMUNDO C. GARCIA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT
I, JOSE KENLY B. TOLEDO, of legal age, married, Filipino and with postal address at
Pinalad Road, Centennial II, Pinagbuhatan, Pasig City, after having been duly sworn to in
1. Sometime in May 1999, me and Elsie D. Barte lived as husband and wife under one
and the same roof without the benefit of marriage and out of the said relationship we
were blessed with three (3) children, namely:
a. Kilven B. Toledo born on February 20, 2000;

b. Kennieth B. Toledo born on July 28, 2002; and
c. Quennie B. Toledo born on September 9, 2004;
2. After ten (10) years we decided to get married on February 24, 2010 at the Office of the
Municipal Mayor of Taytay, Rizal;
8. Since my childhood days I was under impression that my name is KENLY TOLEDO,
which name I accustomed to use and the name appeared in my children’s
Baptismal Certificates, however, only when I about to get married with my wife, my
father informed me that my true and correct name is JOSE KENLY TOLEDO;
9. For all intents and purposes my true and correct name is JOSE KENLY B. TOLEDO
and that I am the father of Kilven B. Toledo born on February 20, 2000; Kennieth B.
Toledo born on July 28, 2002; and Quennie B. Toledo born on September 9, 2004;
10. I hereby declare and attest that the name KENLY B. TOLEDO as appearing in the
Baptismal Certificates of my children and the name JOSE KENLY B. TOLEDO
being my true and correct name as correctly appearing in my Marriage Certificate
and Employees I.D., refer to one and the same person, the herein affiant;
City, Philippines.
JOSE KENLY B. TOLEDO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
LITIGANT’S AFFIDAVIT
(Petitioner’s Compliance in Court of Appeal’s Resolution
promulgated on November 5, 2008)
I, CHERI ANN B. ANABE, of legal age, Filipino and with postal address at No. 21 Ilang-
Ilang Street, Sta. Lucia, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am the Petitioner in CA-G.R. UDK SP. No. 5987 versus National Labor Relations
Commission (Third Division), Star Express Promotion, Inc., et al. JMM Promotion, et al.,
now pending before the Twelfth Division of the Court of Appeals;
2. That in connection with the above-captioned case, I am being required by the

Honorable Court of Appeals to execute an Affidavit, as per its Resolution dated
November 5, 2008 to execute an “ xxx…. Affidavit that he and his immediate family do
not earn a gross income the amount of which does not exceed an amount of double the
monthly minimum wage ….xxx” and that we “xxx do not own any real property with a
fair market value, as stated in the current tax declaration, of more than Three Hundred
Thousand Pesos (P300,000.00) xxx”, hence, this Affidavit;
3. That in compliance with the above directive, I hereby declare and attest that I am not
gainfully employed neither any of my family is, thus, we are not required to file any
income tax return. Attached is a copy of Certification dated November 27, 2008 from
the Bureau of Internal Revenue No. 43 Pasig City (marked as Annex “A”), stating
among others that I am exempt from filing income tax return;
4. That further, the undersigned, my parents and the rest of the members of my immediate
family also do not have any property registered in our name. As evidence thereof, I
am also attaching a Certificate issued by the City Assessor’s of Pasig City (marked as
Annex “B”), certifying that we have no property/ies registered/declared under our
names;
City, Philippines.
CHERI ANN B. ANABE

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2008
Pasig City )s.s.
AFFIDAVIT OF ADJUDICATION
I, MILAGROS GATCHALIAN DE VILLA, of legal age, married to Romeo V. de Villa,

Filipino, and with postal address at 12 M. H. del Pilar Street, Palatiw, Pasig City, after having been
1. That I am the only sister and the sole surviving heir of the late CELESTINO H.
GATCHALIAN, who died on February 24, 2005; He died having the status of being
single;
2. That the undersigned and my brother CELESTINO H. GATCHALIAN are co-registered

owners of a parcel of land located at 12 M.H. del Pilar Street, Palatiw, Pasig City;
3. That the deceased left no known debts or obligations which have remained unpaid or
unsettled, neither have they left any ascendants, descendants or any other heirs
whether legitimate or illegitimate, entitled to succeed to this estate except the herein
affiant.
4. That, pursuant to Sec. 1, Rule 74 of the Revised Rules of Court of the Philippines, and
with full capacity to contract, I hereby adjudicate unto myself the above described
parcel of land.
5. That, I hereby warrant our title unto the said parcel of land and I have exclusive right of
ownership and peaceful possession and disposition of the subject parcel of land, free
from all liens and encumbrances;
6. That I intend to construct a residential building on the above-described property and for
which I am in the process of securing necessary permits such building, electrical, etc.
City, Philippines.
MILAGROS GATCHALIAN DE VILLA

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT OF ADJUDICATION
I, JOAQUIN S. ORTIZ, of legal age, widower, Filipino, and with postal address at 18 N.
Cuevas St., Kalawaan, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am the surviving husband of the late LOURDEZ C. ORTIZ, who died on October
23, 2008 in Pasig City, who left savings account from Land Bank, Pasig City Hall
Branch, Pasig City;
2. That being the husband and beneficiary of the late LOURDES C. ORTIZ, I hereby
adjudicate unto myself the savings account at Land Bank Pasig City Hall with Account
No. 3086014687, pursuant to Rule 74, Sec. 1 of the Rules of Court of the Philippines;
3. That I hereby discharge and release the Land Bank from any liability/ies that may arise
from this adjudication;
City, Philippines.
JOAQUIN S. ORTIZ
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010
Pasig City )s.s.
I, REYNOLD S. VINARAO, of legal age, Filipino and with office address at 26 Sampaloc
Street, Mamoyac Apartment, Santolan, Pasig City, after having been duly sworn to in accordance
1. That I am a REGISTERED ELECTRICAL ENGINEER by profession;

2. That accordingly, I am a holder of Professional Identification Card under Registration
No. 0033998 which was issued on June 4, 2004 and has to be valid until October 3,
2011;
3. That I was not able to practice my profession as an Electrical Engineer since the time
of its registration up to the present, as I had to attend to my personal family matter;
City, Philippines.
REYNOLD S. VINARAO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009

Pasig City )s.s.
I, RUTH P. GELLYNCK, of legal age, married, Filipino and with postal address at 91 E.
Angeles Street, Sta. Cruz, Pasig City, after having been duly sworn to in accordance with law,
1. That I am a Certifified Public Accountant (CPA) by profession;

No. 0102101 which has to be valid until October 11, 2010;
3. That I was not able to practice my profession as a Certifified Public Accountant (CPA)
from the year 2000 up to present as I had to attend to my family business;
City, Philippines.
RUTH P. GELLYNCK
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009

Pasig City )s.s.
I, MA. TERESA V. ORDONA, of legal age, Filipino and with postal address at 2C-803
Palmdale Heights, Sandoval Ave., Brgy. Pinagbuhatan, Pasig City, after having been duly sworn to
1. That I am a Civil Engineer by profession;

No. 0060090 which has to be valid until August 16, 2009;
3. That I was not able to practice my profession as a Civil Engineer from the year 1991 up
to present;
City, Philippines.
MA. TERESA V. ORDONA

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009

Pasig City )s.s.
I, GLORIE JANE A. TECSON, of legal age, Filipino and with postal address at Blk. 125 L2
Southsea Ave. Rizal, Makati City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am a Pharmacist by profession;

No. 0035805 which has to be valid until June 27, 2009;
3. That I was not able to practice my profession as a Pharmacist from the year 1999 up to
present;
City, Philippines.
GLORIE JANE A. TECSON

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009

Pasig City )s.s.
I, CARMELO CLAUDIO D.J. ENRIQUEZ, of legal age, married, Filipino and with postal
address at 91 E. Angeles Street, Sta. Cruz, Pasig City, after having been duly sworn to in
1. That I am a Physician by profession;

No. 97066;
3. That I was not able to practice my profession as a Physician from the year 2006 up to
October 2008 as I had to attend to my family business;
City, Philippines.
CARMELO CLAUDIO D.J. ENRIQUEZ

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009
Pasig City )s.s.
AFFIDAVIT
I, MARICRIS D. NAMOC, of legal age, Filipino and with postal address at 310 Princeville
Condominium, Laurel St., Mandaluyong City, after having been duly sworn to in accordance with
5. That I am a bona fide member of Government Service Insurance System (GSIS);
6. That I am five (5) months pregnant to my first child whom I will carry in full term and
expect to be delivered after nine (9) months;
7. That I am not married in the Philippine nor outside the Philippines to any person, thus,
my conceived child will be born out of wedlock;
8. That during my conception, I solely assumes the responsibilities, obligations and

expenses the child needs to reach the full term;
9. That after delivery, I hereby undertake to support the child basic needs from
sustenance, medication, clothing and education;
10. That I am applying for maternity leave pay and among the requirements thereto is this
affidavit;
City, Philippines.
MARICRIS D. NAMOC
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2007
K8

Pasig City )s.s.
AFFIDAVIT
I, EVANGELINE P. GATCHALIAN, of legal age, Filipino, with present postal and residential
address at Camachile Street, San Miguel Compound, Nagpayong, PInagbuhatan, Pasig City, after
having been sworn in accordance with law do hereby depose and state that:
1. That in 1999, I applied for the release of my retirement benefits from the Government
Service Insurance System as my availment of Republic Act No. 8291;
2. That however, as of this date, I am unable to claim such benefits with the GSIS. When
I personally verified from the GSIS, I was issued a print out of retirement benefit
voucher in the amount of P21,539.27 under Check No. DB119203, and that I informed
that I did not receive any;
3. In view thereof, I am required to submit an Affidavit stating among others that I did not
receive such benefits, hence, this Affidavit ;
4. That I hereby declare and attest under pain of perjury that I never received the said
retirement benefit from any bank or directly from the GSIS;
City, Philippines.
EVANGELINE P. GATCHALIAN
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
AFFIDAVIT
I, YOLANDA R. RAŇON, of legal age, Filipino, married, and with postal

address at 490 Dr. Sixto Antonio Ave., Maybunga, Pasig City, after having been
1. That I am a sister-in-law of LUZ A. RUIZ, being the registered owner

of six (6) doors residential apartment located at No. 447 Dr. Sixto
Antonio Ave., Maybunga, Pasig City;
2. That I am applying for the renewal of its Mayor’s Permit with Business
Permit and License Office (BPLO) and among the requirements thereto
is the submission of an Affidavit stating therein that its only the four
(4) doors residential apartment were for rentals; one (1) door was
unoccupied and vacant for almost five (5) months; and the remaining
one (1) door is presently occupying by one of her children and family,
name DAN RANIER A. RUIZ ;
3. That for and on behalf of the owner, I hereby declare and attest that
its only the four (4) doors residential apartment were for rentals; one
(1) door was unoccupied and vacant for almost five (5) months; and
the remaining one (1) door is presently occupying by one of her
children, name DAN RANIER A. RUIZ

may serve;

YOLANDA R. RAŇON
Affiant
2015 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2015
Pasig City )s.s.
AFFIDAVIT
I, EUFROCINA LATOSA, of legal age, Filipino, married, and with postal address at
155 Dr. Pilapil Street, San Miguel, Pasig City, after having been duly sworn to in
1. That I am the registered owner of the real property located at 155 Dr. Pilapil
Street, San Miguel, Pasig City;
2. That on that particular property, I am planning to construct a 3-storey residential

house for which I am securing necessary permits for the construction and other
accomplishments;
3. That as one of the requirements, I am being required to submit statement stating

whether or not the planned structure is to be used for commercial purpose;
4. That for and on behalf of the owner, I hereby declare that the entire 3-storey
buildling is to be occupied for personal use by my family members;
foregoing facts for all intents and for whatever legal purpose it may serve;
EUFROCINA LATOSA
Affiant
in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT
I, MARIA JASMIN C. BALDIVAS, of legal age, Filipino, married to ANDY

C. BALDIVAS, and with residence and postal address at Int. Mamerto
Compound, Rosario, Pasig City, after having been duly sworn to in accordance
1. That I am the lawful owner of a real property located at the above-

mentioned address containing an area of Eighty One (81) square
meters, more or less as evidenced of a Deed of Absolute Sale duly
notarized by Atty. Leticia M. Amon docketed as Doc. No. 474; Page No.
96; Book No. VII; Series of 2012;
2. That on that particular property, I am planning to construct a 3 door

residential house for which I am securing necessary permits for the
construction and other accomplishments with the Office of the
Building Official of Pasig City;
3. That as one of the requirements, I am being required to submit

statement
stating whether or not the planned structure is to be used for
commercial purpose;
4. I hereby declare that the entire 3 door residential house is to be

occupied for personal use by my family members namely: Spouses
Mario Cruz and Divina Cruz and Mark Lester Cruz;

may serve;

MARIA JASMIN C. BALDIVAS

Affiant
2015 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2015

Pasig City )s.s.
AFFIDAVIT
I, RICARDO R. RICAFORT, JR., of legal age, Filipino, married, and with postal
address at 106 J.B. Miguel St., Bambang, Pasig City, after having been duly sworn to in
1. That I am the lawful owner of a real property with improvements found thereon
located at the above-mentioned address containing area of Sixty Seven (67)
square meters by evidenced of a Deed of Absolute Sale duly notarized by Atty.
Ricardo A. Castillo on January 7, 2013;

accomplishments;

7. I hereby declare that the entire 2-storey buildling is to be occupied for personal
use by my family members;
RICARDO R. RICAFORT JR.

Affiant
in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2013

Pasig City )s.s.
AFFIDAVIT
I, RUFINA S. GRACILLA, of legal age, Filipino, married, and with postal address at
156 Dr. Sixto Antonio Ave., Rosario, Pasig City, after having been duly sworn to in
1. That I am the registered owner of the real property located at 156 Dr. Sixto
Antonio Ave., Rosario, Pasig City;

accomplishments;

whether or not the planned structure is to be used for residential purpose;
use by my family members, to wit:
a. Girlie S. Gracilla – daughter;

b. Ernesto S. Villanueva – son; and
c. Freddie S. Garcia – son;
RUFINA S. GRACILLA
Affiant
in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2012

Pasig City )s.s.
AFFIDAVIT
I, DOLORES S. BLANCO, of legal age, Filipino, married, and with postal address at
156 Dr. Sixto Antonio Ave., Rosario, Pasig City, after having been duly sworn to in
1. That I am the registered owner of the real property located at 156 Dr. Sixto
Antonio Ave., Rosario, Pasig City;

accomplishments;

use by my family members, to wit:
a. Rowena S. Barera – daughter;

b. Sarah B. Sison – daughter; and
c. Myra S. Blanco – daughter;
DOLORES S. BLANCO
Affiant
in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2012

Pasig City )s.s.
AFFIDAVIT
I, ALMA R. PENA, of legal age, Filipino, married to RONNIE G. PENA,

and with postal address at 18 M. Salamat St., Armel Subdivision, Sta. Lucia,
depose and say:
1. That I am the wife of RONNIE G. PENA, being the registered owner of

the real property located at the abovementioned address;
2. That on that particular property, We are planning to construct a 3-

storey residential house for which I am securing necessary permits for
the construction and other accomplishments;
3. That as one of the requirements, I am being required to submit

statement stating that the said a 3-storey residential house
(improvements) will be registered under the name of our children
namely: Rex Emmanuel R. Pena; Marvin Jay R. Pena; Ron Alvin R.
Pena; Kristine Erika R. Pena; Aaron James R. Pena; and Ron Daniel R.
Pena;
4. That for and on behalf of the owner, I hereby declare that the entire 3-
storey residential house is to be occupied for personal use by my
family members;

may serve;

ALMA R. PENA
Affiant
2011 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT
I, FRANCISCO SANTOS, of legal age, Filipino, married, and with postal address at 38 C.
Santos St., Ugong, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. I am the registered owner of a real property located at 38 C. Santos St., Ugong, Pasig
City;
2. That on that particular property, I am planning to construct a 2-storey with three (3)
doors residential house wfor which I am securing necessary permits for the construction
and other accomplishments;
3. That one of the requirements, I am being required to submit statement stating whether
or not the planned structure is to be used for commercial purpose and as to who will be
occupying the said house;
4. I hereby declare that the entire 2-storey buildling is to be occupied for personal use by
the herein affiant and my children, Evelyn Santos and Agnes Santos;
City, Philippines.
FRANCISCO SANTOS
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT
I, HELEN B. SISON, of legal age, Filipino, married, and with postal and residential address
at No. 32-C V. Caliwag St., Pinagbuhatan, Pasig City, after having been duly sworn to in
1. I am the mother of RICHARD B. SISON and ROGER B. SISON, the latter who are now
working abroad;
2. That my sons RICHARD B. SISON and ROGER B. SISON are bonafide members of
MUSLIM CHRISTIAN BROTHERHOOD ASSOCIATION, Pinagbuhatan, Pasig City and
the rightful owners of a two (2) parcels of land located at Block 4, Lot 5 and Lot 6, V.
Caliwag St., Muslim Christian Brotherhood Association, Pinagbuhatan, Pasig City,
respectively;
12.I hereby declare and attest that my sons, RICHARD B. SISON and ROGER B. SISON
are the rightful owner of a parcel of land with improvements thereon located at Block 4,
Lot 5 and Lot 6, V. Caliwag St., Muslim Christian Brotherhood Association,
Pinagbuhatan, Pasig City, respectively, and that they are paying the necessary fees and
taxes on the aforesaid lots;
13.That I am executing this Affidavit to attest to the truth and veracity of the foregoing facts
City, Philippines.
HELEN B. SISON
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT
I, WILSON DOLOR, of legal age, Filipino, married to Marilyn Dolor, and with residential and
postal address at 3528 Honda Street, Pinagkaisahan, Makati City, after havingbeen duly sworn to
1. That I and my wife are registered conjugal owners of a real property located at Int. E.
Santos Street, Palatiw, Pasig City;
2. That on that particular property, we are planning to construct a 3-storey residential

house with deck for which we are securing necessary permits for the construction and
other accomplishments;
3. That as one of the requirements, we are being required to submit statement stating
4. That for and on behalf of my wife, I hereby declare that the entire 3-storey buildling is to
be occupied for personal use by my family members;
City, Philippines.
WILSON DOLOR
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2012

Pasig City )s.s.
AFFIDAVIT
I, IMELDA LICERIO, of legal age, Filipino, widow, and with postal address at 824 Mabini
Street, Reyes Compound, Manggahan, Pasig City, after having been duly sworn to in accordance
1. That I am the registered owner of the real property located at Block 3, Lot 13, Villa
Lamok, San Miguel, Pasig City;
2. That on that particular property, I am planning to construct a 1-storey residential house
with four (4) doors for which I am securing necessary permits for the construction and
other accomplishments;

4. That for and on behalf of the owner, I hereby declare that the entire 1-storey buildling is
to be occupied for personal use by my family members;
City, Philippines.
IMELDA LICERIO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010
Pasig City )s.s.
AFFIDAVIT
We, MARICEL A. CLEDERA and RIA A. PAUNIL, both of legal age, Filipino and with
postal address at No. 39 Pechay Street, Brgy. Napico Manggahan, Pasig City, after having been
1. That we are the lawful owners of a parcel of land situated at the above given address;
2. That we are planning to construct 2-storey residential house with three doors to be
located at the above given address and that we are now securing a Building Permit
from the Building Official, Pasig City, and that one of the requirements is the submission
of an affidavit, hence, this Affidavit;
3. That for all legal intents and purposes, the planned structure is to be used for personal
purpose to be occupied by the undersigned and their children:
4. That we are executing this Affidavit to attest to the truth and veracity of the foregoing
IN WITNESS WHEREOF, we have set our hand this ___ day of __________, 2011 at Pasig
City, Philippines.
MARICEL A. CLEDERA RIA A. PAUNIL

Affiant Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
AFFIDAVIT
I, JOCELYN C. ALVAREZ, of legal age, Filipino and with postal address at Lot 17, Blk. 2,
Jenny’s Ave., Maybunga, Pasig City, after having been duly sworn to in accordance with law,
1. I am the wife and authorized representative of CARLOS A. ALVAREZ the registered

owner of a parcel of land situated at Luis St., San Miguel, Pasig City;
2. We are planning to construct a residential house with three doors to be located at Luis
St., San Miguel, Pasig City and that I am now securing a Building Permit from the
Building Official, Pasig City, and that one of the requirements is the submission of an
Affidavit as to who will be occupying the said house;
14.That for all legal intents and purposes, the planned structure is to be used for personal
purpose to be occupied by my in-laws, namely: Myrna A. Eclavia, Donald A. Alvarez
and Marvin A. Alvarez;
15.I am executing this Affidavit to attest to the truth and veracity of the foregoing facts for
City, Philippines.
JOCELYN C. ALVAREZ
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2012
Pasig City )s.s.
AFFIDAVIT
I, PEDRITO PENALES, of legal age, married, Filipino and with postal address at No. 153
M. H. Del Pilar Street, Pinagbuhatan, Pasig City, after having been duly sworn to in accordance
1. That I am the lawful and registered owner of of a parcel of land situated at the above
given address;
2. That MELBERT E. CRUZ, my nephew is planning to construct (2 door) 1 storey with

mezzanine residential house to be located at the above given address and that he is
now securing a Building Permit from the Building Official, Pasig City, and that one of the
requirements is the submission of an affidavit as to who will be occupying the said
house;
16.That for all legal intents and purposes, the planned structure is to be used for personal
purpose to be occupied by my nephews, namely: MELBERT E. CRUZ and ALLAN
LOUIE E. CRUZ;
City, Philippines.
PEDRITO PENALES
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT
I, ROLITO A. NUZA, of legal age, Filipino and with postal address at Block 42 Lot 13,
Phase II C3, KC14, Karangalan Village, Pasig City, after having been duly sworn to in accordance
1. That I am the absolute owner of a parcel of land located at the above given address by
virtue of a Deed of Transfer of Rights executed by and between the undersigned and
Conchita F. Recarro on October 2, 2001 before Notary Public of Marikina City as Doc.
No. 080; Page No. 17; Book No. 66; Series of 2001;
2. That on January 6, 2004, I caused the construction of a residential house on the above
described lot, accordingly, I applied for a building permit with the Building Official of
Pasig. however, it would appear in the building permit with NO. BPII-04R-0002 issued
by the Building Official of Pasig is in the name of CONCHITA F. RECARRO, the
previous owner of the lot. Such indication of name CONCHITA F. RECARRO was
made because of the fact that during that time, the consideration of the lot has not yet
been fully paid;
3. That now that I am fully paid with the consideration of lot to the full satisfaction of
Conchita F. Recarro and now planning to finish the construction of the said house, I
hereby request for the change of the owner of the building from CONCHITA F.
RECARRO, as reflected in the Building Permit to ROLITO A. NUZA, the undersigned,
as the absolute owner of the house by virtue of the said Deed of Transfer of Rights and
the true owner of the residential building being constructed;
City, Philippines.
ROLITO A. NUZA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT
I, DONDIMAR A. MISA, of legal age, Filipino and with postal address at Blk. 258 Lot 102
Pembo, Makati City, after having been duly sworn to in accordance with law, hereby depose and
say:
1. That I am the duly authorized representative of RODOLFO GONZALEES, the owner of
the property located at E. Santos Ave., Sumilang, Pasig City;
2. That on that particular property, the owner is planning to construct a FOUR (4) UNITS
2-storey residential house for which he authorizes the undersigned to secure necessary
permits for the construction and other accomplishments;
3. That now I am securing Building Permit from the Office of the Building Official of Pasig,
and as one of the requirements, the owner is being required to submit statement stating
4. That for and on behalf of the owner, I hereby declare that the FOUR (4) UNITS or the
entire 2-storey buildling is to be occupied for personal use by his family members;
City, Philippines.
DONDIMAR A. MISA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009

Pasig City )s.s.
AFFIDAVIT
I, LORNA JUANITEZ MAGABO, of legal age, Filipino and with postal address at Room 3,
2nd Floor, Agmar Building, Miranda cor. Plaridel Streets, Angeles City, after having been duly sworn
1. That I am the mother of ARMANDO JUANITEZ MAGABO, JR., who is a member of the
Armed Forces of the Philippines as 1st Liutenant, presently assigned at 103 Infantry
Brigade, Kampo Ranao, Marawi City, Lanao del Sur;
2. That being the mother, I am declared as the dependent of my aforenamed son;
3. That by these presents, I hereby manifest that the postal address Room 3, 2nd Floor,
Agmar Building, Miranda cor. Plaridel Streets, Angeles City, be my official
forwarding address and request that any and all letters, processes, and other
documents addressed to the undersigned and members of my family be
forwarded to such address;
City, Philippines.
LORNA JUANITEZ MAGABO

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009

Pasig City )s.s.
AFFIDAVIT
I, IMELDA COLICO SAMAL, of legal age, Filipino and with postal address at Blk. 6 Lot 1
Kamagong St., Eusebio Ave., Nagpayong II, Pinagbuhatan, Pasig City, after having been duly
1. That on June 5, 2007, I received a letter from Bureau of Internal Revenue, Revenue
District Office No. 43, Pasig City relative to the alleged failure on the part of the herein
affiant to file returns covering the period December 31, 2004 up to January 1, 2007;
2. That I cause the registration of a consultancy business sometime on October 15, 2004 ;
3. That the monthly percentage tax the said business was non-viable and did not operate
since the date of the registration up to present. I have the notion that due to the
foregoing non-operation of the said business I need not pay anything until the adverted
letter dated June 5, 2007 by Mr. Raul Vicente L. Recto Revenue District Officer;
4. That the failure of the herein affiant to inform the Bureau of Internal Revenue of the said
non-operation and termination of business which resulted in the continuance of
assessment of taxes under my name as the registered owner of the subject consultancy
business that prompted the said agency to issue demand letter to the herein affinat
could not be considered as willful neglect of the herein affiant-taxpayer nor an attempt
to evade any such taxes of payment thereof;
City, Philippines.
IMELDA COLICO SAMAL

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2007
K8

Pasig City )s.s.
I, NIMFA M. GOLINGAN-ANDAYA, of legal age, Filipino and with postal address at E.
Santos Street, Palatiw, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am a registered voter of Pasig City since I was a single and that my name is still
in the name of NIMFA MAGALLANES GOLINGAN;
2. That I got married on August 28, 2001 in Masbate City to Jose R. Andaya and that I
eventually used my married name NIMFA MAGALLANES GOLINGAN-ANDAYA;
3. That I failed to change my civil status with the Commission on Election thereby I
continue use my maiden name;
4. That the failure of the herein affiant to inform the Commission on Election my civil status
which resulted in the continuance of using maiden name is not made to evade other
people with bad intent but solely an inadvertence on my part;
City, Philippines.
NIMFA M. GOLINGAN-ANDAYA
Affiant
SUBSCRIBED AND SWORN to before me, Notary Public this ___ day of ___ 2010 in Pasig
City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
I, SPO2 ALEX M. RECIO, of legal age, Filipino and with residence and
postal address at 2264 C Bornay St., Kalawaan, Pasig City, after having been
1. That on October 30, 2012, I executed an Affidavit of Loss docketed as
Doc. No. 380; Page No. 38; Book No. 236; Series of 2012 before Atty.
Delfin Agcaoili, Jr. a Notary Public for Manila City in relation to “LGU
handheld Radio/Motorola GP3188, UHF issued by PNP with
SerialNo. 018TLNS547” which was lost last OCTOBER 29, 2012;
2. That on November 08, 2012, PO1 JOEL ALINSUOT, executed also an

Affidavit of Loss docketed as Doc. No. 38; Page No. 21; Book No. 348;
Series of 2012 before Atty. Delfin Agcaoili, Jr. a Notary Public for Manila
City in relation to “LGU Handheld Radio/Motorola GP3188, UHF
issued by PNP with SerialNo. 018TLNS547;
3. That on the Affidavit of PO1 JOEL ALINSUOT, it was erroneously typed

therein that the aforesaid “LGU Handheld Radio/Motorola
GP3188, UHF issued by PNP with SerialNo. 018TLNS547 was
lost on OCTOBER 26, 2012 and not on OCTOBER 29, 2012 as
correctly stated in my affidavit;
4. Further, a discrepancy was also apparent in the adverted affidavit,

wherein my middle name was spelled and typed as “N” instead of my
true and correct middle initial “M”;
5. That the discrepancies of the the date of loss and in my middle name
is not made to evade other people with bad intent but solely an
inadvertence on my part;

may serve;
SPO2 ALEX M. RECIO

Affiant
2012 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2012
Pasig City )s.s.
AFFIDAVIT OF CHANGE OF STATUS
I, JENNIFER JOSE-ACABO, of legal age, Filipino and with postal address at 43 J.B.
Miguel Street, Bambang, Pasig City, after having been duly sworn to in accordance with law,
1. That I am the registered owner of a motor vehicle since I was a single and that my
name is still in the name of JENNIFER C. JOSE. That the said motor vehicle is more
particularly described as follows:
MAKE : SUZUKI
TYPE OF BODY : TC
MOTOR NUMBER : F104 178296
SERIAL/CHASSIS NO. : GP125 167229
PLATE NO. : PY-6671
2. That I got married on November 26, 1999 in Panukulan, Quuezon Province to

LEANDRO T. ACABO and that I eventually used my married name JENNIFER C.
JOSE-ACABO;
3. That I failed to change my civil status with the LTO Office anf TORO Office thereby I
continue use my maiden name, JENNIFER C. JOSE;
4. That the failure of the herein affiant to inform the LTO Office anf TORO Office my civil
status which resulted in the continuance of using maiden name is not made to evade
other people with bad intent but solely an inadvertence on my part;
City, Philippines.
JENNIFER C. JOSE-ACABO
Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
AFFIDAVIT
I, MARLENE S. MARCIAL-GUINTO, of legal age, married, Filipino and with postal address
at 36 San Ignacio, Kapitolyo, Pasig City, after having been duly sworn to in accordance with law,
1. That I am previously employed at Aries Company from July 1978 up to October 1995. I
failed to change my civil status with Aries Company and that my name is still registered
as MARLENE S. MARCIAL;
2. That I got married on September 11, 1995 in Pasig City to Nicolas T. Guinto and that I
eventually used my married name MARLENE S. MARCIAL-GUINTO which appears in
my important documents and identification cards such as SSS I.D. and Postal I.D.;
3. That the failure of the herein affiant to inform the Aries Company my civil status which
resulted in the continuance of using maiden name is not made to evade other people
with bad intent but solely an inadvertence on my part;
4. That I hereby declare and attest that the name MARLENE S. MARCIAL as appearing
in the records of Aries Company and the name MARLENE S. MARCIAL-GUINTO as
appearing in my important documents and identification cards such as SSS I.D. and
Postal I.D., refer to one and the same person, the herein affiant;
City, Philippines.
MARLENE S. MARCIAL-GUINTO
Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2010
Pasig City )s.s.
AFFIDAVIT
I, CARMELITA C. CALAPI, of legal age, Filipino, married, and with postal address at 499 F.
Legaspi Street, Maybunga, Pasig City, after having been duly sworn to in accordance with law,
1. That I am the owner of CIMBADA RTW, with business address at 168 Shopping Mall,
Sta. Elena Street, Binondo Manila;
2. That on March 23, 2009, I received a Notice of Violation from the Bureau of Internal
Revenue, Revenue District Office No. 43, Pasig City relative to my alleged failure on my
part to file register my business enterprise, in violation of Section 236 of the National
Internal Revenue Code of 1997, as amended;
3. That for all legal intents and purposes, the said business is duly registered in Manila,
Revenue District No. 030 as early as May 20, 2005; Copies of Certificate of Registration
are hereto attached, for ready reference;
City, Philippines.
CARMELITA C. CALAPI
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009
Pasig City )s.s.
AFFIDAVIT
I, MELANIE S. ASIS, of legal age, Filipino and with postal address at Block 15 Lot 20,
Belmont Village, Caypombo, Sta. Maria, Bulacan, after having been duly sworn to in accordance
1. That I am presently employed under permanent status with the Bureau of Internal
Revenue as Revenue Officer assigned at RDO No. 43, Pasig City;
2. That among my duties and responsibilities is to encode/record tax verification notices

as issued by our Revenue District Officer Raul Vicente L. Recto;
3. That on June 24, 2008, I received a letter from MR. VICTORIANO S. VILLEGAS,
Officer-In-Charge, Special Investigation Division, Bureau of Internal Revenue, Revenue
Region No. 7, Quezon City, relative to the delay in submitting the report of investigation
on the following cases:
1. VC HOLDINGS CORP. - Renato Atos - 2000

2. EDISON COGENERATION CORP. - Renato Atos - 1999
3. CYNTHIA ROYO - Renato Atos - 2000
4. VILMA D. DURON - Renato Atos - 2000
5. ARNEL LOGMAO - Renato Atos - 2000
6. TOWA ELECTRONICS CORP. - Renato Atos - 2000
7. EUCLID INT’L. LAND, INC. - Renato Atos - 2000
4. I was also directed to bring with me a notarized affidavit regarding the circumstances of
such delay, hence, this Affidavit;
5. That allow me to explain the following circumstances:

On April 5, 2006, I received the dockets of the abovementioned companies from Mr. Renato
Atos, who by that time is transferring office station from RDO No. 43 to RDO 28,
Novaliches, Quezon City and thus, in the process of turning over the dockets to secure
clearance from the undersigned;
Immediately, on the following day, April 6, 2006, I transmitted the abovementioned dockets
Mr. Raul Vicente L. Recto, Revenue District Officer, who consequently, received by Mr.
Nestor S. Valeroso on April 10, 2006, a copy of which is hereto attached;
6. That I would like stress that the delay could not be blamed on me and cannot be held
liable for the prescription of submission of TAX VERIFICATION NOTICE considering
that the undersigned’s capacity is only to record/encode such notices after it has been
issued by the RDO Raul Vicente L. Recto;
City, Philippines.
MELANIE S. ASIS
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2008

Pasig City )s.s.
AFFIDAVIT
I, WILFREDO D. ROSARIO, of legal age, Filipino and with postal address at Lot 8E F.
Antonio St., Bambang, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That on April 25, 2007, I received a letter from Bureau of Internal Revenue, Revenue
District Office No. 43, Pasig City relative to the alleged failure on the part of the herein
affiant to file returns covering the period December 31, 2001 up to June 30, 2005;
2. That I previously owned a tricycle and as an operator thereof, I pay the mandatory
taxes religiously with the Bureau of Internal Revenue, however, sometime on August
2001, I conveyed and transferred the same to another person through Deed of Sale;
3. Due to the foregoing sale, the vendee of the said tricycle now is the owner thereof, thus,
I am not required to file return/s for the periods cited in paragraph 1;
4. That the failure of the herein affiant to inform the Bureau of Internal Revenue of the said
conveyance which resulted to the continuation of assessment of taxes under my name
as the registered owner of the subject tricycle that prompted the said agency to issue
demand letter to the herein affinat could not be considered as willful neglect of the
herein affiant-taxpayer nor an attempt to evade any such taxes of payment thereof;
5. That granting that I am the registered owner of the said tricycle as per records of the
Bureau of Internal Revenue, I am still exempted for the payment of Value Added
Tax/Percentage Tax, being an individual engaged in business, the aggregate sales
receipts of which does not exceed P100,000.00 during any twelve (12) month period as
per Revenue Regulation No. 11-2000;
City, Philippines.
WILFREDO D. ROSARIO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2007
K8

Pasig City )s.s.
AFFIDAVIT
I, ESTELITA C. TIENZO, of legal age, Filipino and with office address at No. 358 San
Agustin St., Palatiw, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
a. I am the Finance Officer and authorized representative of TIE-CON

BUILDERS, INC. with SSS I.D. No. 03-9099878-3;
c. The following personnels were previously employed at TIE-CON BUILDERS,

INC. and applying for condonation with Social Security System, to wit:
SSS Number Name Separation Date

03-3838138-1 Mariquita, Cesar V. December 20, 2008
04-1205763-8 Guadalupe, Zandro V. April 4, 2009
04-3016097-6 Latagan Jr., Rolando M. April 4, 2009
33-2380977-8 Alo Jr., Jose O. December 23, 2009
33-2969253-6 Perseveranda, Danilo B. May 5, 2009
33-3982156-2 Cruz, Dexter P. January 20, 2011
33-5216105-0 Rago, Ernesto M. July 27, 2009
33-6457078-1 Ranosa, Dante R. April 4, 2009
33-7731616-5 Reodique, Oscar S. July 18, 2009
33-9379657-8 Sera, Dick D. February 21, 2009
33-5120238-9 Garcia, Emiliano G. July 21, 2008
33-5529545-7 Reonisto, Joevani R. February 10, 2008
33-5849807-3 Bolor, Zarex L. April 30, 2006
33-7612458-1 Victoria, Alvin D. April 6, 2006
33-9417413-1 Gutierrez, Russel B. December 20, 2008
03-3128759-2 Policarpio, Oscar C. December 20, 2008
03-5273788-5 Morilla, Normito M. February 8, 2009
03-7505388-9 Montino, Leonilo G. November 11, 2008
03-8830698-9 Dandoy, Marlon A. April 30, 2004
03-9041338-1 Letaban, Rufino C. June, 2009
03-9060639-2 Beronio, Edwin F. December 23, 2009
03-9707084-0 Dalmacio, Rogelio G. August 12, 2008
33-0747563-6 Pabustan Jr., Paulino December 20, 2008
33-2932042-6 Dumaog, Celestino G. December 20, 2008
33-3427327-0 Dollendo, Regino B. October 2, 2000
33-3673609-0 Sabalboro, Ricardo B. June 2009
33-4014721-9 Gamboa, Daniel P. December 20, 2008
d. I hereby declare and attest that the above listed personnels are no longer
connected with TIE-CON BUILDERS, INC.;
e. That I am executing this Affidavit to attest to the truth and veracity of the
City, Philippines.
ESTELITA C. TIENZO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
AFFIDAVIT
I, LENIE A. ROXAS, of legal age, Filipino and with office address at Warehouse 6 No. 8518
Hon. A. Sandoval Ave., San Andres, Cainta, Rizal, after having been duly sworn to in accordance
a. I am the Admin Staff and authorized representative of QUICKGOODS

INC. with SSS I.D. No. 03-92146990-9;
2. The following personnels were previously employed at QUICKGOODS INC. and it

appear in the records of Social Security System that they are under condonation
program, to wit:
03-5763452-7 Roberto D. Villas November 10, 2010

03-9473011-2 Ronaldo D. Tan December 10, 2010
33-4883152-7 Jonathan A. Dapitan February 10, 2011
09-2452052-7 Benedicta T. Tuayon March 30, 2011
03-7271003-1 Elvis P. Ladra March 30, 2011
33-9377854-1 Ray A. Lovedorial March 30, 2011
18.I hereby declare and attest that the above listed personnels are no longer connected
with QUICKGOODS INC.;
City, Philippines.
LENIE A. ROXAS
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT
I, AIDA DELA CRUZ, of legal age, Filipino and with office address at C-7 Villente, Cubao,
Quezon City, after having been duly sworn to in accordance with law, hereby depose and say:
1. I am the Admin Officer and authorized representative of ANGEL INTERIOR &

CONSTRUCTION CO. with office address at above mentioned address;
2. I was informed by Home Mutual Development Fund (Pag-Ibig Fund) that one URSULO
DUE is applying for loan with Pag-Ibig under our company. However, Ursulo Due is no
longer connected with our company since he resigned sometime in November 2010;
3. I hereby declare and attest that URSULO DUE is no longer connected with ANGEL
INTERIOR & CONSTRUCTION CO. since November 2010 up to the present;
City, Philippines.
AIDA DELA CRUZ
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT
I, LENIE A. ROXAS, of legal age, Filipino and with office address at Warehouse 6 No. 8518
Hon. A. Sandoval Ave., San Andres, Cainta, Rizal, after having been duly sworn to in accordance
1. I am the Admin Staff and authorized representative of PRIMAHAUL LOGISTICS INC.

with SSS I.D. No. 03-9250007-2;
2. As of April 30, 2011, it appear in the records of Social Security System a delinquent
employee of PRIMAHAUL LOGISTICS INC. and was approved for condonation
program, to wit:
33-6879763-8 Jeffrey C. Dionisio October 30, 2010
3. I hereby declare and attest that Jeffrey C. Dionisio is no longer connected with
PRIMAHAUL LOGISTICS INC.;
City, Philippines.
LENIE A. ROXAS
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
AFFIDAVIT
I, YUANFENG QI, of legal age, Chinese citizen and with office address at No. 2508 Raffles
Corporate Tower, F. Ortigas Jr., San Antonio, Pasig City, after having been duly sworn to in
1. I am the Administrative Manager and authorized representative of LONGYUAN

CONSTRUCTION GROUP (PHILS.) CORP. with business address at above mentioned
address;
2. That one DANILO R. MERCADO filed a Complaint at the Department of Labor and
Employment (DOLE) against LONGYUAN CONSTRUCTION GROUP (PHILS.) CORP.
for Illegal Dismissal;
3. In his Complaint, he alleged that he was previously employed at LONGYUAN

CONSTRUCTION GROUP (PHILS.) CORP. as Carpenter on January 14, 2011 and
allegedly dismissed on January 22, 2011. As per records of our company, we do not
have an employee named DANILO R. MERCADO;
4. I hereby declare and attest that DANILO R. MERCADO is not connected with
LONGYUAN CONSTRUCTION GROUP (PHILS.) CORP.
City, Philippines.
YUANFENG QI
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
SWORN STATEMENT
I, ROEL C. FULACHE, of legal age, Filipino and with postal address at 299 105 Street,
Soldiers Village, Sta. Lucia, Pasig City, after having been duly sworn to in accordance with law,
1. That on February 11, 2010, I received a Notice for Informal Conference dated January
29, 2010 notifying of me of my tax liabilities for the taxable year ending December 31,
2007 under Letter of Atuhority No. LOA 2008 00046890 and that I am being required to
appear for an informal conference at Room 119, LN Task Force – National Office BIR,
Diliman Quezon City, within fifteen (15) days from receipt of such notice;
2. That the said notice I presumed is with relation to the previous notices I received from
the BIR, Region 007, Quezon City requiring me to pay the deficiency of taxes based on
their findings of undeclared sales of EUROSTYLE FASHION , INC., and
ITALCONCEPTS, FASHION, INC., and R. FULACHE COMMERCIAL, companies
apparently are all owned by Spouses Jimmy Licup and Susan Yap and being managed
by Antonio Fernando;
3. That previously, I have submitted an answer to the notice of the BIR in a form of
affidavits stating that I categorically deny that I own the abovementioned businesses as
I was only a worked there as a Stockman and no financial capacity to own such
businesses;
4. That apparently, the owners Spouses Jimmy Licup and Susan Yap caused the
registration of such business in my name using my Tax Identification No. 202-926-330
without my knowledge;
5. That I am no longer connected with the said companies and now unemployed;
6. That it would appear from the records of BIR that I own a business the abovementioned
businesses, when in truth and in fact, I belong to a poor family who could not afford to
own the same. My personal details was used by the persons with intent to gain without
my knowledge and consent;
7. That for all legal intents and purposes, EUROSTYLE FASHION , INC.,
ITALCONCEPTS, FASHION, INC. and R. FULACHE COMMERCIAL are all owned by
Spouses Jimmy Licup and Susan Yap. I have no personal knowledge whatsoever with
the above outstanding obligation and I do not own any business but a legitimate lowly
employee who works hard to earn a little to support our everyday living;
City, Philippines.
ROEL C. FULACHE
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT
I, RICARDO S. AFABLE, of legal age, Filipino and with postal address at No. 195 M.
Balderama Street, Brgy. Pineda, Pasig City, after having been duly sworn to in accordance with
1. That I am the brother and the duly authorized representative of MELENCIANA AFABLE,
the registered owner of a parcel of land with improvement situated in Barangay Pineda,
Pasig City, covered and embraced by Transfer Certificate of Title No. 135555,
containing an area of Thirty Six and 50/100 Square Meters (36.50);
2. That on March 26, 2009, I sold the above-described lot in the total consideration of
P365,000.00 to Melody S. Jimenez, for which we have executed a Deed of Absolute
Sale notarized by Atty. Dolorsindo I. Paner and entered into his notarial register as Doc.
No. 312; Page No. 64; Book No. XXIX for and in Manila;
3. That the said sale only pertains to LOT ONLY and that the improvements (house)
introduced on the said lot which is declared under Tax Declaration No. E-01702403 is
not included in the adverted sale;
4. That however, in the Deed of Absolute Sale abovementioned, the improvement was
inadvertently included in the sale, when in fact, my sister Melenciana Afable does not
intend to sell the improvement;
5. That for all legal intents and purposes, the improvement (house) declared for tax
purposes under TD No. E-01702403 is not included in the sale to Melody S. Jimenez,
married to Joseph D. Jimenez;
City, Philippines.
RICARDO S. AFABLE
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009

Pasig City )s.s.
AFFIDAVIT
I, CONSTANTINO N. NOTAR, of legal age, Filipino and with postal address at n0. 9 B.
Apable St., Sagad, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I previously owned a motor vehicle (tamaraw fx) with plate no. PXG107 and
Engine no. 2C-3188135;
2. That the said motor vehicle was sold to ARLENE CAPIRAL on July 4, 2003 in the
amount of TWO HUNDRED SEVENTY EIGHTH THOUSAND PESOS (Php
278,000.00), hereto attached the acknowledgement receipt as evidence;
3. That the Deed of Absolute Sale we executed sometime on July 2003, which a copy in
my possession, was destroyed by a fortuitous event sometime on September 26 2009
(Typhoon Ondoy);
4. That due to the foregoing, I hereby declare that the motor vehicle was in the possession
of ARLENE CAPIRAL after the payment done in July 4, 2003;
City, Philippines.
CONSTANTINO N. NOTAR Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
AFFIDAVIT
I, ROEM G. FETALVERO, of legal age, Filipino and with office address at Philippine Postal
Corporation, Pasig City, after having been duly sworn to in accordance with law, hereby depose
and say:
1. I am one of the defendants in the case entitled “Aga Lending Services vs. Spouses
Charito C. Fetalvero and Roem G. Fetalvero”, Civil Case No. 12448 pending before
Metropolitan Trial Court of Pasig City, Branch 68;
2. On 02 October 2007, we filed an “Answer with Compulsory Counterclaim Ad Cautelam”

to plaintiff’s Complaint before the above-mentioned Court;
3. The signature appearing over my name on the “Verification and Certification of Non-
Forum Shopping” of said “Answer with Compulsory Counterclaim Ad Cautelam” is my
signature;
4. I have executed a Special Power of Attorney empowering my wife, Charito C. Fetalvero

and Atty. Manuel Felipe O. Hernandez, Jr. in connection with the handling of the above-
mentioned case, a copy of which is attached hereto as Annex “A”;
City, Philippines.
ROEM G. FETALVERO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2007
K8
Pasig City )s.s.
I, DANAH VASQUEZ BARLAAN, of legal age, single, Filipino and with postal address at 11
Road 6 Bagong, Pag-Asa, Quezon City, after having been duly sworn to in accordance with law,
1. That I am the buyer of a parcel of land registered in the name of Ruben Ines Abrajano
and his wife Carmelita Oreta Abrajano containing an area of 88.60 Square Meters,
situated at Karangalan Village, Pasig City, identified as Lot 3, Blk. 142 covered by TCT
No. PT-114095, subject matter of a Deed of Absolute Sale entered as Doc. No. 437;
Page No. 89; Book No. V; Series of 2011 before Notary Public Eliseo S. Calma, Jr.,
executed on October 24, 2011;
2. That by inadvertence, I failed to indicate my civil status as SINGLE. I had a common

law husband in the name of Roberto I. Abrajano, whom I begot two children Jocele A.
Bulawan, married and Ezekiel B. Abrajano, single. We never entered into a valid
matrimony until the time of his death on February 10, 2004, thus, my CIVIL STATUS
remains SINGLE;
City, Philippines.
DANAH VASQUEZ BARLAAN

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2012

Pasig City )s.s.
I, MICHELLE QUINDOZA TEMPLANZA, of legal age, single, Filipino and with

postal address at 52 Martino Building Libertad corner Kanlaon Street, Mandaluyong City,
after having been duly sworn to in accordance with law, hereby depose and say:
1. That I am the attorney-in fact of MARIA ISABEL C. SANTOS, of legal age,

single, Filipino and with residence and postal address at 52 Martino Building
Libertad corner Kanlaon Street, Mandaluyong City, by virtue of Specialo
Power of Attorney docketed as Doc. No 237; Page No. 49; Book I-A, Series
of 2013, being the buyer of a parcel of land registered in the name of the late
Cenon Balderama and his wife Virginia Balderama containing an area of 35
Square Meters, situated at Brgy. San Joaquin, Mun. of Pasig, Metro Manila,
Island of Luzon, identified as Lot 6, Blk. 8 covered by TCT No. PT-88323,
subject matter of an Extrajudicial Settlement of Estate with Sale entered as
Doc. No. 301; Page No. 61; Book No. 1; Series of 2011 before Notary Public
Renato E. De Jesus, executed on 11 July 2011;
2. That by inadvertence, she failed to indicate her civil status as SINGLE and
her citizenship as FILIPINO. That she never entered into a valid matrimony
here and outside the Philippines thus, her CIVIL STATUS remains SINGLE
and her citizenship is FILIPINO;
MICHELLE QUINDOZA TEMPLANZA
Affiant
in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2013

Pasig City )s.s.
AFFIDAVIT OF NON-RENTAL
I, MARILYN D. BIDO, of legal age, Filipino and with postal address at 8632 Sandoval
Avenue, Nagpayong, Pinagbuhatan, Pasig City, after having been duly sworn to in accordance with
1. That I am the registered owner of RHEALENE DRUG STORE, with business address at
8632 Sandoval Avenue, Nagpayong, Pinagbuhatan;
2. That the said business was duly registered at the Business Permit and License Office
and Bureau of Internal Revenue;
3. That I am occupying the property as rightful owner of the property where the business
establishment stands, thus,
4. paying for any rental fee or whatsoever;
City, Philippines.
MARILYN D. BIDO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2008

Pasig City )s.s.
I, ERLINDA E. RAYMUNDO, of legal age, married to Marcos Raymundo, Filipino and with
postal address at 1840 A. Flores St. (N. Espiritu) Caniogan, Pasig City, after having been duly
1. That I am the registered owner of two-storey residential house located at 1840 A.

Flores St. (N. Espiritu) Caniogan, Pasig City;
2. That I am processing for the issuance of a Building Permit at the Building Official ,
Pasig City and one of the requirements thereto is the submission of this Affidavit;
3. That I am occupying the property as rightful owner of the property where the two-
storey residential house stands, thus, I am not paying for any rental fee or
whatsoever;
City, Philippines.
ERLINDA E. RAYMUNDO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
I, RALPHY C. CRUZ, of legal age, Filipino and with postal address at 26 E. Mendoza St.,
Buting, Pasig City, after having been duly sworn to in accordance with law, hereby depose and say:
1. That I am the registered owner of CMJ Digital Computer Sales, with business address
at 26 E. Mendoza St., Buting, Pasig City;
establishment stands, thus, I am not paying for any rental fee or whatsoever;
4. That I am executing this Affidavit to attest to the truth.
5. h and veracity of the foregoing facts for all intents and for whatever legal purpose it may
serve;
City, Philippines.
RALPHY C. CRUZ
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
I, DENNIS P. BUSTAMANTE, of legal age, Filipino and with postal address at 570 Chico
St., Napico, Manggahan, Pasig City, after having been duly sworn to in accordance with law,
1. I am the registered owner of ADVANCE IDEA ENTERPRISES, with business address at

570 Chico St., Napico, Manggahan, Pasig City;
City, Philippines.
DENNIS P. BUSTAMANTE
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
I, JACQUELYN M. FAGARITA, of legal age, Filipino and with office address at No. 8089 B
Ison St., San Sebastian II, Nagpayong, Pinagbuhatan, Pasig City, after having been duly sworn to
1. I am the Secretary and authorized representative of J-MEX HAULING SERVICES, INC.,

with business address at 8089 B Ison St., San Sebastian II, Nagpayong, Pinagbuhatan,
Pasig City;
2. The said business was duly registered at the Business Permit and License Office, Pasig
City and Bureau of Internal Revenue;
3. The company is occupying the property as rightful owner of the property where the
business establishment stands, thus, we are not paying for any rental fee or
whatsoever;
4. I am executing this Affidavit to attest to the truth and veracity of the foregoing facts for all
intents and for whatever legal purpose it may serve;
City, Philippines.
JACQUELYN M. FAGARITA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
I, BEAN P. BELGERA, of legal age, Filipino and with business address at 1518 F. Manalo
St, Bambang, Pasig City, after having been duly sworn to in accordance with law, hereby depose
and say:
1. That I am the registered owner of GWEBECEL ENTERPRISES, with business address

at the abovementioned address;
City, Philippines.
BEAN P. BELGERA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT
I, ANALEE C. DAVID, of legal age, Filipino, and with postal address at Lot 29 Block 135
KCIIAST, PH2 C1 Karangalan Village, Manggahan, Pasig City, after having been duly sworn to in
3. That I am the registered owner of a parcel of land and I am planning to construct a

two storey residential situated at the abovementioned address;
4. That I am processing for the issuance of a Building Permit at the Building Official ,
Pasig City and one of the requirements thereto is the submission of this Affidavit;
5. That as the rightful and lawful owner of the property, I intended to construct/build a
two storey residential house and I undertake that I will not construct/build an
additional floor/storey;
6. For all intent and purposes I will construct/build a residential house with two storey
only;
City, Philippines.
ANALEE C. DAVID
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
AFFIDAVIT
I, GILBERT G. PERALTA, of legal age, Filipino, and with postal address at No. 460 F.
Legaspi St., Maybunga, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
a. That I am the registered owner of a parcel of land and I am planning to construct

a two storey building situated at the abovementioned address;
6. That I am processing for the issuance of a Building Permit at the Building Official, Pasig
City and one of the requirements thereto is the submission of this Affidavit;
7. That as the rightful and lawful owner of the property, I intended to construct/build a two
storey residential house and I undertake that I will not construct/build an additional
floor/storey;
8. For all intent and purposes I will construct/build a residential house with two storey only;
City, Philippines.
GILBERT G. PERALTA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT
I, LOVELEE D. GUTIERREZ, of legal age, Filipino, and with postal address at No.77
DMH Del Pilar St., Sto. Tomas, Pasig City, after having been duly sworn to in accordance with law,
1. That I am the registered owner of a TENDERICO’ S BAR & GRILL doing business at the
No. 96 M. H. Del Pilar St., cor. Market Avenue, Palatiw, Pasig City;
2. That I undertake to abide, comply and uphold all implementing guidelines issued by the City
Government of Pasig and its agencies prior to the issuance of the Building Permit and the
issuance of the said license and permits cannot and should not be treated in anyway as
waiver of right of the City to pursue its interest against any party
3. That I am processing for the issuance of a Building Permit at the Building Official, Pasig
City and one of the requirements thereto is the submission of this Affidavit;
4. That as the rightful and lawful owner of the said establishment, holding myself liable to any
person, natural or juridical, that may be prejudiced by my representations, that may arise
therefrom; hereby releasing and discharging Building Official and City Government of Pasig
from any and all further obligations in connection with this claim;
City, Philippines.
LOVELEE D. GUTIERREZ
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
AFFIDAVIT
WE, EDMUND G. GALLENERO and BILLY P. OSORIO, both of legal age, Filipinos,l and
with postal and business address at c/o EG Gallenero Engineering and Industrial Supplies, 006
Rita Franco St., Tambak, Taguig City, after having been duly sworn to in accordance with law,
1. That we are the registered owners of EG GALLENERO ENGINEERING AND

INDUSTRIAL SUPPLIES, with business address at the abovementioned address;
2. That the said business was duly registered at the Business Permit and License Office;
3. That considering that we are now the occupant and I, BILLY P. OSORIO is the
registered owner of the said business establishment, thus, we are not paying for any
rental fee or whatsoever;
City, Philippines.
EDMUND G. GALLENERO BILLY P. OSORIO

Affiant Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010
Pasig City )s.s.
AFFIDAVIT
I, ANNABEL GO ASA, of legal age, Filipino and with postal address at Blk. 9 Lot 22
Orchids St., Antipolo Hills, Antipolo City, after having been duly sworn to in accordance with law,
1. That I am the registered owner of ANNABEL SARI SARI STORE, with business
address at 25 Farmers Avenue, Barangay Malinao, In Front of Andok’s Letchon Manok,
Pasig Market, Pasig City;
2. That I am claiming my cash dividend with PLDT and among the requirements is the
correction/change of my old business name and address from BASIC CIRCLE
GROCERIES with business address at 25 Caruncho Avenue, Malinao, Pasig City to
ANNABEL SARI SARI STORE, with business address at 25 Farmers Avenue,
Barangay Malinao, In Front of Andok’s Letchon Manok, Pasig Market, Pasig City;
3. That I hereby declare and attest that my new business name and address registered
under my name is ANNABEL SARI SARI STORE, with business address at 25
Farmers Avenue, Barangay Malinao, In Front of Andok’s Letchon Manok, Pasig Market,
Pasig City;
City, Philippines.
ANNABEL GO ASA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2008
Pasig City )s.s.
AFFIDAVIT
I, NOVY F. FAMATIGA, of legal age, Filipino and with business address at 48-C Dr. Pilapil
St., Sagad, Pasig City, after having been duly sworn to in accordance with law, hereby depose and
say:
1. That I am the registered owner of NOVZKIE MARKETING SERVICES, with previous

business address at “28-C Raymundo St., Sagad, Pasig City”;
2. That I am requesting the Business Permit and License Office (BPLO) of Pasig City to
change my business address and among the requirements is the change of my old
business address from “28-C Raymundo St., Sagad, Pasig City” to “48-C Dr. Pilapil
St., Sagad, Pasig City”;
3. That I hereby declare and attest that my new business address registered under my
name is “48-C Dr. Pilapil St., Sagad, Pasig City”;
City, Philippines.
NOVY F. FAMATIGA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010
Pasig City )s.s.
AFFIDAVIT
I, LORELIE P. BRINOZA, of legal age, Filipino, and with office address at No. 1409
Certeza Street, Pandacan Manila, after having been duly sworn to in accordance with law,
1. That the undersigned, as the former registered owner of Trans-Ventures Tours

Services, with business address at No. 1570 M.H. del Pilar Street, corner Pedro
Gil Street, Ermita, Manila, hereby attest that it is my sister Gloria Padillo who
owns the abovenamed business, who personally manages the same using her
own resources for capital and that she only used my name as the owner thereof;
2. That at present, the Trans-Ventures Tours Services is now under the name and
style “SUPERVENTURE TOUR SERVICES” now operating at No. 1409 Certeza
Street, Pandacan Manila, under the new registered owner ANDRES BAHILLO,
with the personal supervision of my sister Gloria Padillo;
3. That the services of “SUPERVENTURE TOUR SERVICES” is now being

offered at the Department of Transportation and Communications, through
GLORIA PADILLO, which authorized by her common law husband Andres
Bahillo;
4. That for all legal intents and purposes, I have no longer participation whatsoever
in the operation of the said business, as I have already ceded and waived all my
rights and interest over the said business in favor of Andres Bahillo and Gloria
Padillo;
LORELIE P. BRINOZA
Affiant
With conformity:
ANDRES BAHILLO GLORIA PADILLO

in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2013

Pasig City )s.s.
AFFIDAVIT
I, RAQUEL MORALES, of legal age, Filipino, married, and with present business address
at 5 Urbano Velasco, Pinagbuhatan, Pasig City, after having been duly sworn to in accordance with
1. That I am now the registered owner of “NEW ER WOODWORKS ENTERPRISES”,

with previous business name “ER DESIGN & INTERIOR WORKS” and previous
address at “135 Urbano Velasco, Pinagbuhatan, Pasig City”;
2. That I am requesting the Business Permit and License Office (BPLO) of Pasig City to
change my business name and address and among the requirements is the change of
my old business name from “ER DESIGN & INTERIOR WORKS” to “NEW ER
WOODWORKS ENTERPRISES” and address from “135 Urbano Velasco,
Pinagbuhatan, Pasig City” to “5 Urbano Velasco, Pinagbuhatan, Pasig City”;
3. That I hereby declare and attest that my new business name is “NEW ER
WOODWORKS ENTERPRISES” and its new address registered under my name is at
“5 Urbano Velasco, Pinagbuhatan, Pasig City”;
City, Philippines.
RAQUEL MORALES
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT OF `
I, ROSULA T. RIVERA, of legal age, Filipino and with postal address of 189-H Dr. Sixto
Antonio Ave., Rosario, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am the sister of NATIVIDAD T. MANGIAM, the latter being the registered owner
of Goldwealth Access located at the above-given address;
2. That sometime on year 2006, month of February or March, I applied for Business
Permit with the Business Permit and License Office, Pasig City to register the said
business;
3. That the said business was already assessed when I was hospitalized that impede the
registration of the said business;
4. That for the date of application and assessment up to the moment, said business has
not been operational;
City, Philippines.
ROSULA T. RIVERA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2007
K8
Pasig City )s.s.
I, EDITHA GANDOLFOS ELIZON, of legal age, Filipino and with postal address of 921
Caruncho Compound, Palatiw, Pasig City after having been duly sworn to in accordance with law,

No. 77653664 and Official Receipt No. 610318704, more particularly described as
follows:
MAKE : SUZUKI
TYPE OF BODY : MTC
MOTOR NUMBER : F104-241191
SERIAL/CHASSIS NO. : GP125-323560
PLATE NO. : UV-2003
2. That the said motor vehicle has been issued a Franchise/Authority to Operate by the
Tricycle Operation & Regulatory Office under Franchise No. 03-22-1428;
3. That I am now in the process of renewing the said Franchise. However, in my

Application for Validation issued by Comelec, it would appear that my last name is
reflected as DIMALALUAN instead of ELIZON, as appearing in the above-motor vehicle
records. It is because that I am legally married to Teodoro Dimalaluan, whom I begot
one (1) child, but prior to such marriage, I cohabited with Tomas Elizon, whom I begot
six (6) children, and who bought the above-described motor vehicle and gave to me as
their gift;
4. That I hereby declare and attest that the name EDITHA ELIZON as reflected in the
registration of motor vehicle abovedescribed and EDITHA DIMALALUAN being
reflected in my application for validation from COMELEC, refer to one and the same
person, the herein affiant;
City, Philippines.
EDITHA GANDOLFOS ELIZON

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009

Pasig City )s.s.
AFFIDAVIT
I, JESUS I. FRANCISCO, of legal age, Filipino and with postal address of no. 25 A. Flores
St., Caniogan, Pasig City after having been duly sworn to in accordance with law, hereby depose
and say:

No. 4535987-1 and Official Receipt No. 864341645, more particularly described as
follows:
MAKE : MITSUBISHI ADVENTURE

MOTOR NUMBER : 4D56A-N5921
SERIAL/CHASSIS NO. : PAEVB5NJ13B000933
PLATE NO. : XLV 892
5. That I am now on the process for the completion of requirements for my car loan at
ASIA LINK and among the requirements is the submission of Original Copy of Official
Receipt for the paymet of registration for the present year;
6. That the said original copy of my O.R. was in the possession of the LTO officer, for the
releasing of my new sticker for the year 2010;
7. I hereby declare and atest that I have fully paid the registration of my motor vehicle for
this year 2010, and herein attached the copy of OR as my evidence;
Philippines.
JESUS I. FRANCISCO
Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2010
Pasig City )s.s.
AFFIDAVIT
I, IMELDA A. BONGAT, of legal age, Filipino and with residential and postal
address at No. 070 Pag-asa St. Caniogan, Pasig City after having been duly sworn to in
1. That I am one of the sister and surviving legal heir of the late YOLANDA P.
AVILA, who died on January 29, 2014 in Pasig City and a bonafide member
of PAG-IBIG;
2. That we are on the process of claiming her death benefits and any benefits
arising from the said government agencies and among the requirements for
the approval of such application is the presentment of our valid
identifications such as Certificate of Live Birth and other pertinent
documents;
3. That there exist some discrepancies in our submitted documents to wit:;
A. That my sister, the late YOLANDA PACPACON AVILA was

accostumed to use the said name since her chioldhood up to the time
of her death as clearly showing in her Certificate of Live birth, PAG-
IBIG records, I.D and other private and public documents. that my
mother’s Maiden name is CRISTINA ARAGON AVILA as such, my
sister should have used the middle name ARAGON but due to some
reason she wasn’t able to correct the said wrong entry.
B. That during my childhood up to present I was accustomed to use my

maiden name IMELDA ARAGON AVILA and I am on the impression
that it was my true and correct name. That It would appear in my
Certificate of Live Birth that my mother’s maiden name was
erroneously registered therein as CRISTINA PUERTO instead of her
true and correct maiden name CRISTINA PUERTO ARAGON as
appearing in her pertinent documents Thus, creating a confusion as to
what my Middle name should be.
4. Thatt the true and correct name of my sister is YOLANDA PACPACON

AVILA and my true and correct maiden name is IMELDA ARAGON AVILA;
IMELDA A. BONGAT
Affiant
in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2014
PASIG CITY………………………..)S.S.
AFFIDAVIT
I, CORAZON CANTIL JOSE, of legal age, Filipino and with residential and postal address
at No. 32 San Bernardo, San Joaquin, Pasig City, after having been duly sworn to in accordance
1. I am the duly authorized representative of RUTH SANGRONES OAKES as per Special

Power of Attorney duly notarized by on January 31, 2013 by Atty. Leticia M. Amon,
Notary Public of Pasig City docketed as Doc. No. 212; Page No. 44; Book No. IX;
Series of 2013;
2. That RUTH SANGRONES OAKES is the daughter and the sole surviving heir of the
late Spouses RAMON P. SANGRONES and CAROLINA SANGRONES;
3. That RAMON P. SANGRONES is a bonafide member of Social Security System with

SSS No. 03-0024002-3 and his wife CAROLINA SANGRONES being the beneficiary
has a pension account with Philippine Savings Bank, Plaza Bonifacio Branch, Pasig
City under Savings Account No. 003-36100183-1;
4. Due to the foregoing death of the parents of RUTH SANGRONES OAKES and as the
legal and sole surviving heirs of the late Spouses RAMON P. SANGRONES and
CAROLINA SANGRONES she is now claiming for the withdrawal of her mother’s
savings account with PS Bank under Savings Account No. 003-36100183-1;
City, Philippines.
CORAZON CANTIL JOSE

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2013

Pasig City )s.s.
(RE: LATE SUBMISSION)
I, JBLYN P. DAEN, of legal age, Filipino, and with residential address at Block 6
Everlasting Street, PFCI Floodway, San Andres, Cainta Rizal, after having been duly sworn to in
1. PThat I finished my tertiary education (Nursing) at Arellano University last April 2008;
2. That it is only now that I am submitting all my pertinent documents to Arellano

University necessary for the release of my Diploma which is beyond the reglementary
period for reason that I had to complete my grade in one of my subjects, thus, it took
time for me to finish all those papers;
3. That such circumstances is not intentional but solely for reason above;
City, Philippines.
JBLYN P. DAEN
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
(RE: LATE SUBMISSION)
I, DIVINA R. MANIO, of legal age, widow, Filipino, and with residential address at No. 8
Narra St., Marietta Romeo Village, Sta. Lucia, Pasig City, after having been duly sworn to in
1. That I am the surviving wife of the late BENIGNO P. MANIO, died on July 13, 1989 at
Plaridel, Bulacan;
2. That I am now claiming for Lumpsum and any other benefits with Philippine Veteran
Affairs Office, and one of the requirements thereto is the submission of this affidavit
attesting that I am a US Immigrant from 1994 to 2009;
3. That in view of the fact that I permanently stay here in the Philippines, it is only now that
I am submitting all the necessary documents for the release of lumpsum and any other
benefits in relation to my deceased husband;
4. That such circumstances is not intentional but solely for reason above;
City, Philippines.
DIVINA R. MANIO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

City of Pasig.......................) s.s
AFFIDAVIT OF LOSS
I, ILUMINADO DIONEDO DISCARDGA, of legal age, married, Filipino,

and with residential address at No.7346 Centennial 2, Nagpayong,
Pinagbuhatan, Pasig City, after having been duly sworn to in accordance with
1. That I am a holder of a Professional driver’s license issued by the Land

Transportation Office;
2. That last night, June 25, 2014, my aforesaid driver’s license issued by
the
Land Transportation Office was nowhere to be found in our residence
presumably the same was taken by unknown persons under unknown
circumstances;
3. That diligent search and efforts were exerted to retrieve the same but to
no avail;
4. That for all intents and purposes the aforesaid driver’s license is now
considered lost;
5 That I am executing this Affidavit to attest to the truth and veracity of the
foregoing facts and for whatever legal purpose it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of ____
at Pasig City.
ILUMINADO DIONEDO DISCARDGA

Affiant

City.
Doc. No.
Page No.
Book No.
Series of 2014
Pasig City )s.s.
AFFIDAVIT OF ACKNOWLEDGMENT
AND ALLOWING TO USE THE SURNAME OF FATHER
I, JUDE JOE ALUAD DISEN, of legal age, Filipino and with postal address in Barangay
Ugong, Pasig City, after having been duly sworn to in accordance with law, hereby depose and
say:
1. That I am the father of JHETNEY JANE LUCILLE FIGUERAS DISEN, who was born
out of wedlock on June 9, 1988 in Pasig Metro Manila, and considered an illegitimate
child in view of the fact that her mother and the undersigned are not married;
2. That the facts of her birth were duly registered at the Office of the Local Civil Registry of
Pasig bearing the name JHETNEY JANE LUCILLE FIGUERAS, using the last name of
her mother, but eversince she started schooling, she used my surname DISEN and is
now appearing in her important documents;
3. That I hereby acknowledge that the abovenamed child is my daughter and that I am
allowing her to use my surname DISEN pursuant to Republic Act No. 9255;
City, Philippines.
JUDE JOE ALUAD DISEN

Affiant
SUBSCRIBED AND SWORN to before me, Notary Public this ___ day of ___ 2009in Pasig
City.
Doc. No.
Page No.
Book. No.
Series of 2009
Pasig City )s.s.
AFFIDAVIT
I, WILSON D. BELEN, of legal age, Filipino and with postal address at 4096 Duhat Ext.,
Napico, Manggahan, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am the father of VINCE JUSTINE MORENO MARTINEZ, who was born out of
wedlock on January 9, 2004 in Pasig City, and considered an illegitimate child in view of
the fact that her mother and the undersigned are not married;
2. That the facts of his birth were duly registered at the Office of the Local Civil Registry of
Pasig City bearing the name VINCE JUSTINE MORENO MARTINEZ, using the last
name of his mother;
3. That sometime in year 2006, my common-law-wife Angelica Moreno Martinez left our
residential abode and up to present her whereabouts is unknown to the herein affiant;
4. That I hereby acknowledge that the abovenamed child is my son and that I am allowing
him to use my surname BELEN pursuant to Republic Act No. 9255;
5. That my son shall be known as VINCE JUSTINE M. BELEN;
City, Philippines.
WILSON D. BELEN
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010
Pasig City )s.s.
AFFIDAVIT
I, RONALDO F. FLORES, of legal age, Filipino and with postal address at 50 Purok Gahit,
Pinagbuhatan, Pasig City, after having been duly sworn to in accordance with law, hereby depose
and say:
1. That I am the father of the following children and they are considered an illegitimate
child in view of the fact that their mother and the undersigned are not married, to wit:
a. RONALD RAIN AVELINO who was born out of wedlock on September 18, 2002
in Pasig City; and
b. RONALD RAINIER AVELINO who was born out of wedlock on February 27,
2004 in Pasig City;
2. That sometime in September 2004, my common-law-wife Lanilyn T. Avelino left our

3. That I hereby acknowledge that the abovenamed children are my sons and that I am
allowing them to use my surname FLORES pursuant to Republic Act No. 9255;
4. That my sons shall be known as RONALD RAIN AVELINO FLORES and RONALD
RAINIER AVELINO FLORES;
City, Philippines.
RONALDO F. FLORES
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT
I, DENNIS E. BIAG, of legal age, Filipino and with postal address at Phase II, Westbank
Floodway, Maybunga, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. I am the father of JERICO RUBIO JAVIER, who was born out of wedlock on February 7,
2000 in Bagong Ilog, Pasig City, and considered an illegitimate child in view of the fact
that her mother and the undersigned are not married;
Pasig City bearing the name JERICO RUBIO JAVIER, using the last name of his
mother;
3. Sometime in year 2002, my common-law-wife Michelle Rubio Javier left our residential
abode and up to present her whereabouts is unknown to the herein affiant;
him to use my surname BIAG pursuant to Republic Act No. 9255;
3. That my son shall be known as JERICO JAVIER BIAG;
City, Philippines.
DENNIS E. BIAG
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT
I, EDILBERTO A. BATESTIL, of legal age, Filipino and with postal address at 34 Narra St.,
Acacia, Pinagbuhatan, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. I am the father of PETER JOHN ALVAREZ, who was born out of wedlock on September
12, 1997 in Pinagbuhatan, Pasig City, and considered an illegitimate child in view of the
fact that her mother and the undersigned are not married;
Pasig City bearing the name PETER JOHN ALVAREZ, using the last name of his
mother;
3. Sometime in year 2007, my common-law-wife Juana Ruby F. Alvarez left our residential
him to use my surname BATESTIL pursuant to Republic Act No. 9255;
5. That my son shall be known as PETER JOHN ALVAREZ BATESTIL;
City, Philippines.
EDILBERTO A. BATESTIL
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT OF ABANDONMENT
I, ALBERT R. CATINDIG, of legal age, Filipino and with postal address in Palmera 1 Hills
Macabuhay Compd, Taytay, Rizal, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am the father of ALEXIS ENRIQUEZ, who was born out of wedlock on January
11, 2004 in Pasig City, and considered an illegitimate child in view of the fact that her
mother JESSILYN B. ENRIQUEZ and the undersigned are not married;
Pasig City bearing the name ALEXIS ENRIQUEZ, using the last name of her mother;
3. That sometime in 2005, my live-in partner, her mother, JESSILYN B. ENRIQUEZ left our
residential abode for unknown reasons and she is whereabouts is unknown to the
herein affiant up to the present;
4. That due to the foregoing, the act made by JESSILYN B. ENRIQUEZ is an act of
abadonment;
Philippines.
ALBERT R. CATINDIG
Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
I, ENRICO S. MEDINA, of legal age, Filipino and with postal address in 10

Torquiose St., Dona Juana Subdivision, Rosario, Pasig City, after having been
1. That I am the father of ERIKA MIKHAELA CATITIR LACSA, who was

born out of wedlock on 24 AUGUST 1993 in Pasig City, and considered
an illegitimate child in view of the fact that her mother ROWENA
CATITIR LACSA and the undersigned are not married;
3. That the facts of her birth were duly registered at the Office of the
Local Civil Registry of Pasig City bearing the name ERIKA MIKHAELA
CATITIR LACSA, using the last name of her mother;
3. That sometime in 1995, my live-in partner, her mother, ROWENA

CATITIR LACSA left our residential abode for unknown reasons and
her whereabouts is unknown to the herein affiant up to the present;
4. That due to the foregoing, the act made by ROWENA CATITIR

LACSA is an act of abadonment;

may serve;

ENRICO S. MEDINA
Affiant
in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
I, BERNARD LAO-AS BORRE, of legal age, Filipino and with postal address at 1331
Calachuchi St., Ismar, Kalawaan, Pasig City, after having been duly sworn to in accordance with
1. That I am the father of JAMES RYAN CAPACITY BORRE, who was born out of wedlock
on October 17, 1994 in Pasig City, and considered an illegitimate child in view of the
fact that her mother LUCILA B. CAPACITY and the undersigned are not married;
2. That the facts of my son’s birth were duly registered at the Office of the Local Civil
Registry of Pasig City bearing the name JAMES RYAN CAPACITY BORRE, using my
last name;
3. That sometime in 2006, my live-in partner, LUCILA B. CAPACITY left our residential
abode for unknown reasons and her whereabouts is unknown to the herein affiant up to
the present;
4. That due to the foregoing, the act made by LUCILA B. CAPACITY is an act of
abadonment;
5. I hereby declare and attest that JAMES RYAN CAPACITY BORRE is my son;
Philippines.
BERNARD LAO-AS BORRE

Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
I, JULIUS J. INGUA, of legal age, Filipino and with postal address at No. 629 Mabini St.,
Manggahan, Pasig City, after having been duly sworn to in accordance with law, hereby depose
and say:
1. That I am the father of ALICIA VENIC LUCEÑA, who was born out of wedlock on
November 19, 2004 in Pasig City, and considered an illegitimate child in view of the fact
that her mother MARICEL LUCEÑA and the undersigned are not married;
Pasig City bearing the name ALICIA VENIC LUCEÑA, using the last name of her
mother;
3. That sometime in December 2005, my live-in partner MARICEL LUCEÑA left our
allowing her to use my surname INGUA pursuant to Republic Act No. 9255;
5. That my daughter shall be known as ALICIA VENIC LUCEÑA INGUA.
Philippines.
JULIUS J. INGUA
Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
I, RICHARDSON L. BARRIENTOS, of legal age, Filipino and with residential

address at 619 Lapu-Lapu St., Manggahan, Pasig City, after having been duly sworn to in
1. That I am the biological father of JEFFERSON MARQUEZ, who was born out of
wedlock on November 4, 1997 in Pasig City, and considered an illegitimate child
in view of the fact that her mother and the undersigned are not yet married when
he was born;
Registry of Pasig City bearing the name JEFFERSON MARQUEZ, using the
last name of his mother;
3. That sometime in February 2004, my live-in partner MARILOU Y. MARQUEZ left

our residential abode and up to present her whereabouts is unknown to the
herein affiant;
4. That I hereby acknowledge that the abovenamed child is my son and that I am
allowing him to use my surname BARRIENTOS pursuant to Republic Act No.
9255;
5. That my son shall be known as JEFFERSON MARQUEZ BARRIENTOS;

IN WITNESS WHEREOF, I have set my hand this ___ day of __________, at Pasig
City, Philippines.
RICHARDSON L. BARRIENTOS
Affiant
SUBSCRIBED AND SWORN to before me, Notary Public this ___ day of ___ in
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2012

Pasig City )s.s.
I, ALLAIN M. BAGINDA, of legal age, Filipino and with postal address at No. 1785 Upo St.,
Napico, Manggahan, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
3. That I am the father of ALLAIN LIM, who was born out of wedlock on March 9, 2006 in
Pasig City, and considered an illegitimate child in view of the fact that her mother and
the undersigned are not married;
Pasig City bearing the name ALLAIN LIM, using the last name of his mother;
3. That sometime in 2006, my live-in partner PATRICIA LIM left our residential abode and
up to present her whereabouts is unknown to the herein affiant;
him to use my surname BAGINDA pursuant to Republic Act No. 9255;
5. That my son shall be known as ALLAIN LIM BAGINDA JR.;
City, Philippines.
ALLAIN M. BAGINDA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
I, CER GHALEGER A. VIEJO, of legal age, Filipino and with postal address at Blk. 46, Lot
19, San Lorenzo Ruiz, Taytay, Rizal, after having been duly sworn to in accordance with law,
1. That I am the father of CER GHALEGER III SILADAN, who was born out of wedlock on
Pasig City bearing the name CER GHALEGER III SILADAN, using the last name of her
mother;
3. That sometime in 2005, my live-in partner Marlyn O. Siladan left our residential abode
and up to present her whereabouts is unknown to the herein affiant;
him to use my surname VIEJO pursuant to Republic Act No. 9255;
5. That my son shall be known as CER GHALEGER III SILADAN VIEJO;
City, Philippines.
CER GHALEGER A. VIEJO

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
I, CECILIA B. MURILLON, of legal age, Filipino and with postal address at no. 008 Block 1
Lot 7 PFCI, San Andres, Cainta, Rizal, after having been duly sworn to in accordance with law,
1. That I am the mother of CHERRY B. MURILLON-CUBACUB and MARY GRACE B.

MURILLON;
2. That after the cremation of my husband PEPITO B. MURILLON, the aforesaid persons left
our home for unknown reason;
3. That since then, I have no knowledge about their whereabouts;
4. That being unemployed of the herein affiant, I considered their whereabouts unknown as an
abandonment;
Philippines.
CECILIA B. MURILLON
Affiant
Conforme:
CHRISTOPHER B. MURILLON
City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
JOINT AFFIDAVIT
WE, SPOUSES SOTERO M. ALEGRE and MARITESS S. ALEGRE, both

of legal age, Filipino citizens and with residence and postal address at 4216 st.
paul St., SPS Subd., Ortigas Ave., Rosario, Pasig City, after having been duly
1. That we are the biological parents of ALLAN RESTIE SANTOS

ALEGRE born on June 8, 1979 in Pasig Metro Manila (now Pasig City),
copy of the Certificate of Live Birth of our son is hereto attached and
made integral part of this affidavit;
2. That to further substantiate the foregoing statement, attached
herewith is the copy of his Medical Certificate issued on June 17,
2013 issued by Carmelita Encarnacion, MD attending physician of Rizal
Medical Center, who certify that our son ALLAN RESTIE SANTOS
ALEGRE was treated on/from June 07, 2013 by reason of “substance
abuse records”;
3. That on May 08, 2013 our aforesaid son purchased from Zenorex
Marketing Corp. thru ACE Megamall one (1) unit of “Sentry Safe”,
Model No. OS5449; Serial No. BV557735;
4. That considering the present condition of our son, we are requesting
Zenorex Marketing Corp. to open said safety vault and one of the
requirements thereto before its approval is the submission of this
affidavit;
may serve;
IN WITNESS WHEREOF,we have set our hands this ___ day of __________,
2013 at Pasig City, Metro Manila.
SOTERO M. ALEGRE MARITESS S. ALEGRE

Affiant Affiant
2013 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2013
Pasig City )s.s.
I, HELEN B. TORIO, of legal age, Filipino and with office address at Pasig City
General Hospital, Pasig City, after having been duly sworn to in accordance with law,
1. I am a registered Medical Social Worker and presently employed at City

Government of Pasig, detailed at Pasig City General Hospital (PCGH), City of
Pasig;
2. As a Medical Social Worker, I am in-charge of the cases of children who were

abandoned by their parents;
3. That one LORENZ LACAY TUPAL who was born on June 29, 2008 was brought by
his mother ROSELA MALANG LACAY at Pasig City General Hospital on June 1,
2011 due to Loose Bowel Movement and was admitted at Pediatric Intensive Care
Unit for further treatment. On the second day of confinement, mother left the child
for unknown reason and has never returned until now. Her whereabouts is still
unknown up to the present and this constitutes the act of abandonment;
4. That we have exhausted all means possible to locate the mother and father of the
said child, as well as, his closest kins, but all to no avail;
City, Philippines.
HELEN B. TORIO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
I, LESTER DANBIE C. JOSON, of legal age, Filipino and with postal address at No. 8
Feliciano St., Sumilang, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am the father of MARK LESTER REODICA, who was born out of wedlock on
September 09, 1992 in Rizal Medical Center, Pasig City, and considered an illegitimate
child in view of the fact that his mother and the undersigned are not married;
Pasig City bearing the name MARK LESTER REODICA, using the last name of his
mother;
3. That sometime in 1992, my live-in partner RACHELLE CAMBA REODICA left our
him to use my surname JOSON pursuant to Republic Act No. 9255;
5. That my son shall be known as MARK LESTER REODICA JOSON;
City, Philippines.
LESTER DANBIE C. JOSON

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
AFFIDAVIT
I, ARIEL F. MENDOZA, of legal age, married, Filipino and with postal address at No. 141
JP Rizal St. San Roque, Marikina City, after having been duly sworn to in accordance with law,
1. I am the father of TRIXIE ROSE ZABALLA, who was born out of wedlock on July 24,
2001 in Pasig City, Metro Manila, and considered an illegitimate child in view of the fact
that her mother and the undersigned are not married at that time and my wife, Lovely
Rose Gonzales Zaballa is still minor (16 years old) at the time of birth of our daughter,
Trixie Rose Zaballa;
2. That on February 14, 2006, the undersigned got married to LOVELY ROSE G.
ZABALLA in Marikina City;
3. I hereby acknowledge that the abovenamed child is my daughter who was born out of
wedlock on July 24, 2001 in Pasig City, Metro Manila and by subsequent marriage of
the undersigned and her mother, LOVELY ROSE G. ZABALLA, my daughter shall be
known as TRIXIE ROSE ZABALLA MENDOZA;
City, Philippines.
ARIEL F. MENDOZA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
JOINT SUPPLEMENTAL
We, REYNALDO C. CRUZ and NERISSA N. CRUZ, both of legal age, married,
Filipinos and with postal address at No. 23 San Antonio St., Marisol Subd., Santolan, Pasig
City, respectively, after having been duly sworn to in accordance with law, hereby depose
and say:
2. We are the parents of CHARLES ELJAY BARLITA NAGUIAT, who was born
out of wedlock on September 16, 1998 in Pasig City, Metro Manila, and
considered an illegitimate child in view of the fact that we are not married at that
time and I, Nerissa N. Cruz is still minor (17 years old) at the time of birth of our
son, CHARLES ELJAY BARLITA NAGUIAT;
2. That we got married only on July 9, 1999 in Pasig City;
3. I, REYNALDO C. CRUZ, hereby acknowledge that the abovenamed child is my

son who was born out of wedlock on September 16, 1998 in Pasig City, Metro
Manila and by subsequent marriage of the undersigned and her mother,
NERISSA BARLITA NAGUIAT-CRUZ my son shall be known as CHARLES
ELJAY NAGUIAT CRUZ;
REYNALDO C. CRUZ NERISSA N. CRUZ

Affiant Affiant
in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
JOINT SUPPLEMENTAL
We, EDROS P. LUMBANG and GIRLIE D. LUMBANG , both of legal age, married,
Filipinos and with postal address at 522 SPS Subd., Red Palm, Malinao, Pasig City,
say:
a. We are the parents of JOHN EZEQUIEL DELA CRUZ, who was born out
of wedlock on January 1, 1999 in Pasig City, Metro Manila, and considered an
illegitimate child in view of the fact that we are not married at that time and I,
Girlie I. Lumbang is still minor (18 years old) at the time of birth of our son,
JOHN EZEQUIEL DELA CRUZ;
2. That we got married only on April 17, 2002 in Arayat, Pampanga;
3. I, EDROS P. LUMBANG, hereby acknowledge that the abovenamed child is my

son who was born out of wedlock on January 1, 1999 in Pasig City, Metro
Manila and by subsequent marriage of the undersigned and her mother, GIRLIE
ISIP DELA CRUZ-LUMBANG my son shall be known as JOHN EZEQUIEL
DELA CRUZ LUMBANG;
EDROS P. LUMBANG GIRLIE D. LUMBANG

Affiant Affiant
in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2012

Pasig City )s.s.
JOINT SUPPLEMENTAL AFFIDAVIT
WE, ARIEL F. MENDOZA and LOVELY ROSE G. ZABALLA-MENDOZA, both of legal

age, Filipino citizens and with postal address at No. 141 JP Rizal St. San Roque, Marikina City,
1. That we are the parents of minor TRIXIE ROSE ZABALLA, who was born out of
wedlock on July 24, 2001 in Pasig City, Metro Manila, and considered an illegitimate
child in view of the fact that we are not married at that time of birth of our aforesaid
daughter;
2. That we hereby declare and attest that at the time of her birth, me, LOVELY ROSE G.
ZABALLA, is still minor who is only 16 years old that time;
3. That it was only on February 14, 2006, that we got married in Marikina City;
IN WITNESS WHEREOF, we have set our hands this ___ day of __________, 2011 at
ARIEL F. MENDOZA LOVELY ROSE G. ZABALLA-MENDOZA

Affiant Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
I, ALMARIO MARTIN SUAREZ, of legal age, Filipino and with postal address at 204 Blk. 4,
Phase 1, Pinagbuhatan, after having been duly sworn to in accordance with law, hereby depose
and say:
1. I am the father of RUTH G. REYES, who was born out of wedlock on October 19, 1990
in Pasig (now City) Metro Manila, and considered an illegitimate child in view of the fact
Pasig City bearing the name RUTH G. REYES, using the last name of her mother;
3. Since 1990, my live-in partner ELLA YOUNG PALMA left our residential abode and up to
present her whereabouts is unknown to the herein affiant;
4. I hereby acknowledge that the abovenamed child is my daughter and that I am allowing
her to use my surname SUAREZ pursuant to Republic Act No. 9255;
5. That my daughter shall be known as RUTH REYES SUAREZ;

City, Philippines.
ALMARIO MARTIN SUAREZ

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
I, NELSON M. MASCUÑANA, of legal age, Filipino and with postal address at 1646
Ampalaya St., Napico, Manggahan, Pasig City, after having been duly sworn to in accordance with
3. I am the father of SARAH MAE C. MASCUÑANA, who was born out of wedlock on
May 23, 1993 in Escalante City, Negros Occidental, and considered an illegitimate child
in view of the fact that her mother and the undersigned are not married at that time;
2. That on November 10, 2000, the undersigned got married to NORENA P. CABAB in
Escalante Negros Occidental;
3. That the facts of my daughter’s birth was not filed within the reglamentary period of filing
with the Office of the Local Civil Registry of Escalante City, Negros Occidental due to
the inadvertence on the part of the traditional midwife (Hilot) who assisted her birth;
4. That due to the foregoing, being the father of the aforenamed child, I am now in the
process of registration of her birth and by subsequent marriage, my daughter shall be
known as SARAH MAE C. MASCUÑANA;
5. However, sometime in year 2002, my wife, NORENA C. MASCUÑANA left our

6. I hereby acknowledge that the abovenamed child is my daughter who was born out of
wedlock on May 23, 1993 in Escalante City, Negros Occidental and by subsequent
marriage of the undersigned and her mother, Norena C. Macuñana, my daughter shall
be known as SARAH MAE C. MASCUÑANA;
City, Philippines.
NELSON M. MASCUÑANA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
I, ARNEL ARNULFO D. GARCIA, of legal age, Filipino and with postal address at Blk. 9,
Lot 34, Sitio Arenda, Brgy. Sta. Ana, Taytay, Rizal, after having been duly sworn to in accordance
1. That I am the father of AARON DELA ROSA, who was born out of wedlock on
December 10, 1993 at Pasig (now City), Metro Manila, and considered an illegitimate
child in view of the fact that her mother and the undersigned are not married;
Pasig City bearing the name AARON DELA ROSA, using the last name of his mother;
3. That sometime in 1993, my live-in partner ELISA RAMIREZ left our residential abode and
him to use my surname GARCIA pursuant to Republic Act No. 9255;
5. That my son shall be known as AARON DELA ROSA GARCIA;
City, Philippines.
ARNEL ARNULFO D. GARCIA

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
I, MEYNARD R. SAMSON, of legal age, Filipino and with postal address at 503 MRR St.,
and say:
1. That I am the father of EM MIGUEL ANGEL SY SANCHEZ, who was born out of
wedlock on November 01, 1999 at Pasig (now City), Metro Manila, and considered an
illegitimate child in view of the fact that her mother and the undersigned are not married;
Pasig City bearing the name EM MIGUEL ANGEL SY SANCHEZ, using the last name
of his mother;
3. That sometime in 2000, my live-in partner Eva Sy Sanchez left our residential abode and
him to use my surname SAMSON pursuant to Republic Act No. 9255;
5. That my son shall be known as EM MIGUEL ANGEL SANCHEZ SAMSON;
City, Philippines.
MEYNARD R. SAMSON
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
I, RODOLFO N. BACOLOD, of legal age, Filipino and with postal address at L17 B1 Villa
Caruncho, San Miguel, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am the father of RAYMARD OLIGO BACOLOD, who was born out of wedlock on
July 29, 1994 in Pasig City, and considered an illegitimate child in view of the fact that
her mother and the undersigned are not married that time;
Registry of Pasig City bearing the name RAYMARD OLIGO BACOLOD;
3. That on December 9, 1999, the undersigned and her mother LIEZYL B. OLIGO got
married at Bacoor, Cavite;
4. That sometime in 2000, my wife LIEZYL B. OLIGO left our residential abode and up to
present her whereabouts is unknown to the herein affiant;
him to use my surname BACOLOD pursuant to Republic Act No. 9255;
6. That my son shall be known as RAYMARD OLIGO BACOLOD;
City, Philippines.
R
ODOLFO N. BACOLOD
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
AFFIDAVIT
I, RHODEZA SAPUNTO REYNOSO, of legal age, Filipino and with postal address
at 23-A Dr. Sixto Antonio Ave., Rosario, Pasig City, after having been duly sworn to in
1. I am married to Hubert Jason Gamboa Lamarca on April 19, 2008 in Gloria,

Oriental Mindoro and out of said union we were not blessed a child;
2. After seven (7) months of our relationship, because of my husband’s vices of

womanizing, irresponsible and continue hurting me physically and emotionally, I
decided to leave him and comeback to my parents;
3. My mother has been my primary source of support financially and emotionally

and she is now giving me the opportunity to come with her in Canada and one of
the requirements is the Separation Agreement signed between me and my
husband which is not possible since he is not cooperating at all;
RHODEZA SAPUNTO REYNOSO

Affiant
in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2015
Pasig City )s.s.
AFFIDAVIT OF SUPPORT AND CONSENT
We, HENRY O. ENTRAMPAS and JOSEFINA V. ENTRAMPAS, both of

legal age, Filipino and with postal address at Phase 2 Blk. 3 Lot II Pacific Grand
Villas Suba Panas, Marigondon Rd. Lapu-Lapu City, Cebu after having been
1. That we are the parents of HARTEL VILLEGAS ENTRAMPAS, who

was born on June 18, 1993 in Cebu City;
2. That our daughter will undergo Apprenticehip Training Program in

High Hampton Inn North Carolina, as soon as her travel documents becomes
ready and available;
3. That we will shoulder all the expenses for travel, accommodation

during her stay thereat including her application for issuance of passport and
other travel documents;
4. That we hereby give our voluntary and full consent to my daughter’s

travel and Apprenticeship Training abroad especially her intended stay;
5. That we are executing this affidavit to attest to the veracity of the

foregoing facts, for all intents and for whatever legal purpose it may serve.
IN WITNESS WHEREOF, we have hereunto set our hand this _____ day of
______________, 2014 at Pasig City.
HENRY O. ENTRAMPAS JOSEFINA V.

ENTRAMPAS
Affiant Affiant
2014 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2014

CITY OF PASIG……………………)S.S.

Pasig City )s.s.
I, DICSON BAUTISTA MOJICA, of legal age, Filipino and with postal address at Sinaliw
Malaki, Alfonso, Cavite, after having been duly sworn to in accordance with law, hereby depose
and say:
2. That I am the father of RAMALLA PALMA, who was born out of wedlock on January
mother and the undersigned are not married;
Pasig City bearing the name RAMALLA PALMA, using the last name of her mother;
3. That sometime in 2003, my live-in partner ELLA YOUNG PALMA left our residential
allowing her to use my surname MOJICA pursuant to Republic Act No. 9255;
5. That my daughter shall be known as RAMALLA PALMA MOJICA;;

City, Philippines.
DICSON BAUTISTA MOJICA

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
I, JORDAN GREGORIO JOSE, of legal age, Filipino and with postal address at Block 9 Lot
1, Sunflower St., San Roque, Antipolo City, after having been duly sworn to in accordance with law,
1. That I am the father of JULIUS NATHANIEL DEPALMA, who was born out of wedlock
on July 18, 2009 in Pasig City, and considered an illegitimate child in view of the fact
Pasig City bearing the name JULIUS NATHANIEL DEPALMA, using the last name of
her mother;
3. That sometime in December 2009, my live-in partner LYN G. DEPALMA left our
residential abode and up to present his whereabouts is unknown to the herein affiant;
him to use my surname JOSE pursuant to Republic Act No. 9255;
5. That my son shall be known as JULIUS NATHANIEL DEPALMA-JOSE;
City, Philippines.
JORDAN GREGORIO JOSE
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
I, CHRISTIAN JAY A. MABONGA, of legal age, Filipino and with postal address at
Velasquez St., Sitio Bangiad, San Juan, Taytay, Rizal, after having been duly sworn to in
1. I am the father of PRINCE ANDREI FANGO, who was born out of wedlock on February
Pasig City bearing the name PRINCE ANDREI FANGO, using the last name of his
mother;
3. Sometime last July 2010, my live-in partner Rechel S. Fango left our residential abode
and up to present her whereabouts is unknown to the herein affiant;
him to use my surname MABONGA pursuant to Republic Act No. 9255;
5. That my son shall be known as PRINCE ANDREI FANGO MABONGA;
City, Philippines.
CHRISTIAN JAY A. MABONGA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
I, REDEN D. VILLARTA, of legal age, Filipino and with postal address at 2895 H. Santos
St., Tejeros, Makati City, after having been duly sworn to in accordance with law, hereby depose
and say:
1. That I am the father of CHRISTINE CLAIRE FLORES, who was born out of wedlock on
February 21, 2003 in Pasig City, and considered an illegitimate child in view of the fact
Pasig City bearing the name CHRISTINE CLAIRE FLORES, using the last name of her
mother;
3. That sometime in April 2003, my common-law-wife Melba G. Flores left our residential
allowing her to use my surname VILLARTA pursuant to Republic Act No. 9255;
5. That my daughter shall be known as CHRISTINE CLAIRE FLORES VILLARTA;
City, Philippines.
REDEN D. VILLARTA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT OF ABANDON
MENT
I, JANICE JIMENEZ-NOTOR, of legal age, Filipino, married, and with postal address at 726
B. San Miguel, Pasig City, after having been duly sworn to in accordance with law, hereby depose
and say:
1. That I am the mother of WYNONA ASHLEY J. NOTOR who was born on November 5,
2007 in Pasig City;
Pasig City;
3. That sometime in April 2009, my husband Christian C. Notor left our residential abode
and up to present his whereabouts is unknown to the herein affiant;
4. That I hereby acknowledge that the abovenamed child is my daughter;
City, Philippines.
JANICE JIMENEZ-NOTOR
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
I, JOSEPH P. BAYONITO, of legal age, Filipino and with postal address at 650 Friday, Star
St., Mandaluyong City, after having been duly sworn to in accordance with law, hereby depose and
say:
1. That I am the father of CELINE GRACE UNTAL who was born out of wedlock on
October 1, 2003 in Pasig City, and considered an illegitimate child in view of the fact
Pasig City bearing the name CELINE GRACE UNTAL, using the last name of his
mother;
3. That sometime in December 2008, my common-law-wife Rachel A. Untal left our

allowing her to use my surname BAYONITO pursuant to Republic Act No. 9255;
5. That my daughter shall be known as CELINE GRACE UNTAL BAYONITO;
City, Philippines.
JOSEPH P. BAYONITO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
I, JOSEPH P. BAYONITO, of legal age, Filipino and with postal address at 650 Friday, Star
St., Mandaluyong City, after having been duly sworn to in accordance with law, hereby depose and
say:
1. That I am the father of MARK JOSEPH UNTAL who was born out of wedlock on March
23, 2007 in Pasig City, and considered an illegitimate child in view of the fact that his
Pasig City bearing the name MARK JOSEPH UNTAL, using the last name of his
mother;
3. That sometime in December 2008, my common-law-wife Rachel A. Untal left our

him to use my surname BAYONITO pursuant to Republic Act No. 9255;
5. That my son shall be known as MARK JOSEPH UNTAL BAYONITO;
City, Philippines.
JOSEPH P. BAYONITO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
I, JOSEPH A. GUISON, of legal age, Filipino and with postal address at 166 Block 1,
Welfareville Compound, Addition Hills, Madaluyong City, after having been duly sworn to in
1. That I am the father of JOHN CARLO RASALAN, who was born out of wedlock on 5
January 2004 in Pasig City, and considered an illegitimate child in view of the fact that
his mother and the undersigned are not married;
Pasig City bearing the name JOHN CARLO RASALAN, using the last name of his
mother;
3. That sometime in March 2004, my common-law-wife Karen Joy Malvar Rasalan left our
him to use my surname GUISON pursuant to Republic Act No. 9255;
5. That my son shall be known as JOHN CARLO RASALAN GUISON;
City, Philippines.
JOSEPH A. GUISON
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
JOINT AFFIDAVIT OF ABANDONMENT
We JUNALYN E. ARCE and MARSHISA A. EDAR both of legal age, Filipinos and with
postal address at no. 39 Lot 21 St., West Rembo, Makati City, after having been duly sworn to in
6. That we are the relatives of DIANNE MARIE E. VERACRUZ, who was born on March 15,
1988 in Makati Metro Manila (now city), being the daughter of MARITES EDAR-
VERACRUZ and DANTE R. VERACRUZ;
Makati City;
3. That sometime in year 2002, her parent’s relationship did not end up well, MARITES
EDAR-VERACRUZ left them domestic abode for they could not settle their differences,
after that, her wherebouts or state of condition are unknown to them;
4. That MARITES EDAR-VERACRUZ never sent any financial support or whatsoever on

herfamily since ahe left them up to the present;
5. That for the above consideration, they have considered her act, an act of abandonment;
JUNALYN E. ARCE MARSHISA A. EDAR

Affiant Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010
Pasig City )s.s.
JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS
We, MARICAR A. RODRIGUEZ and DAISY C. AGONOS, both of legal age,

Filipinos and with residence and postal address at 25 Mamerto District and 43 R.
Hernandez Street, Brgy. San Joaquin, Pasig City, respectively, after having been duly
1. That we personally know ALMIRA AGIDA CLAUDIO, wife of the late Aldwin
Claudio, as our close friend;
2. That being close to her, we actually know that she is a bonifide member of
Social Security System;
3. That Almira Agida Claludio is now living with her second husband Jan Patrick L.
Nacua for whom she begot a child AMIR LEONHARDT AGIDA NACUA, who
was born on January 18, 2014, and that the maternity benefits were claimed by
Almira Santos Agida Claudio;
4. That it would appear in the birth certificate of AMIR LEONHARDT AGIDA

NACUA that the name of the mother is reflected as ALMIRA SANTOS AGIDA
instead of ALMIRA AGIDA CLAUDIO. The discrepancy in the name of the
mother is made with the presumption that since the mother is already a widow to
her first husband, she opted to use her maiden name ALMIRA SANTOS AGIDA;
5. That we hereby declare and attest that the name ALMIRA SANTOS AGIDA
CLAUDIO as reflected in her SSS records, and the name ALMIRA SANTOS
AGIDA, being her maiden name which she used in the birth certificate of her
child to her second husband, refer to one and the same person;
6. The foregoing facts were made possible to us since we are her friends and
neighbors in the same community for quite a long time now;
MARICAR A. RODRIGUEZ DAISY C. AGONOS

Affiant Affiant
in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2014

CITY OF PASIG …………………….) SS
AFFIDAVIT OF SURVIVING LEGAL HEIRS
We, RONNAH A. PASCUA, married, ROGIN P. AVILLEDO, single,

RYAN P. AVILLEDO, single; and ROLANDO P. AVILLEDO, JR., single, all of
legal age, Filipinos, and residents of No. 9A Rufina Homes Brgy. Maybunga,
depose and say:
1. We are the surviving of the late GINA P. AVILLEDO who died on
October 4, 2013 at Pasig City;
2. During the lifetime of our mother GINA P. AVILLEDO she is a bona

fide member of GSIS;
3. Being the surviving legal heirs, respectively, of the late GINA P.

AVILLEDO bonafide members of Government Service Insurance System (GSIS)
and being her heirs, we are now claiming for Survivorship Benefits and Death
Claim, Salary/Policy Loan;
4. That WE, RONNAH A. PASCUA, ROGIN P. AVILLEDO and RYAN P.

AVILLEDO, likewise, authorizing our brother ROLANDO P. AVILLEDO, JR. one
of the herein affiants, to facilitate and receive the said Survivorship Benefits
and Death Claim, Salary/Policy Loan;
6. That we are executing this affidavit voluntarily for purposes of

apprising the GSIS authorities for our claim of benefits and to attest to the
veracity of the foregoing statements, for all intents and for whatever legal
IN WITNESS WHEREOF, we have hereunto set our hand this ___ day of
_______, 2014 at the City of Pasig.
RONNAH A. PASCUA ROGIN P. AVILLEDO RYAN P. AVILLEDO

Affiant Affiant Affiant
Conforme:
ROLANDO P. AVILLEDO, JR.

Affiant
SUBSCIBED AND SWORN to before me this ___ day of ____ 2014 in Pasig
City.
Doc. No.
Page no.
Book No.
Series of 2014
We, MA. LEAH I. FERRERA, widower, ROLEAND LOUIE I. FERRERA,

single, CHARLENE MAE I. FERRERA, single; and JUNE TREBOR I.
FERRERA, single, all of legal age, Filipinos, and residents of No. 166 Lakeview
Drive , Brgy. Bagong Ilog, Pasig City, after having been duly sworn to in
1. We, ROLEAND LOUIE I. FERRERA, was born on July 25, 1987;

CHARLENE MAE I. FERRERA; born on May 18, 1989 and JUNE TREBOR I.
FERRERA, born on June 12, 1992 all in Manila City, respectively, being the
daughter of Sps. MA. LEAH I. FERRERA and the late ROLANDO MIGUEL
FERRERA, who died on December 27, 2013 at Manila City;
2. That we are the surviving spouse and the surviving children and the
surviving compulsory heirs and of the late ROLANDO MIGUEL FERRERA;
3. During the lifetime of my/our husband/father, ROLANDO MIGUEL

FERRERA he is a bona fide member of GSIS;
4. Being the surviving legal heirs, respectively, of the late ROLANDO

MIGUEL FERRERA, a bonafide member of Government Service Insurance
System (GSIS) and being his heirs, we are now claiming for Survivorship
Benefits and Death Claim and any other benefits;
5. That WE, ROLEAND LOUIE I. FERRERA, CHARLENE MAE I.

FERRERA and JUNE TREBOR I. FERRERA, likewise, authorizing our mother,
MA. LEAH I. FERRERA, one of the herein affiants, to facilitate and receive the
said Survivorship Benefits and any other benefits with Government Service
Insurance System (GSIS) ;

ROLEAND LOUIE I. FERRERA CHARLENE MAE I. FERRERA

JUNE TREBOR I. FERRERA
Conforme:
MA. LEAH I. FERRERA

Affiant
City.
Doc. No.
Page no.
Book No.
Series of 2014

AFFIDAVIT
I, MA. LEAH I. FERRERA, widower, ROLEAND LOUIE I. FERRERA,

single, CHARLENE MAE I. FERRERA, single; and JUNE TREBOR I.
FERRERA, single, all of legal age, Filipinos, and residents of No. 166 Lakeview
Drive , Brgy. Bagong Ilog, Pasig City, after having been duly sworn to in
1. We, ROLEAND LOUIE I. FERRERA, was born on July 25, 1987;

CHARLENE MAE I. FERRERA; born on May 18, 1989 and JUNE TREBOR I.
FERRERA, born on June 12, 1992 all in Manila City, respectively, being the
daughter of Sps. MA. LEAH I. FERRERA and the late ROLANDO MIGUEL
FERRERA, who died on December 27, 2013 at Manila City;
2. That we are the surviving spouse and the surviving children and the
surviving compulsory heirs and of the late ROLANDO MIGUEL FERRERA;
3. During the lifetime of my/our husband/father, ROLANDO MIGUEL

FERRERA he is a bona fide member of GSIS;
4. Being the surviving legal heirs, respectively, of the late ROLANDO

MIGUEL FERRERA, a bonafide member of Government Service Insurance
System (GSIS) and being his heirs, we are now claiming for Survivorship
Benefits and Death Claim and any other benefits;
5. That WE, ROLEAND LOUIE I. FERRERA, CHARLENE MAE I.

FERRERA and JUNE TREBOR I. FERRERA, likewise, authorizing our mother,
MA. LEAH I. FERRERA, one of the herein affiants, to facilitate and receive the
said Survivorship Benefits and any other benefits with Government Service
Insurance System (GSIS) ;

ROLEAND LOUIE I. FERRERA CHARLENE MAE I. FERRERA

JUNE TREBOR I. FERRERA
Conforme:
MA. LEAH I. FERRERA

Affiant
City.
Doc. No.
Page no.
Book No.
Series of 2015

Pasig City )s.s.
JOINT AFFIDAVIT OF ABANDONMENT
We ROXANI M. UMALI and MAGDALENA FUENTES both of legal age, Filipinos and with
postal address at No. 118 a. Luna St., Malinao, Pasig City and 59 Pearl St., Greenland Village,
Rosario, Pasig City, respectively, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That we are the relatives of DIANNE MARIE E. VERACRUZ, who was born on March
15, 1988 in Makati Metro Manila (now city), being the daughter of MARITES EDAR-
VERACRUZ and DANTE R. VERACRUZ;
Makati City;
3. That sometime in year 2002, her parent’s relationship did not end up well, MARITES
EDAR-VERACRUZ left them domestic abode for they could not settle their differences,
after that, her wherebouts or state of condition are unknown to them;
2. That MARITES EDAR-VERACRUZ never sent any financial support or whatsoever on

herfamily since ahe left them up to the present;
3. That for the above consideration, they have considered her act, an act of abandonment;
JUNALYN E. ARCE MARSHISA A. EDAR

Affiant Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
I, EDGARDO A. YATCO, JR. of legal age, Filipino and with postal address at No. 21 Blk. 4,
Abraham St., Bliss Subd., Brgy. Sta. Lucia, Pasig City, after having been duly sworn to in
1. I am the uncle and the standing guardian of MARK WELANDER YATCO MENGUITA,
who was born on November 30, 2003 in Pasig City, being the son of Spouses Mark
Dennis C. Menguita and Antonette A. Yatco;
Pasig City and National Statistics Office;
3. My nephew is set to travel to Spain together with his mother who is now living in Spain,
as soon as pertinent travel documents becomes ready and available;
4. That sometime in year 2003, his parent’s relationship did not end up well, his father,
Dennis C. Menguita left their domestic abode for they could not settle their differences,
after that, his wherebouts or state of condition are unknown to them;
4. That Dennis C. Menguita never sent any financial support or whatsoever on his family
since he left up to the present;
5. That for the above consideration, they have considered his act, an act of abandonment;
EDGARDO A. YATCO, JR.

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
JOINT AFFIDAVIT
We, VIRGINIA C. REMOROSA and PRISCILA A. MARCOS, of legal age, Filipino and with
postal address in Chico St., Sta. Rosa, Pasig City, after having been duly sworn to in accordance
1. That we are the relatives of the late DESIDERIO CASTILLANO IMPERIAL, who died on
December 20, 2006 in Taguig City;
2. That the late DESIDERIO CASTILLANO IMPERIAL was married to ELSA MANLANGIT on
December 20, 1964 in Makati Rizal (now city);
3. That because of the said union of the couples they are blessed with nine (9) children,
hereto attached their respective Certificate of Live Birth;
4. That on 1988, the deceased DESIDERIO CASTILLANO IMPERIAL left her wife and their
children in their residence in Catanduanes for his employment;
5. That after few years of no communication of the late DESIDERIO CASTILLANO IMPERIAL
with his family, his wife discovered that he had an affair to another woman named
SALVACION C. DULDULAO which become his bigamous wife;
6. That his wife ELSA MANLANGIT considered the act of his husband as an act of
abandonment;
VIRGINIA C. REMOROSA PRISCILA A. MARCOS

Affiant Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

JOINT AFFIDAVIT OF TWO NEAREST RELATIVE
We, MARLYN G. CABRERA and ERNIE C. MENDOZA, both of legal age, Filipinos,
and both residents of Paras St., Brgy. Mambangnan, San Leonardo, Nueva Ecija,
say:
a. We are the sister and cousin, respectively, of the late GILDO GARCIA
who died on December 6, 2010 at San Leonardo, Nueva Ecija;
b. During the lifetime of our deceased brother/cousin, he is a bona fide

member of Social Security System with SSS I.D. No. 33-2728549-5;
c. We personally know that GILDO GARCIA cohabited with TERESITA

HINON and they lived as husband and wife under one and the same roof
without the benefit of marriage since June 4, 1996 up to the time of his death
and out of said relationship they begot one child named Matthew Ervin H.
Garcia who was born on May 13, 1997 in Pasig City;
9. That being the common-law wife of our deceased brother/cousin Gildo Garcia,
our sister-in-law Teresita Hinon and in behalf of their son Matthew Ervin H.
Garcia, is rightful to claim benefits from the Social Security System;
10. That we are executing this affidavit voluntarily for purposes of apprising the SSS
authorities for the claim of the surviving common-law wife for pension claim and
any claim and to attest to the veracity of the foregoing statements, for all intents
IN WITNESS WHEREOF, we have hereunto set our hand this ___ day of _______,
MARLYN G. CABRERA ERNIE C. MENDOZA

Affiant Affiant
SUBSCIBED AND SWORN to before me this ___ day of ____ 2011 in Pasig City.
Doc. No.
Page no.
Book No.
Series of 2011

Pasig City )s.s.
JOINT AFFIDAVIT
We, ROXANI M. UMALI and MAGDALENA FUENTES, of legal age, Filipino and with
postal address in No. 118 a. Luna St., Malinao, Pasig City and 59 Pearl St., Greenland Village,
Rosario, Pasig City, respectively, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That we are the relatives of CATHERINE M. GALUTERA-DA SILVA, who was born on
February 3, 1974 in Our Lady of Hospital, Mandaluyong City;
2. That CATHERINE M. GALUTERA was married to DENNIS DA SILVA on September 8,

1994 in Batangas City;
3. That because of the said union of the couples they are blessed with three (3) children,
hereto attached their respective Certificate of Live Birth;
4. That on 1995, DENNIS DA SILVA left her wife and their children in their residence in 121 M.
H. Del Pilar St., Palatiw, Pasig City and have’nt received support from DENNIS DA SILVA
since 1997 in view of the fact that the latter is in jail for seven (7) years up to the present
time ;
5. That his wife CATHERINE M. GALUTERA-DA SILVA considered the act of her husband
DENNIS DA SILVA as an act of abandonment;
ROXANI M. UMALI MAGDALENA FUENTES

Affiant Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010
AFFIDAVIT
I, EVANGELINE S. GARCIA, of legal age, widow, Filipino and resident of

14-A Lopez Jaena St., San Jose, Pasig City, after having been duly sworn to in
accordance with law, hereby depose and say, THAT:
1. I am the surivivng spouse of the late EDUARDO R. GARCIA, who

died on January 10, 2015 in The Medical City Hospital, Pasig City;
2. During the lifetime of my deceased husband EDUARDO R. GARCIA he

is a bona fide member of Government Service Insurance System (GSIS);
3. Being the surviving spouse and legal heirs of the late EDUARDO R.
GARCIA bonafide members of Government Service Insurance System (GSIS) I
am now claiming for Survivorship Benefits and Death Claim, Burial Claim and
any other benefits with GSIS;
4. I am executing this affidavit voluntarily for purposes of apprising the

GSIS authorities for our claim of benefits and to attest to the veracity of the
foregoing statements, for all intents and for whatever legal purpose it may
serve.
IN WITNESS WHEREOF, I have hereunto set my hand this ___ day of

EVANGELINE S. GARCIA
Affiant
City.
Doc. No.
Page no.
Book No.
Series of 2015
Pasig City ) S.S.
JOINT AFFIDAVIT OF SURVIVING LEGAL HEIRS
WE, LEILANIE MANOLOS-AGUILAR, RONNIE R. MANOLOS, CAROLINO R.

MANOLOS, DENNIS R. MANOLOS, MAR R. MANOLOS and ROMUALDO R. MANOLOS, all of
legal age, Filipinos and with postal address at 52 Molave St., Nagpayong, Pinagbuhatan, Pasig
1. That we are the siblings and the surviving heirs of the late RODOLFO R. MANOLOS,
who died on September 21, 2008 at Pasig City;
2. That the deceased and our deceased mother, CARMEN A. MANOLOS are bonafide
members of Government Service Insurance System (GSIS) and being his heirs, we are now
claiming for Survivorship Benefits and Death Claim, Salary/Policy Loan;
3. That the surviving legal heirs abovementioned being all of legal age, have deemed it
best to extrajudicially adjudicate among ourselves the afore-described Life Insurance with GSIS
pursuant to Sec. 1, Rule 74 of the Revised Rules of Court of the Philippines;
4. That WE, RONNIE R. MANOLOS, CAROLINO R. MANOLOS, DENNIS R. MANOLOS,

MAR R. MANOLOS and ROMUALDO R. MANOLOS, likewise, authorizing LEILANIE
MANOLOS-AGUILAR one of the herein affiants, to facilitate and receive the said Survivorship
Benefits and Death Claim, Salary/Policy Loan;
AFFIDAVIT
I, NORVIC CAMUNGAY MARTINITO, all of legal age, Filipino, single, and

a resident of No. 51 E. Santos St., Sto. Tomas, Pasig City, after having been duly
1. That I am one of the surviving half-brother of the late ENG WHE

MARTINITO ANG, who was born on June 15, 1976 at Merida, Leyte and died
on August 22, 2014 at San Lazaro Hosp., Manila City;
2. During the lifetime of my half-brother ENG WHE MARTINITO ANG he

is a bona fide member of PHILHEALTH;
3. That JOVITA CAMUNGAY MARTINITO, being the surviving mother

and the surviving legal heir, respectively, of the late ENG WHE MARTINITO
ANG is now claiming at PHILHEALTH the unclaimed benefits of my deceased
half- brother and one of the requirements is the submission of this affidavit
stating thereon that I am his brother;
4. That I hereby declare and attest that I am the half-brother of the of

late ENG WHE MARTINITO ANG, and our mother, JOVITA CAMUNGAY
MARTINITO, is the rightful person to claim pension and/or benefits from
PHILHEALTH and in any government agencies concerned, copy of my
authenticated Birth Certificate issued by the National Statistics Office is hereto
attached;
5. That I am executing this affidavit voluntarily for purposes of apprising

the PHILHEATH authorities for my mother’s claim of benefits and to attest to
the veracity of the foregoing statements, for all intents and for whatever legal

NORVIC CAMUNGAY MARTINITO

Affiant
City.
Doc. No.
Page no.
Book No.
Series of 2014

Pasig City )s.s.
JOINT AFFIDAVIT OF TWO DISINETERESTED PERSONS
We, LISETTE M. GABRIEL and JOSEPHINE A. STA. ANA, both of legal age, Filipinos
and with postal address at No. 23 M. Roxas St., Vista Valley Subd., Sto. Niño, Marikina City and
No. 22 M. Roxas St., Vista Valley Subd., Sto. Niño, Marikina City, respectively, after having been
1. That we personally know Cecilia S. Fajardo married to Jose Patricio T. Fajardo on ;
2. That during their of marriage, they had a happy relationship, and that they were
blessed with two (2) children, namely: KRISTIAN JILLEN S. FAJARDO who was born
on July 27, 1992 in Mandaluyong City and MONICA S. FAJARDO who was born on
March 29, 2000 in Victoria, Laguna. However, Jose Patricio T. Fajardo started to
become irresponsible and with his vice of womanizing, they had constant fights over the
same. Until sometime in May 2002 he decided to leave their domestic abode leaving
with Cecilia S. Fajardo the custody of their children.
3. That Cecilia S. Fajardo considered the act of her husband, Jose Patricio T. Fajardo, as
an act of abandonment;
LISETTE M. GABRIEL JOSEPHINE A. STA. ANA

Affiant Affiant
Pasig City.
Doc. No.
Page No.
Book. No. Series of 20

Pasig City )s.s.
AFFIDAVIT
(SOLO PARENT)
I, KAREN S. SUAREZ, of legal age, Filipino, with present postal and residential address at
Bldg. 11-E1 Eusebio Bliss Village, jenny’s Ave. Maybunga, Pasig City, after having been sworn in
accordance with law do hereby depose and state that:
1. I am the mother of MARITHE FRANCINE DE LEON, who was born out of wedlock on
August 19, 2004;
2. That I stand as a solo parent to my child from the point my common law husband
SYLVESTER M. DE LEON abandoned us and since then I have no communication nor
received any support with him;
3. I hereby declare and attest that I am the head of the family who supports my child who is
dependent upon the herein affiant for basic support from sustenance, medical, clothing
and education;
City, Philippines.
KAREN S. SUAREZ
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2013

Pasig City )s.s.
AFFIDAVIT OF GUARDIANSHIP
/ SUPPORT
I, CATALINA F. INAN, of legal age, widow, Filipino, with present postal and residential
address at No. 124 Matahimik St., Tawiran Ext., Santolan, Pasig City, after having been sworn in
1. I am the grandmother and standing guardian of PAMELA R. BISARES, who was born
on June 12, 1997 in Marikina City and presently enrolled at Santolan High School;
2. Sometime in January 1997 before the birth of my granddaughter, my son in-law Carmelo
Bisares leave their residential abode and since then we have no communication nor
received any support from him until the death of my daughter Sampaguita R. Bisares
on July 2, 2004;
3. I hereby declare and attest that I am the guardian of Pamela R. Bisares who supports
her and depend upon the herein affiant for basic support from sustenance, medical,
clothing and education;
City, Philippines.
CATALINA F. INAN
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2011
Pasig City )s.s.
AFFIDAVIT OF GUARDIANSHIP / SUPPORT
I, LILIBETH L. LACERNA, of legal age, Filipino, with present postal and

residential address at No. 39-4 Westbank Road Maybunga, Pasig City, after
1. I am the standing guardian of DANIEL S. ALMA, who was born on

December 27, 1995 in Makati City
2. That I intend to enroll the aforesaid minor at Sta. Lucia High School
for this School Year 2014-2015;
3. I hereby declare and attest that I am his guardian who supports him
and depend upon the herein affiant for basic support from
sustenance, medical, clothing and education;
4. I am executing this Affidavit to attest to the truth and veracity of the

foregoing facts for all intents and for whatever legal purpose it may
serve;

LILIBETH L. LACERNA
Affiant
2014 in Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2014
Pasig City )s.s.
I, MARIA FE TARVINA, of legal age, married, Filipino, with present postal

and residential address at Tandang Sora St., Nagpayong 2 Pinagbuhatan, Pasig
City, after having been sworn in accordance with law do hereby depose and
state that:
1. I am the aunt and standing guardian of JOHN CHRISTIAN RICK C.

PENAVERDE, who was born on 19 October 2001 in Antipolo City;
2. That I intend to enroll my aforesaid nephew at Nagpayong High

School for this School Year 2013-2014;
3. I hereby declare and attest that I am his guardian who supports him

serve;

MARIA FE TARVINA
Affiant
2013 in Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2013
Pasig City )s.s.
I, MARIA FE TARVINA, of legal age, married, Filipino, with present postal

and residential address at Tandang Sora St., Nagpayong 2 Pinagbuhatan, Pasig
state that:
1. I am the aunt and standing guardian of CHRISTINE JOYCE C.

PENAVERDE, who was born on 21 February 2005 in Antipolo City;
2. That I intend to enroll my aforesaid nephew at Nagpayong

Elementary School for this School Year 2013-2014;
3. I hereby declare and attest that I am her guardian who supports her

serve;

MARIA FE TARVINA
Affiant
2013 in Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2013
Pasig City )s.s.
I, CECILIA S. FAJARDO, of legal age, Filipino, with present postal and residential address
at #107 Copenhagen St., Greenpark Village, Manggahan, Pasig City, after having been sworn in
1. I am the wife of Jose Patricio T. Fajardo and our marriage was celebrated on May 19,
1992 in Ermita, Manila;
2. The facts of our marriage was duly registered at the Local Civil Registry of Manila;
3. That out of said union we were blessed with two (2) children, namely: KRISTIAN
JILLEN S. FAJARDO who was born on July 27, 1992 in Mandaluyong City and
MONICA S. FAJARDO who was born on March 29, 2000 in Victoria, Laguna;
4. That during the ten years of our marriage, we had a happy relationship. However, my
abode in May 2002. Since then, I am a solo parent and stand as head of the family;
5. I hereby declare and attest that I am the head of the family who supports my children
who depend upon the herein affiant for basic support from sustenance, medical,
City, Philippines.
CECILIA S. FAJARDO
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2011

Pasig City )s.s.
JOINT AFFIDAVIT OF TWO DISINETERESTED PERSONS

We, LISETTE M. GABRIEL and JOSEPHINE A. STA. ANA, both of legal age, Filipinos
and with postal address at No. 23 M. Roxas St., Vista Valley Subd., Sto. Niño, Marikina City and
No. 22 M. Roxas St., Vista Valley Subd., Sto. Niño, Marikina City, respectively, after having been
1. That being friends and officemate, we personally know Cecilia S. Fajardo married to
Jose Patricio T. Fajardo on May 19, 1992 in Ermita, Manila;
2. That during their ten years of marriage, they had a happy relationship and that they
were blessed with two (2) children, namely: KRISTIAN JILLEN S. FAJARDO who was
born on July 27, 1992 in Mandaluyong City and MONICA S. FAJARDO who was born
on March 29, 2000 in Victoria, Laguna. However, Jose Patricio T. Fajardo started to
become irresponsible and with his vice of womanizing, they had constant fights over the
same. Until sometime in May 2002 he decided to leave their domestic abode leaving
with Cecilia S. Fajardo the custody of their children.
3. That Cecilia S. Fajardo considered the act of her husband, Jose Patricio T. Fajardo, as
an act of abandonment;
LISETTE M. GABRIEL JOSEPHINE A. STA. ANA

Affiant Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
AFFIDAVIT
I, SALVACION CORALDE, of legal age, Filipino and with postal address in Block 17 7 th St.
GHQ Zone 1-C Signal Village, Taguig City, after having been duly sworn to in accordance with law,
1. That I am the wife of the late DESIDERIO CASTILLANO IMPERIAL, who died on
December 20, 2006 in Taguig City;
2. That our marriage was celebrated sometime on October 26, 1989 in Pasig Metro Manila
(now city);
3. That because of the said union we are blessed with two (2) children, hereto attached their
respective Certificate of Live Birth;
4. That after a few years of our marriage, I discovered that he was first married to ELSA
MANLANGIT, dated on December 20, 1964 in Makati Rizal (now city) under his name
DESIDERIO CASTILLANO IMPERIAL, not in the name of DESIDERIO CASTILLANO
DULDULAO the latter he used in our marriage;
City, Philippines.
SALVACION CORALDE
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010
Pasig City )s.s.
AFFIDAVIT
I, VIRGILIO G. MIRABUENO, of legal age, Filipino and with postal address at Brgy.
Janosa, Binangonan, Rizal, after having been duly sworn to in accordance with law, hereby depose
and say:
1. That I am the father of CARLA MAE RODRIGUEZ, who was born out of wedlock on
October 31, 1997 in Pasig City, and considered an illegitimate child in view of the fact
Pasig City bearing the name CARLA MAE RODRIGUEZ, using the last name of her
mother;
3. That sometime in year 2003, my common-law-wife Joan S. Rodriguez left our residential
allowing him to use my surname MIRABUENO pursuant to Republic Act No. 9255;
5. That my son shall be known as VINCE JUSTINE M. BELEN;
City, Philippines.
VIRGILIO G. MIRABUENO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT
I, RONALDO M. BALDONADO, of legal age, Filipino and with postal address at No. 38 Blk.
40, Welfareville Compd., Mandaluyong City, after having been duly sworn to in accordance with
1. That I am the father of FRITZNALD ANDREI CADIAO, who was born out of wedlock on
September 5, 2004 in Pasig City, and considered an illegitimate child in view of the fact
Pasig City bearing the name FRITZNALD ANDREI CADIAO, using the last name of his
mother;
3. That sometime in year 2005, my common-law-wife Christi Ann A. Cadiao left our
him to use my surname BALDONADO pursuant to Republic Act No. 9255;
2. That my son shall be known as FRITZNALD ANDREI CADIAO BALDONADO;
City, Philippines.
RONALDO M. BALDONADO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT
I, EJAY G. JUMAWAN, of legal age, Filipino and with postal address at 253 A. Rodriguez
Ave., Manggahan, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am the father of CHRISTIAN PENINOY, who was born out of wedlock on
Pasig City bearing the name CHRISTIAN PENINOY, using the last name of his mother;
3. That since year 2007 up to present, whereabouts of my common-law-wife Mayette P.

Peninoy is unknown to the herein affiant;
him to use my surname JUMAWAN pursuant to Republic Act No. 9255;
3. That my son shall be known as CHRISTIAN PENINOY JUMAWAN;
City, Philippines.
EJAY G. JUMAWAN
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT
I, CLARITO D. BALDO, of legal age, Filipino and with postal address at 02 Villa Monique,
and say:
1. That I am the father of CLARK HONG, who was born out of wedlock on September 19,
1996 in Pasig City, and considered an illegitimate child in view of the fact that her
Pasig City bearing the name CLARK HONG, using the last name of his mother;
3. That since year 1996 up to present, whereabouts of my common-law-wife Helen May M.

Hong is unknown to the herein affiant;
him to use my surname BALDO pursuant to Republic Act No. 9255;
5. That my son shall be known as CLARK HONG BALDO;
City, Philippines.
CLARITO D. BALDO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT
I, ARTURO EUGENIO, of legal age, Filipino and with postal address at 14 F ROTC,
Rosario, Pasig City, after having been duly sworn to in accordance with law, hereby depose and
say:
1. That I am the father of SHAYNE KISHIE RACAZA, who was born out of wedlock on
September 12, 2003 in Cebu City, and considered an illegitimate child in view of the fact
Cebu City bearing the name SHAYNE KISHIE RACAZA, using the last name of her
mother;
3. That since year 2004 up to present, whereabouts of my common-law-wife Princess N.

Racaza is unknown to the herein affiant;
him to use my surname EUGENIO pursuant to Republic Act No. 9255;
5. That my son shall be known as SHAYNE KISHIE RACAZA EUGENIO;
City, Philippines.
ARTURO EUGENIO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
I, CELESTINO B. FUERTES, of legal age, Filipino and with postal address of Guyabano
Ext. Napico, Manggahan, Pasig City, after having been duly sworn to in accordance with law,
1. That I am the father of CRISEL BALDEMOR, who was born out of wedlock on
November 14, 1997 in Amang Rod. Medical Center, Marikina City, and considered an
illegitimate child in view of the fact that her mother and the undersigned are not married;
Marikina City bearing the name CRISEL BALDEMOR, using the last name of HER
mother;
allowing her to use my surname FUERTES pursuant to Republic Act No. 9255;
City, Philippines.
CELESTINO B. FUERTES
Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2009

Pasig City )s.s.
I, FLORENCIO A. LAYCO, of legal age, Filipino and with postal address of #27 4 th St.
Youngtown Village, Cainta Rizal, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am the father of LOU ELLES ROMULO LAYCO, who was born out of wedlock
on September 6, 1999 in Pasig City, and considered an illegitimate child in view of the
fact that her mother and the undersigned are not married;
Pasig City bearing the name LOU ELLES ROMULO LAYCO;
him to use my surname LAYCO pursuant to Republic Act No. 9255;
City, Philippines.
FLORENCIO A. LAYCO
Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2009
Pasig City )s.s.
(FOR NON-USAGE OF MARITAL STATUS)
I, BUNNY JANE CASUPANG PEREZ-RAMOS, of legal age, Filipino and with postal
address at 251 Dela Paz Street, Caniogan, Pasig City, after having been duly sworn to in
1. That I am married to NIÑO P. RAMOS on April 28, 2007 at St. Francis of Assisi Parish,
Shaw Boulevard, Mandaluyong City, duly solemnized by Rev. Fr. Edgardo Dumaual;
2. That out of the said relationship, we begot a child was is named as JASON DIRK
PEREZ RAMOS, who was born on August 31, 2007 in Pasig City, Metro Manila;
3. That prior to such marriage or on September 24, 2004, I caused to be issued a

Philippine Passport with No. PP 0167855 by the Department of Foreign Affairs, Manila
which has to be expired on September 29, 2009, specifically, under my maiden name
BUNNY JANE CASUPANG PEREZ;
4. That I will be requesting for the change of civil status from maiden name to married
individual and will be using my married name BUNNY JANE PEREZ RAMOS as soon
as I renew my passport upon expiration of my present passport ;
5. That I hereby declare and attest that the name BUNNY JANE CASUPANG PEREZ as
reflected in my passport and BUNNY JANE CASUPANG PEREZ-RAMOS, being my
married name, refer to one and the same person, the herein affiant;
City, Philippines.
BUNNY JANE CASUPANG PEREZ-RAMOS

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2008

Pasig City )s.s.
(FOR NON-USAGE OF SURNAME)
I, ROGELIO D. LOPEZ, JR., of legal age, Filipino and with postal address at 181 Dama De
Noche Street, Lupang Pari, San Miguel, Pasig City, after having been duly sworn to in accordance
7. That I am married to NIÑO P. RAMOS on April 28, 2007 at St. Francis of Assisi Parish,
Shaw Boulevard, Mandaluyong City, duly solemnized by Rev. Fr. Edgardo Dumaual;
8. That out of the said relationship, we begot a child was is named as JASON DIRK
PEREZ RAMOS, who was born on August 31, 2007 in Pasig City, Metro Manila;
9. That prior to such marriage or on September 24, 2004, I caused to be issued a

Philippine Passport with No. PP 0167855 by the Department of Foreign Affairs, Manila
which has to be expired on September 29, 2009, specifically, under my maiden name
BUNNY JANE CASUPANG PEREZ;
individual and will be using my married name BUNNY JANE PEREZ RAMOS as soon
as I renew my passport upon expiration of my present passport ;
11. That I hereby declare and attest that the name BUNNY JANE CASUPANG PEREZ as
reflected in my passport and BUNNY JANE CASUPANG PEREZ-RAMOS, being my
City, Philippines.
BUNNY JANE CASUPANG PEREZ-RAMOS

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2012
Pasig City )s.s.
AFFIDAVIT
(AS TO CIVIL STATUS)
We, SPOUSES MICHAEL MARAVILLA and MARIA ISABELLE CASINO MARAVILLA,

and SPOUSES CARLOS MARAVILLA and KATHERINE JOHHANNA MARAVILLA, all of legal
age, Filipinos, and with resiedence and postal address at 13 Chico Street, Valle Verde, Ugong,
1. That we are parties in the consummated Deed of Absolute Sale;
2. That in the Deed of Absolute Sale, we omitted to indicate our marital status;
3. That we hereby declare and attest that we, SPOUSES MICHAEL MARAVILLA and
MARIA ISABELLE CASINO MARAVILLA, were married on March 15, 1998, while we,
SPOUSES CARLOS MARAVILLA and KATHERINE JOHHANNA MARAVILLA were
married on May 30, 2009;
Affiants:
MICHAEL MARAVILLA MARIA ISABELLE CASINO MARAVILLA
CARLOS MARAVILLA KATHERINE JOHHANNA MARAVILLA
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
AFFIDAVIT
I, MARICEL GUERRERO RAMOS, of legal age, Filipino, single and with resiedence and
postal address at No. 35 San Lorenzo St., Kapitolyo, Pasig City, after having been duly sworn to in
1. I am the mother of the following minor children who were born out of wedlock, namely:
a. MELISSA BEATRIZ G. RAMOS, born out of wedlock on June 19, 1996; and
b. MICEL BENETT G. RAMOS, born out of wedlock on June 7, 1995;
2. I intend to enroll my aforenamed children at St. Paul College of Makati for School Year
2011-2012 and one of the requirements thereto is the submission of an Affidavit as to
my marital status;
3. I hereby declare and attest that me and my common-law husband, MICHAEL CHUNG,
the father of my children, is not yet married ;
City, Philippines.
MARICEL GUERRERO RAMOS

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT OF CHANGE OF MARITAL STATUS
I, ANNABELLE LLANES-IGOT, of legal age, married, Filipino and with postal address at
Damayan Street, Sto. Tomas, Pasig City, after having been duly sworn to in accordance with law,
1. That I am married to FELIX E. IGOT on January 07, 2011 at Pasig City, duly
solemnized by Hon. Danilo Cruz;
2. That out of the said relationship, we begot eight (8) children;
3. That I am presently employed at City Government of Pasig City detailed at CENRO

Office and my records at the Office of the Human Resources Department was
registered under my maiden name ANNABELLE LLANES;
individual and will be using my married name ANNABELLE LLANES-IGOT;
5. That I hereby declare and attest that the name ANNABELLE LLANES as reflected in
my records at the Office of the Human Resources Department and ANNABELLE
LLANES-IGOT, being my married name, refer to one and the same person, the herein
affiant;
City, Philippines.
ANNABELLE LLANES-IGOT
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
AFFIDAVIT OF LOSS
I, Atty. DIANETH L. VALENCIA, of legal age, married, Filipino and with

office address at c/o Accounting Office, 3rd Floor, Pasig City Hall Bldg, Pasig City,
say:
1. That I am presently employed at City Government of Pasig City

detailed at Accounting Office as Officer-in-Charge;
2. That I am now upadating and processing the registration of the City

Governmrent of Pasig with the Bureau of Internal Revenue, and one of
the requirements thereto is the submission of this affidavit;
3. That sometime on November 2011, I noticed that the said Certificate

of Registratiion issued by the Bureau of Internal Revenue was missing
in our office presumably the same was misplaced under unknown
circumstances;
4. That t for all intents and purposes, the aforesaid Certificate of

Registratiion is now considered lost;

may serve;

Atty. DIANETH L. VALENCIA

Affiant
2012 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2012
Pasig City )s.s.
(FOR NON-USAGE OF MARITAL STATUS)
I, AUXILIUM C. DENATE-BALISME, of legal age, married, Filipino and with postal address
at 23 Sitio Buli, San Miguel, Pasig City, after having been duly sworn to in accordance with law,
1. That I am married to Edmundo Balisme on March 25, 1986 at San Enrique, Iloilo;
2. That out of the said relationship, we begot three (3) children;
3. That on March 29, 1996, I caused to be issued a Philippine Passport with No.
AA951392 by the Department of Foreign Affairs, Manila which expired on March 19,
2001, specifically, under my maiden name AUXILIUM CORDERO DENATE. For reason
of immediate processing of my documents I opted to used my maiden name AUXILIUM
CORDERO DENATE in my Philippine Passport;
individual and will be using my married name AUXILIUM DENATE BALISME as soon as
I renew my expired passport;
5. That I hereby declare and attest that the name AUXILIUM CORDERO DENATE as
reflected in my Philippine Passport and AUXILIUM DENATE BALISME, being my
City, Philippines.
AUXILIUM C. DENATE-BALISME
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT
I, DEXTER CRUZ EUSEBIO, of legal age, Filipino, married, and with postal address of
1516 F. Manalo Street, Bambang, Pasig City, after having been duly sworn to in accordance with
1. That I am the registered owner of a real property containing an area of NNETY-SEVEN

(97) SQUARE METERS; caused to subdivide it for reason that I have sold the portion of
which to other party;
2. That now I am now registering the said sale at the Register of Deeds of Pasig to have
two (2) titles, one in the name of the buyer and another one in the name of the
undersigned for the remaining unsold portion;
3. That I am being required by the Register of Deeds to indicate my civil status in the
documents submitted with that Office;
4. That for all legal intents and purposes, I am married to ROSE ROBLES EUSEBIO on
January 10, 1976;
City, Philippines.
DEXTER CRUZ EUSEBIO

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009

Pasig City )s.s.
AFFIDAVIT
I, CARMELITA DEL CARMEN-PALACIO of legal age, Filipino, widow, and with postal
address of 141 Rose Street, Sonia Subd., Dela Paz, Pasig City, after having been duly sworn to in
1. That I am the registered owner of a real property containing an area of THREE

HUNDRED SEVENTY SEVEN (377) SQUARE METERS; caused to subdivide it for
reason that I have sold the portion of which to other party;
2. That now I am now registering the said sale at the Register of Deeds of Pasig to have
two (2) titles, one in the name of the buyer and another one in the name of the
undersigned for the remaining unsold portion;
3. That I am being required by the Register of Deeds to indicate the undersigned and my
children’s civil status in the documents submitted with that Office;
4. That for all legal intents and purposes, I am married to the late EDISON E. PALACIO
SR, on July 30, 1966;
5. That out of the said union, we were blessed with six (6) children, namely:
(1) Allan DC. Palacio married to Juliet L. Palacio; (2) Edison DC. Palacio, Jr. married
to Herna Hope R. Palacio; (3) Ma. Victoria DC. Palacio-Calig married to Barry Calig;
(4) Alexander DC. Palacio married to Christine C. Palacio; (5) Ferdinand DC.
Palacio married to Loda Palacio; and (6) Caroline DC. Palacio-Alatan married to
Fermin Alatan;
IN WITNESS WHEREOF, I have set my hand this ___ day of __________, 2011at Pasig
City, Philippines.
CARMELITA DEL CARMEN-PALACIO

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
AFFIDAVIT
I, ADELINA QUITAY-CASTILLO, of legal age, Filipino, widow, and with postal

address of 1563 Int. E. Santos, Palatiw, Pasig City, after having been duly sworn to in
1. I am the lawful wife of Mr. ERNESTO M. CASTILLO who died on February 5,

2006 at Pateros, Metro Manila;
2. On September 08, 2004, the Heirs of the late IRENE CASTILLO RAMIREZ, the
latter being the registered owner of a real property containing an area of
TWO HUNDRED TEN (210) SQUARE METERS, executed an Extrajudicial
Settlement of the Estate of the Late Irene Castillo Ramirez in favor of my
deceased husband, ERNESTO M. CASTILLO ;
3. Now I am registering the said Extrajudicial Settlement of Estate at the

Register of Deeds of Pasig under the name of my deceased husband,
ERNESTO M. CASTILLO;
4. I am being required by the Register of Deeds to indicate my civil status in

the documents submitted with that Office;
5. For all legal intents and purposes, I am married to ERNESTO M. CASTILLO

on July 6, 1993 at Golden Cross Parish of San Vicente, Binan, Laguna;

ADELINA QUITAY-CASTILLO
Affiant
in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010
Pasig City )s.s.
AFFIDAVIT
I, ALFREDO A. MANANTAN, JR., of legal age, married, Filipino and with postal address of
#35-D Chico St. Sta. Rosa, Pasig City, after having been duly sworn to in accordance with law,
1. That I am the son of the late GENARA MANANTAN who died on August 31, 1992 in
Immaculate Hospital, Pasig City;
2. That I am availing the services for Meralco;
3. That by reason of the death of the deceased, I am applying for the transfer of said
Meralco Meter base in my name ALFREDO A. MANANTAN, JR. who is now at
Pangasinan and will be back in Pasig City at the above given address at the end of this
month;
4. That I hereby manifest my father’s intention that the said meter base be registered in
his name since we were the one consuming and availing the electric services and my
father is the person responsible in paying the said electric bill;
5. That I hereby declare and attest that my father consent in the said transfer of name
from the deceased to his name VICTORIA E. SABANGAN and he will transact
business with Meralco and submit necessary documents relative thereto;
City, Philippines.
MARK ANTHONY M. MARAŇON

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2007
Pasig City )s.s.
AFFIDAVIT
I, MARIANO CARLOS, of legal age, married, Filipino and with postal address at No. 113
Urbano Velasco St., Pinagbuhatan, Pasig City, after having been duly sworn to in accordance with
1. That I am the son and surviving heirs of the late Juan Carlos who died on August 31,
1992 in Immaculate Hospital, Pasig City;
2. That the deceased availed the services for Meralco with SIN No.;
7. That by reason of the death of my father, I am applying for the transfer of said Meralco
Meter base to be registered in my name MARIANO CARLOS;
from the deceased to his name Ramoncito Maraňon and he will transact business with
Meralco and submit necessary documents relative thereto;
City, Philippines.
MARIANO CARLOS
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
JOINT AFFIDAVIT
WE, ANITA EVANGELISTA-SANOY, JAIME C. EVANGELISTA, CLARITA

EVANGELISTA-DESAMPADO, MANUEL C. EVANGELISTA and GERARDO C. EVANGELISTA,
all of legal age, Filipino citizens and with postal address at B 11 Pangilinan St. Barracks Caniogan,
1. That we are the children and surviving heirs of the late Spouses Gerardo R.
Evangelista and Lualhati C. Evangelista;
2. That the deceased availed the services of Meralco with SIN No. 476721002
3. That by reason of the death of our parents, we are applying for the transfer of said
Meralco Meter base to be registered in the name of our sister, VICTORIA E.
SABANGAN;
4. That we hereby manifest our father’s intention that the said meter base be registered in
the name of our sister, VICTORIA E. SABANGAN since she were the one consuming
and availing the electric services and she is the person responsible in paying the said
electric bill;
5. That we hereby declare and attest our consent in the said transfer of name from the
deceased to our sister, VICTORIA E. SABANGAN and she will transact business with
IN WITNESS WHEREOF, we have hereunto set our hands this ___ day of __________,
ANITA EVANGELISTA-SANOY JAIME C. EVANGELISTA

Affiant Affiant
CLARITA EVANGELISTA-DESAMPADO MANUEL C. EVANGELISTA

Affiant Affiant
GERARDO C. EVANGELISTA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
AFFIDAVIT
I, DENNIS ORIEL FLORES, of legal age, married to Andrea Flores, Filipino and with postal
address at No. 1641 Camia St., Villa Eusebio, San Miguel, Pasig City, after having been duly
1. I am the registered owner of AADD Office Furniture Trading located at the above-
mentioned address;
2. I am paying my Quarterly Income Tax Return (BIR Form No. 1701Q) at the Bureau of
Internal Revenue and one of the requirements is the submission of my proof of billings.
However, in the submitted bill of payments, the names that were registered therein is
my mother and my wife, to wit:
a. Innove Communications Bills– registered in the name of ANDREA FLORES;

b. Manila Water Bills– registered in the name of MONINA FLORES; and
c. Meralco Bills – registered in the name of MONINA FLORES;
3. That I hereby declare and attest that I am the one who is responsible in paying the said
bills;
City, Philippines.
DENNIS ORIEL FLORES

Affiant
Conforme:
ANDREA FLORES MONINA FLORES
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
AFFIDAVIT OF OCCUPANY
I, JAMEL M. LIMBO, of legal age, married, Filipino and with postal address at 31-A Mabini
St., Kapasigan, Pasig City, after having been duly sworn to in accordance with law, hereby depose
and say:
1. That I am applying for the connection of electric meter base at the Manila Electric
Company to be provided at the above given address;
2. That one of the requirements thereto is the submission of this Affidavit for my electric
meter connection;
3. That for all legal intents and purposes, I am the lessee of the subject property which is
owned by PAULA SANTANA, and as a matter of fact, I have been physically occupying
the said property since 2007;
City, Philippines.
JAMEL M. LIMBO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT
I, ERLINDA RUBIO JAVIER, of legal age, married, Filipino and with postal address at 39
Ph. 2, West Bank Floodway, Maybunga, Pasig City, after having been duly sworn to in accordance
1. I am the sister of MARISSA RUIZ who availed the service of Manila Water with Contract
Account No. 13988367;
2. I am applying for the transfer or change of name of said Manila Water in the name of
my sister MARISSA RUIZ who is now living at Antipolo, Rizal;
3. I hereby manifest my intention that the said Manila Water be registered in my name
since I am the one consuming and availing the water services and I am responsible in
paying the said water bill;
City, Philippines.
ERLINDA RUBIO JAVIER

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT
I, MA. CORAZON CRUZ, of legal age, Filipino, single, and with postal address at No. 46
Dr. Sixto Antonio Ave., Rosario, Pasig City, after having been duly sworn to in accordance with law,
1. That I am one of the surviving children and compulsory heirs of the late TEODORICA
HISTORIA CRUZ who died on March 7, 2011 at Pasig City, the latter being the
registered owner of a real property containing an area of One Hundred and One
Square Meters (101.50) and Fifty Sq. Decimeters covered and embraced by TCT No.
PT-78712;
2. That I am now registering the said Extrajudicial Settlement of Estate of the late
TEODORICA HISTORIA CRUZ in the Register of Deeds, Pasig City;
7. That I am being required by the Register of Deeds to indicate our civil status in the
documents submitted with that Office;
8. That for all legal intents and purposes, the following are the civil status of the heirs of
the late TEODORICA HISTORIA CRUZ, to wit:
a. Salina H. Cruz, widow;

b. Marciano H. Cruz, married to Sol Barbara Gaabucayan;
c. Aniano H. Cruz, Jr., married to Jenny Rose Jesalva;
d. Ma. Corazon H. Cruz, single;
e. Ma. Aniana H. Cruz, married to Remegio Villanueva; and
f. Arnel H. Cruz, single;
City, Philippines.
MA. CORAZON CRUZ

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
1. That I am the tenant of Paula Santana with residence address at the abovementioned
address;
2. That the deceased availed the services for Meralco with SIN No. 482395601;
Meralco Meter base in the name of my father ROMANCITO MARAŇON who is now at
month;
City, Philippines.
JAMEL M. LIMBO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2007

Pasig City )s.s.
AFFIDAVIT
I, LORELLI G. VASQUEZ, of legal age, single, Filipino and with postal address of 58 A.C.
Santos St., Ugong, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am the cousin of the late Mariano Baltazar who died on August 31, 1992 in
month;
City, Philippines.
LORELLI G. VASQUEZ
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT
We, SUSANA A. CORTIÑAS, NOELITO A. CORTIÑAS and ROWENA CORTIÑAS, all of

legal age, Filipinos and with common postal address at No. 17 Rosario Village, Sta. Lucia, Pasig
City, respectively, after having been duly sworn to in accordance with law, hereby depose and say:
1. That we are the children of the late Beatriz Cortiñas who died on April 3, 2002 in Pasig
City General Hospital, Pasig City;
3. That by reason of the death of our mother, we are applying for the transfer of said
Meralco Meter base in the name of our sister in-law SAADA A. CORTIÑAS;
4. That we hereby manifest our sister in-law’s intention that the said meter base be
registered in her name since we were the one consuming and availing the electric
services and she is the person responsible in paying the said electric bill;
5. That we hereby declare and attest that our sister in-law consent in the said transfer of
name from the deceased to her name SAADA A. CORTIÑAS and she will transact
business with Meralco and submit necessary documents relative thereto;
City, Philippines.
SUSANA A. CORTIÑAS NOELITO A. CORTIÑAS

Affiant Affiant
ROWENA CORTIÑAS
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009
Pasig City )s.s.
AFFIDAVIT
I, LEONCIA BALTAZAR-DE LARA, of legal age, married, Filipino and with postal address
of 42 E. Mendoza St., Buting, Pasig City, after having been duly sworn to in accordance with law,
1. That I am the cousin of the late Mariano Baltazar who died on August 31, 1992 in
month;
City, Philippines.
MARK ANTHONY M. MARAŇON

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2007
Pasig City )s.s.
AFFIDAVIT
I, MANUEL L. VIDAMO, of legal age, Filipino and with postal address of #14 Joe Bordis St.
Bagong Ilog, Pasig City, after having been duly sworn to in accordance with law, hereby depose
and say:
1. That I am the grandson of the late JOSEFINA L. VIDAMO who died on November 1,
1981 in Pasig Metro Manila;
Meralco Meter base under my name MANUEL L. VIDAMO;
4. That I hereby manifest my intention that the said meter base be registered in my name
since I was the one consuming and availing the electric services and responsible in
paying the said electric bill;
5. That I hereby declare and attest that my consent in the said transfer of name from the
deceased to my name MANUEL L. VIDAMO and I will transact business with Meralco
and submit necessary documents relative thereto;
City, Philippines.
MANUEL L. VIDAMO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2007

Pasig City )s.s.
AFFIDAVIT
I, LORNA MARTINEZ DERIAL, of legal age, Filipino and with postal address of 254 A.
Rodriguez Ave., Manggahan, Pasig City, after having been duly sworn to in accordance with law,
1. That I am the mother of the following children to wit:
1.1. Jessibelle M. Derial who was born on February 9, 1997 in Tumbod, Taytay,
Palawan;
1.2. Goldwin M. Derial who was born on September 13, 1999 in Tumbod, Taytay,
Palawan;
2. That the facts of birth of my children were not registered in the Office of the Local Civil
Registrat of Taytay, Palawan, which fact were made known to the herein affiant after
verificationfrom the Local Civil Registry;
3. That the said failure of registration of birth was due to the inadvertence on the part of the
midwife who should have register the same;
4. That due to the foregoing and for the reason that I have no sufficient money to register the said
births of my children, I am executing this affidavit to prove that they are my children;
5. That I am executing this Affidavit to attest to the truth and veracity of the foregoing facts for all
City, Philippines.
LORNA MARTINEZ DERIAL

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2007
K8

Pasig City )s.s.
I, REBECCA VICTORIA ALIGOR LEAL, of legal age, Filipino and with postal address of
Unit 109 Bldg. 25 Centennial Village, Western Bicutan, Taguig City, after having been duly sworn to
1. That I am the mother of Ma. Victoria Leal Rodriguez, the latter was born on out of wedlock
on September 15, 1975 in Taguig City;
2. That my daughter’s Certificate of Live Birth was not filed within the reglementary period of
filling upon her birth and was registered only last February 13, 2007 on the belief that the
said Certificate of Live Birth of my daughter was duly registered with the Office of the Local
Civil Registrar of Taguig City by traditional midwife (“hilot”) who assisted her birth;
3. In the absence of the foregoing Certificate of Live Birth, it would appear that my daughter’s
first public document is her Baptismal Certificate hereto attached bearing the last name of
my husband LEAL for we were married before she was baptized, thus, proves that the
deceased is the father of my daughter;
4. Corollary to the foregoing, my daughter’s Baptismal Certificate, School records, Marriage

Contract bears her father’s last name LEAL since her deceased father and I were married
on July 29, 1979 which run contrary with her Certificate of Live Birth bearing my maiden
last name ALIGOR;
5. The registration of the maiden last name ALIGOR which was registered in her Certificate of
Live is against my volition. Given the fact that my daughter was born out of wedlock, the
subsequent marriage of the herein affiant with her deceased father Florencio Leal, makes
my daughter legitimated, thus, shall bear the last name of my husband, LEAL. Family
Code of the Philippines, Art. 177 specifically provides that “Only children conceived and
born outside of wedlock of parents who, at the time of the conception of the former, were
not disqualified by any impediment to marry each other may be legitimated”. The Local
Civil Registrar insisted that my daughter shall bear my maiden last name ALIGOR since my
husband predeceased her and for purpose of registering my daughter’s birth, I abide and
cause the late registration of her birth as MA. VICTORIA ALIGOR. In connection with the
foregoing provision and to further establish that my daughter shall bear the last name
LEAL, Art. 180 of the Family Code provides that the effects of legitimation shall retroact to
the time of the child’s birth, it would imply that my daughter from the time of birth enjoys the
right to use the surname of her father LEAL;
6. Due to the foregoing inconsistency I am executing this affidavit to prove that my daughter
MA. VICTORIA LEAL RODRIGUEZ is the daughter of the late Florencio Leal and the fact of
the subsequent marriage of the herein affiant with the deceased Florecio, my daughter has
the right to use the deceased family name LEAL;
7. That for all intents and purposes my daughter’s true and correct maiden name is MA.
VICTORIAL LEAL RODRIGUEZ;
City, Philippines.
REBECCA VICTORIA ALIGOR LEAL

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2007 K8

Pasig City )s.s.
SWORN STATEMENT
I, MARIA ANA R. ESPIRITU, of legal age, Filipino and with postal address of 46-D Gen. A.
Natividad Street, Palingon, Tipas, Taguig City, after having been duly sworn to in accordance with
6. That I am a bona fide member of Social Security System with No. 33-3985078-2, having
recorded therein as married in Civil Status to Eumir Espiritu;
7. That I have been separated with Eumir Espiritu for almost 8 years now for irreconciliable
differences ;
8. That I am now living with Harrold Livado Apostol for which we are blessed with a child, a
baby boy whose given name is ACHILLES HARRY ROMAN APOSTOL who was born on
October 4, 2009;
9. That I filed my maternity benefits pending with the Social Security System for the delivery of
above named child Achilles Harry Roman Apostol. One of the requirements is an Affidavit
stating my maternal status, hence this affidavit;
City, Philippines.
MARIA ANA R. ESPIRITU

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009
Pasig City )s.s.
AFFIDAVIT
I, MARITES G. REYES, of legal age, widowed, Filipino and with postal address at No. 17-B
A. Flores St., Caniogan, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am the surviving wife and legal heirs of the late RICARDO P. REYES and our
marriage was celebrated on May 26, 1989 in Pasig City and out of said union we begot
three (3) children;
2. That my husband Ricardo P. Reyes died on September 2, 2011 in Pasig City;
3. During the lifetime of my husband, he is a bona fide member of Social Security System with
SSS No. 03-7799458-0;
4. That during our 13 years of our marriage, we had a happy relationship. However, my
husband started to become irresponsible and with his vices, we had constant fights over
the same which caused me to file him a case due to physical injuries. That I have been
separated with RICARDO P. REYES for almost 9 years now;
5. That after our separation, Ricardo P. Reyes did not give any support to his children who are
under my custody and the undersigned stand as the head of the family who support my
children from their basic needs, sustenance, education, medication, transportation and
other basic needs;
6. That after our separation and up to the present, I did not enter into a new relationship or
contract any marriage with any person elsewhere in the Philippines or outside the
Philippines, thus, I remain to be single/widowed;
City, Philippines.
MARITES G. REYES
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT
I, MARITES G. REYES, of legal age, widowed, Filipino and with postal

address at No. 17-B A. Flores St., Caniogan, Pasig City, after having been duly
1. That I am the surviving wife and legal heirs of the late RICARDO P. REYES
and our marriage was celebrated on May 26, 1989 in Pasig City and out
of said union we begot three (3) children;
2. That my husband Ricardo P. Reyes died on September 2, 2011 in Pasig

City;
3. During the lifetime of my husband, he is a bona fide member of Social

Security System with SSS No. 03-7799458-0;
4. That during our 13 years of our marriage, we had a happy relationship.
However, my husband started to become irresponsible and with his vices,
we had constant fights over the same which caused me to file him a case
due to physical injuries. That I have been separated with RICARDO P.
REYES for almost 9 years now;
5. That after our separation, Ricardo P. Reyes did not give any support to his
children who are under my custody and the undersigned stand as the
head of the family who support my children from their basic needs,
sustenance, education, medication, transportation and other basic
needs;
6. That after our separation and up to the present, I did not enter into a new
relationship or contract any marriage with any person elsewhere in the
Philippines or outside the Philippines, thus, I remain to be
single/widowed;
serve;

MARITES G. REYES
Affiant
2011 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
SWORN STATEMENT
I, MA. KATRINA S. GONZAGA , of legal age, Filipino, single, and with

postal address of 50 Villa Rosa Street, Sto. Tomas, Pasig City, after having been
1. That I was previously at EastWest Bank, Cubao Branch, Cubao Quezon

City and a bona fide member of Social Security System and PAG-IBIG;
2. That I have been separated with the said office and I am now processing
my separation pay and any other benefits due me;
3. That considering that I am no longer connected with the aforesaid office, I

am now requesting that I will personally pay my Salary Loan with SSS and
PAG-IBIG Office, hence, this Affidavit;
serve;

MA. KATRINA S. GONZAGA

Affiant
2013 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2013
Pasig City )s.s.
I, EMELDA RANQUE AZADA, single, of legal age, Filipino and with postal address of
and say:
1. That I am the biological mother of NATALIA AZADA, who was born out of wedlock on
November 19, 2007 in Pasig City. That she is the daughter of my common-law husband
EDDY A. MATTHYS, a Belgium national;
2. That the facts of my daughter’s birth were belatedly registered in the Office of the Local
Civil Registry of Pasig City;
3. That in her Birth Certificate, it would appear that her name is erroneously registered as
NATALIA AZADA MATTHYS, thereby using the family name of his father MATTHYS sans
the valid matrimony. By inadvertence and without the thought of legal implication, I affixed
the signature of my common-law husband at the back portion of the said Birth Certificate,
particularly on the Affidavit of Acknowledgment/Admission of Paternity. When in truth and
in fact, he was not here in the Philippines;
4. That it is also an error in the Birth Certificate when I personally signed my name as
EMELDA R. MATTHYS, when in fact, it should be EMELDA RANQUE AZADA, knowing for
a fact that we have not yet married;
5. That to set the records straight, my common-law husband is willing to personally sign and
execute any document that would prove that he is the biological father of my child;
City, Philippines.
EMELDA RANQUE AZADA

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
I, RODERICK D. VIRAY, of legal age, Filipino and with postal address of Halay-Hayin St.,
Buliran, Siniloan, Laguna, after having been duly sworn to in accordance with law, hereby depose
and say:
1. That I am the biological father of GLEN RAY ESGUERRA VIRAY, who was born out of
wedlock on June 28, 1995 in Pasig City;
2. That the facts of my son’s birth were duly registered in the Office of the Local Civil Registry
of Pasig City;
3. That in the said Birth Certificate, the Date of Entry was registered therein as “May 4,
2010”. However, on the said date, I was in Japan and it was only on “May 5, 2010, I
arrived here in the Philippines ;
4. That the said entries were inadvertence on the part of the person who caused the wrong
date of entry;
5. That due to the foregoing declaration in the Birth Certificate of my son which run conflict
with the entries in his Certificate of Live Birth, this affidavit has been executed to clarify and
further declare that GLEN RAY ESGUERRA VIRAY is my son and that I filed the late
registeration of his birth on “May 5, 2010” and not on “May 4, 2010”;
City, Philippines.
RODERICK D. VIRAY
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
I, RODERICK D. VIRAY, of legal age, Filipino and with postal address of Halay-Hayin St.,
Buliran, Siniloan, Laguna, after having been duly sworn to in accordance with law, hereby depose
and say:
1. That I am the biological father of MA. CRISTINA ESGUERRA VIRAY, who was born out of
wedlock on August 7, 1997 in Pasig City;
2. That the facts of my daughter’s birth were duly registered in the Office of the Local Civil
Registry of Pasig City;
3. That in the said Birth Certificate, the Date of Entry was registered therein as “May 4,
2010”. However, on the said date, I was in Japan and it was only on “May 5, 2010, I
arrived here in the Philippines ;
4. That the said entries were inadvertence on the part of the person who caused the wrong
date of entry;
5. That due to the foregoing declaration in the Birth Certificate of my daughter which run
conflict with the entries in her Certificate of Live Birth, this affidavit has been executed to
clarify and further declare that MA. CRISTINA ESGUERRA VIRAY is my daughter and that
I filed the late registeration of her birth on “May 5, 2010” and not on “May 4, 2010”;
City, Philippines.
RODERICK D. VIRAY
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
I, BENVINIDO C. CANABANO, of legal age, married, Filipino and with postal address of
113 San Agustin St., Palatiw, Pasig City, after having been duly sworn to in accordance with law,
1. That I am the biological father of ROSEBELYN S. CANABANO, who was born out of
wedlock on April 30, 1990 in Maramag, Bukidnon;
Registry of Maramag, Bukidnon;
3. That when she secured an Authenticated Copy of her Birth Certificate from the National
Statistcis Office (NSO) her name was erroneously registered therein as ROSEBELYN
SUERTE instead of his true and correct accustomed name ROSEBELYN S.
CANABANO;
4. That due to the foregoing declaration in the Birth Certificate of my daughter which run
conflict with the entries in her Authenticated Certificate of Live Birth from the NSO, this
affidavit has been executed to clarify and further declare that ROSEBELYN S.
CANABANO is my daughter of the herein affiant and her biological mother is LILIBETH
SUERTE and that the name ROSEBELYN SUERTE and ROSEBELYN S. CANABANO
refers to the name of one and the same person;
City, Philippines.
BENVINIDO C. CANABANO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009
Pasig City )s.s.
AFFIDAVIT
I, ROSALINA MASANQUE, of legal age, Filipino and with postal address of Science St.,
Teacher’s Village, Barangay Manggahan, Pasig City, after having been duly sworn to in
1. That I am one of the incorporators of Manggahan Teachers Village Neighborhood

Association Inc., a non-stock, non-profit corporation under the laws of the Republic of
the Philippines with principal office address at Science St., Teachers Village, Barangay
Manggahan, Pasig City;
2. That the said non-stock, non-profit corporation is the only neighborhood association in
the said village/subdivision of Barangay Manggahan, Pasig City;
3. That I hereby declare and attest that there is no other existing similar association in
Teachers Village, Barangay Manggahan, Pasig City;
City, Philippines.
ROSALINA MASANQUE
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2007
K8

Pasig City )s.s.
AFFIDAVIT
I, ALEXANDER M. DIZON, of legal age, Filipino and with postal address of 2599 Daniel St.,
Centennial II-B, Nagpayong, Pinagbuhatan, Pasig City, after having been duly sworn to in
1. That I am the son of Normalita M. Dizon, the latter being a holder of right over the
parcel of land located at the above given address;
2. That my mother, Normalita M. Dizon engaged the electric services of Meralco;
3. That the said electric services was disconnected and I am applying for the reconnection
in her behalf;
4. That my mother cannot give her authority and consent for me to transact business with
Meralco for the reason that she is employed at Saudi Arabia;
5. That before she left I was asked by her to manage her properties;
City, Philippines.
ALEXANDER M. DIZON
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2007
K8

Pasig City )s.s.
SWORN AFFIDAVIT
I, SALVE B. OBIS, of legal age, Filipino, married and with postal address at Centennial 2,
Nagpayong, Pinagbuhatan, Pasig City, after having been duly sworn to in accordance with law,
1. That I am a bonafide member of CENTENNIAL SUNRISE HOMEOWNERS

ASSOCIATION, INC., and a resident of Block 24 Lot 4, Eagle Street Centennial Sunrise
Homeowners Association, Inc.,, Nagpayong, Pinagbuhatan, Pasig City;
2. That accordingly, I am the registered subscription holder at the Manila Electric

Company under Service I.D. Number 969943701-3;
3. That aside from the own members of my family which composed of the
undersigned, my husband and my three (3) children who are using electricity inside our house, I
have my sister in law in the name of Evangeline T. Obis, who resides thereat, with her own
personal electric appliance which shares the same electrical connection with the undersigned’s; it
is for this reason, that the usage is comparably high to any other users;
City, Philippines.
SALVE B. OBIS
Affiant
CONFORME:
EVANGELINE T. OBIS
Pasig City.
Doc. No.
Page No.
Book. No. As
Series of 2011
G
Pasig City )s.s.
AFFIDAVIT
I, NORLINDA C. BELDAD, of legal age, Filipino and with postal address of No. 059
Kalayaan Street, Sumilang, Pasig City, after having been duly sworn to in accordance with law,
1. That I am the duly authorized representative of MADONNA NINOMIYA, to cause the

transfer of ownership of the property she purchased from Nonilon Espiritu located in
Barangay San Miguel Pasig City;
2. That in behalf of the buyer, I caused the payment of capital gains tax, documentary stamp
tax and other related expenses at the Bureau of Internal Revenue;
3. That by inadvertence, I paid the Capital Gains Tax and Documentary Stamps Tax in the
amount of P12,104.50 using my own Tax Identification Number 207-157-159-000 instead of
using the Tax Identification of the buyer. I learned only such mistake when the Bureau of
Internal Revenue called my attention of this matter, thus, I immediately secured the Tax
Identification Number of the buyer which is 203-057-660;
4. That for all legal intents and purposes, it is only but proper to change from Tax Identification
Number 207-157-159-000 to Tax Identification Number 203-057-660 which owns by the
buyer;
5. That the said error is not deliberate and intentional but solely for the reason of
inadvertence;
City, Philippines.
NORLINDA C. BELDAD
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009

Pasig City )s.s.
AFFIDAVIT
I, MAGDALENA BULATAO, of legal age, Filipino and with postal address of Karangalan
Village, Manggahan, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am the registered owner of a parcel of land under Transfer Certificate of Title No. PT-
108938 which I recently sold to Constantino Farrales;
2. That by virtue of the executed Deed of Sale, the buyer is now in the process of transferring
the said property in his name;
3. That by inadvertence, instead of using my own Tax Identification Number for the purpose of
paying the Capital Gains Tax and other related taxes, we inadvertently used the Tax
Identification Number 212-513-607 of my son Frederick Bulatao to make it appear as the
TIN of the VENDOR;
4. That for all legal intents and purposes, I hereby deny that the TIN 212-513-607 is not mine
but my son’s TIN;
inadvertence;
City, Philippines.
MAGDALENA BULATAO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009
Pasig City )s.s.
AFFIDAVIT
I, NORLINDA C. BELDAD, of legal age, Filipino and with postal address of No. 059
Kalayaan Street, Sumilang, Pasig City, after having been duly sworn to in accordance with law,
1. That I am the duly authorized representative of MADONNA NINOMIYA, to cause the

transfer of ownership of the property she purchased from Nonilon Espiritu located in
Barangay San Miguel Pasig City;
2. That in behalf of the buyer, I caused the payment of capital gains tax, documentary stamp
tax and other related expenses at the Bureau of Internal Revenue;
3. That by inadvertence, I paid the Capital Gains Tax and Documentary Stamps Tax in the
amount of P12,323.75 using my own Tax Identification Number 207-157-159-000 instead of
using the Tax Identification of the buyer. I learned only such mistake when the Bureau of
Internal Revenue called my attention of this matter, thus, I immediately secured the Tax
Identification Number of the buyer which is 203-057-660;
4. That for all legal intents and purposes, it is only but proper to change from Tax Identification
Number 207-157-159-000 to Tax Identification Number 203-057-660 which owns by the
buyer;
inadvertence;
City, Philippines.
NORLINDA C. BELDAD
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009
Pasig City )s.s.
AFFIDAVIT
I, JOCELYN DANDAN, of legal age, Filipino and with postal address of 14 Santiago St.,
Bagong Ilog, Pasig City, after having been duly sworn to in accordance with law, hereby depose
and say:
1. That I am married to one JEONG, YEONGSIK, a Korean National;
2. That we were married last March 14, 2007 in Quezon City;
3. That during the application, process and submission of necessary documents as a

prerequisite to a valid Marriage, my husband was still at Korea and he arrived on March 11,
2007;
4. That Marriage License was released on March 14, 2007, the day we were married and the
day he left the Philippines, for he only filed for 3-days leave;
City, Philippines.
JOCELYN DANDAN
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2007
K8
Pasig City )s.s.
I, REGINA CAPAGALAN RAPSING, of legal age, Filipino and with postal address of 146
Villa Sanchez St., Palatiw, Pasig City, after having been duly sworn to in accordance with law,
1. That I was born on July 5, 1979 in Pasig City being the daughter of Rolando Rapsing and
Jovita Capagalan;
2. That the facts of my birth were duly registered in the Office of the Local Civil Registry of
Pasig City;
3. That I applied for an employment abroad with an agency doing business in the Philippines
and among the requirements thereto is the submission of an authenticated Certificate of
Live Birth of the herein affiant from National Statistics Office and Certified true copy of my
Certificate of Live Birth from Local Civil Registry of Pasig;
4. That there are variations in the aforementioned documents submitted by the herein affiant,
to wit:
4.1. The entries in the said documents were both prepared through handwriting,
however the style and the manner of the entries were different, which causes
doubt on the person examining the same. The difference was presumably
prepared by two different person, one by the midwife herself and the other
copies were presumably prepared by her secretary or staff, or the entries in first
page were presumably made by the patient and the rest were prepared by the
staff of the midwife who assisted my birth;
4.2. An erasure is apparent in my authenticated Certificate of Live Birth specifically in
the box no. 4, which was not reflected, in the Certified true copy of my Certificate
of Live Birth, laying the basis cited in subparagraph 4.1. substantiate the fact
why the entries were different, not to mention that fact the same were prepared
and entered separately, thus, errors are probable;
5. That due to foregoing reason, I hereby declare and attest the entries made in the aforecited
documents are the same;
City, Philippines.
REGINA CAPAGALAN RAPSING

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2007
K8
Pasig City )s.s.
I, CHARRISH A. GUMBA, of legal age, single, Filipino and with postal address of No. 1435
Manuel Sr. Street, Villa Alfonso, Brgy. Bambang, Pasig City, after having been duly sworn to in
1. That I am a holder of a Philippine Passport with No. XX0024162 duly issued by the
Department of Affairs, Manila on September 18, 2007 and to be expired on September 18,
2012;
2. That on October 1, 2007, I flew for Malaysia using the said passport and eventually have
been able to secure a working visa in Malaysia and got employed as Waitress in a
restaurant establishment and returned back here in the Philippines last August 18, 2008;
3. That during the first months in Malaysia, I had to secure permit from the Immigration Office
in Brunei pending the issuance of my working permit I.D., In causing such permit, I had to
exit to Brunei from Malaysia and had my passport marked several times. It is for this
reason have entries (marks);
4. That now I am again being hired by my employer in Malaysia. One of his requirements is
to renew my above passport;
City, Philippines.
CHARRISH A. GUMBA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2008

Pasig City )s.s.
I, ALVIN Q. ACEBEDO, of legal age, single, Filipino and with postal address of No. 63
Interior Rosemarie Lane, Kapitolyo, Pasig City, after having been duly sworn to in accordance with
1. That I am a brother of ANALENE Q. ACEBEDO, who graduated at Rizal Technological

University, Pasig City and according a holder of Transcript of Records;
2. That sometiome on September 2008, I was advised my sister to secure a copy of her
Transcript of Records from said school;
3. That now, I am again securing my sister’s Transcript of Records because she is now
processing her documents to take her board examination and one of the requirements is a
copy of Transcript of Records with picture but before I secure said Transcript, I was
required by Rizal Technological University, Pasig City to submit this affidavit;
City, Philippines.
ALVIN Q. ACEBEDO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2008
Pasig City )s.s.
AFFIDAVIT OF NON FILING OF INCOME TAX RETURN
I, JERRY BRIAN C. BOLINAO, of legal age, Filipino and with postal address of 20 P.
Burgos St., San Jose, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am the father of JOHANNE FAITH Q. BOLINAO, who is applying for scholarship
with Centro Escolar University;
2. That among the requirements thereto is this affidavit attesting the source of income of
the herein affiant;
3. That my wife, FAITH LIZBETH Q. BOLINAO is a call center agent and I, is a driver and
earning more or less P 6,000.00 a month;
City, Philippines.
JERRY BRIAN C. BOLINAO

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009
Pasig City )s.s.
AFFIDAVIT OF INCOME
I, ALVIN B. DEJAN, of legal age, Filipino and with postal address of 42 Avi St.,
Bagong Ilog, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am applying for a housing Project with the City Government of Pasig;
2. That among the requirements thereto is this affidavit attesting the source of
income of the herein affiant;
3. That I am a tricycle driver and earning more or less P 6,000.00 a

month;
ALVIN B. DEJAN
Affiant
in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2012
Pasig City )s.s.
AFFIDAVIT OF NON- BAPTISMAL CERTIFICATE
I, DAHLIA V. ENDRIGA, of legal age, married, Filipino and with postal address of 149 Dr.
Pilapil St., San Miguel, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am the mother of RICHARD V. ENDRIGA, who was born on August 26, 1980 at
Mandaluyong City and his circumstance of birth is not yet registered with the Office of
the Local Civil Registry of Mandalu
yong City ;
2. That his birth is about to be registered, however, it is required that a copy of his
Baptismal Certificate be submitted, but to date he/she is not yet baptized;
City, Philippines.
DAHLIA V. ENDRIGA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
AFFIDAVIT OF NON- BAPTISMAL
I, MARLITA F. ARDEÑA, of legal age, married, Filipino and with postal address at 01 J.
Cruz St., Calzada, Tipas, Taguig City, after having been duly sworn to in accordance with law,
1. I am the mother of JOEANGELEE F. ARDEÑA, who was born on December 11,

1986 in Pasig, Metro Manila and JOZEL F. ARDEÑA who was born on February 3,
1997 in Pasig City. However, a discrepancies were apparent in their Certificate of Live
Birth;
2. Due to foregoing, I am now filing for the Petition for Correction of Entry in their
Certificate of Live Birth and I am required to submit my Baptismal Certificate, but to date
I am not yet baptized;
City, Philippines.
MARLITA F. ARDEÑA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2015

Pasig City )s.s.
AFFIDAVIT
I, EDUARDO AUNGON ESTRADA, of legal age, Filipino and with postal address of 1275
Camia Street, Ismar Kalawaan, Pasig City, after having been duly sworn to in accordance with law,
1. That I was born on July 3, 1950 in Ligao Albay, being the son of the late Spouses
Santiago Estrada and Maria Aungon Estrada;
2. That the facts of my birth were not duly registered, hence, I am causing the said birth to
be registered in the Office of the Local Civil Registry of Ligao Albay;
3. That I hereby declare and attest that I was actually born on July 3, 1950 in Ligao Albay,
being the son of the late Spouses Santiago Estrada and Maria Aungon Estrada;
City, Philippines.
EDUARDO A. ESTRADA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT
We, EDUARDO DELA ROSA and GERTRUDEZ DELA ROSA, both of legal age, Filipinos
and with postal address of 61 Policarpio St., San Joaquin, Pasig City, after having been duly sworn
6. That we are the parents of MARIE JO DELA CRUZ, who is applying for scholarship with
University of the Philippines (Socialized Tuition and Financial Assistance Program);
7. That among the requirements thereto is this affidavit attesting the source of income of
the herein affiants;
8. That I, EDUARDO DELA ROSA, is the only one earning in the family as a free lance
agent earning more or less P 8,000.00 a month;
EDUARDO DELA ROSA GERTRUDEZ DELA ROSA

Affiant Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2007
K8
Pasig City )s.s.
AFFIDAVIT
I, MELBERT A. GUERRA, of legal age, Filipino and with postal address of 1400 Orchids
St., Purok 6, Ismar, Kalawaan, Pasig City, after having been duly sworn to in accordance with law,
6. That I was born on December 24, 1982 in Mavalor, Rosario, Batangas, being the son of
Mario Sacdalan Guerra and Lourdes Alayon Guerra;
Mavalor, Rosario, Batangas;
8. That when I secured an authenticated copy of my Certificate of Live Birth from the
National Statistics Office, the entries therein are indistinctly registered such that the
person reading the same would have the hard time identifying the true and correct
entries;
9. That due to the foregoing unclear entries, I hereby declare and attest that the following
are the important identity of the herein affiant and are the same entries registered in the
said Certificate of Live Birth, to wit:
NAME - MELBERT A. GUERRA

DATE OF BIRTH - December 24, 1982
PLACE OF BIRTH - MAVALOR, ROSARIO, BATANGAS
FATHER’S NAME - MARIO SACDALAN GUERRA
MOTHER’S NAME - LOURDES ALAYON GUERRA
City, Philippines.
MELBERT A. GUERRA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2007
K8

Pasig City )s.s.
AFFIDAVIT
I, JOEY MEDINA TANAY, of legal age, Filipino and with postal address at Buli Creek, San
Miguel, Pasig City, after having been duly sworn to in accordance with law, hereby depose and
say:
1. That I was born on February 28, 1988 in Brgy. Tiguan, Iloilo City, being the son of Juan
A. Tanay and Esperanza Medina-Tanay;
Brgy. Tiguan, Iloilo City;
3. That when I secured an authenticated copy of my Certificate of Live Birth from the
National Statistics Office, the entries therein are indistinctly registered such that the
person reading the same would have the hard time identifying the true and correct
entries;
4. That due to the foregoing unclear entries, I hereby declare and attest that the following
are the important identity of the herein affiant and are the same entries registered in the
said Certificate of Live Birth, to wit:
NAME - JOEY MEDINA TANAY

DATE OF BIRTH - FEBRUARY 28, 1988
PLACE OF BIRTH - TIGUAN ILOILO CITY
FATHER’S NAME - JUAN TANAY
MOTHER’S NAME - ESPERANZA MEDINA
City, Philippines.
JOEY MEDINA TANAY

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT
I, MICHELLE B. BONOCAN, of legal age, Filipino and with postal address of 27 Villa Tech,
Palatiw, Pasig City, after having been duly sworn to in accordance with law, hereby depose and
say:
5. That I am the biological mother of RAFF CRISTOPHER BONOCAN the latter was born
out of wedlock on March 14, 2007 in Rizal Medical Center, Pasig City; the copy of the
Certificate of Live Birth of my son is hereto attached and made integral part of this
affidavit;
6. That to further substantiate the foregoing statement, attached herewith is the copy of
my Medical Certificate issued on April 4, 2007 issued by Trinidad Aquino, M.D.,
attending physician who certify that the herein affiant was hospitalized from March 14,
2007 to March 15, 2007 by reason that I delivered a baby boy;
7. That I further declare and attest that the foregoing submitted document proving that the
herein affiant delivered a baby at Rizal Medical Center are genuine and authentic;
That I am executing this Affidavit to attest to the truth and veracity of the foregoing
City, Philippines.
MICHELLE B. BONOCAN
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2007
K8

Pasig City )s.s.
SWORN STATEMENT
I, VENANCIO C. NUEVAS, of legal age, Filipino, married, and with postal address at 94
Judge Jabson Street, Bambang, Pasig City, after having been duly sworn to in accordance with
1. That I am a legitimate retailer of Liquified Petroleum Gas, with business address above
given;
2. That I am dealing with the CDV Gas and Appliance Center, with business address at A.
Rodriguez Avenue, Santolan, Pasig City;
3. That without my knowledge and by inadvertence, I have found out that the products
(LPG) delivered by the CDV Gas and Appliance Center to our store have no P.S. & I.C
markings. I only came to know such irregularity when I was caught by the personnel of
the Department of Trade and Industry; Attached herewith is the original copy of the
Official Receipt No. 40310 dated September 12, 2009 and Sales Invoice No. 178217
dated September 4, 2009;
4. That due to the foregoing, I am asking for apology for such inadvertence with and
appealing to the concerned agency to give me the chance to rectify such irregularity;
City, Philippines.
VENANCIO C. NUEVAS
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009
Pasig City )s.s.
AFFIDAVIT
I, CHRISTOPHER L. CATAYLO, of legal age, Filipino and with postal address of No. 98
Esguerra Compound, PInagbuhatan, Pasig City, after having been duly sworn to in accordance
1. That I am the father of Princess Criztanne Cruz Cataylo, who was born out of wedlock
on June 22, 2007 in Pasig City General Hospital. She is my only child to my present
live-in partner Maricel Cortez Cruz ;
2. That the facts of my child’s birth were not immediately registered due to my
inadvertence and only this time that I am causing the late registration of such birth;
3. That for all legal intents and purposes, I am the father of the abovenamed child;
4. That I am planning to travel to my hometown province in Eastern Samar along with my

abovenamed child;
City, Philippines.
CHRISTOPHER L. CATAYLO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009

Pasig City )s.s.
AFFIDAVIT
I, MARIE MAE C. DURA, of legal age, Filipino and with postal address of No. 90 Velasquez
St., Bangyad, San Juan, Taytay, Rizal, after having been duly sworn to in accordance with law,
1. That I am the mother of Lord Shin Nathan D. Oroceo, who was born out of wedlock
on June 26, 2009 in Lonoy, Sapian, Capiz. He is my only child to my present live-in
partner Nathaniel Oroceo;
2. That the facts of my child’s birth were not immediately registered due to my
inadvertence and only this time that I am causing the late registration of such birth;
3. That for all legal intents and purposes, I am the mother of the abovenamed child;
4. That I am planning to travel to my hometown province in Davao City along with my

abovenamed child;
City, Philippines.
MARIE MAE C. DURA

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009
Pasig City )s.s.
I, BABY GIRL VICTORIANA A. MANALO-ALINGCASTRE, of legal age,

Filipino, married, and with residential address at No. 827 Pilar Street, Ibayo,
Tipas, Taguig, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That during my school days, I was under impression that my name is

VICTORIA A. MANALO and that also I am accustomed to use 25
FEBRUARY 1963 as my date of birth, of which facts of birth I have
been using and now reflected in my Voter’s I.D while in my SSS
records, it appears that my date of birth was erroneously registered
therein as 25 FEBRUARY 1962;
2. That however, when I secured an authenticated copy of my Birth

Certificate issued by the National Statistics Office, I learned and
discovered that my name is registered as BABY GIRL VICTORIANA
A. MANALO instead of VICTORIA A. MANALO, and that I was
actually born on 25 FEBRUARY 1963;
3. That for all legal intents and purposes, I hereby declare and attest that
the name BABY GIRL VICTORIANA A. MANALO, born on 25
FEBRUARY 1963 reflected in my Voter’s Id and in my birth certificate
and the name VICTORIA A. MANALO, born on 25 FEBRUARY
1962, reflected in my SSS records, refers to the name of one and the
same person, the herein affiant;
4. That I hereby request that my secondary documents be corrected by
concerned agencies, to prove it, otherwise, shall have to seek the
declaration of Court;

may serve;

BABY GIRL VICTORIANA A. MANALO-

ALINGCASTRE
Affiant
2015 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2015

Pasig City )s.s.
AFFIDAVIT
I, MAXIMA R. BAGA, of legal age, widow, Filipino citizen and with residential address at
No. 825 Jose Villa Concio, San Joaquin, Pasig City, after having been duly sworn to in accordance
1. That I am the wife of the late ERNESTO DAMIAN BAGA who was born on
October 8, 1957 in Pasig (now City), Rizal, son of Spouses Policarpio Baga and
Socorro S. Damian. We got married on July 29, 1979 in Apalit, Pampanga. Out of said
union we begot four (4) children, namely: Enrico R. Baga, Richard R. Baga, Rizza R.
Baga, and Jonathan R. Baga;
2. That my husband ERNESTO DAMIAN BAGA died on August 5, 2007 in Pasig

City;
3. That my son RICHARD R. BAGA is set to travel abroad (Canada) and one of
the requirements is the submission of the Certificate of Live Birth of his father
ERNESTO DAMIAN BAGA. However, when I secured a copy of authenticated
Certificate of Live Birth of my husband Ernesto Damian Baga from the National
Statistics Office, I noticed that there appears no first name. Only the middle name and
last name were appearing as DAMIAN BAGA. His first name should be registered as
ERNESTO as correctly appearing in our Marriage Contract, in his identification cards
such as SSS I.D., Driver’s License, and in his children’s Certificate of Live Birth;
4. That for all legal intents and purposes, I hereby declare and attest that the father
of my children is ERNESTO DAMIAN BAGA, the latter who was born on October 8,
1957 in Pasig (now City), Rizal, son of Spouses Policarpio Baga and Socorro S.
Damian;
5. I hereby declare and attest that the name DAMIAN BAGA as appearing in his
Certificate of Live Birth and the name ERNESTO DAMIAN BAGA as appearing in our
Marriage Contract, in his identification cards such as SSS I.D., Driver’s License and in
his children’s Certificate of Live Birth, refer to one and the same person;
City, Philippines.
MAXIMA R. BAGA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
JOINT AFFIDAVIT
WE, RACHELLE AURELLIO PEREZ, of legal age, Dutch citizen, and re0-
sident of Joubert Str. 13 3Rd Floor, 1091 XM, Amsterdam, Netherlands, and JONATHAN AURELLIO
ROXAS, of legal age, Filipino citizen, and resident of No. 191-G Dama de Noche Street, Purok IV,
Pineda, Pasig City, Philippines, after having been duly sworn to in accordance with law, hereby
depose and say:
1. I, Rachelle Auellio Perez, am temporarily here in the Philippines for a short vacation
and temporarily staying in Cavite City;
2. I, Rachelle Auellio Perez was born on May 10, 1967 in Manila, Philippines to Spouses
Jose Ignacio Perez and Maria Benito Aurellio; and that I, Jonathan Aurellio Roxas,
was born on December 1, 1971, son of Mateo Angel Roxas and Elena Benito
Aurellio;
3. Our biological mothers, Maria Benito Aurellio and Elena Benito Aurellio are sisters;
4. Both our mothers Maria Benito Aurellio and Elena Benito Aurellio, the latter who is the
mother of Jonathan Aurellio Roxas are natives of Laoag City, Ilocos Norte;
5. We are executing this Affidavit to attest to the truth and veracity of the foregoing facts
City, Philippines.
RACHELLE AURELLIO PEREZ JONATHAN AURELLIO ROXAS

Affiant Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
SWORN AFFIDAVIT
I, JANICE L. SOLOMON, of legal age, Filipino, with official address c/o at Revenue district
Office No. 43-A, East Pasig City, Bureau of Internal Revenue, Pasig City, after having been duly
1. This is with reference to the Notice from Atty. Victoriano S. Villegas, OIC, Chief, Special
Investigation Division, Revenue Region No. 7, Bureau of Internal Revenue Quezon City,
which I received on March 18, 2010. In the said Notice, I am being required to appear
and submit to that Office within five (5) days from receipt hereof, a writeen affidavit
explaining my side on the matter of my failure to comply with the mandatory
requirements of Revenue Memorandum Order No. 35-90 and for violation of the
directive of Legal Division directing me to make a return of the proof of service of the
Subpoena Duces Tecum of PDDIC MANAGEMENT COMPANY, INC. to the Legal
Division within the prescribed period of five (5) days before the scheduled date of
appearance of the subject taxpayer.
2. I admit that I failed to transmit the abovementioned Subpoena Duces Tecum within the
prescribed period of time, due to the following reasons:
My attendance since January 1, 2010 up to February 17, 2010 has been irregular
due to the reason that I have to take care of my two (2) children (2 years old and 1
year old), as I have no househelp to take care of them. Although I managed to
serve the said Subpoena Duces Tecum to taxpayer Calvin Luther Genotiva on
February 2, 2010,
On February 5, 2010, I was adviced to go to the office by my co-employee as I was
Officer of the day
It was only on February 18, 2010 that I resumed office and finished all my tasks,
especially prescribing cases. However, I failed to remember my duty to transmit
the subject Subpoena Duces Tecum until that I received this March 10, 2010 Notice
and that only on March 18, 2010, yesterday, that I recalled of such;
3. That the said fault is not intentional but solely for personal reasons above stated;
City, Philippines.
JANICE L. SOLOMON
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT
I, KATHRYN F. SALANDANAN, of legal age, Filipino and resident of 214 Market Ave., San
say:
1. That I am a bona fide member of Philhealth;
2. That in my records with Philhealth I bear the last name SALANDANAN;
3. That I gave birth last July 19, 2008 at Mission Hospital, however my hospital records
bears my maiden last name FARINAS;
4. That such declaration run conflict with my documents with Philhealth;
5. That I am the common-law-wife of Rommel Suarez and we cohabited since 1993 up to

present;
6. That we were blessed with five children;
7. That notwithstanding such cohabitation, my status remains single because we were not
married, nor I am married with any person within or outside the Philippines;
8. That I hereunto attached necessary documents proving the allegation of the herein
affiant’s status;
City, Philippines.
KATHRYN F. SALANDANAN
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2008

Pasig City )s.s.
AFFIDAVIT
I, KATHRYN F. SALANDANAN, of legal age, Filipino and resident of 214 Market
Ave., San Miguel, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
11. That in my records with Philhealth, I unconsciously checked the box in the civil status as
married, where in truth and in fact I am single;
12. That such declaration run conflict with my documents revealing my true and correct
status as single;
13. That such inadvertence was not made to cause confusion or mislead the said
government agency, but an act of good faith on the part of the herein affiant;
14. That I am the common-law-wife of Rommel Suarez and we cohabited since 1993 up to
present;
15. That we were blessed with five children;
16. That notwithstanding such cohabitation, my status remains single because we were not
married, nor I am married with any person within or outside the Philippines;
17. That I hereunto attached necessary documents proving the allegation of the herein
affiant’s status;
City, Philippines.
KATHRYN F. SALANDANAN
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2008
Pasig City )s.s.
AFFIDAVIT
I, LOLITA L. MALANGIS, of legal age, Filipino and resident of #905 Labanos St., Napico,
and say:
1. That I am the Administrator of Well of Wisdom Community Christian School located

at the above given address;
2. That being the Administrator of the said Christian School I am filing for my
Monthly Remittance Return of Income Taxes Withheld on Compensation at the
BIR;
3. That among the requirements thereto is the submission of this affidavit that the
said Community School is not Non-Filing of Income Tax Return of the herein affiant
and my husband Bernard Bindoy;
4. That the necessary Certification to be issued by BIR certifying among others that I am
exempted to File Income tax due to non-employment, it reveals from their record that I
am employed;
5. That I was employed at SM Department Store, Mega Mall as cashier and was
separated from service sometime on 2000, thereafter, I was never been employed here
and outside the Philippines, thus, not gainfully employed;
City, Philippines.
MARIZEL BINDOY
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2007
K8

Pasig City )s.s.
AFFIDAVIT
We, LOLITA GUEVARRA and EUFROCINIA GUEVARRA, both of legal age, Filipinos and
residents of 1056-B Dagat-Dagatan, Caloocan City, after having been duly sworn to in accordance
1. That we are the mother and grandmother of RICA GUEVARRA, the latter was born on
August 3, 1994 in Caloocan City;
2. That the birth of Rica Guevarra was assisted by the traditional “hilot”;
3. That it was only when she entered schooling that we were informed that her Certificate
of Live Birth, proving her identity and facts of her birth was not filed with the Local Civil
Registry of Caloocan City which should be filed by the person who assisted her birth;
4. That due to the foregoing, we being her mother and grandmother hereby declare and
attest that RICA GUEVARRA was born on August 3, 1994 in Caloocan City;
facts for all intents and for whatever legal purpose it may serve.
IN WITNESS WHEREOF, we have hereunto affixed our signatures this ___ day of
__________, 2007 at Pasig City, Philippines.
LOLITA GUEVARRA EUFROCINIA GUEVARRA

Affiant Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2007
K8

Pasig City )s.s.
AFFIDAVIT
I, EVELYN L. MARTINEZ, of legal age, Filipino and resident of 19 United Glorietta Subd.,
Caniogan, Pasig City, after having been duly sworn to in accordance with law, hereby depose and
say:
1. That I am the grandmother of YUME ICHIRO MARTINEZ SHIMANUKI, the latter was
born on June 29, 2005 in Calamba, Laguna, photocopy of his Certificate of Live Birth is
hereto attached and made integral part of this Affidavit;
2. That my grandson is the child of Yamato L. Shimanuki, a Japanese Citizen and Angela
Mae Lorenzo Martinez;
3. That YUME ICHIRO MARTINEZ SHIMANUKI has been under my care and custody
since birth;
and to prove that YUME ICHIRO MARTINEZ SHIMANUKI is under my care and
custody here in the Philippines at the above given address;
City, Philippines.
EVELYN L. MARTINEZ
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2007
K8

Pasig City )s.s.
AFFIDAVIT
I, ADELA C. ARANDELA, of legal age, Filipino and resident of Blk. 16 Lot 9, Krova
Kalawaan, Pasig City, after having been duly sworn to in accordance with law, hereby depose and
say:
1. That I am the aunt of Teodora Lastrella Celestial who was born on July 23, 1993 in
Garchitorena, Camarines Sur being the daughter of Recardo Celestial and Nida
Lastrella;;
2. That my niece was born out of wedlock, thus, her Certificate of Live Birth bears the last
name of her mother Lastrella, which last name reflected in her school records, official
and other public documents;
3. That sometime on September 4, 2005, her parents got married in Camarines Sur.
Corollary to the foregoing, her parents applied for Amendment of her Certificate of Live
Birth, legitimated by subsequent marriage of parents, thus, she now bears the last
name of her father Celestial;
4. That due to the foregoing legitimation by subsequent marriage my niece is now

registered in the name TEODORA LASTRELLA CELESTIAL;
and for purpose of changing the name as recorded in her school records, official and
public documents and to prove further that the person with the name TEODORA
LASTRELLA and TEODORA LASTRELLA CELESTIAL, refer to one and the same
person, the subject person whose name is in question.
City, Philippines.
ADELA C. ARANDELA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2007
K8

Pasig City )s.s.
SUPPLEMENTAL AFFIDAVIT
I, SARHLYN CAGUIOA-GUBAT, of legal age, married, Filipino and resident of No. 1 J. B.

Miguel, Bambang, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am the mother of SHAROM CAGUIOA GUBAT who was born on October 24,
1991 in Pasig City;
2. That my daughter was born out of wedlock and considering that I was still a minor that
time, thus, her Certificate of Live Birth bears my last name CAGUIOA, which last name
reflected in her official and other public documents;
3. That sometime on AUGUST 2, 1997, the undersigned got married to ROMEO GUBAT
in Pasig City. Corollary to the foregoing, I applied for Amendment/Deed of Legitimation
of her Certificate of Live Birth, legitimated by our subsequent marriage, thus, she now
bears the last name of her father GUBAT;
4. That due to the foregoing legitimation by subsequent marriage my daughter is now

registered in the name SHAROM CAGUIOA GUBAT;
and for purpose of changing the name as recorded in her official and public documents
and to prove further that the person with the name SHAROM TAULE CAGUIOA and
SHAROM CAGUIOA GUBAT, refer to one and the same person, the subject person
whose name is in question.
City, Philippines.
SARHLYN CAGUIOA-GUBAT
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT
I, MELINDA C. CRUZA, of legal age, Filipino and resident of Block 2 Lot 79 Sikat Araw,
Molave Street, Nagpayong, Pasig City, after having been duly sworn to in accordance with law,
1. That I am the surviving legal wife of the late ROBERTO PRONTON, who died in
January 2009;
2. That the undersigned and Roberto Pronton has long been separated and during the
time of his death, he is living with his live-in partner;
3. That we begot no child;
City, Philippines.
MELINDA C. CRUZA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009
Pasig City )s.s.
AFFIDAVIT
I, MARILYN MANIMTIM, of legal age, Filipino and with postal address at 37 San Lorenzo
St., Bo. Kapitolyo, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
5. That I am the wife of ERNESTO ITORALBA;
6. That the facts of our marriage was celebrated sometime on August 8, 1998 in Quezon
City;
7. That during the first years of our marriage, we had a happy relationship. However, my
abode in 2001. Since then, I never got information as to his whereabouts;
City, Philippines.
MARILYN MANIMTIM
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009

Pasig City )s.s.
AFFIDAVIT
I, RONILO BOCO, of legal age, Filipino and with postal address at No. 270 Reyes St.,
Libis, San Jose, Rodriguez, Rizal, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am the common-law-husband of CHONA VALDEZ and we lived as husband and

wife under one and the same roof without the benefit of marriage in the above-
mentioned address;
2. That out of the said relationship we begot one (1) child named CHRISTIAN ROY V.
BOCO who was born out of wedlock on March 13, 2006 at Pasig City.
3. That when our child was two months old she leaved our domestic abode in 2006. Since
then, I never got information as to her whereabouts;
City, Philippines.
RONILO BOCO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009

Pasig City )s.s.
AFFIDAVIT
I, SORAYDA M. MATEO, of legal age, Filipino and with postal address at 2 D.R. Bedaña
St., San Nicolas, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am the wife of ROMEO V. MATEO;
2. That our marriage was celebrated on January 18, 1986 in Pasig City and we were
blessed with three (3) children, namely:
a. Princess Joy M. Mateo;

b. John Robie M. Mateo; and
c. Chilynn M. Mateo
3. That the undersigned and Romeo V. Mateo has been separated since he leaved our
domestic abode sometime in November. Since then, I never got information as to his
whereabouts;
City, Philippines.
SORAYDA M. MATEO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010
Pasig City )s.s.
AFFIDAVIT
I, DAISY L. PABORA, of legal age, Filipino and with postal address at 313 A. Elisco Road,
Kalawaan Sur, Pasig City, after having been duly sworn to in accordance with law, hereby depose
and say:
1. That I am the wife of Cristino F. Alcalde and our marriage was celebrated on October 6,
1985 in Taguig, Metro Manila and we were blessed with one (1) child named Shiela
Marie P. Alcalde;
2. That the undersigned and Cristino F. Alcalde has been separated since he leaved our
domestic abode sometime in September 1990. Since then, I never got information as to
his whereabouts;
3. That it is for this reason that I caused to registered my maiden name Daisy L. Pabora in
all my identification cards and other official and public documents;
City, Philippines.
DAISY L. PABORA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010
Pasig City )s.s.
AFFIDAVIT
I, RENITA D. NARCESO, of legal age, Filipino and with postal address at Blk. 13 Lot 15
(NHA) Southville Subd., Calauan, Laguna, after having been duly sworn to in accordance with law,
1. That I am the wife of SALVADOR T. DELA CRUZ;
2. That the facts of our marriage was celebrated sometime on July 7, 1997 and we were
blessed with three (3) children;
3. That the undersigned and Salvador T. Dela Cruz has long been separated since he
leaved our domestic abode sometime in August 2007. Since then, I never got
information as to his whereabouts;
City, Philippines.
RENITA D. NARCESO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009
Pasig City )s.s.
AFFIDAVIT
I, LUZVIMINDA C. ENRIQUEZ, of legal age, Filipino and with postal and residential
address at No. 27-A Purok Cattleya, M.H. del Pilar St., Pinagbuhatan, Pasig City, after having been
1. I am the wife of HERMINIGILDO M. ENRIQUEZ and our marriage was celebrated

sometime in April 1972 and we were blessed with two (2) children, namely: Olivia E.
Bueno and Herminigildo C. Enriquez Jr.;
2. I am long been separated from Herminigildo M. Enriquez since 1990 because of

irreconciliable differences and with his vice of womanizing, we had constant fights over
the same;
City, Philippines.
LUZVIMINDA C. ENRIQUEZ
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2013
Pasig City )s.s.
AFFIDAVIT
I, RENATO T. MONTINO, of legal age, married, Filipino and with postal address at
Buenmar Subd., Taytay, Rizal, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am the son and legal heirs of the late PATRICIA T. MONTINO who died on March
19, 2009 at Pasig City;
2. That my mother PATRICIA T. MONTINO is the daughter of Spouses Elpidio Tinzon and
Juana Manao;
3. That during the lifetime of my mother she is a bonafide member of Social Security
System (SSS) with SSS ID No. 03-2500051-0;
4. That I am now claiming for Lumpsum with SSS and one of the requirements is the
submission of this affidavit attesting that my grandfather’s whereabout is unknown to
the herein affiant.
5. That my grandfather ELPIDIO TINZON leaved our domestic abode sometime in

November 1983. Since then, we never got information as to his whereabouts;
City, Philippines.
RENATO T. MONTINO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010
Pasig City )s.s.
AFFIDAVIT
I, ERNESTO CANTANERO, of legal age, married, Filipino and with postal address at No.
8854 Nagpayong, Pinagbuhatan, Pasig City, after having been duly sworn to in accordance with
1. That I am the father of the late MA. ISABEL LOSA CANTANERO who died on January 5,
2011 at Pasig City;
2. That during the lifetime of MA. ISABEL LOSA CANTANERO, she is a bonafide member
of Social Security System (SSS) with SSS ID No. 34-1577015-5;
3. That as the legal heir of the deceased, I am now claiming for Lumpsum with SSS and
one of the requirements is the submission of various documents.
4. That however, in the SSS record of Ma. Isabel Losa Cantanero, particularly in her E-1
Form, it would appear that her mother is SUSAN TALADTAD, contrary to her Birth
Certificate which appeared as BELLA M. LOSA. The latter BELLA M. LOSA is her
biological mother and must be reflected in her birth certificate. However, said BELLA
M. LOSA died on April 26, 1990, when she (Ma. Isabel) was 4 years old. Eventually, I
got married to SUSAN TALADTAD sometime in February 1996 in Malabon, Metro
Manila, and who become the mother of Ma. Isabel, thus, appeared in the E-1 Form of
Ma. Isabel;
5. For all intents and purposes, I hereby declare and attest that Susan Cantanero is the
step mother while Bella M. Losa is the biological mother of my deceased daughter Ma.
Isabel Losa Cantanero;
City, Philippines.
ERNESTO CANTANERO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
AFFIDAVIT
I, PRISCILLA V. CONSUELO , of legal age, widow, Filipino and with postal address at 31
Sgt. Santos St., Bagong Ilog, Pasig City, after having been duly sworn to in accordance with law,
1. That I am the mother and legal heir of the late RENATO V. CONSUELO who died on
November 16, 2010 at Pasig City;
2. That during the lifetime of my son RENATO V. CONSUELO, he is a bonafide member of

Social Security System (SSS) with SSS ID No. 03-8395732-0;
3. That I am now claiming for the Burial Benefits, Lumpsum and any other benefits with
SSS and one of the requirements is the submission of this affidavit attesting that the
herein affiant is the only legal heir of the deceased;
City, Philippines.
PRISCILLA V. CONSUELO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010
Pasig City )s.s.
AFFIDAVIT
I, ERLINDA T. REDONDO, of legal age, widow, Filipino and with postal address at Sta.
Cruz, Pasig City, after having been duly sworn to in accordance with law, hereby depose and say:
1. That I am surviving wife and legal heir of the late MARIO REDONDO who died on
_____________________ at Pasig City;
2. That during the lifetime of my husband he is a bonafide member of Government Service

Insurance System (GSIS);
3. That I am now claiming for Life Insurance with GSIS and one of the requirements is the
submission of this affidavit attesting that my grandfather’s whereabout is unknown to
the herein affiant.
4. That my grandfather ELPIDIO TINZON leaved our domestic abode sometime in

November 1983. Since then, we never got information as to his whereabouts;
City, Philippines.
ERLINDA T. REDONDO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT
I, CLARITA A. CORONA, of legal age, Filipino and with postal address at No. 35 Blk. 11,
Asilo Compound,INC, Nagpayong, PInagbuhatan, Pasig City, after having been duly sworn to in
1. That I am the wife of Cesar Corona and our marriage was celebrated sometime on
November 20, 1978 in Pasig (now City), Metro Manila and we are blessed with four (4)
children, namely:
a. Regina Corona who was born on November 19, 1979;

b. Reginald Corona who was born on October 4, 1981;
c. Glaiza Corona who was born on October 27, 1983; and
d. Michelle Corona who was born on November 16, 1986;
2. That during the first years of our marriage, we had a happy relationship. However, my
abode in 1986. Since then, I never got information as to his whereabouts;
City, Philippines.
CLARITA A. CORONA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009

Pasig City )s.s.
AFFIDAVIT
I, TERESITA C. CRUZ, of legal age, Filipino, married and resident of 189 B. Dr. Pilapil St.,
Balmores Compound, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am the mother of the late FRANKIE C. CRUZ, the latter died on August 21, 2006
in UERM Hospital, Quezon City;
2. That I am now on processing for the application of my son’s death claim with Social
Security System but I because I did not file the same earlier, I was required to submit
this Affidavit,
3. That after the death of my son, I went to Australia and spent my vacation there and for
that reason I did not process the death claims of my son with the Social Security
System;
City, Philippines.
TERESITA C. CRUZ
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2008
Pasig City )s.s.
AFFIDAVIT
I, LEONILA T. SALAMANCA, of legal age, Filipino, widow, and with

residence address at No. 22 E. Angeles St., Villa San Juan, Sto. Tomas Pasig
City, after having been duly sworn in accordance with law hereby depose and
state:
1. That I am the surviving spouse of the late EUGENIO N.

SALAMANCA, being the only son and the sole surviving heir of the late
TRINIDAD N. SALAMANCA who died on January 18, 2015 at Pasig City; and
the biological mother of DONNA SALAMANCA-SAPUNGAN, who is now
working at South Korea, copy of her Birth Certificate and my Marriage Contract
are herto attached for reference;
2. During the wake of my mother-in-law, my daughter DONNA

SALAMANCA-SAPUNGAN did not visit the wake of my late mother-in-law,
considering the fact that her presence and services are needed in her
employment at South Korea;
3. After the burial of my mother-in-law, I intend to process her burial

claim with government agencies concerned but to due to my poor health
condition; old age and for the reason that I do not know where to start, I am
respectfully requesting her employer at South Korea to allow her to have a
short vacation here in the Philippines;
4. That I am executing this Affidavit to respectfully request my

daughter’s employer at South Korea to allow her to spend a short vacation in
the Philippines and to attest to the truth and veracity of the foregoing facts for

LEONILA T. SALAMANCA
Affiant
2015 in Pasig City. Affiant exhibited to me her Senior Citizen’s ID Card with No.
52280 issued by Office of the Senior Citizens Affairs of Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2015
Pasig City )s.s.
AFFIDAVIT
I, JULIE S. ESTRELLA-TUMANDA, of legal age, Filipino, married and

resident of 1305 Martin Compd., Suarez St., Maybunga, Pasig City, after having
1. That I am the daugther of the late JOSE A. ESTRELLA, the latter died
on March 18, 2010 at Pasig City;
2. That I am now processing for the application of burial claim with the
Office of Senior Citizen Affair (OSCA), Pasig City due to the death of
my father, but because I did not file the same earlier, I was required to
submit this Affidavit,
3. During the wake of my father we came to seek assistance with Fely Y.

Llorente our Barangay Citizen President in relation to my father’s
burial claim. However, she advised us that it is not time to apply for
the said burial claim because of the election ban;
4. After the burial of my father, my mother Lilia S. Estrella, went to

Pampanga because of her health condition and for that reason she did
not process the burial claims of my father with the OSCA, Pasig City;
5. That when my mother recovered from the death of my father and in

her health condition, she went back in our house last July 5, 2010 and
now in the process for claiming the said burial claim with OSCA;

may serve.

JULIE S. ESTRELLA-TUMANDA
Affiant
2010 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
I, FELISA VILLANUEVA RAMOS VDA. DE RAYMUNDO, of legal age, Filipino and resident
of Pascua St., Bagong Ilog, Pasig City, after having been duly sworn to in accordance with law,
1. That I am the biological mother of PHILIP RAMOS RAYMUNDO, the latter was born on
July 7, 1951 in Pasig, Rizal (now City);
2. That facts of my son’s birth were duly registered in the Office of the Local Civil Registry of
Pasig City;
3. That since childhood we used to call him as PHILIP which he adopted when he entered to
school and subsequently, the first name that reflected in his Marriage Contract, school
records, employment records, official and other public documents;
4. That when my son secured a copy of his Certificate of Live Birth, he noticed that his first
name was entered therein as MICHAEL. When I gave birth to him, I recalled to have
notified the nurse who asked information as to his birth as MICHAEL PHILIP, all the while
we taught that the name that reflected in his Birth Certificate is MICHAEL PHILIP, although
we used to call him as PHILIP. Thus, when he was baptized we caused the registration of
the name MICHAEL PHILIP the name we planned to give him and the name we thought
was registered in his Certificate of Live Birth;
5. That foregoing discrepancies were made known to us when the Birth Certificate and his
Baptismal Certificate runs contrary to his documents where the name PHILIP RAMOS
RAYMUNDO was registered, his accustomed name;
6. Due to the foregoing inconsistency, being the mother of the subject person whose name is
in question, hereby declare and attest that the name MICHAEL RAMOS RAYMUNDO as
reflected in his Certificate of Live Birth, MICHAEL PHILIP RAMOS RAYMUNDO which
reflected in his Baptismal Certificate and PHILIP RAMOS RAYMUNDO being his true and
correct name as reflected in his Marriage Contract, school and employment records, official
and other public documents, refer to one and the same person;
7. That I am executing this Affidavit to attest to the truth and veracity of the foregoing facts and
to establish the true identity of my son, PHILIP RAMOS RAYMUNDO;
City, Philippines.
FELISA VILLANUEVA RAMOS VDA. DE RAYMUNDO

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2007
K8
Pasig City )s.s.
AFFIDAVIT
I, FELIPA GAYETA REYES, of legal age, Filipino and resident of No. 108 S. Reyes Street,
Villa Miguela, Pasig City, after having been duly sworn to in accordance with law, hereby depose
and say:
1. That I am the biological mother of minors EAH CHING R. CHEN, 11 years old and
YENG SHEN R. CHEN, 3 years old;
2. That my abovenamed minor children are registered owners of a parcel of land

covered by Transfer Certificate of Title No. 011-2010001331 and that on the said property, I am
planning to build a residential house for them and that by reason of their minority, I am
representing them as their legal guardian to apply for Building Permit and any other permit
necessary for the construction of the aforesaid residential house;
facts and for whatever legal purpose it may serve;
FELIPA GAYETA REYES

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT
I, OLIVE SANTIAGO, of legal age, Filipino and resident of No. 245 A. Bernardo Street,
Ugong, Pasig City, after having been duly sworn to in accordance with law, hereby depose and
say:
1. That I am the cousin of FELIPA LEGASPI and ELSA LEGASPI, residents of 251 A.
Bernardo Street, Ugong, Pasig City;
2. That FELIPA LEGASPI and ELSA LEGASPI will be entering into a mortgage agreement
with Pinky B. Tarun and Susana G. Prado, for which I will stand as co-maker thereof;
all intents and for purposes of establishing the relationship of the undersigned with
the loan applicants and for whatever legal purpose it may serve;
OLIVE SANTIAGO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2008
Pasig City )s.s.
AFFIDAVIT
We, ESTELITA DELA CRUZ GUALLAR, LUZ DELA CRUZ DELA CRUZ, CONSUELO
DELA CRUZ ARELLANO, and DIVINA DELA CRUZ DELA RAMOS, all of legal age, Filipinos and
residents of No. 20 Camia St., De Castro Subd. Sta. Lucia, Pasig City and No. 64, Ilang-ilang St.,
De Castro Subd., Sta. Lucia, Pasig City, respectively, after having been duly sworn to in
1. That we are the surviving children of the late FAUSTINO DELA CRUZ who died sometime
on July 1988 in Pasig City;
2. That deceased died leaving his real property covered and embraced by Transfer Certificate
of Title No. 199608 located at Rosario, Pasig City containing an area of Two Hundred Sixty
Six (266) square meters;
3. That we hereby declare and attest that our sisters Adelaida dela Cruz Artajo and Amelita
dela Cruz predeceased our father Faustino Dela Cruz;
4. That the late Amelita dela Cruz has a child named Rowena D. Recido being her eldest
daughter;
5. Thus, Rowena is one of the surviving heir of Faustino dela Cruz and his granddaughter;
6. That we are executing this Affidavit to attest to the truth and veracity of the foregoing facts
for all intents and for purposes of establishing the relationship of Rowena with the deceased
Faustino and for whatever legal purpose it may serve;
Affiants:
ESTELITA DELA CRUZ GUALLAR LUZ DELA CRUZ DELA CRUZ
CONSUELO DELA CRUZ ARELLANO DIVINA DELA CRUZ DELA RAMOS

Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT
I, GUILLERMA M. LUCINO, of legal age, Filipino and resident of Blk. 10 Lot 10 Cairo St.,
Cresent Hills Village, Burol main Dasmariňas, Cavite City, after having been duly sworn to in
1. That I am the cousin of Felicidad S. Gildo, a Filipino citizen and a resident of Blk. 61 Lot 12
Casoy St., Brgy. Rizal, Makati City, Philippines;
2. That she has a fiancé named Milenko Cirkovic, an Australian citizen;
3. That when his fiancé to visited my cousin Felicidad S. Gildo on March 22, 2006 they stayed
at our house at the above given address for eight (8) days or until March 30, 2006
4. That thereafter, they told me that they will visit my cousin’s parents, Lorito Gildo and
Alejandra Gildo at Paku Bontoc 6604, Southern Leyte, Philippines where they stayed for
nineteen (19) days or until May 18, 2006;
5. That I was informed that on May 18, 2006, Milenko Cirkovic went back to Australia;
City, Philippines.
GUILLERMA M. LUCINO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2007
K8
Pasig City )s.s.
AFFIDAVIT
I, BERNARDINO DE GUZMAN RAMOS, of legal age, Filipino and resident of 471 Boyong
St., Sumilang, Pasig City, after having been duly sworn to in accordance with law, hereby depose
and say:
1. That I was born on May 20, 1940 in Angat, Bulacan, being the son of Flaviano Ramos and
Paula De Guzaman;
2. That I am a bona fide member of Social Security System;
3. That upon verification, I was informed that there exist two (2) SSS Numbers under my
name, to wit:
a. SSS Number 03-0073928-8 bearing the name BERNARDINO G. RAMOS with date
of birth May 20, 1939;
b. SSS Number 03-86245880 bearing the name BERNARDINO D. RAMOS with date
of birth May 20, 1940.
4. That due to the foregoing, I hereby manifest my intention of transferring the contributions
made under SSS Number 03-0073928-8 and be applied in addition to the contributions
made under SSS Number SSS Number 03-86245880 since both contributions refer to the
contribution of one person, the herein affiant;
5. In addition to the foregoing, I hereby request for the correction of my name entered under
SSS Number 03-86245880 from Bernardino D. Ramos to Bernardino D.G. Ramos, the
middle initial stands for DE GUZMAN being his true and correct middle initial;
6. That the discrepancies in his name entered as BERNARDINO D. RAMOS as cited in

paragraph 5, BERNARDINO G. RAMOS as reflected in his l Certificate, SSS Number 03-
0073928-8, official and other public documents and BERNARDINO D.G. RAMOS being his
true and correct name, all referring to one and the same person;
7. The date of birth May 20, 1939 as cited in paragraph 3 subparagraph a and date of birth
May 20, 1940 as correctly reflected in paragraph 3 subparagraph b and Baptismal
Certificate, official and other public documents, refer to one and the same person;
8. That for all intents and purposes my true and correct name is BERNARDINO DE GUZMAN
RAMOS and my true and correct date of birth is May 20, 1940;
all intents and for purposes of transferring my contributions and for purpose of correcting
the names entered therein and whatever legal purpose it may serve;
City, Philippines.
BERNARDINO DE GUZMAN RAMOS

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2007
K8

Pasig City )s.s.
AFFIDAVIT
I, ARTURO T. BALAGON, of legal age, married, Filipino and a resident of Ilugin, Matansa,
and say:
1. That I am a holder of Franchise/Authority to Operate a Motorized Tricycle WITH No. 2007-

1138 under TODA line MIPTODA issued for the motor vehicle with particular description as
follows:
MOTOR NO. : F104-245498

CHASSIS NO. : GP-125-327898
LTO PLATE NO. :QG-1017
2. That I acquired the said vehicle thru JACA Lending company. Due to my failure to pay its
monthly amortization, said JACA Lending Company took the said motor unit in my
possession in the year 2007;
3. That I hereby manifest my intention to renew the said franchise purposely to give its
privilege to my niece Grace Galeria and that one of the requirements is the submission of a
Certification from the JACA LENDING COMPANY stating that indeed the tricycle unit which
has granted such franchise was taken due to non-payment of amortization;
4. That however, after I have exerted my efforts to locate the office of such lending company, I
found out that the said company is no longer operational and its business establishment is
already closed, hence, my inability to secure the desired Certification;
5. That for all legal intents and purposes, the tricycle abovedescribed is no longer in my
possession;
IN WITNESS WHEREOF, I have set my hand this ___ day of __________, 2010 sig City,
Philippines.
ARTURO T. BALAGON
Affiant
SUBSCRIBED AND SWORN to before me, Notary Public this ___ day of ___ 2010 sig
City.
Doc. No.
Page No.
Doc. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT
I, SALVADOR E. CRUZ, of legal age, Filipino and resident of 22 M.H. Del Pilar St.,
Calumpang, Marikina City, after having been duly sworn to in accordance with law, hereby depose
and say:
1. That I am presently working as a waiter at Chad’s Bar and Restaurant located at 110
Common Room Bldg. Gil Fernando Ave., (formerly Tuason Ave.) Marikina City;
2. That because of my job, I personally know Liza A. Dosano who is also connected with
Chad’s Bar and Restaurant as a singer and who performs shows at least once or twice a
week with no specific days assigned or by shifting;
3. That I can attest that Liza A. Dosano is living or residing not too far from our place of work
at Gil Fernando Ave., Marikina City or in a place located near Marikina City;
City, Philippines.
SALVADOR E. CRUZ
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2007
K8

Pasig City )s.s.
AFFIDAVIT
I, CORA C. LUAYON, of legal age, Filipino and resident of Home Owners Ass. UHA
Residence Nagpayong, Pinagbuhatan, Pasig City, after having been duly sworn to in accordance
1. That I am the mother of Khate Comeling Luayon who was born on October 15, 2006 in
Pasig City;
2. That when my daughter was born, his father predeceased her when she was one (1) month
old then;
3. That in the copy of my daughter’s Certificate of Live the informant’s name was his father. I
recalled that the attending nurse asked me to write my husband name over his printed
name at the lower portion of the said document, which I obediently obeyed due to the fact
that I just had my delivery of my aforenamed daughter and I felt so tired and had no time to
question the document presented to me;
4. That when I secured a copy of the said Certificate of Live Birth, I discovered that the act
made by the herein affiant, although, done in good faith was an act of signing for and in
behalf of my deceased husband, who predeceased my daughter;
5. That I hereby declare and attest that the act of writing the name of my husband in the
Certificate of Live Birth of my daughter was not premeditated by the affiant to conceal
information nor to deceive any person or entity but solely an act of good faith, whom I admit
was under the state of oblivion caused by the said birth of my daughter;
City, Philippines.
CORA C. LUAYON
Affiant
Signed in the Presence of :
________________________ ________________________
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2007

Pasig City )s.s.
SWORN AFFIDAVIT
I, JOSEFINA LOZADA SAN GABRIEL, of legal age, Filipino and resident of Pasig City, after
1. That I am the mother of KARLA KRISTINE LOZADA GARCIA, who was born on July 17,
1983 in Villa San Juan, Barangay Sto. Tomas, Pasig Metro Manila (now City);
Pasig;
3. That it was the registered midwife Ms. Hernandez who attended the birth of my daughter
KARLA KRISTINE LOZADA GARCIA, and whose signature as the attending midwife is
appearing in the lower portion of birth certificate of Karla Kristine;
4. That the whereabouts of the midwife in the name of Ms. Hernandez is unknown to us;
City, Philippines.
JOSEFINA LOZADA SAN GABRIEL

Affiant
Signed in the Presence of :
________________________ ________________________
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009

Pasig City )s.s.
AFFIDAVIT
We, RAMONCITO CAPULONG RAMOS and JEWELL BUGARIN RAMOS, both of legal
age, Filipinos and resident of 75-E M.H. Del Pilar St., Sto. Tomas, Pasig City, after having been
1. That we are the biological parents of CARLOS JULIAN B. RAMOS, the latter was born on
December 30, 2005 in Chicago, Illinois, U.S.A;
2. That our aforenamed child was born outside the Philippine, thus, registered as U.S. citizen
which reflected in his passport hereto attached and other documents;
3. That by operation of law, we being Filipinos, Carlos Julian B. Ramos being our son is
considered as Filipino citizen;
RAMONCITO CAPULONG RAMOS JEWELL BUGARIN RAMOS

Affiant Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2007
K8

Pasig City )s.s.
AFFIDAVIT
I, BALTAZAR JUSA PORQUEZ, of legal age, Filipino and resident of 124 F. Pag-asa St.,
Caniogan, Pasig City, after having been duly sworn to in accordance with law, hereby depose and
say:
1. That I acquired a motor vehicle (Toyota Tamaraw) with Plate No. PXT-293 from Benedicto
Miranda, as evidenced by Deed of Sale executed on February 16, 2005, a copy of the said
Deed of Sale is hereto attached;
2. That on March 2005, a month after the said vehicle with Plate No. PXT-293 was transferred
and sold to one MARIO T. COMIA, a copy of the said Deed of Sale is hereto attached;
3. That the second sale was still executed by the first owner BENEDICTO MIRANDA with the
consent of the herein affiant to minimize the transfer fees to be paid at Land Transportation
Office;
4. That due to the foregoing sale to one MARIO T. COMIA, the herein affiant derives no
income from the said motor vehicle;
5. Since the conveyance was made on March 2005, from said date up to the present the
herein affiant is not responsible in the filing of any information return nor remit any tax/es in
accordance with the National Internal Revenue Code of 1997 as amended by RA 8424;
City, Philippines.
BALTAZAR JUSA PORQUEZ

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
K8

Pasig City ) S.S.
AFFIDAVIT
I, FELICIDAD I. ANCHETA, of legal age, Filipino, and with postal address at Bldg. D Unit
22A Villa Regina Condominium, Bambang, Pasig City, after having been duly sworn in accordance
1. That I am the registered owner of a Condominium located at Bldg. D Unit 22A Villa Regina
Condominium, Bambang, Pasig City
2. That should the herein affiant predeceased her children, the usufructuary rights,
management and administration over the above mentioned condominium shall pertain to
THERESA J. BERNARDO being my eldest daughter;
3. That my eldest daughter THERESA J. BERNARDO, shall not dispose of, or in any manner
encumber, the aforesaid condominium during the lifetime of the said usufructuary without
the consent of her brothers and sisters;
City, Philippines.
FELICIDAD I. ANCHETA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2007
/k8

Pasig City ) S.S.
AFFIDAVIT
I, CESAR B. PINGA, JR., of legal age, Filipino, and with residential address at 408 Dr.
Sixto Antonio Avenue, Brgy. Maybunga, Pasig City, after having been duly sworn in accordance
1. That I am the son of the late CESAR M. PINGA and the nephew of LORETO M. PINGA,
who died on August 11, 2006 and August 8, 2001, respectively, both in Maybunga, Pasig
City;
2. That my father Cesar M. Pinga, left a parcel of land located in Barangay Maybunga, Pasig
City, containing an area of Eighty Six (86) Square Meters covered and embraced by
Transfer Certificate of Title No. PT-111447; while my aunt Loreto M. Pinga left a parcel of
land adjacent to the abovedescribed land of my father containing an area of Eighty-Five
(85) Square Meters covered and embraced by Transfer Certificate of Title No. PT-111446;
3. That both parcels of land have its respective improvements (house) declared for tax
purposes.
4. However, records in the City Assessor’s Office of Pasig show that the improvement with
Tax Declaration No. E-013-05982 is misdeclared in the name of Loreto M. Pinga which
should be in the name of Cesar M. Pinga; while the improvement with Tax Declaration No.
E-013-03422 is misdeclared in the name of Cesar M. Pinga which should be in the name of
Loreto M. Pinga;
5. That for all intents and purposes, the Tax Declaration No. E-013-05982 should be in the
name of Cesar M. Pinga, while Tax Declaration No. E-013-03422 should be in the name
of Loreto M. Pinga;
6. That I am executing this Affidavit to request for the correction of the above tax declarations
with the City Assessor’s Office of Pasig and attest to the truth of the foregoing statement for
City, Philippines.
CESAR B. PINGA, JR.

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009

Pasig City ) S.S.
I, JOCELYN B. SANTOS, of legal age, Filipino, married and with

residential address at 112-A Dr. Sixto Antonio Avenue, Brgy. Rosario, Pasig City,
after having been duly sworn in accordance with law hereby depose and state:
1. That I am the representative and the immediate relative of NELSON

LACSON, married to MILDRED SANTOS-LACSON, being a co-owner of
a parcel of land covered and embraced by Transfer Certificate of Title
No. 011-2013001238 containing an are of ONE HUNDRED (100)
SQUARE METERS, MORE OR LESS;
2. That in the aforesaid title, the name of NELSON LACSON was
erroneously registered therein as NELSON B. SANTOS, instead of his
true and correct name NELSON LACSON as correctly reflected in
Addendum to the Extrajudicial Settlement of the Late Co-Owners Leonida
Mariano and Toribia Mariano with Deed of Absolute Sale now on file with
the Register of Deeds of Pasig City;
3. That for all intents and purposes, the name NELSON B. SANTOS as
erroeneously registered in Transfer Certificate of Title No. 011-
2013001238 containing an are of ONE HUNDRED (100) SQUARE
METERS, MORE OR LESS should be corrected and be registered as
NELSON LACSON;
4. That I am executing this Affidavit to request for the correction of the

name of NELSON B. SANTOS to NELSON LACSON in the above TCT
with the Register of Deeds of Pasig and attest to the truth of the
foregoing statement for all intents and for whatever legal purpose it may
serve.

JOCELYN B. SANTOS
Affiant
2013 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2013

Pasig City ) S.S.
AFFIDAVIT
I, NORA FELIPE SANJE, of legal age, Filipino, and with residential address at 21 Orchids
St., Purok 6, Kalawaan, Pasig City, after having been duly sworn in accordance with law hereby
depose and state:
1. That I am the surviving spouse of PRIMO A. SANJE, the latter is a bona fide member of
Social Security System who died on January 14, 2007 in Pasig City General Hospital;
2. That before I got married to the deceased, he executed an affidavit of that he is a widower
of CONSOLACION RAMIREZ whom he declared to have died on 1976, a copy of the said
affidavit of legal capacity to marry is hereto attached;
3. That I have no knowledge and means to detect the actual date of death of Consolacion
Ramirez, nor has personal knowledge if she had children with the deceased, because I was
not introduced nor informed by the deceased of his children with one Consolacion Ramirez;
4. That I have no personal knowledge at to the identity of Consolacion Ramirez, thus, hereby
declare that I am the sole surviving spouse of the late PRIMO A. SANJE;
City, Philippines.
NORA FELIPE SANJE
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2007

Pasig City ) S.S.
WE, ROWELA B. LEYSON, of legal age, Filipino, widow and ARJAY B. LEYSON and R-
GEEZEL B. LEYSON, both minors, Filipinos and duly represented in this act by their mother
ROWELA B. LEYSON, and all with residence and postal address at 13 N mamerto Distrcit
say:
1. That I, ROWELA B. LEYSON, am the wife, and ARJAY B. LEYSON and R-GEEZEL
B. LEYSON, are the minor children of the late POLICRONIO P. LEYSON, JR., who died on May
19, 2010 at Pasig City;
2. That the deceased husband and father is a bonafide member of Government Service
Insurance System (GSIS) and being his heirs, we are now claiming for Survivorship Benefits and
Death Claim;
3. That the surviving legal heirs have deemed it best to extrajudicially adjudicate among
ourselves the afore-described Life Insurance with GSIS pursuant to Sec. 1, Rule 74 of the Revised
Rules of Court of the Philippines;
4. That we are executing this Affidavit to attest to the truth of the foregoing statement for
Heirs: Duly represented by their mother:
ROWELA B. LEYSON
ROWELA B. LEYSON ARJAY B. LEYSON R-GEEZEL B. LEYSON

Wife Son/Minor Daughter/Minor
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City ) S.S.
WE, LEILANIE MANOLOS-AGUILAR, RONNIE R. MANOLOS, CAROLINO R.

MANOLOS, DENNIS R. MANOLOS, MAR R. MANOLOS and ROMUALDO R. MANOLOS, all of
legal age, Filipinos and with postal address at 52 Molave St., Nagpayong, Pinagbuhatan, Pasig
1. That we are the siblings and the surviving heirs of the late RODOLFO R. MANOLOS,
2. That the deceased and our deceased mother, CARMEN A. MANOLOS are bonafide
members of Government Service Insurance System (GSIS) and being his heirs, we are now
claiming for Survivorship Benefits and Death Claim, Salary/Policy Loan;
best to extrajudicially adjudicate among ourselves the afore-described Life Insurance with GSIS
pursuant to Sec. 1, Rule 74 of the Revised Rules of Court of the Philippines;
4. That WE, RONNIE R. MANOLOS, CAROLINO R. MANOLOS, DENNIS R. MANOLOS,

MAR R. MANOLOS and ROMUALDO R. MANOLOS, likewise, authorizing LEILANIE
MANOLOS-AGUILAR one of the herein affiants, to facilitate and receive the said Survivorship
Benefits and Death Claim, Salary/Policy Loan;
Heirs:
RONNIE R. MANOLOS CAROLINO R. MANOLOS DENNIS R. MANOLOS
MAR R. MANOLOS ROMUALDO R. MANOLOS
Conforme:
LEILANIE MANOLOS-AGUILAR
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City ) S.S.
WE, VERONICA M. SILVESTRE, AMALIA E. MAGSIPOC, MICHELLE E. MAGSIPOC

and ANTONIO M. SILVESTRE, all of legal age, Filipinos and with postal address at No. 5287
Phase 1 Ilugin, Pinagbuhatan, Pasig City, after having been duly sworn to in accordance with law,
1. That we are the surviving sister’s and nephew’s and the surviving heirs of the late
CASTOR E. MAGSIPOC, who died on January 12, 2012 at Pasig City;
2. That the deceased is a bonafide members of Government Service Insurance System

(GSIS) and being his heirs, we are now claiming for Survivorship Benefits and Death Claim,
Salary/Policy Loan;
best to extrajudicially adjudicate among ourselves the afore-described Benefits and Death Claim,
Salary/Policy Loan with GSIS pursuant to Sec. 1, Rule 74 of the Revised Rules of Court of the
Philippines;
4. That WE, AMALIA E. MAGSIPOC, MICHELLE E. MAGSIPOC and ANTONIO M.

SILVESTRE, likewise, authorizing VERONICA M. SILVESTRE, one of the herein affiants, to
facilitate and receive the said Survivorship Benefits and Death Claim, Salary/Policy Loan with
GSIS;
Heirs:
AMALIA E. MAGSIPOC MICHELLE E. MAGSIPOC ANTONIO M. SILVESTRE
Conforme:
VERONICA M. SILVESTRE
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2012
Pasig City ) S.S.
WE, PRISCILLA V. CONSUELO, ROSE MARIE V. CONSUELO, EDGAR V. CONSUELO

and JENNIFER V. CONSUELO, all of legal age, Filipinos and with postal address at No. 31 Sgt. G
Santos St., Bagong Ilog, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That we are the surviving mother and siblings and the surviving heirs of the late
RENATO V. CONSUELO, who died on November 16, 2010 at Pasig City;
2. That the deceased is a bonafide members of Government Service Insurance System

(GSIS) and being his heirs, we are now claiming for Survivorship Benefits and Death Claim,
Salary/Policy Loan;
best to extrajudicially adjudicate among ourselves the afore-described Benefits and Death Claim,
Salary/Policy Loan with GSIS pursuant to Sec. 1, Rule 74 of the Revised Rules of Court of the
Philippines;
4. That WE, ROSE MARIE V. CONSUELO, EDGAR V. CONSUELO and JENNIFER V.

CONSUELO, likewise, authorizing PRISCILLA V. CONSUELO one of the herein affiants, to
facilitate and receive the said Survivorship Benefits and Death Claim, Salary/Policy Loan with
GSIS;
Heirs:
ROSE MARIE V. CONSUELO EDGAR V. CONSUELO JENNIFER V. CONSUELO
Conforme:
PRISCILLA V. CONSUELO
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City ) S.S.
AFFIDAVIT
I, JUAN TORRENTE, of legal age, Filipino, and with residential address at B 111 Lot 18
Kabutihan St., Karangalan Village, Cainta, Cainta, after having been duly sworn in accordance with
law hereby depose and state:
1. That I am the father of Maricel T. Torrente, the one who contracted the services of Meralco
with Service I.D. No. 924057601-8;
2. That my daughter Maricel T. Torrente is out of the country and cannot personally appear
and transact business with Meralco;
3. That due the foregoing absence, I being his father executed a written authorization in favor
of Froilan Lopez to transact business and pay necessary fees with Meralco;
City, Philippines.
JUAN TORRENTE
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2007
/k8
Pasig City ) S.S.
JOINT AFFIDAVIT
WE, LEONARDO AUSTRIA CEREZO and ROSITA PACLIBARI CEREZO, both of legal
age, Filipinos, and with residential address at 051 Cabiernezan, Mangatarem, Pangasinan, after
1. That we are living as husband and wife without the benefit of marriage under one and the
same roof at the above given address, and out of the said relationship, we did not bless a
child;
2. That undersigned Rosita Paclibari Cerezo is married to Benjamin delos Reyes on April 26,
1955, who were blessed with one (1) child PRISCILLA DELOS REYES-DIONISIO.
However, our relationship did not prosper, thus, in 1969, we decided to live separately;
3. That it is for the reason of separation that I, Rosita Paclibari, met Leonardo Austria Cerezo
in 1983 and became common law spouses;
4. That when we decided to live as husband and wife, it is Benjamin delos Reyes who
supported our daughter Priscilla Delos Reyes Dionisio on her basic needs, sustenance,
education, medication, transportation and other basic needs;
5. That I, Rosita Paclibari, hereby manifest that Benjamin delos Reyes died on April 2, 2004
and that I am waiving all my rights and participation over any and all benefits from the SSS
left by Benjamin delos Reyes, he being a bona fide member thereof;
City, Philippines.
LEONARDO AUSTRIA CEREZO ROSITA PACLIBARI CEREZO
Affiant Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009

Pasig City ) S.S.
AFFIDAVIT
I, CARIDAD LOPEZ-BAROSA, of legal age, Filipino, and with residential address at Sto.
Nino, Marikina City, after having been duly sworn in accordance with law hereby depose and state:
1. That I am the surviving wife of the late ARISTOTLE M. BAROSA, the latter died on
December 21, 2008 in General Santos City, he being a bona fide member of SSS;
2. That we lived under one and the same roof at the above given address , and out of
the said relationship, we blessed four (4) children;
3. However, because of our differences our relationship did not prosper, thus, in 1998,
we decided to live separately and it is the undersigned who supported our children
on their basic needs, sustenance, education, medication, transportation and other
basic needs;
4. That I am executing this Affidavit to attest to the truth of the foregoing statement for
City, Philippines.
CARIDAD LOPEZ-BAROSA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009
Pasig City ) S.S.
AFFIDAVIT
I, CRISTY ROSE T. MENDOZA, of legal age, Filipino, and with residential address at 11-D
Pag-asa St., Mandaluyong City, after having been duly sworn in accordance with law hereby
depose and state:
5. That I was born on September 14, 1977 in Mandaluyong, Metro Manila (now City)
being the daughter of Cristino P. Mendoza and Rosario O. Tongol;
6. That the facts of my birth were duly registered in the Office of the Local Civil
Registry of Mandaluyong City;
7. That I am in the process of submitting my requirement for local employment with

Peerless Integrated Services, however, when I presented my Certificate of Live
Birth, I was told that the entries therein are blurred that the person reading the same
will have difficulty in identifying the true and correct entries;
8. That due to the foregoing, I hereby declare and attest that the following are among
the important facts of my birth, to wit:
NAME - CRISTY ROSE T. MENDOZA

DATE OF BIRTH - September 14, 1977
PLACE OF BIRTH - Mandaluyong City
FATHER’S NAME - CRISTINO P. MENDOZA
MOTHER’S NAME - ROSARIO O. TONGOL
9. That to support said information, attached herewith are documents proving the said
facts of birth;
10. That I am executing this Affidavit to attest to the truth of the foregoing statement for
City, Philippines.
CRISTY ROSE T. MENDOZA

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2007
/k8
Pasig City ) S.S.
AFFIDAVIT
I, RONALD Q. LONJAS, of legal age, Filipino, and with business address at 533 Acacia
St., Napico, Manggahan, Pasig City, after having been duly sworn in accordance with law hereby
depose and state:
1. That I was born on October 30, 1978 in Manila being the son of Beanito R. Lonjas
and Florencia Quintanilla;
Manila;
6. That I am in the process of submitting my requirement for local employment, however,

when I presented my Certificate of Live Birth, I was told that the entries therein are blurred
that the person reading the same will have difficulty in identifying the true and correct
entires;
7. That due to the foregoing, I hereby declare and attest that the following are among the
important facts of my birth, to wit:
NAME - RONALD Q. LONJAS

DATE OF BIRTH - October 30, 1978
PLACE OF BIRTH - MANILA
FATHER’S NAME - BEANITO R. LONJAS
MOTHER’S NAME - FLORENCIA QUINTANILLA
City, Philippines.
RONALD Q. LONJAS
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.

Pasig City ) S.S.
AFFIDAVIT
I, JOHN KELVIN R. YOUNG, of legal age, Filipino, and with residence and postal
address at L3A B26 Chestnut St. Greenwoods, Cainta Rizal, after having been sworn in
1. That I am the registered owner of STRIKE AUTOWORKS. doing
business at No. 2654 Fernardo St. Cor. Zobel Roxas Malate Manila,
which is our Main office and No. 593 Mercedez Ave. San Miguel Pasig
City the latter being our Branch Office in Pasig;
2. That the aforesaid Branch office business here in Pasig was duly
registered at the Office of the Business Permit and License, Pasig City;
3. That The addresses mentioned above in relation to my business which is our

Main office in Manila and Branch Office in Pasig pertains to one and the same
Business name STRIKE AUTOWORKS;
4. That as such, all the documents regardless of the address appearing thereto
is considered as one and the same as the above mentioned business name;

statement for all intents and for whatever legal purpose it may serve.
JOHN KELVIN R. YOUNG

Affiant
in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2014
Pasig City ) S.S.
AFFIDAVIT
I, MARY FER N. LLACUNA, of legal age, Filipino Citizen, and presently with office at LG-
4 City Land Shaw Tower, Shaw Boulevard, Mandaluyong City, after having been sworn in
1. That I am the General Manager of a business with trade name MLJ PHILIPPINES
TRAVEL & TOURS CORPORATION with previous address at S-204 CityLand Mega
Plaza, ADB cor., Garnet Road, Ortigas Center, Pasig City ;
2. That the said business was duly registered with the Bureau of Internal Revenue, Pasig
City;
3. That said business was non-operational and non-viable, thus, we opted not to print the
official receipts and Financial Statement for it would add to our expenses and losses;
City, Philippines.
WILSON M. FLORES
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2007
Pasig City ) S.S.
AFFIDAVIT OF IDENTITY/DISCREPANCY
I, ESTELA PAPA ELLORIN, of legal age, Filipino, and with residential address at Block 1
Lot 13 Greenwoods Executive Village, Cainta Rizal, after having been duly sworn in accordance
1. That I am the elder sister of ROSA ELENA PAPA ELLORIN-SORIANO, who was born on
September 1, 1950. We are the children of deceased Spouses Isabelo Carranza Ellorin
and Catalina Papa; She is the youngest among the seven (7) siblings. She is married to
the late Ramon Soriano; Said ROSA ELENA is still appearing in her Driver’s License
issued by Hawaii;
2. That when my abovenamed sister aquired her citizenship in America, she caused her name
to be changed to ROSELLE PAPA ELLORIN-SORIANO;
3. That eventually, she acquired property in the Philippines located in the above given address
where I am presently living, she opted to use the name ROSELLE SORIANO, which name
is appearing in United States Uniformed Services Identification and Privilege Card issued
by Hawaii, U.S.A.;
4. That prior to her acquisition of the said property covered by Transfer Certificate of Title No.
697663 issued by the Register of Deeds for Province of Rizal, she is already a widow to her
husband. However, it would appear that her civil status is SINGLE instead of WIDOW;
5. That I hereby declare and attest that the ROSELLE PAPA ELLORIN-SORIANO and the
ROSA ELENA PAPA ELLORIN-SORIANO, and that the civil status single as appearing in
TCT No. 697663 and the civil status WIDOW being her true and correct civil status, refer to
one and the same person ;
City, Philippines.
ESTELA PAPA ELLORIN

Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2010
Pasig City ) S.S.
I, ELISEO G. GOYON, of legal age, Filipino, and with residential address at 111 A. Gahit
Compound, Acacia St., Pinagbuhatan, Pasig City, after having been duly sworn in accordance with
1. I was born on February 28, 1951 in Bulan, Sorsogon, being the son of Spouses Nemesio
Goyon and Julia Gersalia;
2. The facts of my birth were duly registered at the Local Civil Registry of Bulan, Sorsogon;
3. When I secured a copy of my Certificate of Live Birth, it appears that my first name was
erroneously registered as OLESES instead of my true and correct first name ELISEO.
Presumably the wrong entry is a mere inadvertence on the part of the person who caused
the preparation and registration of my Certificate of Live Birth;
4. I hereby declare and attest that my true and correct name is ELISEO G. GOYON as
correctly appearing in my Baptismal Certificate, Marriage Contract, Employment Record,
Voter’s I.D., SSS, Philhealth, and other public and private documents;
5. That the name OLESES G. GOYON as appearing in my Certificate of Live Birth and the
name ELISEO G. GOYON being my true and correct name as correctly appearing in my
Baptismal Certificate, Marriage Contract, Employment Record, Voter’s I.D., SSS,
Philhealth, and other public and private documents, refers to one and the same person;
City, Philippines.
ELISEO G. GOYON
Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City ) S.S.
I, ANGELINA N. ANGELES-SOBREVIÑAS, of legal age, Filipino,

married, and with residential address at 110 Rosario Village, Sta. Lucia, Pasig
state:
1. I was born on June 29, 1976 in Cainta, Rizal, being the daughter of
Spouses Celso Angeles and Clarita Nicolas;
2. The facts of my birth were duly registered at the Local Civil Registry of
Cainta, Rizal;
3. That I am now on the process for the correction of my Philippine Passport

with the Department of Foreign Affairs, Manila and one of the
requirements thereto is the submission of an authenticated copy of my
4. That when I secured a copy of my Certificate of Live Birth, it appears that

my
date of birth was registered as JUNE 29, 1976 instead of JUNE 29,
1973, that was erroneously registered in my Philippine Passport;
presumably the wrong entry is a mere inadvertence on the part of the
person who caused the preparation of my Philippine Pasport;
5. I hereby declare and attest that my true and correct date of birth is JUNE
29, 1976 as correctly appearing in my Birth Certificate, Baptismal
Certificate, Marriage Contract and other public and private documents;
6. That the date of birth JUNE 29, 1976 as appearing in my Certificate of

Live Birth, Baptismal Certificate, Marriage Contract and other public and
private documents and the date of birth JUNE 29, 1973 as appearing in
my Philippine Passport, refers to the date of birth of one and the same
person;

ANGELINA N. ANGELES-
SOBREVIÑAS
Affiant
2013 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2013

Pasig City ) S.S.
I, VICENTE C. CAÑEGA, of legal age, Filipino, single, and with residential
address at 1st Christian Community, Nagpayong, Pinagbuhatan, Pasig City, after
1. That I was born on September 24, 1977 in Carigaran, Leyte, being the
son of Spouses Paterno Canega and Demetria Cabasares;
2. The facts of my birth were duly registered at the Local Civil Registry of
Carigaran, Leyte;
3. When I secured a copy of my Certificate of Live Birth, it appears that my

first name was erroneously registered as VESENTE instead of my true
and correct first name VICENTE. Presumably the wrong entry is a mere
inadvertence on the part of the person who caused the preparation and
registration of my Certificate of Live Birth;
4. I hereby declare and attest that my true and correct name is VICENTE C.
CAÑEGA as correctly appearing in my Baptismal Certificate, NBI Records,
Postal ID, Police Clearance, and other public and private documents;
5. That the name VESENTE C. CAÑEGA as appearing in my Certificate of

Live Birth and the name VICENTE C. CAÑEGA being my true and correct
name as correctly appearing in my Baptismal Certificate, NBI Records,
Postal ID, Police Clearance, and other public and private documents,
refers to one and the same person, the herein affiant;

VICENTE C. CAÑEGA
Affiant
2013 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2013

Pasig City ) S.S.
I, MARICEL B. SOLIVAS-VENIDA, of legal age, Filipino, married to
EMELITO A. VENIDO, and with residential address at Kaayusan St.,
Manggahan, Pasig City, after having been duly sworn in accordance with law
1. That I was born on June 30, 1968, being the daughter of Spouses Felix
Solivas and Maria Bitao and married to EMELITO A. VENIDA sometime on
November 25, 1991;
2. The facts of our marriage were duly registered at the Local Civil Registry
of Balagtas, Bulacan;
3. When I secured a copy of my Marriage Certificate, it appears that my

name was erroneously registered as MARIA CECILIA B. SOLIVAS
instead of my true and correct name MARICEL B. SOLIVAS Presumably
the wrong entry is a mere inadvertence on the part of the person who
caused the preparation and registration of our Marriage Certificate;
4. I hereby declare and attest that my true and correct name is MARICEL
B. SOLIVAS- VENIDA as correctly appearing in my important documents
such as SSS ID and other public and private documents;
5. That the name MARIA CECILIA B. SOLIVAS as appearing in our

Marriage Certificate of and the name MARICEL B. SOLIVAS- VENIDA
being my true and correct name as correctly appearing in my important
documents such as SSS ID and other public and private documents,
refers to the name of one and the same person, the herein affiant;

MARICEL B. SOLIVAS-VENIDA
Affiant
2014 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2014

Pasig City ) S.S.
AFFIDAVIT
I, CARLOS C. ABESAMIS, of legal age, Filipino, and with office address

at 5th Floor Legal Office, Pasig City Hall Building, San Nicolas, Pasig City, after
1. That I am the City Legal Officer of Pasig City;
2. That I am the counsel for the respondent City of Pasig in the case entitled
Republic of the Philippines represented by the Philippine Commission of
Good Government versus City of Pasig, represented by the City Treasurer
and City Assessor docketed as SCA No. 2901 filed before Regional Trial
Court Branch 155;
3. That the herein City Legal Officer filed a Notice of Appeal on December
22, 2006 with the Court of Appeals attached therewith are the original
copies of court docket fees and other fees;
4. That the Official Receipts have not been released to herein counsel-
affiant because the same are required to be attached to the Notice of
Appeal in the above mentioned case, hence, I cannot present the original
copies of said Official Receipts. In lieu thereof, I am presenting and
submitting the Certified True Copies of Official Receipts Nos. 5633758;
2173152 0498889 and 0013163 representing court docket fees and other
fees;
5. That such certified true copies of Official Receipts issued by the Court
means that said documents are true and faithful reproduction of the
originals thereof;


CARLOS C. ABESAMIS
Affiant
2007 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2007

Pasig City ) S.S.
AFFIDAVIT OF CONFIRMATION
I, Atty. RENATO E. DE JESUS, of legal age, Filipino, and with office

address at Ground Floor, Pasig City Hall Building, San Nicolas, Pasig City, after
1. That I am a Notary Public of Pasig City, San Juan, Taguig and Pateros;
2. That on January 10, 2013 I notarized a Special Power of Attorney of

Marites Tambanillo and Jophrey Tambanillo docketed as Doc. No. 261;
Page No. 3 Book No. III, Series of 2013;
3. That on the aforesaid Special Power of Attorney, Marites Tambanillo and

Jophrey Tambanillo indicated therein the real property located at “LOT
3, BLOCK 1-A-5” instead of its true and correct identification as “LOT
3-B-1-A-5” as per original copy of title, TCT No. 011-2013000558
which was already submitted to Metrobank ;
5. That I executed this affidavit to confirm to the authorities concerned and

parties interested that “LOT 3-B-1-A-5” is the lot they bought as
mentioned in the aforesaid Special Power of Attorney;


Atty. RENATO E. DE JESUS

Affiant
2013 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2013
Pasig City ) S.S.
I, ETHEL SAN ANDRES ASUNCION-HERRERA, of legal age, Filipino, and with residence
address at No. 12 San Miguel Street, Capitol Subdivision, Brgy. Kapitolyo, Pasig City, after having
been duly sworn in accordance with law hereby depose and state:
1. That I am married to Anthony Raymond Libongco Herrera on October 18, 2008, and
eventually I used my married name HERRERA in all documents and transactions;
2. That ouf of the said union, we are blessed with a child named LORENZO ANGELO
ASUNCION HERRERA, who was born on August 4, 2009 in Pasig City.
3. That I have been a holder of a Passport prior to my marriage thereby appearing therein my
maiden name ETHEL SAN ANDRES ASUNCION;
4. That I am applying for the issuance of passport of my aforenamed son;
5. That I hereby declare and attest that I am the biological mother of LORENZO ANGELO
ASUNCION HERRERA, as evidenced by his Birth Certificate and our Marriage Contract
hereto attached;
for the replacement of the said passport.
City, Philippines.
ETHEL SAN ANDRES ASUNCION-HERRERA

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010
Pasig City )s.s.
AFFIDAVIT OF LOSS
I, ARSENIO D. PINGOL, of legal age, single, Filipino and with residence and postal
address at 1145-26, B. Vargas St., Tondo, Manila, after having been duly sworn to in accordance
1. That I am a holder of a Philippine Passport issued by Department of Foreign Affairs, Manila

on January 28, 2004;
2. That on February 25, 2008, I was able to travel to Macao to visit my friend who were a
resident of the said country;
6. That I was able to stay in Macao for almost two (2) months;
7. That sometime on March 31, 2008, while I was in Macao and when I am collating all my
important documents I noticed that my passport was missing, presumably the same
was misplaced under unknown circumstances;
5. That diligent search and efforts were exerted to locate the same but to no avail;
6. That for all intents and purposes the aforesaid passport is now considered lost;
and for the replacement of the said passport.
City, Philippines.
ARSENIO D. PINGOL
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009

Pasig City ) S.S.
AFFIDAVIT
I, CORAZON J. SANTOS, of legal age, Filipino, and with residence address at 93 C.

Santos St., Ugong, Pasig City, after having been duly sworn in accordance with law hereby depose
and state:
1. That I am the grandmother and guardian of JOY S. BRIONES, the latter was born on
September 12, 1988 in Pasig City;
2. That my aforesaid daughter is the sole surviving heir of the late FLORDELIZA S. BRIONES
who died on September 16, 1988 in Rizal Medical Center, Pasig City;
3. That his father JOSELITO G. BRIONES is a member of Philippine Navy, however, the latter
do not give any support to his daughter JOY S. BRIONES since he was employed up to
present;
4. That my aforenamed granddaughter is under my care and custody since her mother died
and I and my husband provides for her sustenance, medication, education and financial
needs;
City, Philippines.
CORAZON J. SANTOS
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2007
K8
Pasig City ) S.S.
AFFIDAVIT
I, ROSALINA B. GALINATO, of legal age, Filipino, and with residence address at 215
Yakal Ext., Acacia, Pinagbuhatan, Pasig City, after having been duly sworn in accordance with law
1. That I am the grandmother and guardian of SHARMAINE GALINATO, the latter who was
born out of wedlock on June 18, 1994 in Pasig City;
2. That she is the child of REBECCA GALINATO and AMANDO LUCERO;
3. That the said child has been legitimated through the subsequent marriage of REBECCA
GALINATO and AMANDO LUCERO on October 19, 1998 in Real Quezon, thus she has the
right to use the name SHARMAINE GALINATO LUCERO;
4. That after two years from the commencement of marriage, AMANDO LUCERO abandoned
and left them abode from unknown reason;
5. That my aforenamed granddaughter is under my care and custody since AMANDO

LUCERO abandoned them and provides for her sustenance, medication, education and
financial needs;
Philippines.
ROSALINA B. GALINATO
Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City ) S.S.
AFFIDAVIT
I, EVELYN L. MARTINEZ, of legal age, Filipino, and with residence address at 19 Glorietta
Subd., Caniogan, Pasig City, after having been duly sworn in accordance with law hereby depose
and state:
1. That I am the grandmother and standing guardian of YUME ICHIRO M. SHIMANUKI,

who was born on June 29, 2005 in Calamba, Laguna being the son of ANGELA MAE
LORENZO MARTINEZ and YAMATO LANTIN SHIMANUKI;
2. That my aforesaid grandson is under my custody and he live with me at the said above-
mentioned address since she was five months old;
City, Philippines.
EVELYN L. MARTINEZ
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009
Pasig City ) S.S.
AFFIDAVIT
I, NOEMI C. LAZARO, of legal age, Filipino, and with residence address at 812 P. Gomez
Street, Reyes Compound, Manggahan, Pasig City, after having been duly sworn in accordance
1. That I am the owner of a residential house constructed on No. 812 P. Gomez Street, Reyes
Compound, Manggahan, Pasig City;
2. That the said residential house was built under Building Permit No. BPII-99R-0226 issued in
1999 by the Office of the City Building Official;
3. However, due to financial constraint, we were able to finish its construction only last year
and eventually occupied and actually used the structure on the same year;
4. That I am now causing the assessment of said residential house for tax purposes, and that I
am appeallng that the assessment be computed from the year we actually used/occupied
the same;
City, Philippines.
NOEMI C. LAZARO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City ) S.S.
AFFIDAVIT
I, ZENAIDA B. GOMEZ, of legal age, Filipino, and with residence address at 74 Dimanlig
Street, San Nicolas, Pasig City, after having been duly sworn in accordance with law hereby
depose and state:
1. That I am the mother of MARLENE B. GOMEZ, GERALDINE B. GOMEZ and MARIANE B.

GOMEZ, all of legal age, single;
2. That we caused the construction of a 2-storey residential house on the property registered
under the name of my husband covered and embraced by Transfer Certificate of Title No.
PT-84185 located in Brgy. San Nicolas, Pasig City;
3. That the construction of such residential house were at the sole expense of my
abovenamed children out of their own earnings;
4. That due to the foregoing, I hereby declare and attest that the improvement referring to the
residential house should be registered in the name of my three children, hence, I hereby
request that their names be registered in the declaration of such improvement for tax
purposes in the City Assessor’s Office of Pasig;
City, Philippines.
ZENAIDA B. GOMEZ
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2008

Pasig City ) S.S.
AFFIDAVIT
I, MA. CORAZON G. DE VERA, of legal age, Filipino, and with residence address at 1
Yakal Street, Maybunga, Pasig City, after having been duly sworn in accordance with law hereby
depose and state:
attached;
electrical facilities with Manila Electric Company under my name.
City, Philippines.

Affiant
Doc. No.
Page No.
Book. No.
Series of 2008
Pasig City ) S.S.
AFFIDAVIT
I, MARILYN D. HERMOSO, of legal age, widow, Filipino, and with residence address 46
Katarungan Ext., Caniogan, Pasig City, after having been duly sworn in accordance with law
1. I am the legal wife of the late Leonardo Hermoso, formerly employed at the Bureau of
Customs, who died on August 12, 2008 while in the service;
2. That sometime in November 14, 2008 the survivorship benefit of my late husband Leonardo
Hermoso was paid to Elvira Ferrer who represented herself as his legal wife after
presenting apparently legal documents of her supposed marriage to my husband;
3. That I am no long interested in the recovery of the benefits paid to her even she was not
her legal wife;
4. That I am now requesting the GSIS, particularly the Claims Dept. to pay me the
Survivorship Benefit that I am entitled to, like the survivorship pensions that I am supposed
to receive being the legal surviving spouse of the deceased;
City, Philippines.
MARILYN D. HERMOSO
Affiant
Pasig City. Affiant exhibited to me her Community Tax Certificate No. 03233940 issued on June
29, 2010 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010
Pasig City ) S.S.
AFFIDAVIT
I, FRANCISCO DEL ROSARIO, of legal age, Filipino, married to Remedios Fortaleza Del
Rosario, and with residence address at 254 Dr. Pilapil Street, San Miguel, Pasig City, after having
1. That I am among the three grandchildren and surviving successors-in-interest of the

estate Spouses Esperidion del Rosario and Anastacia Esteban, a 210 Square Meters
parcel of land located in the above given address, covered and embraced by a covered
by Transfer Certificate of Title No. PT-99202 issued by the Register of Deeds of Pasig
City;
2. That on the portion of the said land, I caused the construction of a house made up of a
semi-concrete materials and have been occupying the same along with the members of
my family since 1996 up to the present, after a long live stay in Baguio City;
3. That I have been paying for the tax of the said improvement even after it was washed
out by the said calamity, in fact, the said (Tax Declaration No. E-022-03389);
4. That by these presents, I hereby declare for tax purpose the above improvement
(residential house) caused by the undersigned;
City, Philippines.
FRANCISCO DEL ROSARIO

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2007
Pasig City ) S.S.
AFFIDAVIT OF CANCELLATION OF
TAX DECLARATION NO. P-007-2611 (IMPROVEMENT)
I, EDUARDO RAMIREZ, of legal age, Filipino, and with residence address at 139 M. H. del
Pilar Street, Palatiw, Pasig City, after having been duly sworn in accordance with law hereby
depose and state:
1. That I am the administrator of a parcel of land registered under the name of Sps. Dionisio
and Estrellita Cruz located in Quisao, Pililia, Rizal;
2. That the said property has an improvement/building that is made up of wood converted as
house/shelter of domestic animals (farm). Said improvement was declared for tax
purpose as Tax Declaration No. P-007-2611 duly registered in the Office of the Assessor of
Pililia Rizal;
3. That during the occurrence of typhoon Milenyo on September 27, 2006, all the constructed
house/building referred under Tax Declaration No. P-007-2611 was completely collapsed
and ruined by heavy rains and wind;
4. The considering that the building referred under Tax Declaration No. P007-2611 was totally
washed out, I hereby request that the said tax declaration be cancelled;
City, Philippines.
EDUARDO RAMIREZ
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2008
Pasig City ) S.S.
AFFIDAVIT OF CANCELLATION OF
ANNOTATION ON TAX DECLARATIONS
I, PERPETUA U. VILLAFLORES, of legal age, Filipino, and with residence address at

1619-5 27 Callejon 27, Bambang, Pasig City, after having been duly sworn in accordance with law
1. That on April 7, 2009, I caused the annotation of an Affidavit of Loss of the Tax
Declarations, to wit, at the City Assessor’s Office:
Tax Declaration No. E-004-04708;

2. That the Affidavit of Loss abovestated was executed on April 3, 2009 duly notarized by Atty.
Ernesto Bonifacio as Doc. No. 471; Page No. 96; Book No. LX; Series of 2009;
3. That the said tax declarations are still missing and could not be found in my residential
house at Florida, U.S.A., but since have now the intention to file a petition for the issuance
of title of the above tax declarations, I hereby request for the cancellation of annotations at
the Assessor’s Office;
4. I am executing this Affidavit to attest to the truth of the foregoing statements for all intents
City, Philippines.
PERPETUA U. VILLAFLORES
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City ) S.S.
AFFIDAVIT
I, CORA C. LUAYON, of legal age, Filipino, and with residence address in Barangay
Pinagbuhatan, Pasig City, after having been duly sworn in accordance with law hereby depose and
state:
1. That I am the wife of the late FLORENCITO S. LUAYON, who died February 14, 2006;
2. That we were blessed with six (6) children;
3. The youngest among them named KHATE C. LUAYON, was born on October 15, 2006.
Khate C. Luayon was only one (1) month old in my womb when my husband died on
February 14, 2006; I never thought then that I was pregnant when my husband died;
4. That during the lifetime of my husband, he is a bona fide member of the Social Security
System;
5. That by these presents, Khate C. Luayon is my daughter to my deceased husband

Florencito S. Luayon;
City, Philippines.
CORA C. LUAYON
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2007
jen

Pasig City ) S.S.
AFFIDAVIT
I, EDITHA A. CAGALINGAN, of legal age, widow, Filipino, and with residence address in
109 M.H. del Pilar St., Sto. Tomas, Pasig City, after having been duly sworn in accordance with law
1. That I am the wife of the late HORACIO J. CAGALINGAN, who died on August 2, 2008 at
Pasig City;
2. That we were blessed with three (3) children namely:
a. IRMA A. CAGALINGAN-MCDONOUGH born on June 16, 1969 in Pasig, Rizal (now

City);
b. EDWIN A. CAGALINGAN born on October 19, 1973 in Pasig, Rizal (now City); and
c. ANTHONY A. CAGALINGAN born on December 12, 1977 in Pasig, Rizal (now City);
3. That during the lifetime of my husband, he is a bona fide member of the GSIS with ID No.
49080201906;
4. That I hereby declare attest that my children have reached the age of majority, thus, I have
no minor children;
City, Philippines.
EDITHA A. CAGALINGAN
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009

Pasig City ) S.S.
AFFIDAVIT OF LEGAL AGE
I, MARVIN R. CALPITO, of legal age, single, Filipino, and with residence address at No. 1
Maxville Subdivision, Sta. Lucia, Pasig City, after having been duly sworn in accordance with law
1. I am the registered co-owner of a parcel of land with improvement containing an

area of FIFTY THREE (53) SQUARE METERS covered and embraced by Transfer Certificate of
Title No. PT-135296 during which acquisition, I was then a minor, having been born on August 7,
1993;
2. I am now 19 years of age and, thus, have the full legal capacity to enter into any
valid contract, including the sale of my share of the property abovementioned;
3. I am executing this Affidavit to attest to the truth of the foregoing statements for all
City, Philippines.
MARVIN R. CALPITO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2012

Pasig City ) S.S.
AFFIDAVIT
I, EVANGELINE V. CHAVEZ, of legal age, Filipino, and with residence address at 195 E. C.
Dela Paz St., Caniogan, Pasig City, after having been duly sworn in accordance with law hereby
depose and state:
1. That I am the sister of the late DANTE R. VERACRUZ, the latter died on November 4, 2006
in Atimonan, Quezon;
2. That the deceased was married to Marites Edar Veracruz and they were married on
January 27, 1986 in Pasig City;
3. That they were blessed with one child named Diane Marie R. Veracruz who was born on
March 15, 1988;
4. That sometime on year 2002, the deceased wife, Marites, left their conjugal abode and
whose whereabouts were unknown up to the present;
City, Philippines.
EVANGELINE V. CHAVEZ
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2007
K8
Pasig City ) S.S.
AFFIDAVIT
I, FRANCIS PHAIX V. TAMANGAN, of legal age, Filipino, married to DIVINA V.

TAMANGAN and with residence address at No. 196 C. Dela Paz Caniogan, Pasig City, after
1. That I am the biological father of the following minor children to wit;
a. Francesca Grace V. Tamangan who was born on July 10, 2011 and;
b. Via Francine V. Tamangan was born on July 10, 2011
2. They are my child to my wife DIVINA V. TAMANGAN, who is set to leave for abroad once
the pertinent documents become ready and available;
3. That since my wife will be leaving our county, the custody over my two (2) children is solely
on my responsibility;
,
4. That due to the foregoing I hereby declare and attest that I hold the responsibility of
supporting my children’s basic needs from sustenance, medication, transportation
and education;
City, Philippines.
FRANCIS PHAIX V. TAMANGAN

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2015
Pasig City ) S.S.
AFFIDAVIT
I, JOSEPH P. SERRANO, of legal age, Filipino, married and with residence address at No.
05 Esguerra Compound, Pinagbuhatan, Pasig City, after having been duly sworn in accordance
1. That I am the father and standing guardian of ANGELO S. SERRANO who is an out-patient
and being treated at the Philippine Heart Center;
2. That due to irreconcilable differences, my wife left our residential abode sometime in March
2008 and up to the present her whereabouts is unknown to the herein affiant;
3. That due to the foregoing situation, the custody over my four (4) children is solely on my
responsibility and become the guardian of my children especially the patient ANGELO S.
SERRANO;
City, Philippines.
JOSEPH P. SERRANO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City ) S.S.
AFFIDAVIT
I, RACQUEL PLACIDO, of legal age, Filipino, married and with residence address at No.
47B BolanteI cor. Caruncho Ave., Esguerra St., Pinagbuhatan, Pasig City, after having been duly
sworn in accordance with law hereby depose and state:
1. That I am an out-patient and being treated at the Philippine Heart Center, East Avenue,
Quezon City and one of the requirements is the submission of this Affidavit stating that I am
supporting my granddaughter Cheska Placido;
2. Sometime in September 2009 my daughter, Michelle Placido cohabited Jyrald

Tobongbanua and they were blessed with one (1) child named Cheska Placido who was born out
of wedlock on September 29, 2009;
3. Unfortunately, sometime in October 2010, due to irreconcilable differences of my

daughter and his common-law husband, Jyrald Tobongbanua left their residential abode and up to
the present his whereabouts is unknown to the herein affiant;
4. That due to the foregoing situation, I become the guardian of my daughter and my
granddaughter and I am assuming the responsibility for my granddaughter’s education, dwelling,
medication and any basic necessity for the support of her growth;
. 5. That I am executing this Affidavit to attest to the truth of the foregoing statements for all
City, Philippines.
RACQUEL PLACIDO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2012
Pasig City ) S.S.
AFFIDAVIT
I, CONSOLACION N. IPORAC, of legal age, Filipino, and with residence address at No. 17
Mayapis St., Marietta-Romeo Village, Sta. Lucia, Pasig City, after having been duly sworn in
accordance with law hereby depose and state:
1. That I am the mother of the late Vladimir N. Iporac, the latter died on March 20, 2010 in
Pasig City;
2. That my son was married to Rhodora B. Silva and they were married on April 24, 1993 in
Tanay, Rizal;
3. That they were blessed with five (5) children named Johnedhel S. Iporac, Pearl Anjeli S.
Iporac, Jude Michael S. Iporac and Kyle Bryan S. Iporac, and Paul Adrian S. Iporac;
4. That sometime in August 2003, my daughter-in-law Rhodora B. Silva, shed my

grandchildren and my deceased son and whose whereabouts were unknown to us up to the
present;
City, Philippines.
CONSOLACION N. IPORAC
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City ) S.S.
AFFIDAVIT
I, MARY GRACE M. PEREZ, of legal age, single, Filipino, and with residence address at
45 San Guillermo Ave., Buting, Pasig City, after having been duly sworn in accordance with law
1. That I am the daughter of the late APOLINARIA M. PEREZ, the latter died on December 5,
2008 in Buting, Pasig City;
2. That my mother is a bonafide Senior Citizen of Pasig City and I am on the process of
claiming her burial benefits and among the requirements is this affidavit;
3. That my deceased mother was married to our father Jose Perez on June 30, 1969 in
Bacolod;
4. That they were blessed with three children named Joel Perez (deceased), Joey Perez and
Mary Grace Perez;
5. That sometime in year 1975, our father left our residential abode and up to present his
whereabouts is unknown to the herein affiant;
City, Philippines.
MARY GRACE M. PEREZ
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009

Pasig City ) S.S.
AFFIDAVIT
I, CRISTINE ANN A. SARINAS, of legal age, Filipino, and with residence address at 94 A.
Flores St., Bagong Ilog, Pasig City, after having been duly sworn in accordance with law hereby
depose and state:
1. That I am the daughter of the late ROSITA ANIANA SARINAS, the latter died on November
30, 2009 in Pineda, Pasig City;
2. That my mother is a bonafide member of Social Security System with SSS No. 0821511189
and I am on the process of claiming her burial benefits and among the requirements is the
submission of their Marriage Contract and this Affidavit;
3. That my deceased mother was married to our father Rodolfo V. Sarinas, Jr. on October 16,
1977 in Taguig, Metro Manila;
4. That they were blessed with four (4) children named Joshua A. Sarinas, Angelita Loida A.
Sarinas, Cristine Ann A. Sarinas and Joan S. Aguirre;
5. That sometime in year 1985, our father left our residential abode and because of the
separation of my parents, my mother used and registered her maiden name as ROSITA
SACO ANIANA in her records with SSS;
6. That in the copy of their Marriage Contract, my mother’s name was erroneously registered
as ROSITA L. AÑANA instead of her true and correct name ROSITA S. ANIANA;
7. That for all intents and purposes my mother’s true and correct name is ROSITA S. ANIANA-
SARINAS;
City, Philippines.
CRISTINE ANN A. SARINAS
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009

Pasig City ) S.S.
I, ADELAIDA ALFONSO, of legal age, Filipino, and with residence address at 1547
Domingo V. Alfonso, Bambang, Pasig City, Pasig City, after having been duly sworn in accordance
1. That I am the owner of an Apartment lot located at No. 1548 Domingo V. Alfonso,
Bambang, Pasig City;
2. That the said business in registered in the my married name ADELAIDA ALFONSO CRUZ;
3. That by reason of the Decision rendered by Honorable Judge Lorifel Lacap Pahimna, of
Regional Trial Court Branch 69, Pasig City declaring marriage with Reynaldo P. Cruz as null
and void ab intio, thus, regain the status of singleness;
4. That due to the foregoing decision as cited in the previous paragraph I am now manifesting
my intention to change my name from ADELAIDA ALFONSO CRUZ to ADELAIDA
ALFONSO;
City, Philippines.
ADELAIDA ALFONSO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2007

Pasig City ) S.S.
I, SIONY NAVALES FRAN, of legal age, Filipino, widow, and with

residence address at U-310 Granada Bldg., Vista De Lago, Taguig City, after
1. That I was married to the late ALEJO GALANTO FRAN sometime on

December 24, 1983 at San Narciso, Zambales and out of the said union
we were blessed of two (2) children;
2. That sometime on August 5, 2012, my husband ALEJO GALANTO

FRAN died at Iba, Zambales, copy of his Death Certificate is hereto attached;
3. That the facts of his death was duly registered with the National
Statistics Office;
4. That by reason of the death of my husband ALEJO GALANTO FRAN on

August 5, 2012, I am now a widow, thus, I have a legal capacity to marry;



SIONY NAVALES FRAN
Affiant
2015 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2015
Pasig City ) S.S.
I, ATANACIA D. AGUILAR-TACALDO, of legal age, Filipino, and with residence address at

Blk. 4 Lot 3, Abraham St., Bliss Sta. Lucia Homes, Pasig City, after having been duly sworn in
1. That I was born on December 25, 1964 in Vinzons, Camarines Norte, being the daughter of
Jose Aguilar and Fructosa Delos Santos;
2. That when I secured a copy of my Certificate of Live Birth from National Statistics Office,
the latter agency issued a Certification of no record;
3. That I hereby declare and attest that I was born on December 25, 1964 in Vinzons,
Camarines Norte, being the daughter of Jose Aguilar and Fructosa Delos Santos;
City, Philippines.
ATANACIA D. AGUILAR-TACALDO
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
K8
Pasig City ) S.S.
We, CRISTINA ARTAIZ and JENNIFER CRUZ, both of legal age, Filipinos, and with
residence address at Ugong, Pasig City and San Miguel, Pasig City, respectively, after having been
duly sworn in accordance with law hereby depose and state:
1. We personally know HERBERT MENDOZA INOCENCIO, as the son of Bartolome

Inocencio and Elsa Mendoza, as our neighbor and friend in the same community for quite a
long time;
2. As neighbors and friends of HERBERT MENDOZA INOCENCIO, we personally know that

he has been using HELBERT as his first name and that he is accustomed to use 24
DECEMBER 1986 as his date of birth, of which facts of birth has been been using and now
reflected in my Voter’s I.D., SSS records, employee’s records, Pag-Ibig Fund records and in
the birth certificate of his child;
3. That however, when he secured an authenticated copy of his Birth Certificate issued by the
National Statistics Office, he learned and discovered that his name is registered as
HERBERT instead of HELBERT, and that I was actually born on 24 December 1985;
4. That for all legal intents and purposes, we hereby declare and attest that the name
HERBERT MENDOZA INOCENCIO, born on December 24, 1985 and the name
HELBERT MENDOZA INOCENCIO, born on December 24, 1986, reflected in his Voter’s
I.D., SSS records, employee’s records, Pag-Ibig Fund records and in the birth certificate of
his child, refer to one and the same person;
5. We are executing this Affidavit to attest to the truth of the foregoing statements for all
CRISTINA ARTAIZ JENNIFER CRUZ
Affiant Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2013

Pasig City ) S.S.
We, MARIA TERESA A. BALAGTAS and ANTHONY S. VILLANUEVA, both of legal age,
Filipinos, and with residence at No 216 F. Silverlane C. Dela Paz St. Caniogan, Pasig City, and No.
26 Sgt. Bernardo St. Caniogan, Pasig City respectively, after having been duly sworn in
1. We personally know MARIA CRISTINA CAMPUS REMOLANO DE GUZMAN, married to

Rodolfo De Guzman who was born on August 9, 1966 in Pasig City, being the daughter of
Spouses Delfin T. Remolano and Esperanza L. Campus;
2. We also know that she is a bonafide member of SOCIAL SECURITY SYSTEM with SSS
No.0387784285 ,and her husband is now claiming her SSS benefits and one of the
requirements is the submission of her Certificate of Live Birth;
3. We were informed that under her authenticated Certificate of Live Birth duly issued by the
National Statistics Office, Manila, her first name was registered as MARIA CRISTINA;
4. That however, under her Marriage Contract her first name was recorded as CRISTINA
instead of MARIA CRISTINA;
5. That under her Social Security System (SSS) her first name was recorded as CHRISTINA;
6. We hereby declare and attest that MARIA CRISTINA CAMPUS REMOLANO as per her
authenticated Certificate of Live Birth and CRISTINA CAMPUS REMOLANO as per
recorded in her Marriage Contract and CHRISTINA CAMPUS REMOLANO, as per SSS
records belong or refer to one and the same person.
7. That her true and correct of her first name is MARIA CRISTINA CAMPUS REMOLANO;
8. The foregoing facts were made possible to us since we are her friends and neighbors in the
same community for quite a long time now;
MARIA TERESA A. BALAGTAS ANTHONY S. VILLANUEVA

Affiant Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2013
Pasig City ) S.S.
We, SOCCORO G. MAGAYANES and PACITA NERBIS, both of legal age, Filipinos, and
with residence address at No. 1315 East Bank Rd., Sta. Lucia, Pasig City and No. 1317 East Bank
Rd., Sta. Lucia, Pasig City, respectively, after having been duly sworn in accordance with law
10. We personally know NIMFA CANDELA AOANAN, married to Remigio G. Aoanan who was
born on November 6, 1962 in Burauen, Leyte, being the daughter of Spouses Agapito S.
Candela and Beatriz Redubla;
11. We also know that she is a depositor and has a joint savings account with Teresita Fruelda
Falcutila at Banco Filipino, Rosario Branch, Pasig City and she is now claiming for their
savings account deposit and one of the requirements is the submission of her Certificate of
Live Birth;
12. We were informed that when she secured a copy of her Certificate of Live Birth from
National Statistics Office, the latter agency issued a Certification of no record;
13. We hereby declare and attest that NIMFA CANDELA AOANAN was born on November 6,
1962 in Burauen, Leyte, daughter of Spouses Agapito S. Candela and Beatriz Redubla;
14. The foregoing facts were made possible to us since we are her friends and neighbors in the
same community for quite a long time now;
SOCCORO G. MAGAYANES PACITA NERBIS

Affiant Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2011

Pasig City ) S.S.
AFFIDAVIT
I, MERLIE R. GAYUSO, of legal age, Filipino, and with residence address at 280, Eusebio
Ave. San Miguel Pasig City, after having been duly sworn in accordance with law hereby depose
and state:
1. That I am the daughter of the late SOLEDAD R. GAYOSO who died on March 13, 2008 at
Butuan Medical Center Agusan Del Norte;
2. That my mother is a bonafide member of SSS with SSS no. 0821248559;
3. That I am now processing the death benefits of my mother and one of the requirement is
the submission of the Death Certificate of my Mother’s Parents namely GREGORIO
REGAÑA and SEMPLICIA CASTILLOTE for the reason that they are named as additional
benefieciary of my mother in her SSS membership;
4. That I am not in possession of any copy of my grandparents Certificate and I have no other
means to avail of such record because I have no information relative to their death
whatsoever;
5. That When I asked all of my relatives regarding the facts of my grandparents death, they
could not also give me any relative nformation and facts regarding their death,
6. That what I only know is their names and the fact that they have died long time ago when
my mother is still young or about 6 years of age;
7. That I hereby declare and attest that I have no other information about the death of my
grandparents namely; GREGORIO REGAÑA and SEMPLICIA CASTILLOTE;
City, Philippines.
MERLIE R. GAYUSO
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 20103

Pasig City ) S.S.
AFFIDAVIT
I, ATANACIA D. AGUILAR-TACALDO, of legal age, Filipino, and with residence address at

Blk. 4 Lot 3, Abraham St., Bliss Sta. Lucia Homes, Pasig City, after having been duly sworn in
1. That I was born on September 1, 1949 in Binondo, Manila, being the son of Juanito
Reyes and Senuna Sucgang;
2. As a senior citizen, I would like to apply to be a member of Senior Citizen’s Affairs here
in Pasig City and one of the requirements is the submission of my Certificate of Live
Birth;
2.
9. That when I secured a copy of my Certificate of Live Birth from National Statistics Office,
the latter agency issued a Certification of no record;
10. That I hereby declare and attest that I was born on December 25, 1964 in Vinzons,
Camarines Norte, being the daughter of Jose Aguilar and Fructosa Delos Santos;
City, Philippines.
ATANACIA D. AGUILAR-TACALDO
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009

Pasig City ) S.S.
I, EDWIN B. NAVARRO, of legal age, Filipino, and with residence address at No. 1 Rosario
Village, Rosario, Pasig City, after having been duly sworn in accordance with law hereby depose
and state:
1. That I am the son of the late Vicente T. Navarro who died on September 27, 2009 ;
2. That the above mentioned residential address is the property of Teresita Espiritu whom she
acquired by inheritance to her deceased mother Juliana Banaag, the daughter of the
deceased Nicolasa Banaag;
3. That Teresita Espiritu is the sole heir of the deceased Juliana Banaag;
City, Philippines.
CARLOS BANAAG
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
K8

Pasig City ) S.S.
I, ALFREDO D. GANZON, of legal age, Filipino, single, and with residence address at No.
133 Kalbaryo St. Kalumpang, Marikina City, after having been duly sworn in accordance with law
1. That I am a holder of a Loyola Memeorial Life Plan located at Arnaiz Avenue, Loyola
Plan Building, Makati City;
2. That I am a good friend of the late JUANITO P. MANDAP who died on February 3,
2010 at Marikina City, the latter being a bonafide member of Social Secuirty System;
3. That because of the love and gratitude he offered to me when he still alive, I voluntarily
allowed his remains to be placed at the lot allotted to me located at Loyola Memeorial Life Plan
located at Arnaiz Avenue, Loyola Plan Building, Makati City;
City, Philippines.
ALFREDO D. GANZON
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2010
Pasig City ) S.S.
I, CARLOS BANAAG, of legal age, Filipino, and with residence address at No. 50-A E.
Mendoza St., Buting, Pasig City, after having been duly sworn in accordance with law hereby
depose and state:
5. That I am the brother of the late Nicolasa Banaag;
6. That the above mentioned residential address is the property of Teresita Espiritu whom she
acquired by inheritance to her deceased mother Juliana Banaag, the daughter of the
deceased Nicolasa Banaag;
7. That Teresita Espiritu is the sole heir of the deceased Juliana Banaag;
City, Philippines.
CARLOS BANAAG
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
K8
Pasig City ) S.S.
AFFIDAVIT OF SOLE HEIR
I, EVARISTO A. CRUZ, of legal age, married, Filipino, and with residence address at No.
151-B Dr. Sixto Antonio Ave., Rosario, Pasig City, after having been duly sworn in accordance with
1. That I am the daughter and the sole heir of the late SANTOS R. CRUZ who died on
May 03, 2012 at Pasig City;
2. That I am now processing the burial benifets and any other benefits of my late
mother from the Office of the Senior Citezen Affairs of Pasig City and any other government
agencies concerned;
3. That I am executing this Affidavit to attest to the truth of the foregoing statements for
City, Philippines.
EVARISTO A. CRUZ
Affiant
CORROBORATION
We, _____________________ and ________________________, both of legal age,

Filipinos and with office address at Barangay Hall, Brgy. Rosario, Pasig City, respectively, hereby
declare and attest that the statements made by EVARISTO A. CRUZ are true and correct to the
best of our knowledge and belief.
__________________________ _________________________
Witness Witness
Doc. No.
Page no.
Book No.
Series of 2012

Pasig City ) S.S.
I, RODRIGO D. LIMSON, of legal age, single, Filipino, and with residence address at No.
No. 92 A. Dr. Pilapil St., Sagad, Pasig City, after having been duly sworn in accordance with law
1. I am the son of ESTELITA D. LIMSON, the latter being the daughter of the late
CANDELARIA C. DALIJA who died on December 10, 2012 at Pasig City and a bonafide member
of Senior Citizen Affair (OSCA), Pasig City;
2. Being the grandson and the surviving heir of the late CANDELARIA C. DALIJA and
as the Attorney-in-Fact of ESTELITA D. LIMSON (Attached herewith the Special Power of Attorney
notarized on December 13, 2012 by notary public, Atty. Ricardo A. Castillo of Pasig City) I am now
processing the burial benefits and any other benefits of my late grandmother from the Office of the
Senior Citizen Affairs of Pasig City and any other government agencies concerned;
3. That I am executing this Affidavit to attest to the truth of the foregoing statements for
City, Philippines.
RODRIGO D. LIMSON
Affiant
CORROBORATION
We, BUEN R. SIGNSON JR. and CHRISTOPHER BENITO, both of legal age, Filipinos
and with office address at Barangay Hall, Brgy. Sagad, Pasig City, respectively, hereby declare and
attest that the statements made by RODRIGO D. LIMSON are true and correct to the best of our
knowledge and belief.
BUEN R. SIGNSON JR. CHRISTOPHER BENITO

Brgy. Kagawad Brgy. Kagawad
Doc. No.
Page no.
Book No.
Series of 2012

Pasig City ) S.S.

I, LEONILA T. SALAMANCA, of legal age, Filipino, widow, and with
residence address at No. 22 E. Angeles St., Villa San Juan, Sto. Tomas Pasig
state:
1. That I am the surviving spouse of the late EUGENIO N. SALAMANCA

, being the only son and the sole surviving heir of the late TRINIDAD N.
SALAMANCA who died on January 18, 2015 at Pasig City;
2. That I am now processing the burial benifets and any other benefits
of the aforesaid deceased from the Office of the Senior Citezen Affairs of Pasig
City and any other government agencies concerned and one of the
requirements theeto is this Affidavit stating therein that I am the only surviving
heir and nearest kin of the deceased, hence, this Affidavit;
3. That for all intents and purposes, I hereby declare and attest that I
am am the surviving spouse of the late EUGENIO N. SALAMANCA , being the
only son and the sole surviving heir of the late TRINIDAD N. SALAMANCA
who died on January 18, 2015 at Pasig City;


LEONILA T. SALAMANCA
Affiant
CORROBORATION
We, _________________________ and _______________________, both of legal

age, Filipinos and with office address at c/o Brgy Hall, Sto. Tomas, Pasig City,
respectively, hereby declare and attest that the statements made by LEONILA
T. SALAMANCA are true and correct to the best of our knowledge and belief.
_____________________ _______________________
Witness Witness
City.
Doc. No.
Page no.
Book No.
Series of 2015

Pasig City ) S.S.
I, ROMANO PINGA FERRER, of legal age, married, Filipino, and with residence address at
No. 24-F Acacia Street, Pinagbuhatan, Pasig City, after having been duly sworn in accordance with
1. I am the only son and the sole surviving heir of the late AMANDA PINGA FERRER who
died on September 24, 2011 at our aforesaid residence;
2. I am now processing the burial benefits and any other claims due my mother from the
Office of the Senior Citizen Affairs of Pasig City and any other government agencies concerned;
City, Philippines.
ROMANO PINGA FERRER

Affiant
CORROBORATION
We, Kag. EFREN SANTOS and Kag. ZANDRO ASILO, both of legal age, Filipinos and
with office address at c/o Barangay Hall, Barangay Pinagbuhatan, Pasig City, respectively, hereby
declare and attest that the statements made by ROMANO PINGA FERRER are true and correct to
the best of our knowledge and belief.
Kag. EFREN SANTOS Kag. ZANDRO ASILO

Witness Witness
Doc. No.
Page no.
Book No.
Series of 2011

Pasig City ) S.S.

I, GERALDINE A. TAMINA, of legal age, married, Filipino, and with residence address at
No. 7202 Ferrer Compoind, Pinagbuhatan, Pasig City, after having been duly sworn in accordance
1. I am the only daughter and the sole surviving heir of the late FELICIDAD L. ASUNCION
who died on November 6, 2011 at our aforesaid residence;
2. I am now processing the burial benefits and any other claims due my mother from the
Office of the Senior Citizen Affairs of Pasig City and any other government agencies concerned;
City, Philippines.
GERALDINE A. TAMINA
Affiant
CORROBORATION
We, __________________________ and __________________________, both of legal

age, Filipinos and with office address at c/o Barangay Hall, Barangay Pinagbuhatan, Pasig City,
respectively, hereby declare and attest that the statements made by GERALDINE A. TAMINA are
true and correct to the best of our knowledge and belief.
_______________________ ______________________
Witness Witness
Doc. No.
Page no.
Book No.
Series of 2011
Pasig City ) S.S.
I, VIRGINIA N. MATIENZO, of legal age, widow, Filipino, and with residence address at No.
30 Matienzo Compound, Sta. Cruz, Pasig City, after having been duly sworn in accordance with
1. That I am the daughter and the sole surviving heir of the late Pacencia A. Garcia who
died on March 17, 2010 at Pasig City;
2. That my mother is a bonafide member of Senior Citizen of Pasig City and I am on the
process of claiming her burial benefits and among the requirements is this affidavit;
City, Philippines.
VIRGINIA N. MATIENZO
Affiant
CORROBORATION
We, Kag. VICTORIA T. CAPULONG and Kag. RAUL VICTORINO, both of legal age,
Filipinos and with office address at c/o Barangay Hall, Barangay Sta. Cruz, Pasig City, respectively,
hereby declare and attest that the statements made by VIRGINIA N. MATIENZO are true and
Kag. VICTORIA T. CAPULONG Kag. RAUL VICTORINO

Witness Witness
Doc. No.
Page no.
Book No.
Series of 2010

Pasig City ) S.S.
AFFIDAVIT
I, LILIA O. RAMONES, of legal age, Filipino, and with residence address

at No. 54 kalusugan St., Phase @A Dela Paz, Pasig City, after having been duly
1. That I am the daughter and the one of the surviving heir of the late
ANASTACIA OFAMEN who died on September 11, 2013 at Pasig City,
and being the siblings of the late EDGRADO L. OFAMEN,
FRANCISCO L. OFAMEN, ELLEN L. OFAMEN, RODRIGO L.
OFAMEN; REYNALDO L. OFAMEN and JOEY L. OFAMEN who is
now presently working as an Overseas Contract Worker at Kingdom of
Saudi Arabia ;
2. That my mother is a bonafide member of Senior Citizen of Pasig City
and I am on the process of claiming her burial benefits and among the
requirements is the submission of this affidavit stating thereon that
my aforesaid siblings are already dead and my brother Joey L. Ofamen
is presently working abroad;
3. That pursuant to Sec. 1, Rule 74 of the Revised Rules of Court

Philippines, and with full capacity to contract, I hereby adjudicate unto
myself the above mentioned benefits;
4. That I am executing this Affidavit to attest to the truth of the

foregoing statements for all intents and for whatever legal purpose it
may serve.

LILIA O. RAMONES
Affiant
CORROBORATION
We, SONIA SURIA and ERLINDA PANCHO, both of legal age, Filipinos
and with office address at c/o Barangay Hall, Barangay Dela Paz, Pasig City,
respectively, hereby declare and attest that the statements made by LILIA O.
RAMONES are true and correct to the best of our knowledge and belief.
SONIA SURIA ERLINDA PANCHO

Witness Witness
City.
Doc. No.
Page no.
Book No.
Series of 2013
Pasig City ) S.S.
I, ROSA ERBON- RIVERA, of legal age, married, Filipino, and with residence
address at No. 82 B. Dr. Sixto Antonio Avenue, Rosario, Pasig City, after having been duly
1. That I am the daughter and the sole surviving heir of the late FELIX F. ERBON
who died on November 02, 2011 at Pasig City;
2. That my father is a bonafide member of Senior Citizen of Pasig City and I am on

the process of claiming his burial benefits and among the requirements is this
affidavit;

ROSA ERBON- RIVERA

Affiant
CORROBORATION
We, Kag. _______________________and Kag. _____________________, both of

legal age, Filipinos and with office address at c/o Barangay Hall, Barangay Rosario, Pasig
City, respectively, hereby declare and attest that the statements made by ROSA ERBON-
RIVERA are true and correct to the best of our knowledge and belief.
Kag. ___________________________ Kag. _________________________

Witness Witness
Doc. No.
Page No.
Book No.
Series of 2011
Pasig City ) S.S.
I, MARIA C. MANLAPAZ, of legal age, Filipino, and with residence address at No. 12 Capri
St., SFV Muzon, Taytay, Rizal, after having been duly sworn in accordance with law hereby depose
and state:
1. I was born on November 18, 1932 in Pasig (now City), Rizal, the daughter and the sole
surviving heir of the late Rufino Castañeda and Rufina Castañeda;
2. That my parents left a parcel of land located at 3 L. Intalan St., Bagong Ilog, Pasig City
and being the sole heir and the successors-in-interest of the above parcel of land, the
undersigned hereby adjudicate the above property pursuant to Sec. 1 Rule 74 of the
Revised Rules of Court of the Philippines;
City, Philippines.
MARIA C. MANLAPAZ
Affiant
CORROBORATION
We, NELLIE C. CADAUAN and CONCEPCION CORPUZ, both of legal age, Filipinos and
with common residential address at 3 L. Intalan St., Bagong Ilog, Pasig City, respectively, hereby
declare and attest that the statements made by MARIA C. MANLAPAZ are true and correct to the
NELLIE C. CADAUAN CONCEPCION CORPUZ

Witness Witness
Doc. No.
Page no.
Book No.
Series of 2010

Pasig City ) S.S.

I, RODOLFO RAMOS MONTEMAYOR, of legal age, married, Filipino, and with residence
address at 174- A Bernardo St., Ugong, Pasig City, after having been duly sworn in accordance
1. That I am the son and the sole surviving heir of the late VICTORIA RAMOS ARNAU who
died on June 26, 2010 at Pasig City;
2. That my mother is a bonafide member of Senior Citizen of Pasig City and I am on the
City, Philippines.
RODOLFO RAMOS MONTEMAYOR

Affiant
CORROBORATION
We, Kag. PERFECTO PASCUAL and FLORENTINO VICTORINO , both of legal age,
Filipinos and with office address at c/o Barangay Hall, Barangay Ugong, Pasig City, respectively,
hereby declare and attest that the statements made by RODOLFO RAMOS MONTEMAYOR are
true and correct to the best of our knowledge and belief.
Kag. PERFECTO PASCUAL FLORENTINO VICTORINO

Witness Witness
Doc. No.
Page no.
Book No.
Series of 2010
Pasig City ) S.S.
I, FELICIANO S. FRANCISCO JR., of legal age, Filipino, and with residential

address at no. 38-C Blumintrit St., Kapasigan, Pasig City, after having been sworn in
accordance with law do hereby depose and state:
1. That I am the brother of the late ANGELITA FELICIDAD S. FRANCISCO, the latter died
on June 14, 2008 in Pasig City and a previous government employee and accordingly,
a bonafide member of Government Service Insurance System (GSIS) and holder of its
Policy Contract with No. CM442041 and GSIS ID bearing the number 50051700489;
2. That I am on the process of claiming her burial benefits and any benefits arising from her
GSIS membership and among the requirements is this affidavit;
5. That I am the only surviving legal heir of the deceased;
Philippines.
FELICIANO S. FRANCISCO JR
. Affiant
SUBSCIBED AND SWORN to before me this ___ day of ____ in Pasig City.
Doc. No.
Page no.
Book No.
Series of 2011
Pasig City ) S.S.
We, ARTURO C. HERNANDEZ and ESPERANZA H. QUILLOPO, both of legal

age, Filipinos, and with residential address at ________________________, Pasig City,
after having been sworn in accordance with law do hereby depose and state:
1. That we are the brother and sister, respectively and the surviving legal heirs of
the late RODOLFO CASTAÑEDA HERNANDEZ, the latter died on September
19, 2008 in Pasig City and a bonafide member of Social Security System (SSS)
with SSS I.D. No. ________________;
2. That we are on the process of claiming his burial benefits, death benefits and any
benefits arising from his SSS membership and among the requirements is this
affidavit;
7. That we are the only surviving legal heirs of the deceased;
8. That we are executing this Affidavit to attest to the truth off the foregoing
IN WITNESS WHEREOF, we have set our hands this ___ day of __________, at
ARTURO C. HERNANDEZ ESPERANZA H. QUILLOPO

Affiant Affiant
Doc. No.
Page no.
Book No.
Series of 2011
Pasig City ) S.S.
We, ARTURO C. HERNANDEZ and ESPERANZA H. QUILLOPO, both of legal

age, Filipinos, and with residential address at ________________________, Pasig City,
after having been sworn in accordance with law do hereby depose and state:
1. That we are the brother and sister, respectively and the surviving legal heirs of
the late RODOLFO CASTAÑEDA HERNANDEZ, the latter died on September
19, 2008 in Pasig City and a bonafide member of Government Service
Insurance System (GSIS) with Policy No. ___________ ;
2. That we are on the process of claiming his burial benefits, death benefits and any
benefits arising from his GSIS membership and among the requirements is this
affidavit;
3. That we are the only surviving legal heirs of the deceased;
4. That we are executing this Affidavit to attest to the truth off the foregoing
IN WITNESS WHEREOF, we have set our hands this ___ day of __________, at
ARTURO C. HERNANDEZ ESPERANZA H. QUILLOPO

Affiant Affiant
Doc. No.
Page no.
Book No.
Series of 2011
Pasig City ) S.S.
AFFIDAVIT
I, MA. MAGDALENA W. MEJIA, of legal age, Filipino, single, and with residential
address at No. 46 Pasig Blvd., Bagong Ilog, Pasig City, after having been sworn in
1. That I am a bonafide policy holder of Prudentialife Plans, Inc. with Policy No.
068616728, under Plan Type “Premium Fund Builder”; Maturity Date until “June
26, 2017” and Maturity Value in the amount of P 150,000.00;
2. That I am now processing for the inclusion of my name in the masterlist arising
from my insurance policy and among the requirements is this affidavit;
3. That I hereby declare and attest that I have fully paid my insurance policy as per
attached Certificate of Full Payment No. 2007-95321 dated April 17, 2007;
4. That I am executing this Affidavit to attest to the truth off the foregoing statements

__________, at Pasig City, Metro Manila.
MA. MAGDALENA W. MEJIA

Affiant
SUBSCIBED AND SWORN to before me this ___ day of ____ in Pasig City. Affiant
exhibited to me his Community Tax Certificate No. 11120888 issued on January 06, 2012
at Pasig City.
Doc. No.
Page no.
Book No.
Series of 2012
Pasig City ) S.S.
I, CESARIO D. ANDAYA, of legal age, Filipino, and with residence address at No. 693
Gen. Malvar St., Manggahan, Pasig City, after having been duly sworn in accordance with law
1. That I am the nephew and the sole surviving heir of the late ILUMINADA CRUZ CRUZ
2. That my aunt is a bonafide member of Senior Citizen of Pasig City and I am on the
City, Philippines.
CESARIO D. ANDAYA
Affiant
CORROBORATION
We, Kag. MARVIN SORIANO and Kag. ROLANDO CRUZ, both of legal age, Filipinos and
with office address at c/o Barangay Hall, Barangay Manggahan, Pasig City, respectively, hereby
declare and attest that the statements made by CESARIO D. ANDAYA are true and correct to the
Kag. MARVIN SORIANO Kag. ROLANDO CRUZ

Witness Witness
Doc. No.
Page no.
Book No.
Series of 2010
Pasig City ) S.S.
I, ANTONIA S. REYES, of legal age, Filipino, widow, and with residence

address at No. 107 Dr. Pilapil St., Sagad, Pasig City, after having been duly
1. That I am the sole sister and the sole surviving heir of the late
ESPERANZA S. JUANGCO who died on May 04, 2013 at Pasig City;
2. That my sister is a bonafide member of Senior Citizen of Pasig City and

I am on the process of claiming her burial benefits and among the
requirements is this affidavit;
3. That I am executing this Affidavit to attest to the truth of the

foregoing statements for all intents and for whatever legal purpose it
may serve.

ANTONIA S. REYES
Affiant
CORROBORATION
We, Kag. CHRISTOPHER BENITO and Kag. FERNANDO VICTORINO,

both of legal age, Filipinos and with office address at c/o Barangay Hall,
Barangay Sagad, Pasig City, respectively, hereby declare and attest that the
statements made by ANTONIA S. REYES are true and correct to the best of
our knowledge and belief.
Kag. CHRISTOPHER BENITO Kag. FERNANDO

VICTORINO
Witness Witness
City.
Doc. No.
Page no.
Book No.
Series of 2013
Pasig City ) S.S.
I, REMEDIOS M. CAMARILLO, of legal age, Filipino, and with residence address at No.
220 E. Rodriguez Ave., Manggahan, Pasig City, after having been duly sworn in accordance with
1. That I am the guardian and the sole surviving heir of the late ADELA P. LUMAMBA who
died on January 7, 2011 at Pasig City;
2. That she is a bonafide member of Senior Citizen of Pasig City and I am on the process
of claiming her burial benefits and among the requirements is this affidavit;
City, Philippines.
REMEDIOS M. CAMARILLO
Affiant
CORROBORATION
We, Kag. QUIN CRUZ and Kag. ROLANDO CRUZ, both of legal age, Filipinos and with
office address at c/o Barangay Hall, Barangay Manggahan, Pasig City, respectively, hereby declare
and attest that the statements made by CESARIO D. ANDAYA are true and correct to the best of
Kag. QUIN CRUZ Kag. ROLANDO CRUZ

Witness Witness
Doc. No.
Page no.
Book No.
Series of 2011
Pasig City ) S.S.
I, JOSEFINA REPOLLO, of legal age, Filipino, married, and with residence address at No.
236 Dr. Sixto Antonio Avenue, Caniogan, Pasig City, after having been duly sworn in accordance
1. That I am the niece and the sole surviving heir of the late NICANORA G. SAN JOSE
who died on August 24, 2010 at Pasig City;
2. That my aunt is a bonafide member of Senior Citizen of Pasig City and I am on the
City, Philippines.
JOSEFINA REPOLLO\
Affiant
CORROBORATION
We, Hon. BERNARD PEREZ and Kag. JOVIT ANUNUEVO, both of legal age, Filipinos
and with office address at c/o Barangay Hall, Barangay Caniogan, Pasig City, respectively, hereby
declare and attest that the statements made by JOSEFINA REPOLLO are true and correct to the
Hon. BERNARD PEREZ Kag. JOVIT ANUNUEVO

Witness Witness
Doc. No.
Page no.
Book No.
Series of 2010
Pasig City ) S.S.
I, BLAINE P. CEQUENA, of legal age, Filipino, and with residence address at No. 64-A E.
Jacinto St., Bambang, Pasig City, after having been duly sworn in accordance with law hereby
depose and state:
1. That I am the wife and the sole surviving heir of the late FRANCISCO V. CEQUENA
who died on August 15, 2009 at Pasig City;
2. That out of the said relationship, we did not bless a child;
3. That I am now processing for claiming benefits left by the deceased with any office or
agency;
City, Philippines.
BLAINE P. CEQUENA
Affiant
CORROBORATION
We, RODEL L. SALVADOR and MELANIE B. ELORDE, both of legal age, Filipinos
and with office address at c/o TORO Office, City Hall Bldg., Pasig City respectively, hereby declare
and attest that the statements made by BLAINE P. CEQUENA are true and correct to the best of
RODEL L. SALVADOR MELANIE B. ELORDE

Witness Witness
Doc. No.
Page no.
Book No.
Series of 2009
Pasig City ) S.S.
I, JOSE F. FERNANDEZ, of legal age, Filipino, and with office and postal address at
Treasurer’s Office, Pasig City Hall Building, Pasig City, after having been duly sworn in accordance
1. That I am the Officer-in-Charge, Community Tax Section, Treasury Department of Pasig

City;
2. That I am charged to supervise the issuance of Community Tax Certificate for the City of
Pasig;
3. That one of our deputized clerk Diana S. Concepcion erroneously placed the cardboard
below the original owners Community Tax Certificate did not reflect the data written in the
original;
City, Philippines.
JOSE F. FERNANDEZ
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
K8

Pasig City ) S.S.
I, CHARYL L. ZAPANTA, of legal age,, single, Filipino, and with office and postal address
at F10-400 M. H. Del Pilar St., Purok Camia, Pinagbuhatan, Pasig City, after having been duly
1. That I am the Medical Representative of ABBOTT PHILIPPINES, Mandaluyong City;
2. That I am in- charge to promote pharmaceutical products and I am authorize to reimburse

out-patient health benefits at Intellicare;
3. That on September 28, 2009, when I was supposed to submit Reimbursement Request
Forms and Itemized Original Official Receipt for reimbursement with Nos.145474 and
145475 both in the amount of P 3,990 or in the total amount of P7,980 to our Human
Resources Department (HRD) but due to strong typhoon “Ondoy”, our house was flooded
and for which I need to evacuate at Richmond Hotel and after after few days we transferred
to No. 23 Apartment D, S. Santos St., Buting, Pasig City ;
4. That on October 5 to 9, 2009, I reported to work and I only retrieved the abovementioned
receipts on October 10, 2009;
5. That I am executing this Affidavit of Explanation to attest to the truth of the foregoing
IN WITNESS WHEREOF, I have set my hand this ___ day of __________, 2009 at Pasig City,
Philippines.
CHARYL L. ZAPANTA
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009
Pasig City ) S.S.
AFFIDAVIT
I, ABIGAIL BUMAGAT, of legal age, single, Filipino, and with residence and postal address
at Adventist University of the Phil. Putting Kahoy, Silang Cavite, after having been duly sworn in
1. On October 22, 2015 I ordered an iphone 5s via Internet to a person introducing himself to
be my cousin thereafter, she instructed mo to send an initial payment so that the cellphone
unit can be send to me, accordingly I sent the initial payment of Php10,100.00 through
Smart Padala Sta. Rosa Cavite branch with reference No. 060461347585;
2. I sent the reference no. given by Smart Padala to the said person after which he sent me
the transaction code of LBC, to show that he already shipped the Cellphone unit I’ve
ordered, however, upon verification with LBC, I discovered that the said Transaction code
given to me by the said person was not valid or was cancelled by that person;
3. Sensing that there is something wrong, or I was being scammed I immediately requested
the Smart Padala that my transaction with reference no. 060461347585 be cancelled,
hence this affidavit;
4. That in view of the foregoing, I hereby respectfully request that transaction I have made
with Smart Padala bearing the reference No. 060461347585 be cancelled and no person
shall be authorized to claim or received the same;
Philippines.
ABIGAIL BUMAGAT
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2015

Pasig City ) S.S.
I, CHRISTIAN HALE GONZALES NIEVES, of legal age, single, Filipino, and with
residence and postal address at No. 032 Parola St., Brgy. San Andres, Cainta, Rizal, after having
4. That I am presently employed at Coca Cola Bottlers of the Philippines, Inc. with office
address at Obrero St., Bagumbayan, Libis, Quezon City and accordingly I was issued by
said Company a Tax Identification No. 394 109 436;
5. That sometime on November 10, 2009, I received a Letter dated July 1, 2009 from the
Bureau of Internal Revenue of Quezon City under LN No. 43B-RLF-07-00-00041 and TIN
No. 307 196 923 wherein my address was written therein as “19975 F LEGASPI STREET
MAYBUNGA MAYBUNGA PASIG CITY 1605“ and it was stated therein that as a taxpayer I
was required to reconcile the discrepancies in the amount of P85,619,797.42;
6. That recently on December 11, 2009, I received a Follow-up Letter dated December 7,
2009 from the Bureau of Internal Revenue of Quezon City signed by Atty. Amelita A.
Escober, Head Team C (RR No. 7 & 8) in relation to the Letter Notice RELIEF/BOC No.
43B-RLF-07-00-00041 wherein my address was written therein as “No. 032 Parola St.,
Brgy. San Andres, Cainta, Rizal“ and my TIN No. was registered as 307 196 923 ;
5. That I did not engage in any business such as Manufacturer of Dairy Products nor in any
business transaction with BIR in the amount of P85,619,797.42 and specifically speaking I
am an ordinary salesman;
6. That in view of the foregoing, I hereby respectfully request that TIN No. 307 196 923 and
the address “19975 F LEGASPI STREET MAYBUNGA MAYBUNGA PASIG CITY 1605“
be CANCELLED and that TIN No. 307 196 923 and my true and correct address “No.
032 Parola St., Brgy. San Andres, Cainta, Rizal” be RETAINED on my records with the
BIR Office;
Philippines.
CHRISTIAN HALE GONZALES NIEVES

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009
Pasig City ) S.S.
I, EDWIN S. ADIOVA, of legal age, Filipino, and with residence and postal address at No.
580 Villa Hernandez St., San Joaquin, Pasig City, after having been duly sworn in accordance with
1. That I a traffic enforcer who apprehended one Alfredo N. Delos Santos for Trip-Cutting
where I issued an Ordinance Violation Receipt No. 110687;
2. That I erroneously indicate the Trip-Cutting as the violation committed instead of No

Seatbelt an inadvertence on my part;
3. That I hereby declare and attest that the violation committed by Mr. Alfredo No. Delos
Santos is No Seatbelt;
City, Philippines.
EDWIN S. ADIOVA
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
K8
Pasig City ) S.S.
I, T/E ERNESTO F. CERZO, II, of legal age, Filipino, and with office
address at Traffic Parking Management Office (TPMO) Fire Station, Sto. Tomas,
Pasig City, after having been duly sworn in accordance with law hereby depose
and state:
1. That I am the assigned traffic enforcer who apprehended one ARIEL

VILLAMOR for DISOBEDIENCE TO TRAFFIC SIGN where I issued an
Ordinance Violation Receipt No. PG-0139421 dated August 05, 2013;
2. That I erroneously indicate the DISOBEDIENCE TO TRAFFIC SIGN as the

violation committed instead of NON USE OF HELMET an inadvertence on
my part;
3. That I hereby declare and attest that the violation committed by Mr.
ARIEL VILLAMOR is NON USE OF HELMET;


T/E ERNESTO F. CERZO, II

Affiant
2013 in Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2013

Pasig City ) S.S.
AFFIDAVIT OF UNDERTAKING
I, AVELINA R. BAJAMUNDI, of legal age, Filipino, married, and with
residence and postal address at VICPER Compound, Malinao, Pasig City, after
1. That I am the registered owner of a motor vehicle with sidecar

(TRICYCLE) with Plate No. UV 4165 (City Plate No. 15-057). Attached is
a xerox copy of my Official Receipt and Certificate of Registration;
2. On October 7, 2014, my authorized driver, DANNGELO A. BAUTISTA
was apprehended by a TORO enforcer of the City Government of Pasig
for violation of Illegal Terminal and no Driver’s License carried at the
time of apprehension, and because of such violation, my motor
vehicle with sidecar (TRICYCLE), Plate No. UV 4165 (City Plate No. 15-
057) was brought to the impounding area of Pasig City up to present
time and DANNGELO A. BAUTISTA was detained at Pasig City Police
Station for another offense/crime commited;
3. That last Friday, October 14, 2014, when I was about to pay the said
violation, I was informed by TORO Office that DANNGELO A. BAUTISTA,
had four (4) several violations in four (4) different tricycles, whom I was
not the registered owner;
4. That considering that DANNGELO A. BAUTISTA, is presently detained at

Pasig City Police Station, the herein affiant is requesting TORO Office
to pay the amount for the violation committed by DANNGELO A.
BAUTISTA in relation to my motor vehicle with sidecar (TRICYCLE) with
Plate No. UV 4165 (City Plate No. 15-057) only, not to include his previous
violations;
5. That I am solely responsible for this undertaking and I am releasing

City Governement Office, TORO Office, its employees, administratos
and assigns and all other persons from any liability and damage that
may arise out of this endeavor;


AVELINA R. BAJAMUNDI
Affiant
2014 in Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2014
Pasig City ) S.S.
AFFIDAVIT
I, MARILYN G. AVISO, of legal age, Filipino, single, and with residence and postal address
at No. 1445 Sanga St., Ibayo Tipas, Taguig City, after having been duly sworn in accordance with
1. That I presently applying for a loan with Metrobank, San Joaquin, Pasig City Branch;
2. That I offer to mortgage my real property (parcel of land) covered and embraced by
Transfer Certificate of Title No. ___________________ located at 29 Bonggavilla St.,
Dolmar Subd., Kalawaan, Pasig City;
3. That I hereby declare and attest the Dolmar Subdivision Home Owner’s Association is no
longer existing and had ceased its operation;
4. That I further declare and attest that I am not a delinquent member of Dolmar Subdivision
Home Owner’s Association before its cessation;
5. That I am executing this Affidavit to put on record my sentiment and feeling of authorship of
possible future event and for whatever legal purpose it may serve.
City, Philippines.
MARILYN G. AVISO
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2011

Pasig City ) S.S.
AFFIDAVIT
I, DARIO GU REDITO, of legal age, Filipino, single, and with residence and postal address
at No. 1062 Visitacion Street, Kalawaan, Pasig City, after having been duly sworn in accordance
1. That I am the registered owner of business under the name DGR SPECIAL WATCHMAN
AND DETECTIVE AGENCY;
2. That since December 31, 2007 up to the present, the said business had not been
operational, and that accordingly, I did not renew its business permit and license with the
Business Permit and License Office. The business permit issued therefor has been
expired on January 1, 2008;
3. That I am executing this Affidavit to attest to the truth of the foregoing facts and for
City, Philippines.
DARIO GU REDITO
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009
Pasig City ) S.S.
AFFIDAVIT
I, ANABELLE QUIMBO DAZ, of legal age, Filipino, single, and with

residence and postal address at No. 3, Shire St., Crestview San Roque, Antipolo
state:
1. That I presently employe at Filipino Food Favorites, Inc and according I

was issued an ATM Card by Metrobank;
2. That early this morning at around 7:40 am, July 4, 2014, I caused to
check my balance at my ATM at Metrobank, C. Raymundo Branch,
Pasig City, and unfortunately my ATM was captured and no “receipt”
was dispensed at the aforesaid machine including my ATM Card;
3. That I hereby declare and attest that my ATM Card was captured and
no “receipt” was dispensed at Metrobank, C. Raymundo Branch, Pasig
City;
4. That I am executing this Affidavit to put on record my sentiment and

feeling of authorship of possible future event and for whatever legal

ANABELLE QUIMBO DAZ

Affiant
2014 in Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2014

Pasig City ) S.S.
AFFIDAVIT OF CLARIFICATION
I, RIA GERNALIN SUMOGAT, of legal age, Filipino, married, and with residence and
postal address at Munguia Dupax del Norte, Nueva Vizcaya 3706, after having been duly sworn in
1. That I was born on September 29, 1984 in Dupax del Norte, Nueva Vizcaya being the
daughter of Ignacio Sintos Sumogat and Virginia Alejado Gernalin;
2. That the facts of my birth were duly registered in the Office of the Local Civil Registrar of
Dupax del Norte, Nueva Vizcaya;
3. That in the copy of my Certificate of Live Birth, my middle name (Gernalin) and my mother’s
middle name (Alejado) were omitted due to the inadvertence on my aunt who cause the
registration of the same;
4. That I hereby declare and attest that my true and correct middle name is GERNALIN, being
my mother’s maiden last name as reflected in the copy of my Certificate of Live Birth. I
further declare that my mother’s maiden middle is AJEJADO as may be reflected in her
official and other public documents;
5. That discrepancy is also apparent in the said Certificate of Live Birth, wherein my family
name and so with my father’s family name were spelled and registered therein as
SUMOGOT instead of SUMOGAT as correctly reflected in our respective official and other
public documents;
6. Furthermore, the family name SUMOGOT as reflected in the said Certificate of Live Birth
and SUMOGAT as reflected in our (my father and I) official and other public documents,
refer to the family name of the herein affiant and my father;
City, Philippines.
RIA GERNALIN SUMOGAT

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
K8

Pasig City ) S.S.
AFFIDAVIT OF DECLARATION
I, LOURDES T. SANCHEZ, of legal age, Filipino, married, and with residence and postal
address at No. 35 Pearl St., Dona Juana Subd., Rosario, Pasig City, after having been duly sworn
1. That my husband and I are the registered owner of a residential house and lot located at
No. 35 Pearl St., Dona Juana Subd., Rosario, Pasig City with a land are of 324 square
meters, more or less;
2. That we are also the owner of a residential structure with address at Garnet St. Dona Juana
Subd., Rosario, Pasig City, more particularly described under Tax Declaration No. E-018-
08555;
3. That I am planning to leave for New Jersey, U.S.A to visit my daughter who will be giving
birth on December 2, 2006;
4. That should my above described properties suffer any man-made fire or any damage while
I am away or outside the Philippines, I consider my sister Teresita T. Saa who lives in the
adjacent lot as the likely culprit and responsible person who has the ill motive against the
herein affiant, considering that I am exercising my right as owner who wants to take
possession over above stated property with address at Garnet St. Dona Juana Subd.,
Rosario, Pasig City which is adjacent to my house;
City, Philippines.
LOURDES T. SANCHEZ
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2007
K8

Pasig City ) S.S.
I, ESPER T. OMANA, of legal age, Filipino, and with residence and postal address at No. 395
Sixto Antonio Ave., Maybunga, Pasig City, after having been duly sworn in accordance with law
1. That I am the mother of Serafin T. Omana Jr. an applicant of STFAP;
2. That a Credit Investigation was conducted in our residence and we were categorized and
bracketed as among those who will pay for certain fees;
3. That we are appealing on the ground that the following appliances were defective as
reflected in the application form of STFAP Home Visit Checklist, to wit:
a. Component stereo system which has been defective for more than 3 years;
b. Color TV Set which has been defective since 2005;
c. VHS which has been defective for more than 3 years and;
d. Noki 3310 mobile phone which has been defective since 2004.
City, Philippines.
ESPER T. OMANA
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006

Pasig City ) S.S.
I, JORELL D. GARCIA, of legal age, Filipino, and with business address at

Supershopping Market Inc., Fontera Verde, Ugong, Pasig City, after having been
1. That I am presently employed at Supershopping Market Inc. with

business address at Fontera Verde, Ugong, Pasig City, detailed as FAS
Assistant;
2. That I am now processing for the cancellation of permits of POS

machines, to wit:
Registry Number Serial Number Incident Date

4 6458605812 July 10, 2011
6 6458605850 July 20, 2011
with the Bureau of Internal Revenue considering that the said POS
machines encountered crashed hard disk resulting to complete erasure of
data in the hard disk, and one of the requirements thereto is the
submission of this Affidavit;
serve;

JORELL D. GARCIA
Affiant
2011 in Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2011

Pasig City ) S.S.
I, MINA P. TOLENTINO, of legal age, Filipino, and with residence and postal address at No.
321 A. Nazareth St., Caniogan, Pasig City, after having been duly sworn in accordance with law
1. That I am one of the surviving children/heir of the late BARCILISA CONCEPCION

PANGUITO, who died on November 10, 2006 in Pasig City;
2. That my deceased mother was married to our father Julian V. Panguito on September 2,
1956 in Pasig City;
3. That our father Julian V. Panguito died and predeceased our mother sometime on 1974 and
sometime on 1980 our mother cohabited with Neri, from then on she use the name
BARCILISA R. NERI (R. stands for Reyes, her maiden middle name and Neri being her
common-law-husband’s last name);
4. That the name BARCILISA R. NERI reflected in her Records, GSIS records, official and
other public documents;
5. When our mother died, we supplied the last name PANGUITO in her Death Certificate,
Official receipt and other pertinent documents, being her true and correct last name since
she was not married to his common-law-husband, Benjamin Neri, thus, discrepancies
becomes apparent;
6. That I hereby declare and attest that the name BARCILISA R. NERI as reflected in her
Employment and GSIS Records and BARCILISA CONCEPCION PANGUITO, being her
true and correct name as reflected in her Death Certificate, Marriage Contract, official and
other public documents, refer to one and the same person;
City, Philippines.
MINA P. TOLENTINO
Affiant
`SUBSCRIBED AND SWORN to before me, Notary Public this ___ day of ___ 2006 in
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
K8

Pasig City ) S.S.
I, LANCE R. ADEME, of legal age, Filipino, and with residence and postal address at Blk. 4 Lot
7 Dividend Homes Subd., Taytay, Rizal, after having been duly sworn in accordance with law
1. That I was born on October 25, 1981 in Kalayaan, Laguna being the son of Cifriano A.
Ademe Jr. and Leoncia A. Ramos;
Kalayaan, Laguna;
3. That in the copy of my Certificate of Live Birth it appears that my first name is Israel, thus, I
filed for a petition for correction of my first name which was granted on October 28, 2002
and annotated in my Certificate of Live Birth, hereto attached, that my true and correct first
name is LANCE;
4. That the said authenticated Certificate of Live Birth was issued on 2003. I am now in the
process of applying for my passport and applied for a new authenticated Certificate of Live
Birth with National Statistics Office which will be released on November 22, 2006;
5. Pending such release, I am submitting my authenticate Certificate of Live Birth issued by

NSO year 2003 and a Certification issue by Office of the Local Civil Registry of Kalayaan,
Laguna bearing the annotation that my true and correct name is LANCE R. ADEME;
City, Philippines.
LANCE R. ADEME
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
K8

Pasig City ) S.S.
AFFIDAVIT
I, FLORANGEL MADARANG REYES, of legal age, Filipino, and with residence and postal
address at Road 8 Project 6, Quezon City, after having been duly sworn in accordance with law
1. That I am the sister of the late ARNOLD G. MADARANG, the latter died on December 4,
2005 in Caniogan, Pasig City;
2. That the deceased was married to one Trinidad E. Madarang on November 8, 1976 in Sta.
Mesa Manila;
3. That before the said marriage, the deceased had a child named ANGELICA MADARANG
who was born on November 16, 1963 in Manila with his previous relationship;
4. That Angelica Madarang since birth is under my care and custody and I send her to school,
however, year 1978 she left our residential abode and up to present her whereabouts is
unknown to the herein affiant;
City, Philippines.
FLORANGEL MADARANG REYES

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
K8

Pasig City ) S.S.
AFFIDAVIT
I, MA. CECILIA BORBE, of legal age, Filipino, and with residence and postal address at Unit
105 Kaimitoville, E. Rodriguez Jr. Ave., Ugong, Pasig City, after having been duly sworn in
1. That I am the registered owner of Aqua Corner Purified Drinking Water located at Unit 105
Kaimitoville, E. Rodriguez Jr. Ave., Ugong, Pasig City;
2. That Aqua Corner Purified Drinking Water has contracted the service of Environmental
Health Laboratory to conduct the monthly bacteriological test;
3. That Environmental Health Laboratory has failed to conduct bacteriological test of water
with Aqua Corner Purified Drinking Water on August 2006;
City, Philippines.
MA. CECILIA BORBE
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
K8

Pasig City ) S.S.
AFFIDAVIT
I, ANNABELLE M. CAMPILLA, of legal age, Filipino, and with residence and postal address at
No. 11 Taw-tawi St., Sta. Lucia, Pasig City, after having been duly sworn in accordance with law
1. That I am the mother of the below named children to wit:
a. Jeracel Manlolo Campilla who was born on January 30, 1987 in San Agustin,
Romblon;
b. Johanis Manlolo Campilla who was born on November 30, 1988 in Pasig, Metro
Manila (now City);
2. That the following discrepancies as to the date and place of my Marriage with their father
Santiago Campilla are apparent in the respective Certificate of Live Birth of my aforenamed
children, to wit:
a. In the Certificate of Live Birth of Jeracel Manlolo Campilla, our date and place of
Marriage were entered and registered therein as January 19, 1983 in Ilocos Sur;
b. In the Certificate of Live Birth of Johanis Manlolo Campilla, our date and place of
Marriage were entered and registered therein as December 18, 1984 in Ilocos Sur;
---- instead of our true and correct date and place of Marriage, December 29, 1990 at Sto.
Rosario, Pasig City as correctly reflected in our Marriage Contract, hereto attached;
3. That the wrong entries in the Certificate of Live Birth of my children was supplied by the
herein affiant without knowledge as to the legal consequences thereof. The only purpose I
supplied the said information is for my children to carry the last name of my husband, which
is CAMPILLA for my children to avoid the social stigma of being labeled as illegitimates.
4. That I hereby declare and attest that the true and correct date and place of marriage of the
herein affiant with Santigao Campilla is December 29, 1990 in Sto. Rosario, Pasig City;
City, Philippines.
ANNABELLE M. CAMPILLA
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
K8

Pasig City ) S.S.
AFFIDAVIT
I, NORLITA CAMPO, of legal age, Filipino, and with residence and postal address at No. 3-B
Manela Compd., Magsaysay St., Manggahan, Pasig City, after having been duly sworn in
1. That I am the mother of Romelyn Campo who was born on October 2, 1994 in Silay City,
Negros Occidental;
2. That the facts of her birth were duly registered at the Local Civil Registry of Silay City,
Negros Occidental;
8. That there is apparent in her Certificate of Live Birth which her name was entered and
registered therein as ROMILYN CAMPO SAMONTE, and it appears that I and her father
Romeo Samonte Jr. were married on December 30, 1993 in Pasig Metro Manila when in
fact and in truth we are not married as evidenced by the authenticated certificate of no
record of marriage from the National Statistics Office;
9. That the wrong entries in the Certificate of Live Birth of my daughter was supplied by the
relative of Romeo Samonte Jr. without knowledge as to the legal consequences thereof.
10. That I hereby declare and attest that the true and correct name of my daughter is
ROMELYN CAMPO as appearing in her Certificate of Baptism;
City, Philippines.
NORLITA CAMPO
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2008

Pasig City ) S.S.
AFFIDAVIT
I, JANETTE BELMES, of legal age, Filipino, and with residence and postal address at No.
68 R.R. Cruz, Bambang, Pasig City, after having been duly sworn in accordance with law hereby
depose and state:
12. That I am the mother of Anne Grace Belmes who was born on September 27, 1997 in
Bacacay, Albay;
2. That the facts of her birth were duly registered at the Local Civil Registry of Bacacay, Albay;
3. That there is an apparent in her Certificate of Live Birth wherein it appears therein that I and
her father (Roberto Redecio) got married on “October 12, 1997 in Bacacay, Albay” when
in truth and in fact, we were not yet then married, but only planning to get married during
that time;
4. That the wrong entries in the Certificate of Live Birth of my daughter was supplied by person
who caused the registration of the same;
5. That I am now processing the correction of entry of my daughter’s Certificate of Live Birth to
delete the date and place of marriage registered therein;
6. That I hereby declare and attest that I and Roberto Redecio were not married on October
12, 1997 in Bacacay, Albay;
City, Philippines.
JANETTE BELMES
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2008

Pasig City ) S.S.
AFFIDAVIT
I, RODRIGO B. ASILO, of legal age, Filipino, and with residence and postal address at No.
106 Urbano Velasco Avenue, Pinagbuhatan, Pasig City, after having been duly sworn in
12. That I am the Proprietor of ZANVEL MANPOWER SERVICES, with business

address at 106 Urbano Velasco Avenue, Pasig City;
13. That I am in the process of renewing the business registration with the Department
of Labor and Employment and that one of the requirements for such renewal is the
submission of an Affidavit stating among others that the said business is not
engaged in recruitment activities, hence, this Affidavit;
14. That I hereby declare and attest that the said single proprietorship type of business
is not a recruitment agency as we do not engage in any recruitment activities such
that we do not collect money from any person/client;
City, Philippines.
RODRIGO B. ASILO
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2010

Pasig City ) S.S.
AFFIDAVIT
I, ROSE M. TRAJADA, of legal age, Filipino, and with office and business address at No. 787
Santol St., Teacher’s Village, San Miguel, Pasig City, after having been duly sworn in accordance
1. That I am the the authorized representative of BERNARD M. HARVEY, being the registered
owner and the proprietor of BM HARVEY CONSTRUCTION SERVICES, with business
address at the abovementioned address;
2. That I am in the process of registering the said business with the Department of Labor and
Employment and that one of the requirements for such registration is the submission of an
Affidavit stating among others that the said business is not engaged in recruitment
activities, hence, this Affidavit;
3. That I hereby declare and attest that the said single proprietorship type of business is not a
recruitment agency as we do not engage in any recruitment activities such that we do not
collect money from any person/client;
City, Philippines.
ROSE M. TRAJADA
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2010
Pasig City ) S.S.
AFFIDAVIT
I, MAY M. NAVARRO, of legal age, Filipino, and with office address at c/o U309 Crisanta
Towers, 25 Capt. Javier St., Oranbo , Pasig City, after having been duly sworn in accordance with
1. That I am the Manager of DIVERGY SUPPLIES & SERVICES CO., with business address
at the abovementioned address;
2. That I am in the process of the business registration with the Department of Labor and
Employment and that one of the requirements for such registration is the submission of an
Affidavit stating among others that the said business is not engaged in recruitment
activities, hence, this Affidavit;
3. That I hereby declare and attest that the said partnership type of business is not a
recruitment agency as we do not engage in any recruitment activities such that we do not
collect money from any person/client;
City, Philippines.
MAY M. NAVARRO
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2010

Pasig City ) S.S.
AFFIDAVIT
I, EMILIANO S. EMBIEN, of legal age, Filipino citizen with postal and residential address at
No. 1464 D. Cruz St., Rosario, Pasig City, after having been duly sworn to in accordance with law,
1. That I am the father of Lizette A. Embien, the latter was born on March 18, 1985 in Pasig,
Metro Manila (now City)
3. That the said birth certificate was filed late by the midwife Erlinda Doledao who assisted the
birth of my daughter and who cause the registration of her birth at the Office Local Civil
Registry of Pasig;
4. Such late registration is an inadvertence on the part of the midwife who promised to file the
same with the Office of the Local Civil Registry of Pasig and which facts were made known
to the herein affiant when I secure a copy of the Certificate of Live Birth of my afore-named
daughter;
City, Philippines.
EMILIANO S. EMBIEN
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
K8
Pasig City ) S.S.
AFFIDAVIT
I, RONNA M. CASIMIRO, of legal age, Filipino citizen with postal and residential address at
No. 4592 E. Santos St., Pinagbuhatan, Pasig City, after having been duly sworn to in accordance
1. That I am the mother of Angel Ann Camille M. Casimiro, the latter was born out of wedlock
on May 04, 1997 in Pasig City;
3. That the said birth certificate of my daughter was filed late due to inadvertence on the part of
the traditional midwife who promised to file the same with the Office of the Local Civil
Registry of Pasig and which facts were made known to the herein affiant when I secure a
copy of the Certificate of Live Birth of my afore-named daughter;
4. That for all intents and purposes, I am the mother of Angel Ann Camille M. Casimiro who
was born on May 04, 1997 in Pasig City;
City, Philippines.
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2010

Pasig City ) S.S.
AFFIDAVIT
I, EVELYN S. CONSUL, of legal age, Filipino citizen with postal and residential address at
No. 29 Pine St., Northwood Village, Sta. Lucia, Pasig City, after having been duly sworn to in
1. That I am the registered owner of a Salon business with Trade Name Straightforward Salon
doing business at Comembo Commercial Complex, J.P. Rizal Ext., Makati City;
2. That yesterday, October 12, 2006 I cause the removal of Signage Projection of the said
Salon upon a demand from inspector City Government Makati;
3. That I hereby undertake to comply abide, comply and uphold all implementing guidelines
issued by the City Government of Makati;
City, Philippines.
EVELYN S. CONSUL
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
K8

Pasig City ) S.S.
AFFIDAVIT
I, MARILOU B. BUENAVENTURA, of legal age, Filipino citizen with postal and residential
address at No. 079 Dos De Julio St., Sumilang, Pasig City, after having been duly sworn to in
7. That I was granted by the Department of Labor and Employment (DOLE) an

amount of Eight Thousand Three Hundred Sixty Pesos (P8,360.00) as an
additional fund for my existing business with the provision that I will be
surrendering the official receipts to prove that I used such amount legitimately
for my business (Sari-sari store);
8. That on May 10, 2011 and May 11, 2011, I bought my goods out of the fund
given by the DOLE at the Mega Market of Pasig City amounting to P1,659.00
and P5,017.00, respectively, but unfortunately, the said store do not have an
Official Receipt and I was issued only a receipt with list of my goods. Copy
attached the aforesaid receipt.
9. For all intents and purposes, I hereby declare and attest that the fund given to
me by DOLE was used for my business;
City, Philippines.
MARILOU B. BUENAVENTURA
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2011
Pasig City ) S.S.
AFFIDAVIT
I, FILIPINAS S. NUESTRO, of legal age, Filipino citizen with postal and residential address
at No. 46 E. Santos Ave., Sumilang, Pasig City, after having been duly sworn to in accordance with
a. That I was granted by the Department of Labor and Employment (DOLE) an amount
of Five Thousand Eighty Pesos (P5,080.00) as an additional fund for my existing
business with the provision that I will be surrendering the official receipts to prove
that I used such amount legitimately for my business (Sari-sari store);
10. That on May 10, 2011 and May 11, 2011, I bought my goods out of the fund
given by the DOLE at the Mega Market of Pasig City amounting to P1,659.00
and P5,017.00, respectively, but unfortunately, the said store do not have an
Official Receipt and I was issued only a receipt with list of my goods. Copy
attached the aforesaid receipt.
City, Philippines.
FILIPINAS S. NUESTRO
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2011

Pasig City ) S.S.
AFFIDAVIT
I, RUTHELIA ENRIQUEZ, of legal age, married, Filipino citizen with postal and residential
address at No. 147 V. Lara St., Sumilang, Pasig City, after having been duly sworn to in
a. That I was granted by the Department of Labor and Employment (DOLE) an

amount of Six Thousand Three Hundred Five Pesos (P6,305.00) as an
additional fund for my existing business with the provision that I will be
surrendering the official receipts to prove that I used such amount legitimately
for my business (Jewelry accessories);
12. That on May 9, 2011, I bought my accessories out of the fund given by the
DOLE at the Al-Janifah Halal Multi-Purpose Cooperative, Quiapo, Manila
amounting to P1,226.00 and P5,670.00, respectively, but unfortunately, the said
store do not have an Official Receipt and I was issued only a Sales Invoice.
Copy attached the aforesaid receipt.
City, Philippines.
RUTHELIA ENRIQUEZ
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2011

Pasig City ) S.S.
AFFIDAVIT
I, FELICIANA S. AQUINO, of legal age, Filipino citizen with postal and residential address
at No. 21 1st St., Morales Compd., Sta. Lucia, Pasig City, after having been duly sworn to in
1. That I am the mother of the late MARY JANE SANTOS AQUINO, who died on October 10,
1980 in De Castro, Pasig City;
2. That the facts of his death was not filed in the Office of the Local Civil Registry of Pasig
City, due to inadvertence on my part;
3. That I hereby declare and attest that my daughter MARY JANE SANTOS AQUINO died on
October 10, 1980 in De Castro, Pasig City;
City, Philippines.
FELICIANA S. AQUINO
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
K8

Pasig City ) S.S.
AFFIDAVIT
I, EVELYN C. ROXAS, of legal age, Filipino citizen with postal and residential address at
680 Jabson St., Sumilang, Pasig City, after having been duly sworn to in accordance with law,
1. That I my parents are leasing the parcel of land located in the aforementioned address
since 1950;
2. That I engage the service of the Manila Electric Company and a accordingly he was issued
a Contract for Electric Service with Service Deposit Receipt;
3. That I am applying for the reconnection of the said electrical service, however one of the
requirements thereto is the consent Ma. Melinda J. del Rosario;
4. That I cannot locate Ms. Ma. Melinda J. del Rosario whose whereabouts were unknown;
City, Philippines.
EVELYN C. ROXAS
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2007
K8

Pasig City ) S.S.
I, REMEDIOS D. BUENVIAJE, of legal age, married, Filipino citizen with postal and
residential address at Dalandan Street, Kalawaan Resettlement, Kalawaan, Pasig City, after having
1. That I am the grand daughter of the late Spouses Benjamin O. De Guzman and Luisa P.
Javier, who engage the service of the Manila Electric Company and a accordingly he was
issued a Contract for Electric Service with Service Deposit Receipt;
2. That my father EDUARDO PABLO died on February 17, 1997 in Pasig City, a copy of his
Death Certificate is hereto attached;
3. Due to the foregoing death, I hereby request the transfer of the billing statement of Meralco
from the name of the deceased to the name of the herein affiant since I’ve been responsible
in paying the bills from the time of his death;
City, Philippines.
REMEDIOS D. BUENVIAJE
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006

Pasig City ) S.S.
AFFIDAVIT
I, LYDIA Q. SABUERO, of legal age, Filipino citizen with postal and residential address at
19 Acaccia St. Pinagbuhatan, Pasig City, after having been duly sworn to in accordance with law,
1. That I am the relative of MARITES SORIANO, who engage the service of Bayan
Telecommunications, Inc. with telephone No. 3822024;
2. That my relative Marites Soriano is outside the country;
3. Due to the foregoing, I hereby request for the disconnection of telephone service of Bayan
Telecommunications, Inc. registered under the name of my relative since I’ve been
responsible in paying the bills from the time of connection up to the present;
City, Philippines.
LYDIA Q. SABUERO
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009

Pasig City ) S.S.
AFFIDAVIT
I, RENATO SANTOS, of legal age, Filipino citizen with postal and residential address at
say:
1. That I am a Traffic Enforcer of Pasig City and custodian of Ordinance Violation Receipt
Nos. 62251-62300;
2. That sometime on February 2006, I was accused of Extortion or “Kotong” lodged before
TPMO, Adjudication Officer Carlito Perez;
3. Due to the foregoing investigation, I surrender the said OVR Booklet with Nos. 62251-
62300 to the Adjudication Officer Carlito Perez;
4. After the said investigation, I acquire the said OVR Booklet from our OVR Custodian, Arnel
Abaya unnoticing the missing white copy of OVR No. 62292;
5. That sometime last September 2006, I noticed that the said white copy of OVR No. 62292
was missing under unknown circumstances although the blue, yellow, green and pink copy
is still attached to the booklet which no specifications, thereafter, I informed the same to
Col. Dulay and to Arnel Abaya of the missing white copy of OVR No. 62292 for appropriate
action;
City, Philippines.
RENATO SANTOS
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
K8

Pasig City ) S.S.
AFFIDAVIT
I, JANET O. FLOR, of legal age, Filipino citizen with postal and residential address at B2
L32, Krova Compd., Axis Road, Kalawaan, Pasig City, after having been duly sworn to in
1. That I am presently employed at LGU-Pasig assigned at TPMO, Pasig City, as Traffic

Enforcer of Pasig City ;
2. That sometime on May 22, 2008 while in the discharge of my duty as traffic enforcer along
Stella Maris, Maybunga, Pasig City, I happened to apprehend one NELSON CRESPO
YOSURIS, for disobedience to traffic sign;
3. That accordingly, I issued him the corresponding Ordinance Violation Receipt with No.
172301. When I handed to him the Original copy of the OVR, he immediately fled into
unknown direction, without surrendering his driver’s license to me;
4. That despite efforts to locate said person, this proved to be futile;
City, Philippines.
JANET O. FLOR
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 20068

Pasig City ) S.S.
AFFIDAVIT
I, REX DE VILLA BALADING, of legal age, Filipino citizen with postal and residential
address at Sampa Santa Teresita, Batangas, after having been duly sworn to in accordance with
1. That I am presently employed with Jimmy T. Sangil as driver of ELF Van with Plate No.
RFL-470. Previously, the same vehicle was being driven by Lawrence De Guia Macam;
2. That sometime on November 20, 2009 Lawrence De Guia Macam was apprehended by
CENRO Inspector Ruben M. Miniano for violation of Ordinance No. 17 S 2005 Vehicle
Emission Code and that accordingly, he was issued corresponding Ordinance Violation
Receipt with No. 018185;
3. That considering that said Lawrence De Guia Macam is no longer connected with Jimmy T.
Sangil, I am now claiming the plate confiscated by the CENRO as a result of such
apprehension;
City, Philippines.
REX DE VILLA BALADING

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009
Pasig City ) S.S.
AFFIDAVIT
I, SALVE C. MACARANAS, of legal age, Filipino citizen with postal and residential address
at No. 322 A. Luna St., San Joaquin, Pasig City, after having been duly sworn to in accordance
1. That I am the wife of the late ROMMEL P. MACARANAS, the latter died on September 9,
2006 in Pasig City;
2. That I am applying for the death benefits with Pag-ibig Funds left by the deceased;
3. That it appears from the documents submitted by the herein affiant that I have 4, 3 of which
were born alive and 1 died by miscarriage;
4. That I hereby declare and attest that sometime on October 30, 2003, when I had my check-
up, I was informed that had miscarriage with my 3 rd child unknown to the herein affiant,
thus, when my 4th child was born, I declared the miscarriage although the child was only
two weeks old;
City, Philippines.
SALVE C. MACARANAS
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
K8

Pasig City ) S.S.
AFFIDAVIT
I, ERWIN C. ERVITE, of legal age, single, Filipino citizen with postal and
residential address at No. 11 Rose St., Jabson, Rosario, Pasig City, after having
1. That I am the son of the late RENATO E. ERVITE, the latter died on April
2. That I am now claiming for the death benefits and any other benefits due
us in relation to the death of our father with Pag-ibig Funds;
3. That sometime in 1992 my mother BELINDA CLAVERIA, abandon us

since then, we never got information as to her whereabouts, and we had
rumors that she has been together with other man and since separation,
our father stand as the head of the family up to the time of his death;
serve;

ERWIN C. ERVITE
Affiant
CORROBORATION
We, _____________________and______________________________, both of legal

age, Filipinos and officials of Barangay Rosario, Pasig City respectively, hereby
declare and attest that the statements made by ERWIN C. ERVITE are true
and correct to the best of our knowledge and belief.
___________________________ __________________________
Witness Witness
City.
Doc. No.
Page no.
Book No.
Series of 2012
Pasig City ) S.S.
AFFIDAVIT
I, MARCIAL O. BUENDIA, of legal age, Filipino citizen with postal and residential address
at Block 11 Lakas Bisig, San Andres, Cainta, Rizal, after having been duly sworn to in accordance
1. That I am presently employed with Optimum Manpower and Staffing Soluction Inc. as
laborer (maintenance);
2. That sometime on September 8, 2006 on or about 4:20 pm in the performance of my duty I

accidentally slipped off the Electric Grinder which I used for cutting fly woods, consequently
the same cut my flesh on the right leg sustaining stitches, attached herewith is my Medical
Records;
City, Philippines.
MARCIAL O. BUENDIA
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
K8
Pasig City ) S.S.
AFFIDAVIT
I, PERLA P. MENDOZA, of legal age, Filipino citizen with postal and residential address at
No. 3 FT. Angeles, Sto. Rosario, Pateros, Metro Manila, after having been duly sworn to in
1. That I am the fifth child of the late Simeon Cruzada Mendoza, Jr. who died on September
15, 2006 in Pateros, Metro Manila;
2. That in the copy of my Certificate of Live Birth, I was declared as the 6 th child of spouses
Simeon Mendoza and and Liberata Pelagio instead of the fifth child;
3. Due to the foregoing the following are the order of our births being the children of the
deceased Simeon and Liberata, to wit:
3.1. Maria Catalina P. Mendoza born on October 4, 1958;

3.2. Eduardo P. Mendoza (deceased) born on December 2, 1959;
3.3. Josefina P. Mendoza-San Jose born on March 2, 1962;
3.4. Ariel P. Mendoza born on September 2, 1964 and;
3.5. Perla P. Mendoza born on September 17, 1969
City, Philippines.
PERLA P. MENDOZA
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
K8
Pasig City ) S.S.
AFFIDAVIT
I, ANA B. GUMABAY, of legal age, U.S. Citizen with permanent address at 890 Hillock Dr.
Hollister CA 95023 and presently residing at 137 6th Ave., Riverside Village, Sta. Lucia, Pasig City,
6. That I am a US. Citizen and spending my vacation here in the Philippines at the above
given address;
7. That I arrived last July 7, 2004 and residing in the Brgy. Sta. Luica, Pasig City,
Philippines for more than two (2) years now;
8. That I hereby declare and attest that from July 7, 2004 up to present I am living with my
daughter who is a resident of 137 6th Ave., Riverside Village, Sta. Lucia, Pasig City;
City, Philippines.
ANA B. GUMABAY
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
K8
Pasig City ) S.S.
AFFIDAVIT
I, EFIGENIA S. SAMOZA of legal age, Filipino, and resident of 38 A-6 Santo Tomas, Likod
F Manalo Ave., Pasig City, after having been duly sworn to in accordance with law, hereby depose
and say:
1. That I am a pensioner of Pet Plans, and my pension plan will mature on August 31, 2006
with maturity value of ONE HUNDRED THOUSAND PESOS (Php 100,000.00);
2. That I am now in the process for my pension availment and one of their requirements is the
submission of Certificate of Full Payment;
3. That I hereby declare that I didn’t receive the Certificate of Full Payment by Pet Plans, thus
the herein affiant executing this affidavit;
City, Philippines.
EFIGENIA S. SAMOZA
Affiant
Pasig City.
Doc. No.
Page No.
Book No.
Series of 2006
cjd
Pasig City ) S.S.
AFFIDAVIT
I, PLACIDA OBOSA TAPEL, of legal age, Filipino and resident of Lansones St., Napico,
1. That I am the cousin of the late SILVESTRE TAPEL TUGAY, the latter died on January 3,
2006 at Rizal Medical Center, Pasig City;
2. That the decedent is a bona fide member of Social Security Service who died intestate
leaving no debts;
3. That the deceased was married to LINA TAULE TUGAY on April 29, 1963 at Roman
Catholic Church, Viga, Catanduanes, attached herewith is the copy of their Marriage
Contract;
4. That I hereby declare and attest that LINA TAULE TUGAY is the surviving spouse of the
late SILVESTRE TAPEL TUGAY;
City, Philippines.
PLACIDA OBOSA TAPEL

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
K8

Pasig City ) S.S.
I, MARGARET T. ORPIANO-CALPE, of legal age, Filipino, married to Alfieri M.

Calpe and a resident of Lot 4, Block 14, Pluto St., Happy Homes Village, Bahay Toro,
Quezon City, after having been duly sworn to in accordance with law, hereby depose and
say:
1. That I am the wife of ALFIERI M. CALPE and we were married on November 24,
2006 in Regional Trial Court of Metro Manila, Quezon City;
2. That we are an Overseas Contract Workers, working at United Kingdom;
3. That since we were married on November 24, 2006, I had not means to change my
primary Identification Cards from single to married since the issuing agency were all
based in the Philippines, thus, all my identification cards bears my maiden name
MARGARET T. ORPIANO;
4. That I am the registered owner of a parcel of land covered and embraced by

Transfer Certificate of Title No. N-305998, however, my name appear therein as
MARGARET T. ORPIANO, bearing my maiden name and among the requirements
thereto is the presentation of Identification Cards which bears my husband’s name,
thus, this affidavit;
5. That due to the foregoing, I hereby declare and attest that MARGARET T.
ORPIANO-CALPE as reflected in Transfer Certificate of Title No. N-305998 and
MARGARET T. ORPIANO, being my maiden name as reflected in my Identification
Cards, refers to one and the same person, the herein affiant;
MARGARET T. ORPIANO-CALPE
Affiant
in Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2012
Pasig City ) S.S.
AFFIDAVIT
I, JAYSON MEJIA SISOR, of legal age, Filipino and resident of A No. 20 Sgt. De Leon St.,
Santolan, Pasig City, after having been duly sworn to in accordance with law, hereby depose and
say:
1. That I was born on January 25, 1972 in Jose Fabella Memorial Hospital, Manila, being the
son of Jose Sisor and Pilar Mejia;
Manila;
3. That when I secured a copy of my Certificate of Live Birth, I noticed that my first name is
not indicated, wherein my public documents bears my first name JAYSON;
4. I also noticed that my father’s family name and the herein affiant’s family name were
entered and registered therein as SISON instead of SISOR, our true and correct family
names as supported by our respective Identification Cards, official and other public
documents;
5. That for all intents and purposes my true and correct name is JAYSON MEJIA SISOR;
6. That I hereby declare and attest that the person identified in the Certificate of Live Birth
with Local Civil Registry No. 5770 issued by National Statistics Office and JAYSON MEJIA
SISOR being my true and correct as reflected in my Identification Cards, official and other
public documents, refer to one and the same person;
City, Philippines.
JAYSON MEJIA SISOR

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
K8

Pasig City ) S.S.
I, LOVELY PEREZ ELEVADO, of legal age, Filipino and resident of No. 35 Banaag St.,
Pineda, Pasig City, after having been duly sworn to in accordance with law, hereby depose and
say:
7. That I am the wife of NOEL E. ELEVADO and we were married on September 13, 2005 in
Philippine Embassy, Abu Dhabi, United Arab Emirates;
8. That we are an Overseas Contract Worker, working at Abu Dhabi, United Arab Emirates;
9. That since we were married on September 13, 2005, I had not means to change my
primary Identification Cards from single to married since the issuing agency were all based
in the Philippines, thus, all my identification cards bears the my maiden name LOVELY L.
PEREZ;
10. That I have a remittance from my sister at Equitable Bank, Kapasigan Branch, however, my
name appear therein as LOVELY PEREZ ELEVADO, bearing my husband’s family name
and among the requirements thereto is the presentation of Identification Card which bears
the latter’s name. Thus, this affidavit;
11. That due to the foregoing, I hereby declare and attest that LOVELY PEREZ ELEVADO as
reflected in the remittance/bank records of Equitable Bank and LOVELY PEREZ, being my
maiden name as reflected in my Identification Cards, refers to one and the same person;
City, Philippines.
LOVELY PEREZ ELEVADO

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
K8

Pasig City )s.s.
AFFIDAVIT
I, AMERPINA B. DACANAY, of legal age, Filipino and resident of No. 697 M.H. Del Pilar
St., Pinagbuhatan, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
13. That I am the mother of JARENZ JEEKO B. DACANAY, who is applying for an entrance
exam with University of the Philippines;
14. That upon submission of the necessary documents with the said University, the latter
noticed a gap of school period 2003-2004 of son with Pasig Catholic College, thus, this
affidavit;
15. That my son stopped studying for the school year 2003-2004 due to the fact that he had
undergone a major operation, attached herewith is the copy of the Surgical Pathology
Report from Pasig City General Hospital, Pasig City;
City, Philippines.
AMERPINA B. DACANAY
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
K8
Pasig City ) S.S.
I, JENNIFER S. BERNALES, of legal age, Filipino, single and a resident of No. 76 San
Roque Ext., Bagong Ilog, Pasig City, after having been duly sworn to in accordance with law,
1. That I am a bonafide member of Social Security System bearing No. 33-94207639;
11. That I caused payment of That we are an Overseas Contract Worker, working at Abu
Dhabi, United Arab Emirates;
12. That since we were married on September 13, 2005, I had not means to change my
primary Identification Cards from single to married since the issuing agency were all
based in the Philippines, thus, all my identification cards bears the my maiden name
LOVELY L. PEREZ;
13. That I have a remittance from my sister at Equitable Bank, Kapasigan Branch, however,
my name appear therein as LOVELY PEREZ ELEVADO, bearing my husband’s family
name and among the requirements thereto is the presentation of Identification Card
which bears the latter’s name. Thus, this affidavit;
14. That due to the foregoing, I hereby declare and attest that LOVELY PEREZ ELEVADO
as reflected in the remittance/bank records of Equitable Bank and LOVELY PEREZ,
being my maiden name as reflected in my Identification Cards, refers to one and the
same person;
City, Philippines.
JENNIFER S. BERNALES
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006

Pasig City )s.s.
AFFIDAVIT
I, CARMELITA V. TESALONA, of legal age, Filipino and resident of B16 L17 Bayabas St.
Damayan, Maybunga, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am the mother of the late CRIZALDY V. TESALONA, who is a bonafied SSS
member with SSS No. 0365676975;
2. My husband died on October 31, 2004 in Pasig City. A copy of his Death Certificate is
attached hereto and made integral part hereof as Annex “B”;
3. I have not re-married since the death of my husband and I execute this affidavit to the
purpose of facilitate the release of my claims with SSS arising from the death of my
husband;
4. I was dependent upon the deceased for support since we were married up to the time of
his death;
5. I shall not hold liable the SSS, its employees or any of its representatives for releasing to
me the Benefits accruing to me owing to the death of my husband.
6. That I undertake to inform immediately the SSS in case I re-marry and to return any checks
I received after such re-marriage and further I commit myself to indemnify any person
deprived of the Benefits arising from the death of my husband under my sole and exclusive
account.
City, Philippines.
MINDA O. TUZON
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2007
K8

Pasig City )s.s.
AFFIDAVIT
I, RONAIDA G. JULIA, of legal age, Filipino and resident of 1368 Rocha V, Rosario, Pasig
1. That I am a bonafied SSS member with SSS No. 33-3222159-6;
2. That sometime in 2003, I filed an application for Maternity Benefits and was approved by
SSS on March 14, 2003 with Check No. 6009479 in the amount of One Thousand Five
Hundred (P1,500.00) Pesos;
3.
City, Philippines.
RONAIDA G. JULIA
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009

Pasig City )s.s.
AFFIDAVIT
I, MA. MERCEDITA V. PULUMBARIT, of legal age, Filipino and resident of No. 22

Gumamela St., Sta. Ana, San Miguel, Pasig City, after having been duly sworn to in accordance
5. That I am the surviving spouse of the late PEDRO B. PULUMBARIT, a copy of our
Marriage Contract is hereto attached and made integral part hereof as Annex “A”;
6. My husband died on April 30, 2001 in Malolos, Bulacan. A copy of his Death Certificate is
7. I have not remarried since the death of my husband and I execute this affidavit to the
purpose of facilitate the release of my Survivorship Benefits arising from the death of my
husband;
his death;
9. I shall not hold liable the GSIS, its employees or any of its representatives for releasing to
me the Survivorship Benefits accruing to me owing to the death of my husband.
10. That I undertake to inform immediately the GSIS in case I re-marry and to return any
checks I received after such re-marriage and further I commit myself to indemnify any
person deprived of the Survivorship Benefits arising from the death of my husband under
my sole and exclusive account.
City, Philippines.
MA. MERCEDITA V. PULUMBARIT

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
K8

Pasig City )s.s.
AFFIDAVIT

husband;
his death;
City, Philippines.

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006

Pasig City )s.s.
AFFIDAVIT

husband;
his death;
City, Philippines.

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009
Pasig City )s.s.
AFFIDAVIT OF CHANGE OF MOTOR DENOMINATION
I, ALBERTO AGAR TALACAY, of legal age, Filipino and resident of No. 16 Damayan St.,
E. Santos St., Sto. Tomas, Pasig City, after having been duly sworn to in accordance with law,
1. That I am the registered owner of a motor vehicle more particularly described as follows, to
wit:
MAKE - KAWASAKI/Motorcycle w/o side car

MOTOR NO. - BC175AEAE2670
SERIAL NO. - BC175ABA5579
PLATE NO. - 4498 TQ
2. That the original denomination of the above-described motor vehicle is MC w/o sidecarfrom
the time of its acquisition;
3. That I am intend to modify its denomination from MC to MTC,
Philippines.
ALBERTO AGAR TALACAY

Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2010
Pasig City )s.s.
AFFIDAVIT OF ATTACHMENT OF SIDECAR/ CHANGE OF MOTOR DENOMINATION
I, ROWENA P. DUARTE, of legal age, Filipino and resident of No. 656 Acacia St. Napico,
Mangghan, Pasig City, after having been duly sworn to in accordance with law, hereby depose and
say:
1. That I am the registered owner of a one (1) unit motorcycle vehicle more
particularly described as follows, to wit:
MAKE - KAWASAKI/Motorcycle w/o side car

MODEL - BARAKO II 175 ELEC.
ENGINE NO. - BC175AEL38728
FRAME NO. - BC175G-B19347
2. The original denomination of the above-described motor vehicle is a motorcycle w/o

sidecarfrom the time of its acquisition;
3. That I intend to modify its denomination from MC to MTC, and A.C.T Side Car build the
side car for the aforesaid Motorcycle being owned by the herein affiant;
Philippines.
ROWENA P. DUARTE
Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2015
Pasig City )s.s.
AFFIDAVIT
I, EDWIN N. MACOSPAG, of legal age, Filipino and resident of No. 10

Mamerto District, Rosario, Pasig City, after having been duly sworn to in
1. That I am presently employed at Magna Ready Mix Concrete Corp.

located at 6/F Renaissance Tower D, Meralco Ave., Pasig City as Mixer
Driver of a motor vehicle more particularly described as follows, to wit:
MAKE - INT’L. CUMMINS

MOTOR NO. - 10921822
SERIAL NO. - KGB182421
PLATE NO. - TAC 501
2. That on June 15, 2010, around 8:05 in the evening while traversing along
C-5, Taguig City, I accidentally hit a Honda Civic with plate No. ___, driven
by one _____________________who overtook my lane, which brought
damages in his passenger’s left side door and window;
3. That the said damages was brought by an accident, and I am executing

this affidavit for car insurance;
serve;

EDWIN N. MACOSPAG
Affiant
in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010
Pasig City )s.s.
AFFIDAVIT
I, ROGER SANCHEZ y GARMA of legal age, Filipino, married and a

resident of Blk 16, L26,St. Monique, Balai, Binangonan, Rizal, after having been
1. That I am presently employed at NISSAN CAR LEASE PHILIPPINES, INC.

and assigned at RAFFLES Fairmont/Hotel located at Makati Ave., Makati City as
Limousine Driver of a motor vehicle registered under the name of BDO LEASING
& FINANCE, INC. and more particularly described as follows, to wit:
MAKE - BMW 520D

ENGINE NO. - 79828284N47D20C
CHASSIS NO. - WBAFW11080DY50607
COLOR NO. - ALPHINE WHITE
PLATE NO. - TYY 747
2. That last September 23, 2014, at around 4:30 in the afternoon, while I
was heading towards Andrew’s Ave.,Pasay City, and experiencing “bumper to
bumper traffic situation” together with our 3 VIP guests on board. When I was
approaching Rotonda Circle and the traffic slightly moved fast heading to NAIA
Terminal 3, I took left signal light to occupy left lane, when all of a sudden, an
unidentified Delivery Closed Van crossed in front of me heading to right
direction. Immediately therafter, I hit the break but unfortunately, my left
bumper hit the bumper of the closed van. The driver of the closed van did not
stop and fled away and as a result of which, the left bumber and left headlight
of the said vehicle were damaged;
3. That the said damages was brought by an accident, and I am executing

this affidavit for our insurance claims;

Pasig City, Philippines. Affiant exhibited to me his Driv. License No. N26-
08010251 valid until March 17, 2017.
ROGER SANCHEZ y GARMA

Affiant
in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2014
Pasig City )s.s.
AFFIDAVIT OF ACCIDENT
I, NOEL S. YABUT, of legal age, Filipino and with postal adderss at Blk. 1, Lot 13, Sapphire
St., Phase 4, Greenwoods Subd., Pinagbuhatan, Pasig City, after having been duly sworn to in
1. I am the registered owner of a motor vehicle more particularly described as follows, to wit:
MAKE - FORD EVEREST

COLOR - BLACK
MOTOR NO. -
SERIAL NO. -
PLATE NO. - TGO-311
2. Last May 13, 2012, on or about 1:00 o’clock in the afternoon, I parked the said motorvehicle
infront of our house. When I went back I noticed a deep scratches on passenger door,
side back door and left rear fender in the said motor vehicle;
3. Presumably, said damages was made by unidentified bystander/s, and I am executing this
affidavit for the car insurance;
Philippines.
NOEL S. YABUT
Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2012
Pasig City )s.s.
I, MANUEL BOHOL, of legal age, Filipino and with postal adderss at No. 742 A. Mabini St.,
and say:
1. That I am the authorized/service driver of Universal Gameplay Int’l Corp formerly known
as London Underground Corp, the lawfull owner of motor vehicle more particularly described
as follows, to wit:
MAKE -
MOTOR NO. -
SERIAL NO. -
PLATE NO. -
2. That sometime on April 25, 2010, the said truck which is in my possession/which I was
driving was parked at the parking area of Robinson’s Ermita, Manila, for the delivery of
Ofiicial Receipt for the toys requested/ordered to us.
3. That while the said truck was parked, another truck tried to penetrate in a small remaining
space beside us,
4. That because of the said small space remaining for a truck, the other truck which is under
plate no. UBR 437 accidentally hit our said truck which brought damage to the left side of
above mentioned truck;
5. That the said damages was brought by an accident, and I am executing this affidavit for the
car insurance;
Philippines.
MANUEL BOHOL
Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2010
Pasig City )s.s.
I, FRANCIS CARLO TAN LEE JABSON, of legal age, single, Filipino and with postal
adderss at Lot 8, Blk. 4, Green St., Stella Maris Subd., Maybunga, Pasig City, after having been
1. That I am the nephew and authorized driver of Victoria Tan Lee Villanueva, the registered
owner of motor vehicle more particularly described as follows, to wit:
MAKE - FORD EVEREST

MOTOR NO. -
SERIAL NO. -
PLATE NO. - PLQ682
2. That on December 29, 2011, on or about 8:00 o’clock in the evening, the said motor vehicle
which is in my possession which I was driving was parked along the side walk near
Gateway in Cubao, Quezon City. After a few hours as I went back I noticed the following
scratches and damages:
a. (At the left side)

Front bumper, doors 1 and 2 and including the fenders;
b. (At the back)
Left side of the lower bumper, back door and the spare tire cover;
c. (At the right side)
Doors 1 and 2, right side mirror, the gas cover (dent); and
d. (At the front)
Wind shield
3. Presumably, said damages was made by unidentified bystander/s, and I am executing this
affidavit for the car insurance;
Philippines.
FRANCIS CARLO TAN LEE JABSON

Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2012
Pasig City )s.s.
AFFIDAVIT
I, MICHAEL R. ELEUTERIO, of legal age, married, Filipino and resident of San Agustin St.
Bolante I, Pinagbuhatan, Pasig City, after having been duly sworn to in accordance with law,
1. That I am the registered owner of a motor vehicle more particularly described as follows, to
wit:
MAKE - HONDA
ENGINE NO. - KPG00E011809
SERIAL NO. - KPG00011898
MV FILE NO. - 1380-00000500396
SERIES - ZN125M9
BODY TYPE - MOTORCYCLE
PLATE NO. - 3276NQ
2. That on November 22, 2009 at around 12:20 pm, while I was in my way home and driving
at Caruncho Avenue, San Nicolas, Pasig City, I accidentally sideswiped the left steering bar
of my vehicle; thus, I was dragged away, thrown and sustained injuries in the different parts
of my body particularly at my left arm. That, after said accident. T/E Rosalina Rico, upon
notice and who is near the area of said accident immediately help me to go to the nearest
hospital for medical treatment;
3. That the said damages was brought by an accident, and I am executing this affidavit for my
car insurance. Certified copy of the Police Report is hereto attachéd for ready reference
dated November 22, 2009;
Philippines.
MICHAEL R. ELEUTERIO
Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2009

Pasig City )s.s.
AFFIDAVIT
I, JEROME S. TENORIO, of legal age, single, Filipino and with residence

and postal address at Velasquez Street, Bagong Ilog, Pasig City, after having
1. That I am the driver and the son of FLORDELIZA C. SIGA, being the
registered owner of a motor vehicle more particularly described as
follows, to wit:
MAKE - PROSTAR
CHASSIS NO. - R6154FM187300310
MOTOR NO. - R6154FM187300262
PLATE NO. - 5265DG
2. That on October 18, 2011 at around 2:30 in the afternoon, while I was in
my way home and driving at Kenneth, Pinagbuhatan, Pasig City, I
accidentally sideswiped the left steering bar of the aforesadi vehicle;
thus, I was dragged away, thrown and sustained injuries in the different
parts of my body particularly at my right foot. That, after said accident, I
did not report to my office because of the injuries I sustained. Copy of
my medical certificate is hereto attached;
3. That the said injuries was brought by an accident and I am executing this
affidavit to secure a copy of a Police Report from the Traffic Division,
Philippine National Police, Caniogan, Pasig City;
serve;

JEROME S. TENORIO
Affiant
in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT
I, NOVY F. FAMATIGA, of legal age, married, Filipino and resident of Blk. 17, Lot
10, Cherry Road, Palmera Hills VI, Taytay, Rizal, after having been duly sworn to in
1. That I am the husband of JENNIFER FAMATIGA, the latter being the registered owner of a
motor vehicle more particularly described as follows, to wit:
MAKE - MITSUBISHI
ENGINE NO. - 4D56AAE5092
CHASSIS NO. - PAEVB5MH9BB005583
MV FILE NO. - 1340-00000458341
PLATE NO. - PQJ 568
2. That on October 14, 2011 at around 03:40 pm, while I was driving the said motor vehicle
along Imelda Ave., cor. Service Road of Sta. Lucia Mall heading towards Junction of
Cainta, Rizal direction before reaching to the place of occurrence, I turn right and I
accidentally collide with a Toyota Innova with Plate No. PVI 704, thereby causing damages
to both of our vehicles, damaging the right side of both doors of my Mitsubishi Adventure;
3. That the said damages was brought by an accident, and I am executing this affidavit for my
car insurance. Certified copy of the Police Report is hereto attachéd for ready reference
dated October 16, 2011;
Philippines.
NOVY F. FAMATIGA
Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
AFFIDAVIT
I, JEROME R. SAMONTE, of legal age, single, Filipino and resident of 1711 Katimugan St.,
Phase II C3, Karangalan Village, Manggahan, Pasig City, after having been duly sworn to in
1. That I am the nephew and driver of Gina R. Mercado registered owner of a motor vehicle
more particularly described as follows, to wit:
MAKE - HONDA
ENGINE NO. - XRM110ME-8027891
CHASSIS NO.- XRM11-039027891
MV FILE NO. - 1372-00000235808
SERIES - XRM110
PLATE NO. - MC-UM2167
2. That on May 18, 2010 at around 6:00 o’clock in the morning, while I was driving the said
motorcycle on my way to work, I accidentally hit one Rhoda Alagdon who is crossing the
road along Kaginhawaan St., Brgy. Manggahan, Pasig City; thus, I immediately rushed her
at Amang Rodriguez Medical Center but unfortunately pronounced dead on or about 10:00
am of the same date;
3. That the incident was brought by an accident, and I am executing this affidavit for my car
insurance. Certified copy of the Police Report is hereto attachéd for ready reference dated
May 18, 2010;
Philippines.
JEROME R. SAMONTE
Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2010
Pasig City )s.s.
AFFIDAVIT OF DECLARATION OF DEATH
I, JOCELYN G. LUMOYA, of legal age, Filipino and resident of No. 1489 Santa St.,
say:
5. That I am the surviving spouse of the late RENATO M. VILLA, the latter died on May 14,
1993 in Zamboanga Del Sur;
6. That the deceased and I were married on November 7, 1990 in Coloran Siay, Zamboanga
del Sur;
7. That I hereby declare and attest that my deceased husband RENATO M. VILLA was
salvaged and whose body was hatchet and was only identified by the herein affiant, and
was directly buried and whose facts of death was not filed with the proper government
agency;
8. That due to the foregoing death, my civil status now is single and thus, can enter into a
valid matrimony;
City, Philippines.
JOCELYN G. LUMOYA
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
K8
Pasig City )s.s.
AFFIDAVIT
I, MA. JEZIEL P. PINCA, of legal age, Filipino, single, with residential address at 644 MLQ
Ext., Manggahan, Pasig City, Philippines, after having been duly sworn in accordance with law
1. That I am in for an Certificate at Philippine Overseas Employment Agency (POEA);
2. That among the requirements is the submission of this Affidavit that I have been employed
at WALTON ADVANCED ENGINEERING at #18 North 1 Rd., K.E.P.Z Kaoshung Taiwain,
R.O.C. , sometime on June 13, 2003 up to June 11, 2006;
3. That for all legal intents and purposes, that I actually worked as Production Operator at
Factory WALTON ADVANCED ENGINEERING at #18 North 1 Rd., K.E.P.Z Kaoshung
Taiwain, R.O.C. ;
City, Philippines.
MA. JEZIEL P. PINCA

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009
Pasig City )s.s.
SWORN AFFIDAVIT
I, JANETH GARCIA GUIZON, of legal age, Filipino, with residential address at 60-A Afable
Street, Barangay Sagad, Pasig City, Philippines, after having been duly sworn in accordance with
1. That I am married to DIOSDADO GABRIEL GUIZON; Out of the said union, we were
blessed with three (3) children;
2. That our youngest child named JAIRA MAY GARCIA GUIZON, who was born on March 2,
1993 in Pasig Metro Manila (now City);
3. That the birth of my abovenamed child on March 2, 1993 was attended by a Registered
Midwife in the name of FE GERONA in her Lying-In Clinic located in A. Flores Street, Brgy.
Caniogan, Pasig City;
4. That am in the process of securing necessary travel papers of my aforenamed daughter,

and that one of the requirements in the Embassy of the United States of America is to
secure medical/hospital records from the hospital institution where I delivered such birth of
my daughter;
5. That however, I could not submit the required hospital records in view of the fact that the
owner herself Ms. Fe Gerona, who actually attended to the birth of my daughter has
already dead and the Lying-In Clinic which the latter owns has already been closed and is
no longer operational;
6. That for all legal intents and purposes, I actually delivered JAIRA MAY GARCIA GUIZON in
the Lying-In Clinic duly owned by the deceased Fe Gerona;
City, Philippines.
JANETH G. GUIZON
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009

Pasig City )s.s.
SWORN AFFIDAVIT
I, ALEXANDER O. BALLADO, of legal age, married, Filipino, with residential address at

50 Magsalin, Palingon, Tipas, Taguig City, Philippines, after having been duly sworn in accordance
1. I am presently working at Alberta Canada as Lube Technician and now on vacation to

process my employment certificates as requirements for my employment;
2. I has been employed in the following company, to wit:
a. Saturn Autospech, Inc. as Auto Mechanic from May 9, 2002 to February 2004;
b. DMS General Services, Inc. as Auto Mechanic from September 1999 to January
2002; and
c. Hgar/United Services, Inc. as Driver/Mechanic from September 1998 to September

1999;
3. I could not secure any Certificate of Employment because the establishments/companies

mentioned above had been closed and are no longer operational;
4. For all legal intents and purposes, I has been employed in the following company, to wit:
a. Saturn Autospech, Inc. as Auto Mechanic from May 9, 2002 to February 2004;
b. DMS General Services, Inc. as Auto Mechanic from September 1999 to January
2002; and
c. Hgar/United Services, Inc. as Driver/Mechanic from September 1998 to September

1999;
City, Philippines.
ALEXANDER O. BALLADO
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2010

Pasig City )s.s.
SWORN AFFIDAVIT
I, LOURDES ALCANTARA, of legal age, Filipino, with residential address at 003 Willarey
Road 2, Pinagbuhatan, Pasig City, Philippines, after having been duly sworn in accordance with
1. That I am practicing my profession as a licensed Midwife at home located at 003 Willarey

Road 2, Pinagbuhatan, Pasig City, Philippines;
2. That I personally know JOCELYN VILLALON CERDON, as the mother who delivered a
baby boy on 8 January 2007 in my clinic at our residence above given address through my
assistance as licensed midwife. Consequently, I caused the registratioin of such birth in
the Office of the Local Civil Registry of Pasig. The baby boy is named as JOSH ALEXIS
VILLALON CERDON as registered in his Certificate of Live Birth,
3. That the mother JOCELYN VILLALON CERDON approached me that she needs records
pertaining to such birth, but because my residence clinic was affected by the typhoon
“Ondoy” on September 26, 2009, wherein all the papers including the records of JOSH
ALEXIS VILLALON CERDON are among those which were ruined by the said calamity, the
same are no longer available and considered beyond recovery;
4. That for all legal intents and purposes, I actually assisted the delivery of JOSH ALEXIS
VILLALON CERDON in my Lying-In Clinic located in my abovegiven address on 8 January
2007;
City, Philippines.
LOURDES ALCANTARA
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2010
Pasig City )s.s.
(AS TO RESIDENCY)
I, ALDRIN CORDOVA FRIAS, of legal age, Filipino and resident of No. 39

Catalina Subd. Rosario, Pasig City, after having been duly sworn to in
1. That my family and I are residents of the above given address from
2006 up to the present.
2. That my family and I are originally settled in Pasig, where my
children were all born thereat;
3. That considering that my family is permanently living here in Pasig, I

intend to enroll my daughter Gerard Andrea Manuel at Eusebio High
School, Rosario, Pasig City;
4. That among the requirements thereto is the submission of Voter’s

Registration to prove that I am a registered voter of Pasig or this
affidavit;

it may serve;

AILEN SAN ANTONIO-MANUEL

Affiant
in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009
Pasig City )s.s.
(AS TO RESIDENCY)
I, MARIA TINA B. SOLANO, of legal age, Filipino, married and a resident

of Blk 3 Lot 25 Santol St. fruitful Ville, Centennial II Pinagbuhatan Pasig City,
say:
2009 up to the present.

intend to enroll my daughter, AIRAM DAYNE B. SOLANO, at Pasig City
Science High School, who was born on August 21, 2003;

Registration to prove that I am a registered voter of Pasig for 5 years and or
this affidavit;
4. That my voter’s certification showed that I am a registerd voter of

pasig on 2011 for the reason that I only caused to transfer my voter’s
registration on the said year from Manila, however we have been a resident of
pasig from 2009 up to the present, attached are the documents to prove that
we acquired and occupied a property on the above given address starting
2009;


MARIA TINA B. SOLANO

Affiant
in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2014

Pasig City )s.s.
(AS TO RESIDENCY)
I, JOSEPHINE G. CALIVOSO, of legal age, Filipino, and with residence

and postal address at 516-517 Banana St., Naopico, Pasig City, after having
May 2007 up to the present.

intend to enroll my son, ALLEN JAYCERELL G. CALIVOSO, at Pasig City
Science High School, who was born on March 7, 2003;

Registration to prove that I am a registered voter of Pasig for 5 years and or
this affidavit;
4. That my voter’s certification showed that I am a registerd voter of

pasig on 2014 for the reason that I only caused to transfer my voter’s
registration on July 9, 2014 from San Juan, however we have been a resident of
pasig from May 2007 up to the present, attached are the documents to prove
that we are the tenants on the above given address starting May 2007;


JOSEPHINE G. CALIVOSO
Affiant
in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2014
Pasig City )s.s.
(AS TO RESIDENCY)
I, RITA M. BORROMEO, of legal age, Filipino, married and a resident of

Blk 3 Lot 25 Santol St. fruitful Ville, Centennial II Pinagbuhatan Pasig City, after
1. That I, together with my daughter MARIA TINA B. SOLANO and her

family are residents of the above given address from 2009 up to the present.
2. That considering that I have a land rights and my family is

permanently living here in Pasig, I intend to enroll my grand daughter, AIRAM
DAYNE B. SOLANO, at Pasig City Science High School, who was born on
August 21, 2003;

Registration of MARIA TINA B. SOLANO, the mother of my grand daughter,
to prove that she is a registered voter of Pasig for 5 years and or this affidavit;
4. That her voter’s certification showed that she is a registerd voter of

pasig on 2011 for the reason that she only caused to transfer her voter’s
registration on the said year from Manila, however we have been a resident of
pasig from 2009 up to the present, attached are the documents to prove that
we acquired and occupied a property on the above given address starting
2009;


RITA M. BORROMEO
Affiant
in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2014
Pasig City )s.s.
(AS TO RESIDENCY)
I, DORRIS T. VINASAY, of legal age, Filipino, and a resident of No. 15 C

M.H Del Pilar St. Palatiw Pasig City, after having been duly sworn to in
1. 1 That I am a resident of the above given address since 2010 up to the

present.
2. That my family and I are originally settled in Pasig since 1988;
3. Considering that I am permanently living here in Pasig, I intend to

enroll my niece, KRICHELLE JOY A. VINASOY at Pasig City Science High
School, Pasig City this coming School Year 2014-2015;
4. That among the requirements thereto is the submission of Payment

history of Real property to prove that I am a resident of Pasig, hence this
affidavit;
5. That I am a resident of Pasig from 1988 up to present. I was previously

residing at 265 Pilapil St. San Miguel Pasig City, wherein I am renting an
apartment for 22 years, since I am only renting in the said property I am not in
possession of any Real property tax payment history;
6. That I exerted an effort to locate, contact and get in touch with the
owner of the above mentioned property to asked for the required documents
unfortunately the latter was already in their province, and nobody can give me
other details for me to contact her;


DORRIS T. VINASOY
Affiant
in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2014
Pasig City )s.s.
(AS TO RESIDENCY)
I, EVELYN L. LLANETA, of legal age, Filipino and resident of Lot 17, Block 26, Dilang I,
Nagpayong, Pinagbuhtan, Pasig City, after having been duly sworn to in accordance with law,
2. That my family and I are residents of the above given address since 2003 up to the
present.
3. That my family and I are originally settled in Pasig, where my children were all born
thereat;
4. That considering that my family is permanently living here in Pasig, I intend to enroll my
niece JHESEL F. CALVAR at Pamantasan ng Lungsod ng Pasig, Pasig City;
5. That among the requirements thereto is the submission of Voter’s Registration to prove
that I am a registered voter of Pasig;
6. That I failed to activate my records at COMELEC, Pasig City last presidential election
due to some problems in our property at Isabela which caused me to travel;
7. That by these present, the COMELEC is not entertaining any reactivation of records,
thus I am intending to reactivate my record this coming election;
Philippines.
EVELYN L. LLANETA
Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
(AS TO RESIDENCY)
I, FELICIO D. DE LUNA , of legal age, Filipino, and resident of 2728

Tramo Rosario, Pasig City, after having been duly sworn to in accordance with
1. That my family and I are residents of the above given address since
birth up to the present.
2. That my family and I are originally settled in Pasig, where my children

were all born thereat;
3. That I am applying for the connection of electrical service at Meralco

Office and one requirements thereto is the submission of Voter’s
Registration to prove that I am a registered voter of Pasig;
4. That I failed to activate my records at COMELEC, Pasig City last
presidential election due to some problems in the province of my wife
at Visayas Region which caused me to travel;
5. That by these present, the COMELEC is not entertaining any

reactivation of records, thus I am intending to reactivate my record
this coming election;

may serve;

FELICIO D. DE LUNA
Affiant
in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2013
Pasig City )s.s.
(AS TO RESIDENCY)
I, RUFINO VISTO MICABALO, of legal age, married, Filipino and resident of Molave St.,
Nagpayong 2, Pinagbuhatan, Pasig City, after having been duly sworn to in accordance with law,
1. That my family and I are residents of the above given address from 2005 up to the
present.
2. That I am a registered voter of Brgy. Pinagbuhatan, Pasig City, Philippines;
3. That I am an Overseas Filipino Worker and I am leaving for Doha, Qatar on February
26, 2010. Considering that I am no longer here in the Philippines to vote on May 2010
Election, I intend to have my rights to vote in Qatar;
4. That among the requirements thereto is the submission of my Voter’s Registration to

prove that I am a registered voter of Pasig and this affidavit;
Philippines.
RUFINO VISTO MICABALO

Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2010
Pasig City )s.s.
AFFIDAVIT OF RESIDENCY
I, CAROLINA Y. REYES, of legal age, Filipino and resident of No. 259 Camia Road, Villa
Sta. Ana, San Miguel, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
a. That I am resident of the above given address since 1970 up to the present.
b. That I am the grandmother of Phillip Henson Y. Reyes who was born on August 5,
1997 at Pasig City son of Zenaida Reyes;
c. That his mother Zenaida Reyes is now based in Shizouka Ken, Japan;
d. That Phillip Henson Y. Reyes is under my custody and he live with me in the above
given address since birth;
e. That I am executing this Affidavit to attest to the truth and veracity of the foregoing
Philippines.
CAROLINA Y. REYES
Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT OF RESIDENCY
I, ALDRIN CORDOVA FRIAS, of legal age, Filipino and resident of 39 Catalina Stub.
say:
f. That I am presently in the process of posting a Bail Bond and among the
requirements is the submission of this Affidavit;
13. That my family and I are originally resided in 4770 R. 4 V Mapa Sta. Mesa Manila,
where my family and I were all born thereat;
14. That I am now presently residing at Rosario, Pasig City since 2006 up to present and as
proof of my residency in Pasig City, I have obtained a Barangay Clearance to support my
requirement for processing of posting a Bail Bond.
Philippines.
`
ALDRIN CORDOVA FRIAS

Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT
(AS TO RESIDENCY)
I, ANGELITO B. JAVIER, JR., of legal age, single, Filipino and resident of #27 D. Emilio
Jacinto St., Bambang, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That my family are residents of the above given address from 2009 up to the present.
2. That considering that my family is permanently living here in Pasig, I intend to enroll at
Pamantasan ng Lungsod ng Pasig (PLP), Pasig City;
3. That among the requirements thereto is the submission of proof of residency to prove
that we are living here in Pasig or submission of this affidavit;
Philippines.
ANGELITO B. JAVIER, JR.
Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT
(AS TO RESIDENCY)
I, CONCEPCION V. REMORQUE, of legal age, Filipino citizen and residing at 710 Suarez
St., Maybunga, Pasig City, after having been duly sworn to according to law, hereby depose and
state:
2. That considering that my family is permanently living here in Pasig, I intend to enroll my
grandson KERVIN V. ARDUO at Eusebio High School, Rosario, Pasig City;
Philippines.
OSMANDA P. CASTILLO
Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT
(AS TO RESIDENCY)
I, ROSALIE C. MORAL, of legal age, Filipino citizen and residing at 16 B R.O.T.C. St.,
Rosario, Pasig City, after having been duly sworn to according to law, hereby depose and state:
2. That I am the mother of JOHN CARLO C. MORAL who is now enrolled at Mamplasan
High School Laguna as first year student ;
3. Considering that my family is permanently living here in Pasig, I intend to transfer my

son, JOHN CARLO C. MORAL from Mamplasan High School Laguna to Eusebio High
School, Rosario, Pasig City;
Philippines.
ROSALIE C. MORAL
Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT
(AS TO RESIDENCY)
We, JOSE SAN PEDRO and JULIET C. SAN PEDRO, both of legal age, Filipino citizens
and residing at Kaunlaran Home Owners Association, Nagpayong, Pinagbuhatan, Pasig City, after
having been duly sworn to according to law, hereby depose and state:
1. We are a bona fide residents Brgy. Pinagbuhatan, Pasig City since March 28, 2004 up
to the present;
2. Considering that our family is permanently living here in Pasig, we intend to enroll our
son, ZAIFFUL J. GANI at Pasig City Science High School, Maybunga, Pasig City for
school year 2011-2012 and among the requirements thereto is the submission of proof
of residency to prove that we are living here in Pasig or submission of this affidavit;
3. For all intents and purposes, we hereby declare and attest that we are residents of
Kaunlaran Home Owners Association, Nagpayong, Pinagbuhatan, Pasig City since
March 28, 2004 up to the present;
4. We are executing this Affidavit to attest to the truth and veracity of the foregoing facts for
IN WITNESS WHEREOF, we have set our hands this ___ day of __________, at Pasig
City, Philippines.
JOSE SAN PEDRO JULIET C. SAN PEDRO

Affiant Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
I, MIRASOL CRISTO PANGILINAN, of legal age, Filipino and resident of Block 4 Lot 5 Sta.
Barbara Extension, Centennial II, Pinagbuhatan, Pasig City, after having been duly sworn to in
1. That I am applying for a new electric meter connection with the Manila Electric
Company, and that one of the requirements is the submission of my Voter’s I.D. or
Certification that I am a registered voter of Pasig,
2. That considering that I failed to vote last election period, I was informed by the
COMELEC that my registration has been deactivated;
3. That I hereby undertake to submit the desired VOTER’S REGISTRATION

CERTIFICATE to the Manila Electric Company once my said registration become
reactivated, for the meantime, may I request that my application for electric meter be
approved.
Philippines.
MIRASOL CRISTO PANGILINAN

Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT
I, MARRY GRACE D. ALCARIA, of legal age, Filipino, married and resident of No. 58
Sampaguita St., Ismar Road, Kalawaan, Pasig City, after having been duly sworn to in accordance
1. That I am the wife of Reagan P. Alcaria who is the registered owner of a Sari-Sari Store
located at above-mentioned address;
2. The said business was duly registered at the Business Permit and License Office of Pasig
City and and with Environmental Permit to Operate with CENRO thru the help of my friend
who is a former employee of LGU-PASIG;
3. That I am applying for the renewal of Environmental Permit to Operate from CENRO;
however, I was informed that my CENRO PERMIT has long been expired since June 30,
2010 and that I am being required to pay the penalty in the amount of P2,500.00;
4. That I was under impression that the Environmental Permit secured by my friend is valid for
the whole year of 2010 as I gave him the payment for such permit for the year 2010.
unfortunately, I could no longer locate the person who I trusted for the payment of my
permit;
5. That I hereby request that the penalty amounting to P2500.00 be waived and that I be
approved for the permit to operate this year 2011;
Philippines.
MARRY GRACE D. ALCARIA

Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT
(AS TO RESIDENCY)
I, HELEN ZOLETA DERAMA, of legal age, Filipino and resident of #395 Dr. Sixto Antonio
Avenue, Maybunga, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. Considering our house is set to demolish by the government in the above given
address, I intend to avail a housing loan program of the City Government of Pasig, and
that one of the requirements for the approval of such is to show proof that we are
bonafide residents of Pasig, hence, this Affidavit;
2. My family, my common law husband Joey N. Palmero and my child Christel Rich Z. de
Rama are long time permanent residents of the above given address from 2000 up to
the present.
3. That as a matter of fact, my daughter is enrolled in one of the school institution here in
Pasig and I am a bona fide member of Samahang Maralitang Tabing Ilog Neighborhood
Association, Inc.,
Philippines.
HELEN ZOLETA DERAMA

Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
AFFIDAVIT
(AS TO RESIDENCY)
I, SHALEE MAE V. AMANDY, of legal age, single, Filipino and resident of #63 B.A. Luna
St., Bambang, Pasig City, after having been duly sworn to in accordance with law, hereby depose
and say:
1. That I have been residing with my uncle who is a bona fide resident of Pasig at the
above given address since 2009 up to present;
2. That I am presently studying at Pamantasan ng Lungsod ng Pasig (PLP), Pasig City;
3. That considering that I am permanently living here in Pasig, I am now filing an

Application for Change of Residency with Pamantasan ng Lungsod ng Pasig (PLP) and
among the requirements thereto is the submission of proof of residency to prove that we
are living here in Pasig or submission of this affidavit;
Philippines.
SHALEE MAE V. AMANDY

Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT
(AS TO RESIDENCY)
I, CHERRY JANINE A. RUSTIQUE, of legal age, single, Filipino and resident of 33

Flaviana Street, Suarez Ville, Brgy. PInagbuhatan, Pasig City, after having been duly sworn to in
1. That I have been residing with my grandparents at the above given address since year
2008.
3. That considering that I am permanently living here in Pasig and that I am now a
registered voter of Pasig, I am now filing an Application for Change of Residency with
Pamantasan ng Lungsod ng Pasig (PLP) and among the requirements thereto is the
submission of proof of residency to prove that we are living here in Pasig or submission
of this affidavit, hence, I am submitting my Voter’s Registration Certificate. However, in
my Voter’s Registration Certificate, due to my inadvertence, I put six (6) years as to the
number of year I have been living here in Pasig instead of two (2) years;
4. That for all legal intents and purposes, I have been living here in Pasig since 2008 and
therefore, for two years now;
Philippines.
CHERRY JANINE A. RUSTIQUE
Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT
(AS TO RESIDENCY)
I, GRACEL C. CATAMBAY, of legal age, single, Filipino and resident of Lot 22 Block 41
Alder St. Phase 1G Green Woods, Pasig City, after having been duly sworn to in accordance with
1. That I have been residing with my aunt who is a bona fide resident of Pasig at the
above given address since year 2007.
3. That considering that I am permanently living here in Pasig, I am now filing an

Philippines.
GRACEL C. CATAMBAY
Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2010
Pasig City )s.s.
AFFIDAVIT
(AS TO RESIDENCY)
I, CHRISTINA C. VALENZUELA, of legal age, single, Filipino and resident of #1162 Int. F.
Antonio St., Bambang, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
3. That considering that my family is permanently living here in Pasig, I am now filing an
Philippines.
CHRISTINA C. VALENZUELA
Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2009

Pasig City )s.s.
AFFIDAVIT
I, RUBY R. PACUDAN, of legal age, Filipino and resident of No. 9039 Narra Street, Acacia,
and say:
1. That I am the registered owner of AUFAIT GENERAL MERCHANDISE, doing business

at the above given address, previously owned by my late mother-in-law Porferia
Pacudan;
2. That the said business is existent as the supplier of materials of Pasig City Government
even before under the ownership of my mother-in-law;
3. That the Tax Clearance now under my name which is necessary to continue the
transaction with the City Government is still on process and not yet ready and available,
thus, my inability to submit the same;
4. That I hereby undertake to submit the same as soon as the Tax Clearance in my name
becomes ready and available;
City, Philippines.
RUBY R. PACUDAN
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009

Pasig City )s.s.
AFFIDAVIT
(AS TO RESIDENCY)
I, ANGELIE M. CAÑERO, of legal age, single, Filipino and resident of Blk. 9, Lot 7,
Cornwall St., Somerset Place, Manggahan, Pasig City, after having been duly sworn to in
1. I graduated secondary education at San Jacinto National High School in Pangasinan

and now I am presently studying at Pamantasan ng Lungsod ng Pasig (PLP), Pasig
City;
2. I am previously residing with my family at Brgy. Maambal Pozorrubio, Pangasinan and
sometime in April 2009 up to December 2010, I lived with my aunt, Leocadia C.
Tapucol, a bonafide resident of Pasig who is residing at No. 501 Capinpin St.,
Manggahan, Pasig City. However, sometime in January 2011, we transferred residence
at Blk. 9, Lot 7, Cornwall St., Somerset Place, Manggahan, Pasig City;
3. Considering that I am permanently living here in Pasig, I am now filing an Application for
Change of Residency with Pamantasan ng Lungsod ng Pasig (PLP) and among the
requirements thereto is the submission of proof of residency to prove that we are living
here in Pasig or submission of this affidavit;
4. For all intents and purposes I am now residing at Blk. 9, Lot 7, Cornwall St., Somerset
Place, Manggahan, Pasig City;
Philippines.
ANGELIE M. CAÑERO
Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
AFFIDAVIT
(AS TO RESIDENCY)
I, NERIZA D. GOROSPE, of legal age, Filipino, married to Luisito P. Gorospe, and resident of
091 Villa Tupaz, San Joaquin, Barangay San Joaquin, Pasig City, after having been duly sworn to
1. That I am a bona fide resident of the abovegiven address and registered voter of the City of
Pasig since 2006;
2. That my siblings particularly my son Adonis D. Gorospe, born on January 28, 1992 have
been residing at the above given address which residence is owned by my cousin Zenaida
V. Lindayag who is a bonafide member of Villa Tupaz Homeowners Association, Inc.,;
3. That I am executing this Affidavit to attest to the truth and veracity of the foregoing facts, for
IN WITNESS WHEREOF, I have set my hands this ___ day of __________, 2009 at Pasig
City, Philippines.
NERIZA D. GOROSPE
Affiant
CORROBORATION
We, MAXIMO BIGTAS, JR. and ZENAIDA V. LINDAYAG, both of legal age, Filipinos and
residing at Villa Tupaz, Barangay San Joaquin, Pasig City, after having been duly sworn to in
accordance with law hereby depose and state that the statements made by Darlene B. Maceba
are true and correct to the best of our knowledge and belief.
MAXIMO BIGTAS, JR. ZENAIDA V. LINDAYAG
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009
Pasig City )s.s.
AFFIDAVIT
I, FELIX REYNALDO LARRACAS, of legal age, Filipino and resident of Block 2 Lot 7
Tamarind Street, Phase III, Greenwoods Executive Village, Barangay San Andres, Cainta Rizal,
1. That the undersigned as Pensioner of Japanese Government is in receipt of a letter from

the Social Insurance Agency.
2. That the letter requiring the undersigned as person who does not have Japanese nationality
as I am a Filipino to submit report as to my present status and whereabouts;
3. That I have been receiving letters/correspondences and other processes through my

previous address at Block 2 Lot 7 Tamarind Street, Phase III, Greenwoods Executive
Village, Pasig City, Philippines;
4. That however, when Cainta Government gained territorial jurisdiction over the same
residential address, the same is now nominated as Block 2 Lot 7 Tamarind Street, Phase
III, Greenwoods Executive Village, Cainta Rizal, Philippines; That up to this date I am still
residing on the said address
5. That for all legal intents and purposes, my true and complete residential address is at Block
2 Lot 7 Tamarind Street, Phase III, Greenwoods Executive Village, Barangay San Andres,
Cainta Rizal, Philippines;
6. That I am executing this Affidavit to attest to the truth and veracity of the foregoing facts, for
City, Philippines.
FELIX REYNALDO LARRACAS

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2015
Pasig City )s.s.
AFFIDAVIT
I, CARLA A. OMAGA, of legal age, Filipino, single, and resident of 400-F M. H. del Pilar
Street, Brgy. Pinagbuhatan, Pasig City, after having been duly sworn to in accordance with law,
1. That I am applying for visa with the American Embassy and now securing papers
relative thereto;
2. That one of the requirements is the submission of a proof of my residency and that I am
submitting the Certificate of Residency issued by the Barangay Pinagbuhatan and the
Manila Electric Company Electric Billing Statement;;
3. However, in the Meralco Billing Statement in the name of Roberto S. Omaga, who is my
father, would appear that our address is at 93-F M.H. del Pilar Street, Pinagbuhatan,
Pasig City instead of 400-F M.H. del Pilar Street, Brgy. Pinagbuhatan, Pasig City, which
is our postal address, the latter being the residential address I am constantly using in
transactions whenever the same is required and now appearing in almost of my
documents;
4. That for all legal intents and purposes, I hereby declare that the residential address 93-
F M.H. del Pilar Street, Pinagbuhatan, Pasig City and 400-F M.H. del Pilar Street, Brgy.
Pinagbuhatan, Pasig City, which is our postal address, refer to one and the same
residential address and location;
5. That I am executing this Affidavit to attest to the truth and veracity of the foregoing facts,
City, Philippines.
CARLA A. OMAGA
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2011
Pasig City )s.s.
AFFIDAVIT
I, ARLENE TORRES CASEÑAS, of legal age, Filipino and resident of No. 759 Avocado Street,
Teacher’s Village, San Miguel, Pasig City, after having been duly sworn to in accordance with law,
1. That I have been living with my parents AUGOSTO C. CASEÑAS and PAULINA T.
CASEÑAS at the above given address for almost five (5) years now;
7. That the said property (house and lot) is registered under the name of my parents and
that my stay at my parents’ house is only an accommodation;
8. That considering that my parents are already in their advanced age and no longer
gainfully employed, I am shouldering the electric, water and other utilities consumption
in the house;
City, Philippines.
ARLENE TORRES CASEÑAS
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT
I, ROQUE PASCUAL CRUZ, of legal age, Filipino and resident of Block 2 Lot 7 Tamarind
Street, Phase III, Greenwoods Executive Village, Barangay San Andres, Cainta Rizal, after having
10. That the undersigned as Pensioner of Japanese Government is in receipt of a letter

from the Social Insurance Agency.
11. That the letter requiring the undersigned as person who does not have Japanese
nationality as I am a Filipino to submit report as to my present status and whereabouts;
12. That I have been receiving letters/correspondences and other processes through my
previous address at Block 2 Lot 7 Tamarind Street, Phase III, Greenwoods
Executive Village, Pasig City, Philippines;
13. That however, when Cainta Government gained territorial jurisdiction over the same
residential address, the same is now nominated as Block 2 Lot 7 Tamarind Street,
Phase III, Greenwoods Executive Village, Pasig City, Philippines;
14. That for all legal intents and purposes, my true and complete residential address is at
Block 2 Lot 7 Tamarind Street, Phase III, Greenwoods Executive Village, Barangay San
Andres, Cainta Rizal, Philippines;
City, Philippines.
ROQUE PASCUAL CRUZ

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009

Pasig City )s.s.
(AS TO RESIDENCY)
I, NENA S. CASTILLO, of legal age, Filipino, widow, and a resident of Lot

2, Blk 15, Argsburg St., Mercedes Exec. Village, San Miguel, Pasig City, after
1. That I am among the niece of the late PACIENCIA G. SAN JUAN, who
died on March 23, 2015 in Brgy. Kinalin Ibaba, Calauag, Quezon;
2. That sometime on last week of February 2015 she was spending

vacation in one of my relatives house Fe Tiama Boitizon at Brgy. Kinalin
Ibaba, Calauag, Quezon;
3. That after a month of her vacation thereat she died at the house of her
niece Fe Tiama Boitizon at Brgy. Kinalin Ibaba, Calauag, Quezon;
4. That for all legal intents and purposes, my deceased aunt is a bona fide
resident and a registered voter of San Miguel, Pasig City and enjoying all
the rights and privileges of being a Pasiguena. As evidence, attached are
her OSCA, Blue Card, Voter’s I.D.,., indicating therein her residence
address at my house in Lot 2, Blk 15, Argsburg St., Mercedes Exec.
Village, San Miguel, Pasig City;
foregoing facts and in support my application for claim of benefits from
OSCA PASIG and any and all benefits and for all intents and for whatever
legal purpose it may serve;
IN WITNESS WHEREOF, I have set my hands this ___ day of __________, at

NENA S. CASTILLO
Affiant
in Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2015

Pasig City )s.s.
AFFIDAVIT OF GUARDIANSHIP/SUPPORT
I, NENA S. CASTILLO, of legal age, Filipino, widow, and a resident of Lot
2, Blk 15, Argsburg St., Mercedes Exec. Village, San Miguel, Pasig City, after
1. That I am among the niece and standing guardian of the late

PACIENCIA G. SAN JUAN, who died SINGLE on March 23, 2015 in Brgy.
Kinalin Ibaba, Calauag, Quezon, being a bonafide member of Senior Citizen
of Pasig City;
2. That during the lifetime of my aunt she lives with me at my

abovementioned address and a bona fide resident of Lot 2, Blk 15, Argsburg
St., Mercedes Exec. Village, San Miguel, Pasig City;
3. That as a result of my aunt’s death, I am now claiming burial benefits

with OSCA Office and that among the requirements thereto is the submission of
an affidavit explaining the details of her death particularly her guardian;
4. That my aunt is under my custody since year 1991 and I stand as her
guardian in our residence at Lot 2, Blk 15, Argsburg St., Mercedes Exec. Village,
San Miguel, Pasig City up to December 2014 who supports her and depend
upon the herein affiant for basic support from sustenance, medical, food amd
clothing;

the foregoing facts and in support my application for burial assistance and for

NENA S. CASTILLO
Affiant
CORROBORATION
We, _____________________ and _______________________, both of legal age,
Filipinos, and with office address at Barangay San Miguel, San Miguel, Pasig
City, respectively, hereby declare and attest that the statements made by
NENA S. CASTILLO are true and correct to the best of our knowledge and
belief.
_______________________ _______________________
Affiant Affiant
SUBSCRIBED AND SWORN to before me this _______ day of ________ 2015

at Pasig City.
Doc. No.
Page No.
Book No.
Series of 2015

Pasig City )s.s.
(AS TO RESIDENCY)
I, MA. ROSARIO BARRIOS BONZON, of legal age, Filipino, married and

resident of No. 29 Amorsolo Compound, Buting, Pasig City, after having been
1. That I am among the nieces of the late ROLANDO NOLASCO MALAGA,

who died on January 9, 2015 in P3 BRGY. 32, SAN ROQUE, LEGASPI
CITY, ALBAY;
2. That sometime on November 2014 she was spending vacation in her

province at P3 BRGY. 32, SAN ROQUE, LEGASPI CITY, ALBAY;
3. That after a month of her vacation she suffered flu and fever and
thereafter high blood and acute respiratory failure that caused her death
sometime on January 9, 2015 in P3 BRGY. 32, SAN ROQUE, LEGASPI
CITY, ALBAY;
4. That for all legal intents and purposes, my deceased aunt is a bona fide
resident and a registered voter of Buting, Pasig and enjoying all the rights
and privileges of being a Pasiguena. As evidence, attached are her
OSCA, Blue Card, Voter’s I.D.,., indicating therein his residence address at
No. 29 Amorsolo Compound, Buting, Pasig City;

MA. ROSARIO BARRIOS BONZON

Affiant
in Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2015

Pasig City )s.s.
(AS TO RESIDENCY)
I, ARNILDA P. REYES, of legal age, widow, Filipino and resident of No. 1331 Callejon 65
St., Villa Geronimo Comp., Bambang, Pasig City, after having been duly sworn to in accordance
1. I am married to EFREN B. REYES on July 9, 1978 in Lemery, Batangas and out of said
union we were not blessed a children;
2. That EFREN B. REYES died on October 21, 2013 in Lemery, Batangas;
3. During the lifetime of my decease husband EFREN B. REYES, he is a bonafide member of

Social Security System with SSS I.D. No. 03-4115322-1;
4. Being the surviving spouse and surviving heirs of the late EFREN B. REYES, I am now
claiming for Death Claim and any all benefits at SSS due to the death of my husband and
one of the requirements is the submission of this affidavit stating to the fact the address
and place of death of the deceased member and the address of the undersigned affiant;
5. My husband was confined at The Medical City, Pasig City due to his Diabetes complication,
and on September 28, 2013 he was discharge by his doctor and my husband decided to
continue his medication in his home town at Lemery, Batangas;
6. After a month, on October 21, 2013, due to sudden heart attack of complication of his
diabetes he died in Lemery, Batangas;
7. That for all legal intents and purposes, my deceased husband is a bona fide resident and a
registered voter of Bambang, Pasig City and enjoying all the rights and privileges of being a
Pasigueno. As evidence, attached are his OSCA I.D., Blue Card, Voter’s I.D., indicating
therein his residence address at No. 1331 Callejon 65 St., Villa Geronimo Comp.,
Bambang, Pasig City;
in support of my application for claim of benefits from Social Security System and any and
all benefits and for all intents and for whatever legal purpose it may serve;
IN WITNESS WHEREOF, I have set my hands this ___ day of __________, at Pasig City,
Philippines.
ARNILDA P. REYES
Affiant
City.
Doc. No.
Page No.
Doc. No.
Series of 2013
Pasig City )s.s.
(AS TO RESIDENCY)
I, ROWENA D. LUNA, of legal age, Filipino, married and a resident of No.

95 B. Mahogany St., Acacia, Pinagbuhatan, Pasig City, after having been duly
1. That I am among the children of the late LEONOR BANZUELA DE

GUZMAN, who died on 27 July 2013 in Barangay Bangyas Calauan,
Laguna;
2. That on July 13, 2013 she was spending vacation in our brother’s
(REYNALDO DE GUZMAN) house at Barangay Bangyas Calauan,
Laguna.
3. That after two weeks of her vacation at Barangay Bangyas Calauan,

Laguna she died due to Cardio Pulmonary Arrest and other complication
of her Carcinoma of the neck Stage IV;
4. That for all legal intents and purposes, my deceased mother, LEONOR
BANZUELA DE GUZMAN is a bona fide resident and a registered voter
of Pinagbuhatan, Pasig City and enjoying all the rights and privileges of
being a Pasiguena. As evidence, attached are her OSCA, Blue Card,
indicating therein his residence address at No. 95 B. Mahogany St.,
Acacia, Pinagbuhatan, Pasig City;

ROWENA D. LUNA
Affiant
in Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2013
Pasig City )s.s.
I, ANGELINA ELUDO, of legal age, Filipino, widow, and a resident of No.
403 Suarez St., Maybunga, Pasig City, after having been duly sworn to in
1. That I am the surviving spouse of the late HIPOLITO G. ELUDO, JR, who
died on December 05, 2012 in Surigao Del Norte, a bonafide SSS
member with SSS No. 0804822840, and I am now claiming any and all
benefits due me in relation to his death, and among the requirements
therto is the submission of this Affidavit;
2. That on April 13, 2012 my late husband was spending vacation in my

sister’s house Lanilyn Eludo at Purok 2, Brgy. Poblacion,
Cagdianao, Dinagat Islands, Surigao Del Norte;
3. That after more than eight months of his vacation at Surigao Del Norte
he died due to complication of his Cardiopulmonary Arrest; Hepatic
Encephalopathy;
4. That for all legal intents and purposes, my deceased husband, HIPOLITO
G. ELUDO, JR is a bona fide resident of Maybunga, Pasig City and
enjoying all the rights and privileges of being a Pasigueno. As evidence,
attached are his Company ID when he was previously employed
indicating therein his residence address at No. 403 Suarez St., Maybunga,
Pasig City;
SSS PASIG and any and all benefits and for all intents and for whatever

ANGELINA ELUDO
Affiant
in Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2013
Pasig City )s.s.
(AS TO RESIDENCY)
I, BEATRIZ B. CENA, of legal age, Filipino, widower, and a resident of

Phase I, Blk 9 Ilugin, Pinagbuhatan, Pasig City, after having been duly sworn to
1. That I am the surviving wife of the late JAIME B. CENA, who died on
January 03, 2013 at Bicol Regional Training and Teaching Hospital,
Legaspi City Albay;
2. That on December 23, 2012 he was spending vacation in his parents

ancestral house at P-7 San Antonio Tabaco City, Albay.
3. That after ten days, Janaury 02, 2013, of his vacation he was rushed to
Bicol Regional Training and Teaching Hospital, Legaspi City Albay,
the nearest hospital due to sudden heart attack and high blood;
11. That for all legal intents and purposes, my deceased husband is a bona
fide resident and a registered voter of Pinagbuhatan, Pasig and enjoying
all the rights and privileges of being a Pasigueno. As evidence, attached
are his OSCA, Blue Card, Voter’s I.D.,., indicating therein his residence
address at Phase I, Blk 9 Ilugin, Pinagbuhatan, Pasig City;

BEATRIZ B. CENA
Affiant
in Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2013
Pasig City )s.s.
I, RICHARD VENIGAS ALMADEN, of legal age, Filipino and resident of No. 310 Westbank
Road, Floodway, Maybunga, Ugong, Pasig City, after having been duly sworn to in accordance
1. That I was born on October 22, 1976 in Caloocan City. I lived with my family in Caloocan
City for months and thereafter, we transferred residence in Leyte;
2. That we resided in Leyte until my second year high school, and thereafter, we again
transferred residence in Cavite in which we lived there for five (5) years in time I reached
my age of majority (18 yrs. old) however I faled to register with the Commission on Election;
3. That we again transferred residence in Valenzuela where we stayed for two (2) years as we
again moved from Valenzuela to the above given address where my family are staying for
almost 10 years now;
4. That during my stay in this locality, I have never had the time to register myself as voter for
reason that I am employed in a company which requires the undersigned to be assigned in
various places from time to time.
5. That in view of the foregoing, I hereby declare and attest that I have never exercised my
right to vote;
in support my application for employment abroad and for all intents and for whatever legal
purpose it may serve;
City, Philippines.
RICHARD VENIGAS ALMADEN

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2010
Pasig City )s.s.
(AS TO RESIDENCY)
I, ALFREDO DUNGO DE JESUS , of legal age, married, Filipino and a resident of #25 East
Drive Dona Binday Subdivision, Malinao, Pasig City, after having been duly sworn to in accordance
1. That I am a resident of #25 East Drive Dona Binday Subdivision, Malinao, Pasig City for
almost twenty seven (27) years;
2. That when my sister filed my Petition at US Embassy she indicated therein my mailing
address as “#25 East Dona Binday I Subdivision, Bambang, Pasig 1600 Metro Manila,
Philippines” instead of “#25 East Drive Dona Binday Subdivision, Malinao, Pasig City,
1600 Metro Manila, Philippines”;
3. That in my other important documents such as Passport, NBI,, Passport, Voter’s ID, Senior
Citizen’s ID, etc., my mailing address was registered therein as #25 East Drive Dona
Binday Subdivision, Malinao, Pasig City, 1600 Metro Manila, Philippines;
4. That I hereby declare and attest that the mailing address “#25 East Dona Binday I
Subdivision, Bambang, Pasig, 1600 Metro Manila, Philippines” as reflected in my
records at US Embassy and the address “#25 East Drive Dona Binday Subdivision,
Malinao, Pasig City, 1600 Metro Manila, Philippines” as reflected in my Passport, NBI,,
Passport, Voter’s ID, Senior Citizen’s ID, etc. refers to one and the same address;
5. That further, I hereby attest that I didn’t trasfer my residency to any place, as a matter of
fact I am registered voter of Malinao, Pasig City for almost twenty seven (27) years;
City, Philippines.
ALFREDO DUNGO DE JESUS

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2010
1. That discrepancy was apparent in our Certificate of Marriage, wherein my husband’s place
of birth was registered therein as BOHOL, instead of MANILA, his true and correct place of
birth as correctly reflected in his Certificate of Live Birth;
2. That for all intents and purposes my husband’s true and correct place of birth is MANILA;
3. That I hereby declare and attest that the foregoing discrepancy and correction mentioned in
paragraph 3, refer to one and the same person;
4. That I am executing this affidavit to attest to the veracity of the foregoing facts and for all
Pasig City )s.s.
(AS TO RESIDENCY)
I, MA. LUZ A. DELA CRUZ, of legal age, Filipino and resident of No. 85 Kapayakan St.,
Ph2 B2, Karangalan Village, Manggahan, Pasig City, after having been duly sworn to in
1. That I am the niece of the late NIEVA A. FACULTAD who died on February 16, 2009 in
Ivisan, Capiz. She is living together with the undersigned in the same residence
above given;
2. That on December 26, 2008, my deceased aunt went to Ivisan Capiz, along with my cousin
Gracebel Agnas purposely to spend vacation and celebrate New Year of 2010 with her
brother;
3. That during her stay in Capiz, I was informed that my aunt has illness for apparent reason
that she deeply thought of the situation of her brother who is suffering from lung cancer. I
immediately went there to personally see her situation. And that when I was there, I
actually saw the gravity of her illness and eventually died;
4. That for all legal intents and purposes, my deceased aunt is a bona fide resident and of
Pasig and enjoying all the rights and privileges of being a Pasigueno such as an OSCA
member, etc.;
in support my application for burial assistance and for all intents and for whatever legal
City, Philippines.
MA. LUZ A. DELA CRUZ

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009

Pasig City )s.s.
(AS TO RESIDENCY)
I, TERESITA ULEP ROBLES, of legal age, Filipino and resident of Tacloban St.
Mangga II Nagpayong II Pinagbuhatan, Pasig City, after having been duly sworn to in
1. That I am the daughter of the late NATIVIDAD Q. ULEP, who died on February
28, 2015 in Umingan, Pangasinan;
2. That she is a bona fide resident of Pasig at No. 202 Acacia Yakal St.
Pinagbuhatan, Pasig City and a member of the Senior Citizen Affairs of Pasig
City;
3. That as a result of my mother’s death, I am claiming assistance with the Senior

Citizen Affairs of Pasig and that among the requirements thereto is the
submission of an affidavit explaining the details of her death particularly the
place of death;
4. That she died on February 28, 2015 while spending vacation at his son, SEPTIMO
ULEP’S house in Umingan, Pangasinan;
5. That for all legal intents and purposes, my deceased mother is a bona fide
resident of No. 202 Acacia Yakal St. Pinagbuhatan, Pasig City and enjoying all
the rights and privileges of being a Pasigueno such as an OSCA member, etc.;
foregoing facts and in support my application for burial assistance and for all
IN WITNESS WHEREOF, I have set my hands this ___ day of __________, 2015 at
TERESITA ULEP ROBLES

Affiant
in Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2015.

Pasig City )s.s.
(AS TO RESIDENCY)
I, ANITA J. TANGUILAN, of legal age, married, Filipino, and with residence and
postal address at 1027 Bolante 1, Pinagbuhatan, Pasig City, after having been duly sworn
1. I am the wife of the late FRANCISCO MALANA TANGUILAN, who died on May 27, 2013
in Enrile, Cagayan;
13.He is a bona fide resident of No. 27 Bolante 1, Pinagbuhatan, Pasig City since 1984 up to
the present and a bonafide member of the Senior Citizen Affairs of Pasig City;
14.That as a result of my husband’s death, I am claiming assistance with the Senior Citizen
Affairs of Pasig and that among the requirements thereto is the submission of an affidavit
explaining the details of his death particularly the place of death;
15.That on May 27, 2013, while spending vacation at his hometown province in Enrile,
Cagayan, he was attacked by a buffalo and caused massive hemorrhage due to traumatic
chest/abdominal injury that lead to his death;
16.That for all legal intents and purposes, my deceased spouse is a bona fide resident of
Pasig City and enjoying all the rights and privileges of being a Pasigueno such as an OSCA
member, etc.;
17.That I am executing this Affidavit to attest to the truth and veracity of the foregoing facts and
City, Philippines.
ANITA J. TANGUILAN
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2013
Pasig City )s.s.
(AS TO RESIDENCY)
I, LOURDES CELO-OLAYBAL, of legal age, married, Filipino and resident of No. 1 Sta.
Rosa St., Kapitolyo, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am the daughter of the late CONCEPCION L. CELO, who died on September 29,
2011 in San Juan Medical Center, N. Domingo St., San Juan City;
2. That she is a bona fide resident of Pasig and a member of the Senior Citizen Affairs of
Pasig City;
3. That as a result of my mother’s death, I am claiming assistance with the Senior Citizen
explaining the details of her death particularly the place of death;
4. That she died on September 29, 2011 in San Juan Medical Center, N. Domingo St., San
Juan City while spending vacation at her eldest daughter, TERESITA CELO-SARANGLAO,
resident of 149-B A. Rita Cor. R. Pascual St., San Juan City;
5. That for all legal intents and purposes, my deceased mother is a bona fide resident and of
member, etc.;
City, Philippines.
LOURDES CELO-OLAYBAL
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2011
Pasig City )s.s.
(AS TO RESIDENCY)
I, BILLY S. JUAREZ JR., of legal age, married, Filipino and resident of No. 433 SYS Elisco
Road, Kalawaan Sur, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
A. That I am the son of the late CRISPINA S. JUAREZ, who died on April 11, 2013
in No. 433 SYS Elisco Road, Kalawaan Sur, Pasig City;
B. That she is a bona fide resident of No. 4 MB Tanangco St., Buting, Pasig and a
member of the Senior Citizen Affairs of Pasig City;
C. That as a result of my mother’s death, I am claiming assistance with the Senior

Citizen Affairs of Pasig and that among the requirements thereto is the submission of an
affidavit explaining the details of her death particularly the place of death;
4. That she died on April 11, 2013 in No. 433 SYS Elisco Road, Kalawaan Sur, Pasig City
where the undersigned is living and the one who took care of my mother after her
hospitalization;
6. That for all legal intents and purposes, my deceased mother is a bona fide resident of
Brgy. Buting, Pasig City and enjoying all the rights and privileges of being a Pasigueno
such as an OSCA member, etc.;
and in support my application for burial assistance and for all intents and for whatever legal
City, Philippines.
BILLY S. JUAREZ JR.

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2013
Pasig City )s.s.
(AS TO RESIDENCY)
I, ANSELMA PANSACALA GAMBAN, of legal age, Filipino and resident of No. 412 MRR
St., Manggahan, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am the sister of the late CATALINO S. PANSACALA, who died on December 30,
2010 in Jalajala, Rizal;
2. That he is a bona fide resident of Pasig and a member of the Senior Citizen Affairs of Pasig
City;
3. That as a result of my brother’s death, I am claiming assistance with the Senior Citizen
4. That he died on December 30, 2010 while spending vacation at his grandchildren’s house
in Jalajala, Rizal;
5. That for all legal intents and purposes, my deceased brother is a bona fide resident of No.
412 MRR St., Manggahan, Pasig City and enjoying all the rights and privileges of being a
Pasigueno such as an OSCA member, etc.;
City, Philippines.
ANSELMA PANSACALA GAMBAN

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2011
Pasig City )s.s.
(AS TO RESIDENCY)
I, JHENINA Y. PARRUCHO, of legal age, Filipino and resident of No. 04-A Narra St.,
Acacia, Pinagbuhatan, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am the daughter of the late EGMEDIO NAVARREZ YBAÑEZ, who died on October 1,
2010 in San Leonardo, Nueva Ecija;
2. That he is a bona fide resident of Pasig City since 1980 and he is a member of the Senior
Citizen Affairs of Pasig City;
3. That as a result of my father’s death, I am claiming assistance with the Senior Citizen
4. While he is spending vacation and being treated in his illness, he died on October 1, 2010
in his hometown province in San Leonardo, Nueva Ecija;
5. That for all legal intents and purposes, my deceased father is a bona fide resident and of
member, etc.;
City, Philippines.
JHENINA Y. PARRUCHO
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2010

Pasig City )s.s.
I, RODOLFO RAMOS MONTEMAYOR, of legal age, married, Filipino and resident of No.
174-A Bernardo Street, Ugong, Pasig City, after having been duly sworn to in accordance with law,
1. That I am the son of the late VICTORIA RAMOS ARNAU, who died on June 26, 2010 in
Pasig City;
Pasig City;
3. That since my schooldays I have been a resident of 174-A A. Bernardo Street, Ugong,
Pasig City and became a registered voter of the said City;
4. That thereafter, we transferred residence in Block 36, Lot 6, Villa Palao, Banlic, Calamba,
Laguna and re applied for the Comelec registration at the said locality;;
Affairs of Pasig and that among the requirements thereto is the submission of an affidavit;
6. That for all legal intents and purposes, my deceased mother is a bona fide resident and of
member, etc.;
City, Philippines.
RODOLFO RAMOS MONTEMAYOR

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2010

Pasig City )s.s.
(AS TO RESIDENCY)
I, EVANGELINE L. JUNIO, of legal age, Filipino and resident of San Buena Compound,
Cainta, Rizal, after having been duly sworn to in accordance with law, hereby depose and say:
1. That I am the sister of the late NANCY L. CASTRO, who died on March 8, 2010 in 2149 Int.
27 Maginhawa St., Malate, Manila;
2. That she is a bona fide resident of 1170 Kalamansi St., Napico, Manggahan, Pasig City
and a member of the Senior Citizen Affairs of Pasig City;
3. That as a result of my sister’s death, I am claiming assistance with the Senior Citizen Affairs
of Pasig and that among the requirements thereto is the submission of an affidavit
4. That she died on March 08, 2010 while spending vacation at one of her sister residing in
2149 Int. 27 Maginhawa St., Malate, Manila;
5. That for all legal intents and purposes, my deceased sister is a bona fide resident and of
member, etc.;
City, Philippines.
EVANGELINE L. JUNIO
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2010

Pasig City )s.s.
(AS TO RESIDENCY)
I, MALISALYN J. OCTUBRE, of legal age, married, Filipino, and with residence address at
No. 12 San Roque St., Bo. Kapitolyo, Pasig City, after having been duly sworn in accordance with
1. I am the daughter and surviving legal heir of the late MACARIO P. JUMAWAN, who died on
January 13, 2011 in Eastern Poblacion, Alburquerque, Bohol;
2. My father is a bona fide resident of No. 12 San Roque St., Bo. Kapitolyo, Pasig City and a
4. Sometime in December 2010, he spend vacation in one of his siblings residing at Western
Poblacion, Alburquerque, Bohol, however, due to heart problem he had a heart attack which
resulted to Stroke and for that reason he was transferred in his niece residing at Eastern
Poblacion, Alburquerque, Bohol and there he died on January 13, 2011;
member, etc.;
City, Philippines.
MALISALYN J. OCTUBRE
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2011

Pasig City )s.s.
(AS TO RESIDENCY)
I, ENRIQUE D. BARRIENTOS, of legal age, Filipino and resident of No. 45 A. Redbud St.,
Phase II, Greenwoods Exec. Village, Cainta, Rizal, after having been duly sworn to in accordance
1. That I am the son of the late BENITA D. BARRIENTOS, who died on May 12, 2010 in No.
45 A. Redbud St., Phase II, Greenwoods Exec. Village, Cainta, Rizal;
2. That she is a bona fide resident of No. 20 Sandoval Ave., Palatiw, Pasig City and a
4. That she died on May 12, 2010 while spending vacation in our residence at No. 45 A.
Redbud St., Phase II, Greenwoods Exec. Village, Cainta, Rizal;
5. That for all legal intents and purposes, my deceased mother is a bona fide resident of Pasig
and enjoying all the rights and privileges of being a Pasigueno such as an OSCA member,
etc.;
City, Philippines.
ENRIQUE D. BARRIENTOS
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2010

Pasig City )s.s.
(AS TO RESIDENCY)
I, ROGELIO ARTRIGENIO, of legal age, Filipino, and with residence address at C-1 Camia
St., Jabson Site Rosario, Pasig City, after having been duly sworn in accordance with law hereby
depose and state:
1. That I am the son of the late EÑEGO R. ARTRIGENIO, who died on October 4, 2010 in
San Jose del Monte, Bulacan;
2. That my deceased father is a bona fide resident of Pasig and a member of the Senior
Citizen Affairs of Pasig City;
4. While my father is spending vacation in his sister-in-law’s residence in San Jose del Monte,
Bulacan, he died on October 4, 2010 due to Hypertensive Cardiovascular Disease;
member, etc.;
City, Philippines.
ROGELIO ARTRIGENIO
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2010
Pasig City )s.s.
(AS TO RESIDENCY)
I, ZORAYDA D. ORLINA, of legal age, married, Filipino and resident of No. 72 Rodriguez
Compd., Tramo, Rosario, Pasig City, after having been duly sworn to in accordance with law,
1. That I am the daugther of the late JOSE M. DERIADA, who died on December 29, 2009 in
No. 72 Rodriguez Compd., Tramo, Rosario, Pasig City;
2. That during the lifetime of my father he is a bona fide resident of Blk. 26, Australa St.,
Alexville, Brgy. Sta. Ana, Purok 8, Taytay, Rizal and a bonafide member of Social
Security System with SSS ID No. 33-06830308;
3. That as a result of my father’s death, I am claiming death claim benefits and any all benefits
with Social Security System and that among the requirements thereto is the submission of
an affidavit explaining the details of his death particularly the place of death;
4. That my father is under my custody since year 2007 and I stand as his guardian due to his
sickness and he died on December 29, 2009 in our residence at No. 72 Rodriguez
Compd., Tramo, Rosario, Pasig City;
5. That for all legal intents and purposes, my deceased father is a bona fide resident of Blk.
26, Australa St., Alexville, Brgy. Sta. Ana, Purok 8, Taytay, Rizal and a bonafide member
of Social Security System;
City, Philippines.
ZORAYDA D. ORLINA
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2010
Pasig City )s.s.
(AS TO RESIDENCY)
I, LEA C. MAGHIRANG, of legal age, Filipino and resident of Lupang Pari, San Miguel,
1. That I am the daughter of the late EFREN N. MAGHIRANG, who died on March 5, 2010 in
San Pablo, Laguna;
2. That he is a bona fide resident of Pasig and a member of the Senior Citizen Affairs of Pasig
City;
4. That he died on March 5, 2010 while spending vacation at his hometown province in San
Pablo, Laguna and for the reason that our family owned a memorial lot wherein his remain
was burried at San Pablo Memorial Park, Laguna;
5. That for all legal intents and purposes, my deceased father is a bona fide resident of Pasig
City and enjoying all the rights and privileges of being a Pasigueno such as an OSCA
member, etc. indicating therein his residence address at Lupang Pari, San Miguel, Pasig
City;
18.That I am executing this Affidavit to attest to the truth and veracity of the foregoing facts and
City, Philippines.
LEA C. MAGHIRANG
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2010
Pasig City )s.s.
(AS TO RESIDENCY)
I, ELIZABETH N. DILLERA, of legal age, married, Filipino and resident of No. 10-C Santos
Street, Ugong, Pasig City, after having been duly sworn to in accordance with law, hereby depose
and say:
1. That I am the daughter of the late LEONORA NECIO GALICIA, who died on September 25,
2009 in Capalonga, Camarines Norte;
Pasig City;
+
4. That she died on September 25, 2009 while spending vacation at her hometown province in
Capalonga, Camarines Norte;
5. That for all legal intents and purposes, my deceased mother is a bona fide resident of 10-C
Santos Street, Ugong, Pasig City and enjoying all the rights and privileges of being a
Pasigueno such as an OSCA member, etc.;
City, Philippines.
ELIZABETH N. DILLERA
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009

Pasig City )s.s.
JOINT AFFIDAVIT OF TWO DISINTERESTED PERSON

We, EDWARDO PEÑAFLORIDA and JOVITA DIAZ, both of legal age, Filipinos and
resident of No. 247 Kalayaan St., Sumilang, Pasig City and No. 5 Kalayaan St., Sumilang, Pasig
1. That we personally know the late ROBERTO R. NACAM married to Divina B.

Nacam on June 21, 1970 in Pasig (now City), Rizal;
2. That Roberto R. Nacam died on May 12, 2010 at No. 4411 V. Francisco St., Sta.
Mesa, Manila;
3. That during his lifetime he is a bona fide resident of Pasig and a member of the
Senior Citizen Affairs of Pasig City;
4. We also know that Roberto R. Nacam is a bona fide member of Social Security
System with SSS I.D. No. 03-1807567-5;
5. That the surviving wife and children is now claiming for the Lumpsum with SSS and
that among the requirements thereto is the submission of an affidavit explaining the
details of death particularly the place of death of the aforesaid deceased SSS
member;
6. That Roberto R. Nacam died on May 12, 2010 while visiting his siblings at his
hometown in No. 4411 V. Francisco St., Sta. Mesa, Manila and for the reason that
his family owned a memorial lot in North Cemetery, his remain was buried there;
7. That for all legal intents and purposes, we hereby declare and attest that the
deceased member is a bona fide resident of Pasig City and enjoying all the rights
and privileges of being a Pasigueno such as an OSCA member, etc. indicating
therein his residence address at No. 235 Kalayaan St., Sumilang, Pasig City;
8. The foregoing facts were made possible to us since we are the aforesaid persons
immediate friends and neighbors for quite a long time now;
facts and in support for the application of the surviving wife and children of the
deceased member for SSS Lumpsum and for all intents and for whatever legal
City, Philippines.
EDWARDO PEÑAFLORIDA JOVITA DIAZ

Affiant Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT
I, REBECCA Y. HERMOGENES, of legal age, Filipino, widow, and a

resident of Unit 304 Cattleya Condo., R. Cruz St., Pinagtbuhatan, Pasig City,
say:
1. That I am the surviving spouse of the late RICARDO P.

HERMOGENES died on April 6, 2014 in “#87 B. Sto. Nino
St., Brgy. Holy Spirit, Quezon City”;
2. That during his lifetime he is a bona fide resident of Unit 304

Cattleya Condo., R. Cruz St., Pinagbuhatan, Pasig City
and a member of the Senior Citizen Affairs of Pasig City ;
3. That the surviving wife and children are now claiming for his
burial benefits with OSCA Office and that among the
requirements thereto is the submission of an affidavit explaining
the details of death particularly the place of death of the
aforesaid deceased member;
4. That RICARDO P. HERMOGENES died on April 6, 2014 while

visiting his son, RONALD HERMOGENES who is presently
residing at “#87 B. Sto. Nino St., Brgy. Holy Spirit,
Quezon City”;
5. That for all legal intents and purposes, we hereby declare and
attest that the deceased member is a bona fide resident of Pasig
City and enjoying all the rights and privileges of being a
Pasigueno such as an OSCA member, etc. indicating therein his
residence address at Unit 304 Cattleya Condo., R. Cruz St.,
6. That I am executing this Affidavit to attest to the truth and

veracity of the foregoing facts and in support for the application
of the surviving wife and children of the deceased member for
burial benefits and for all intents and for whatever legal purpose
it may serve;
REBECCA Y. HERMOGENES
Affiant
2014 in Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2014
Pasig City )s.s.

(AS TO RESIDENCY)
We, VERONICA SYLVESTRE and WILBETH CRUZ, of legal age, Filipino and residents of No.
43 Atipolo St., PIF Greenwoods Exec. Village Cainta, Rizal and Lot 8 Blk. 36 Ph. 6, Mango St.,
Greenwoods Executive Village, Cainta, Rizal, respectively, after having been duly sworn to in
1. That we personally know SPOUSES IRENEO H. APOSTOL and FELICIANA C.

APOSTOL, born on March 15, 1920 and November 16, 1926;
2. That we actually know that the Spouses are bonafide residents of Pasig City, particularly
residing at 1st Street, Acacia, Pinagbuhatan, Pasig City. They have been residents of Pasig
since 1948, as in fact, they raised their nine (9) children here in Pasig City;
3. That for legal intents and purposes, all the foregoing facts were made possible to us since
the said spouses are our friends and we hereby attest as to its veracity and authenticity;
and in support with his application for immigrant visa and for all intents and for whatever
VERONICA SYLVESTRE WILBETH CRUZ

Affiant Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2007
JEN
Pasig City )s.s.

(AS TO RESIDENCY)
We, LIBERATO S. OAQUERA and PATERNA C. VICTORIA, both of legal age, Filipinos
and residents of No. 474 Esguerra Compd., Pinagbuhatan, Pasig City and No. 10-A Esguerra
Compd., Pinagbuhatan, Pasig City, respectively, after having been duly sworn to in accordance
1. That we personally know the late TEOFILO MANLANGIT and VALENTINA S.

SALAZAR who lived as husband and wife without the benefit of marriage;
2. That we actually know that the Spouses are bonafide residents of Pasig City, particularly
residing at No. 10 D Esguerra Compd., Pinagbuhatan, Pasig City. They have been residents of
Pasig since 1975 up to present, as in fact, they raised their three (3) children here in Pasig City;
3. That for legal intents and purposes, all the foregoing facts were made possible to us
since the said spouses are our friends and we hereby attest as to its veracity and authenticity;
facts and in support with the application for Blue Card of Valentina S. Salazar and for all intents
LIBERATO S. OAQUERA PATERNA C. VICTORIA

Affiant Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009

Pasig City )s.s.

(AS TO RESIDENCY)
We, PEPE BRAULIO and ORLANDO CRUZ, of legal age, Filipino and residents of Ilo-ilo
St., Mangga 2, Pinagbuhatan, Pasig City and Brgy. Bagong Ilog, Pasig City, respectively, after
1. That we personally know LEONORA QUENANO QUITORIANO, born on February 3, 1947;
16. That we actually know that the abovenamed person is a bonafide resident of Pasig City,
particularly residing at 2893 Rodriguez Compound, Rosario, Pasig City;
since the abovenamed person is our friend and we hereby attest as to its veracity and
18. ;
facts and in support with his application for immigrant visa and for all intents and for
PEPE BRAULIO ORLANDO CRUZ

Affiant Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009
Pasig City )s.s.
JOINT AFFIDAVIT
(AS TO RESIDENCY)
We, MA. LUZ A. DELA CRUZ and ROSELILY T. SAN GREGORIO , both of legal age,
Filipinos and residents of No. 85 Kapayakan St., Ph2 B2, Karangalan Village, Manggahan, Pasig
City and 7th St., Trinidad Homes, Manggahan, Pasig City, Pasig City, respectively, after having
1. That we personally know the late NIEVA A. FACULTAD, who died on February 16, 2009 at
Ivisan, Capiz;
2.
3. That we actually know that the said deceased is a bonafide resident of Pasig City,
particularly residing at No. 85 Kapayakan St., Ph2 B2, Karangalan Village, Manggahan,
Pasig City. They have been residents of Pasig since 1995;
the said deceased is our friend and neighbor and we hereby attest as to its veracity and
authenticity;
and in support with his surviving heirs claim for veterans benefit and for all intents and for
MA. LUZ A. DELA CRUZ ROSELILY T. SAN GREGORIO

Affiant Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009

Pasig City )s.s.

(AS TO RESIDENCY)
We, ROQUE PASCUAL and BENITO CRUZ, both of legal age, Filipinos and residents of No.
218 M. Santos St., Ugong, Pasig City and F. Legaspi St., Ugong, Pasig City, respectively, after
6. That we personally know the late PABLO B. JUANSON, who died on July 17, 2009 at
Veterans Memorial Hospital, Quezon City;
particularly residing at 603 G. Legaspi St., Ugong, Pasig City. They have been residents of
Pasig since birth (1921), as in fact, they raised their eleven (11) children here in Pasig City;
authenticity;
and in support with his surviving heirs claim for veterans benefit and for all intents and for
ROQUE PASCUAL BENITO CRUZ

Affiant Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009
Pasig City )s.s.

(AS TO RESIDENCY)
We, GABRIEL DE GUZMAN and FE CARUNCHO, both of legal age, Filipinos and residents of
No. 2907 Maxvillle Subd.,and Employees Ville Subd., Eusebio Avenue, San Miguel, Pasig City,
respectively, after having been duly sworn to in accordance with law, hereby depose and say:
1. That we personally know the late EUGENIA D. YUMO, who died on August 6, 2009 at
BAIL, SANTO TOMAS , LA UNION;
particularly residing at 6-B Bernardo St., Casniogan, Pasig City. They have been
residents of Pasig since 1989, as in fact, they raised their two (2) children here in Pasig
City;
authenticity;
foregoing facts and in support with his surviving heirs claim for veterans benefit and for all
GABRIEL DE GUZMAN FE CARUNCHO

Affiant Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009

Pasig City )s.s.

(AS TO RESIDENCY)
We, ADORACION V. LARION and JUANA CRUZ, of legal age, Filipino and residents of Villa
Baltazar St., Palatiw, Pasig City, respectively, after having been duly sworn to in accordance with
1. That we personally know the late REMEGIO G. ZACARIAS who died on August 27, 2005 in
Pasig City and a bonafide member of Social Security System;
2. That the deceased was married to CARMENCITA GARCIA on December 23, 2003 in Pasig
City;
3. That from 1973 they live as husband and wife without the benefit of marriage (cohabited) in
Villa Baltazar St., Palatiw, Pasig Rizal (now city) up to 2003 the time we got married;
4. That up to the present, the wife and the children of the deceased still residing at Villa
Baltazar St., Palatiw, Pasig City, and they didn’t transfer to any other place or
municipality/city;
he and his relatives is our friend and we hereby attest as to its veracity and authenticity;
and in support with his beneficiaries application for SSS pension and for all intents and for
ADORACION V. LARION JUANA CRUZ Affiant

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
cjd
Pasig City )s.s.

(AS TO RESIDENCY)
We, MONICA B. ASILO and JAIME O. MERCADIJAS, both of legal ages, Filipino and
both residents Pinagbuhatan, Pasig City, after having been duly sworn to in accordance with law,
1. That we personally know CHYNTHIA PELAGEA O. MONTALLANA born March 20, 1971
in Oras Eastern Samar of spouses Eutropia O. Montallana and Mateo Montallana;
2. That we actually know that CHYNTHIA PELAGEA O. MONTALLANA is a member of

Rodrigo Compound Neighborhood Association and a registered owner of a residential
house located at #68 Blk. 2 Rodrigo Compound Nagpayong, Pinagbuhatan, Pasig City.
That she have been residents of the above mentioned addressed since 2000;
the said CHYNTHIA PELAGEA O. MONTALLANA is our friends and neighbor in the same
community;
and and for all intents and for whatever legal purpose it may serve;
MONICA B. ASILO JAIME O. MERCADIJAS

Affiant Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009.
Pasig City )s.s.

(AS TO RESIDENCY)
We, NEMFA MENDANO and VICTORIA A. MUNDIA, both of legal age, Filipinos and both
residents of Magdalena Homeowner’s Association, Baltazar St., Sto. Tomas, Pasig City, after
1. That we personally know SALVACION L. CANUA born on April 21, 1940 in Camarines
Sur being the daughter of Spouses Jacinto Lobredo and Esperanza Parsa;
2. That we also know that she is applying for Blue Card with the Office of the Senior
Citizen’s Affair, Pasig City and one of the requirements is the submission of this
affidavit;
3. That we actually know that she is a member of Magdalena Homeowner’s Association,

Baltazar St., Sto. Tomas, Pasig City and a registered voter of Pasig City. That she has
been resident of the above mentioned addressed since 2003 up to present;
since the said SALVACION L. CANUA is our friends and neighbor in the same
community;
facts and and for all intents and for whatever legal purpose it may serve;
NEMFA MENDANO VICTORIA A. MUNDIA Affiant

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009.

Pasig City )s.s.
We, MA. THERESA B. SIBAL and LEONORA TIMTIM, of legal age, Filipinos and residents of
Bliss Jenny’s Ave., Maybunga, Pasig City and Karangalan Village, Manggahan, Pasig City,
1. That we know Baby Rose V. de Leon has been separated from her husband Edgardo de
Leon since 1994;
2. That we personally know Ermelito E. Reyes and Baby Rose V. de Leon;;
3. That from 2001 up to present they lived as husband and wife without the benefit of marriage
(cohabited) in No. 7 Sterly St., Bartville Subdivision, Dela Paz, Pasig City;
7. That up to the present, Ermelito E. Reyes, Baby Rose V. de Leon together with her
daughter Sabrina de Leon, still residing at No. 7 Sterly St., Bartville Subdivision, Dela Paz,
Pasig City, and they didn’t transfer to any other place or municipality/city;
we are their friends and we hereby attest as to its veracity and authenticity;
and in support with his student dependent visa application and for all intents and for
MA. THERESA B. SIBAL LEONORA TIMTIM

Affiant Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2008

Pasig City )s.s.
AFFIDAVIT
(As to Residency)
I, IRMA M. WEBER, of legal age, widow, Filipino citizen and residents of Fulgencio
Compound, 157-B M.H. Del Pilar St., Purok Doña Aurora, Pinagbuhatan, Pasig City, after having
1. I am a pensioner of Deutsche Post Renten Service with Pension Card No.

72424131044W01321;
2. I am receiving my monthly pension addressed at my previous postal address located at

Block #7, Lot #45, Montefaro Village, Bucandala Imus, Cavite 4103, Philippines. However,
on March 05, 2011, because of my problem with my sister who is using my money and
enjoying all the benefits from my pension, I decided to transfer residence at No. 157-B M.H.
del Pilar St., Purok Doña Aurora, Pinagbuhatan, Pasig City, Philippines;
3. I hereby declare and attest that my new postal and residential address is at No. 157-B M.H.
del Pilar St., Purok Doña Aurora, Pinagbuhatan, Pasig City, Philippines and that my
residential address registered in my pension be changed to my new residential and postal
address at No. 157-B M.H. del Pilar St., Purok Doña Aurora, Pinagbuhatan, Pasig City,
Philippines;
4. I am executing this Affidavit to attest to the truth and veracity of the foregoing facts and in
support with my application for change of residential address and for all intents and for
IRMA M. WEBER
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT
(As to Residency)
I, IRMA M. WEBER, of legal age, widow, Filipino citizen and residents of Fulgencio
Compound, 157-B M.H. Del Pilar St., Purok Doña Aurora, Pinagbuhatan, Pasig City, after having
1. I am a pensioner of Deutsche Post Renten Service with Pension Card No.

72424131044W01321;
2. I am receiving my monthly pension addressed at my previous postal address located at No.

157-B M.H. del Pilar St., Purok Doña Aurora, Pinagbuhatan, Pasig City, Philippines.
Unfortunately, due to typhoon “Gener” that caused flood in our community and brought
damage to our previous residential house, I decided to transfer residence on August 1,
2012 at No. 2084 C. Cruz 2nd St., Malasaga, Pinagbuhatan, Pasig City, Philippines;
3. I am requesting the Deutsche Post Renten Service that the residential address in my
pension record registered as No. 157-B M.H. del Pilar St., Purok Doña Aurora,
Pinagbuhatan, Pasig City, Philippines be changed to my new residential and postal address
at No. 2084 C. Cruz 2nd St., Malasaga, Pinagbuhatan, Pasig City, Philippines;
5. I hereby declare and attest that my new postal and residential address is at No. 2084 C.
Cruz 2nd St., Malasaga, Pinagbuhatan, Pasig City, Philippines;
6. I am executing this Affidavit to attest to the truth and veracity of the foregoing facts and in
support with my application for change of residential address and for all intents and for
IRMA M. WEBER
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2012

Pasig City )s.s.

(AS TO RESIDENCY)
WE, MORENA TAPIRE and LILIA MALATE, both of legal age, Filipinos and residents of
No. 210 M. H. del Pilar Street, Palatiw, Pasig City and 208 M. H. del Pilar Street, Palatiw, Pasig
1. That we personally know one JOSEPHINE ESTUDILLO AVENA, as our friend and
neighbors in the same community where we lived in the same community above given for
almost 19 years now;
2. That we know for a fact that that Josephine Estudillo Avena, has been a bona fide resident
of NO. 210 M. H. del Pilar Street, Barangay Palatiw, Pasig City even before we started
residing thereat. She is the daughter of Benjamin S. Estudillo and Laudamia A. Garrido
was born on July 28, 1950 at Manila;
she is our friend and we hereby attest as to its veracity and authenticity;
and in support with her application for immigrant visa and for all intents and for whatever
MORENA TAPIRE LILIA MALATE

Affiant Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009

Pasig City )s.s.
AFFIDAVIT
I, CHARITA FERNANDEZ ESPINOSA, of legal age, married, Filipino and resident of Unit
904, Bldg., 2-B, Palmdale Heights Condominium, 8505 Sandoval Ave., Pinagbuhatan, Pasig City,
1. I was born on December 12, 1943 in Numancia, Aklan and married to Benjamin
Emmanuel Espinosa and we were blessed with five (5) children;
2. I am the mother of Celeste Fernandez Espinosa-Aguilar who was born on

November 29, 1978 in Manila and she is married to Allan Tejoso Aguilar on June
27, 2010 at Torre Venecia Hotel, Tomas Morato corner 62 Scout Santiago St.,
Quezon City, Philippines;
3. That my daughter, Celeste Fernandez Espinosa-Aguilar who is now living at No.

75D Onondaga Rd., Rochester, NY 14621 is filing for Petition for Immigrant Visa
for her husband Allan Tejoso Aguilar;
4. I hereby declare and attest that my daughter, Celeste Fernandez Espinosa is

married to Allan Tejoso Aguilar on June 27, 2010 at Torre Venecia Hotel, Tomas
Morato corner 62 Scout Santiago St., Quezon City, Philippines;
5. For legal intents and purposes, all the foregoing facts were made possible to me
since I am the mother of the Petitioner, Celeste Fernandez Espinosa-Aguilar and
I hereby attest as to its veracity and authenticity and in support with her Petition
for Immigrant Visa for her husband and for all intents and for whatever legal
IN WITNESS WHEREOF, I hereby affix my signature this 6 th day of January 2011 at Pasig
City, Philippines.
CHARITA FERNANDEZ ESPINOSA

Affiant
SUBSCRIBED AND SWORN to before me, Notary Public this 6 th day of January 2011 at
Pasig City, Philippines, after affiant has exhibited to me her Senior Citizen’s ID No. 27828 issued
on September 28, 2010 by the Office of the Senior Citizens Affairs, Pasig City and Philhealth ID
Card No. 19-000539052-8.
Doc. No.
Page No.
Doc. No.
Series of 2011
Pasig City )s.s.

(AS TO RESIDENCY)
WE, MARILYN GOMEZ and LILY ROSADA, both of legal age, Filipinos and common
residents of Nazaret St., Caniogan, Pasig City, respectively, after having been duly sworn to in
6. That we personally know one GERALD U. JUNIO, born on August 9, 1986 at Bayambang,
Pangasinan;
7. That he is presently working in Pasig Catholic College as Grade School Teacher;
14. That he is a resident of No. 301 Nazareth St., Caniogan, Pasig City since 2006 up to the
present;
he is our friend and classmate during our high school years and we hereby attest as to its
veracity and authenticity;
and in support with his application for immigrant visa and for all intents and for whatever
ROMEO DE MANO EDUARDO SANCHEZ Affiant

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
Pasig City )s.s.
SWORN STATEMENT
I, ANNABELLE V. OLIVAR, of legal age, married, Filipino and resident of Block 6, Lot 8,
Intramuros St., Metropolis Village, Brgy. Sta. Lucia, Pasig City, after having been duly sworn to in
1. I was born on June 09, 1979 in Galimuyod, Ilocos Sur, daughter of Federico
Villanueva and Aurelia Cabanday ;
2. I am applying to work abroad for a position of House Keeping at Greece and I
am now processing my documents at the Philippine Overseas Employment
Administration (POEA) and one of the requirements is the submission of this
affidavit stating my relationship with my employer;
3. My cousin ROSA CABANDAY DANGCIL previously worked in Greece and she

recommended me to her previous employer’s relative named KALYPSO SAITI,
a Greek citizen who is looking for employee. My cousin gave my contact
number to Mrs. Kalypso and she called me and offered me to work with her in
Greece. Without hesitation, I grab the oppurtinity to work with her and decided
to process all my documents needed for my employment to work abroad;
4. I hereby declare and attest that my employer KALYPSO SAITI is the relative of
my cousin’s previous employer;
5. For legal intents and purposes, I hereby declare and attest the abovementioned
statement is true and correct in support with my work requirements and for all
IN WITNESS WHEREOF, I hereby affix my signature this _______________ at Pasig City,

Philippines.
ANNABELLE V. OLIVAR
Affiant
SUBSCRIBED AND SWORN to before me, Notary Public this ______________ in Pasig
City, Philippines, after affiant has exhibited to me her Philippine Passport with No. EC0164286
issued on 30 January 2014 and valid until 29 January 2019 issued by Department of Foreign
Affairs, Manila.
Doc. No.
Page No.
Doc. No.
Series of 2014

Pasig City )s.s.

(AS TO RESIDENCY)
1. That we personally know one GERALD U. JUNIO, born on August 9, 1986 at

Bayambang, Pangasinan;
2. That he is a resident of No. 301 Nazareth St., Caniogan, Pasig City since 2006 up to
present;
3. That he is employed as Grade School Teacher, and as such, he is required to submit a

Barangay Clearance stating among others that he is a resident of that barangay;
4. That one of the requirements for the issuance of Barangay Clearance is the
presentment of voter’s registration;
5. That however, he is not a registered voter here in Pasig but planning to register himself
this year;
6. That all the foregoing facts were made possible to us since he is our immediate
neighbors and friends in the same community where we live for quite a long time now;
City, Philippines.
MARILYN GOMEZ LILY ROSADA

Affiant Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009

Pasig City )s.s.
AFFIDAVIT
I, NELJEAN F. DE PAZ, of legal age, Filipino and resident of No. E-123 Alexandra Condo.,
Meralco Ave., Pasig City, after having been duly sworn to in accordance with law, hereby depose
and say:
1. I was born on December 13, 1989 in Toril, Davao City;
2. I am a bona fide resident of No. E-123 Alexandra Condo., Meralco Ave., Pasig City since
July 14, 2007 up to present;
10. I am now filing for late registration of my Certificate of Live Birth at the Local Civil
Registry of Quezon City and among the requirements is the submission of my
voter’s registration;
11. However, I could not present any voting registration here in Pasig because I failed to
register last voter’s registration but I am planning to register next registration period;
City, Philippines.
NELJEAN F. DE PAZ
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2010
Pasig City )s.s.

(AS TO RESIDENCY)
13. That we personally know one GERALD U. JUNIO, born on August 9, 1986 at
Bayambang, Pangasinan;
14. That he is a resident of No. 301 Nazareth St., Caniogan, Pasig City since 2006 up to
present;
15. That he is employed as Grade School Teacher, and as such, he is required to

submit a Barangay Clearance stating among others that he is a resident of that
barangay;
16. That one of the requirements for the issuance of Barangay Clearance is the
presentment of voter’s registration;
17. That however, he is not a registered voter here in Pasig but planning to register
himself this year;
18. That all the foregoing facts were made possible to us since he is our immediate
neighbors and friends in the same community where we live for quite a long time
now;
City, Philippines.
MARILYN GOMEZ LILY ROSADA

Affiant Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009
Pasig City )s.s.
AFFIDAVIT
I, ROSITA V. ROXAS, of legal age, Filipino and resident of No. 113-B Banaag St., Pineda,
1. That I am the surviving wife of the late RESTITUTO RODRIGUEZ ROXAS, the latter died
on April 5, 2006 in Pagadian City, Zamboanga Del Sur;
20. That the deceased and the herein affiant were married on December 30, 1973 at
San Nicolas de Bari Parish, Siaton, Negros Oriental, a copy of our Certificate of
Marriage is hereto attached;
21. That in the Certificate of Death of the deceased Restituto Rodriguez Roxas, it
appears that the informant ZOSIMA D. ROXAS is the wife, having declared herself
as the wife, where in truth and in fact, I am the legal wife;
City, Philippines.
ROSITA V. ROXAS
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
K8

Pasig City )s.s.
AFFIDAVIT
I, RUPERTO FRANCISCO, of legal age, Filipino and resident of No. 39 A Capt. Ato St.,
Sta. Cruz, Pasig City, after having been duly sworn to in accordance with law, hereby depose and
say:
1. That I am the owner of a parcel of land located in No. 39 A Capt. Ato St., Sta. Cruz,
Pasig City, containing an area of 109 Square Meters;
2. That due to financial constrants the construction of the residential house over the
above-described property was only completed sometime on year 2007;
City, Philippines.
RUPERTO FRANCISCO
Affiant
City.
Doc. No.
Page No.
Doc. No.
Series of 2010
Pasig City )s.s.
JOINT AFFIDAVIT
We, CELISTINA S. LUAYON and GABINA L. CINCO, both of legal age, Filipinos and
resident of Sto. Niňo St., Baclaran, Paraňaque City, after having been duly sworn to in accordance
1. That we are the mother and sister respectively of the late FLORENCITO S. LUAYON, a
bona fide member of Social Security System who died on February 14, 2006 in Pasig City
General Hospital;
2. That the deceased was married to one Cora C. Luayon on December 8, 1982 in Pasay City
Hall;
3. That when the deceased died, Cora C. Luayon bears his 1 month daughter Khate C.
Luayon and the latter was born on October 15, 2006 in Pasig City;
4. That due to the foregoing death, the deceased can no longer sign and acknowledge that
Khate C. Luayon is his daughter;
5. Moreover, we being the mother and sister of the deceased hereby declare and attest that
Khate C. Luayon who was born on October 15, 2006 in Pasig City is the daughter of the
deceased Florencito S. Luayon;
IN WITNESS WHEREOF, We have set our hands this ___ day of __________, 2007 at
CELISTINA S. LUAYON GABINA L. CINCO

Affiant Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2007
/K8

Pasig City )s.s.
JOINT AFFIDAVIT
We, FLOR C. VILLAR and MARILYN P. MOLLO, both of legal age, Filipinos and resident
of Pinagbuhatan, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That we personally know MAGDALENA RODRIGUEZ, who was born on May 26, 1953 at
Barangay Tagum, Santa Cruz, Marinduque being the daughter of Benito Rodriguez and
Josefina Pereyra;
2. That the aforesaid person is now in the process for completing the requirements for the
funeral benefits of her husband JIMMY ZAULDA;
3. That she erroneously signed her name in some of her documents such as Marriage
Contract, and Death Certificate of her husband as MAGDALINA which she used to do,
while to the Official Receipt of the Funeral her name was written as MAGDALENA;
4. That the name MAGDELA which was registered to the official receipt of the funeral and
registered to her birth certificate and the name MAGDALINA which she used to signed
in some of her documents refers one and the same person Magdalena R. Zaulda;
FLOR C. VILLAR MARILYN P. MOLLO

Affiant Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2007
@
Pasig City )s.s.
JOINT AFFIDAVIT
We, MAUREEN S. VARGAS and MARILYN S, TOLENTINO, both of legal age, Filipinos
and resident of Block 19, Lot 6, Unit 5, Christine Royale, Eusebio Ave., San Miguel, Pasig City,
1. That we personally know JOSEPH M. VARGAS, being the brother of the late ANGELITA
M. VARGAS who died on March 31, 2009 at Medical City, Pasig City;
2. That the aforesaid person is now in the process for completing the requirements for the
funeral benefits, death claims and any other benefits relative to the death of his sister
ANGELITA M. VARGAS;
3. That in the Funeral Receipt issued by ARLINGTON Memorial Chapels, Inc., it was
LEONCIO A. GAZA, JR., (Joseph’s Vargas’ brother-in law), whose name waserroneously
written in the said Official Receipt of funeral; instead of JOSEPH M. VARGAS;
4. That we hereby declare and attest that the name LEONCIO A. GAZA, JR. was
erroneously registered to the official receipt, presumably it was inadveretence on the part of
the person who caused the issuance of the said receipt;
5. That further, we hereby declare and attest that JOSEPH M. VARGAS is the beneficiary of
the late ANGELITA M. VARGAS;
we are their friends and we hereby attest as to its veracity and authenticity;
facts and in support with his student dependent visa application and for all intents
MAUREEN S. VARGAS MARILYN S, TOLENTINO

Affiant Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009
Pasig City )s.s.
AFFIDAVIT
I, OLYMPIO M. COMIA JR., of legal age, Filipino and resident of 1897 Maxville 12, San
say:
1. That I applying at Employment Training Services Australia for my working visa at Australia;
2. That from July 2005 up to March 2006 I work as a finishing carpenter/cabinet maker;
3. That because of my experience in my previous job, I am planning to work in Australia as a

cabinet maker;
City, Philippines.
OLYMPIO M. COMIA JR.

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
cjd
Pasig City )s.s.
AFFIDAVIT OF ADJOINING OWNER
I, ANACORITA T. NARVAEZ, of legal age, Filipino and resident of No. 146 Miranda St.
Sineguelasan, Bacoor, Cavite, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am the stepmother of RAEL NARVAEZ, the adjoining owner of a parcel of land
situated at Bo. Sineguelasan, Bacoor, Cavite, containing an area of 302 square meters
each;
5. That I know personally AMELITA A. VALDEZ, who is his neighbor and one of the owner of
said parcel of land;
6. That there is no conflict between the boundary of said parcel of land that was divided
equally to them;
City, Philippines.
ANACORITA T. NARVAEZ
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
K8

Pasig City )s.s.
I, RODITA RUELES DIZA, of legal age, Filipino and resident of No. 3640 Morales
Floodway, Sta. Lucia, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I married to the late EDUARDO LIM DIZA on April 12, 1994 in Pasig Metro Manila
(now city);
2. That the deceased is a bonafide member of Social Security Sysytem;
3. That before I got married to the late EDUARDO LIM DIZA, he lived with ANNIE P. DIZA as
cohabited husband and wife from 1983 to 1988, and after that they got separated;
4. That the said ANNIE P. DIZA is now whereabouts unknowns;

5. That I hereby declare and attest that I am the legal wife and beneficiary of the late
EDUARDO LIM DIZA, as evidenced by our Certificate of Marriage herein attached;
City, Philippines.
RODITA RUELES DIZA

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
Cjd

Pasig City )s.s.
We, LEONOR PALENCIA and YVON LAURO, both of legal age, Filipinos and residents of
No. 2730 BPTHFAI II, Daang Manunuso, Ibayo, Tipas and No. 2723 BPTHFAI II, Daang
Manunuso, Ibayo, Tipas, respectively, after having been duly sworn to in accordance with law,
1. As neighbor and friends, we personally know SATURNINO DEL ROSARIO DELA

COSTA who was born on July 10, 1954 in Sta. Ana, Manila, son of deceased spouses Jose Dela
Costa and Francisca del Rosario;
2. We also know that he died on June 9, 2010 in Sta. Ana, Manila;
3. The facts of his death were duly registered at the Local Civil Registry of Manila;
4. During the lifetime of Saturnino del Rosario dela Costa, he is a bonafide member of
Social Security Sysytem with SSS I.D. No. 03-3138178-6;
5. That he did not enter into any valid matrimony with any person elsewhere in the
Philippines or outside the Philippines, thus, he remain to be single and has no child to any woman
up to the time of his death;
6. We also know that his siblings are now filing for death benefit and any all benefits with
Social Security System and one of the requirements is the submission of their Birth Certificates;
7. There appears a discrepancy in the Birth Certificate of Angelina del Rosario dela Costa
wherein her parents date of marriage was erroneously registered as APRIL 7, 1943 instead of her
parents true and correct date of marriage as APRIL 7, 1945 as correctly appearing in her parents
Marriage Contract. Presumably, the wrong entry was a mere inadvertence on the part of the
person who caused the preparation and registration of the Birth Certificate of Angelina del Rosario
dela Costa;
8. We hereby declare and attest that the date of marriage APRIL 7, 1943 as appearing in
the Birth Certificate of Angelina del Rosario dela Costa and the date of marriage APRIL 7, 1945 as
correctly appearing in the Marriage Contract, refers to one and the same date of marriage of the
parents of the deceased member;
9. We are executing this Affidavit to attest to the truth and veracity of the foregoing facts for
LEONOR PALENCIA YVON LAURO

Affiant Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2010

Pasig City )s.s.
We, LEONOR PALENCIA and YVON LAURO, both of legal age, Filipinos and residents of
No. 2730 BPTHFAI II, Daang Manunuso, Ibayo, Tipas and No. 2723 BPTHFAI II, Daang
Manunuso, Ibayo, Tipas, respectively, after having been duly sworn to in accordance with law,
1. As neighbor and friends, we personally know SATURNINO DEL ROSARIO DELA

COSTA who was born on July 10, 1954 in Sta. Ana, Manila, son of deceased spouses Jose Dela
Costa and Francisca del Rosario;
2. We also know that he died on June 9, 2010 in Sta. Ana, Manila and the facts of his
death were duly registered at the Local Civil Registry of Manila;
4. During the lifetime of Saturnino del Rosario dela Costa, he is a bonafide member of PAG-
IBIG Fund;
5. That he did not enter into any valid matrimony with any person elsewhere in the
Philippines or outside the Philippines, thus, he remain to be single and has no child to any woman
up to the time of his death;
6. We also know that his siblings are now filing for death benefit and any all benefits with
PAG-IBIG Fund and one of the requirements is the submission of their Birth Certificates;
7. There appears a discrepancy in the following documents, to wit:
a. In the Birth Certificate of Angelina del Rosario dela Costa her parents date of
marriage was erroneously registered as APRIL 7, 1943 instead of her parents true
and correct date of marriage as APRIL 7, 1945 as correctly appearing in her
parents Marriage Contract. Presumably, the wrong entry was a mere inadvertence
on the part of the person who caused the preparation and registration of the Birth
Certificate of Angelina del Rosario dela Costa; and
b. In the form for Application for Provident Benefits (APB) Claim , the middle name of
the deceased member was erroneously registered as ROSARIO instead of his true
and correct middle name as DEL ROSARIO as correctly appearing in the Death
Certificate and Birth Certificate of the deceased member;
8. We hereby declare and attest that the date of marriage APRIL 7, 1943 as appearing in
the Birth Certificate of Angelina del Rosario dela Costa and the date of marriage APRIL 7, 1945 as
correctly appearing in the Marriage Contract, refers to one and the same date of marriage of the
parents of the deceased member and the middle name ROSARIO as appearing in the application
form for APB Claim with Pag-Ibig Fund and the middle name DEL ROSARIO being the true and
correct middle name of the deceased member, refers to one and the same person;
9. For all intents and purposes, the true and correct middle name of the deceasd member is
DEL ROSARIO and the true and correct date of marriage of his parents is APRIL 7, 1945;
LEONOR PALENCIA YVON LAURO

Affiant Affiant
Pasig City.
Pasig City )s.s.
I, KAREN B. LANGOEY, of legal age, Filipino and resident of No. 2075 C. Cruz Street,
Malasaga, Pinagbuhatan, Pasig City, after having been duly sworn to in accordance with law,
1. That I am applying for a working visa in Taiwan Embassy, Philippines, through the
assistance of September Star Employment Agency;
2. That among the requirements for the issuance of such working visa is the submission of my
Voter’s I.D., SSS membership I.D., etc.;
3. That I am a registered voter as evidenced by a Voter’s Registration Receipt, however, the

Voter’s I.D., has not yet been issued to me to this date, hence, my inability to submit the
required Voter’s I.D;
4. That I am also a bona fide member of the Social Security System with SSS No. 33-
6493389-4, but I have not received my SSS I.D. Card as of this date as that of my Voter’s
I.D., thus, my inability to submit SSS I.D.,
all intents and for purposes of securing a new passport in lieu of the lost one and for
City, Philippines.
KAREN B. LANGOEY
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2007
Jen
Pasig City )s.s.
AFFIDAVIT
I, MARLON L. MARMITO, of legal age, Filipino and resident of No. 3. Rosario Village,
say:
1. That I graduted high school at Rizal High School Annex (now Eusebio High School)
sometime on 1999, located at Rosario, Pasig City;
2. That after high school I did not entered/enrolled in any Colleges, Universities or Intitution
here in our Country nor abroad;
3. That I am now on the process for the completion of requirements to enter college at
Technological Intitute of the Philippines, Quezon City and among the requirements is the
submission of this affidavit;
4. That I hereby declare and attest that I did not entered/enrolled in any Colleges, Universities
or Intitution here in our Country nor abroad and I waiving my rights that if any concealment
was discover the enrollment becomes null and void
all intents and for purposes whatever legal purpose it may serve;
Philippines.
MARLON L. MARMITO
Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2012
` `

Pasig City )s.s.
AFFIDAVIT
I, CARIN QUILICOL BARNOBAL, of legal age, single, Filipino and resident of Blk. 1 Lot 5,
Montana Homes, Maybunga, Pasig City, after having been duly sworn to in accordance with law,
1. That I was born on April 19, 1988 at Gamay, Northern Samar;
2. That I am applying for Philippine Passport at Department of Foreign Affairs, Manila and
among the requirements is the submission of my Voter’s I.D.;
3. That I am a registered voter of Brgy. Maybunga, Pasig City as evidenced by a Voter

Certification issued by COMELEC, however, the Voter’s I.D. has not yet been issued to me
to this date, hence, my inability to submit the required Voter’s I.D;
City, Philippines.
CARIN QUILICOL BARNOBAL

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT
I, GENARO MAGAUAY MENDOZA, JR., of legal age, Filipino and resident of Hiway 17
Malumot, Panapaan VII, Bacoor Cavite, after having been duly sworn to in accordance with law,
1. That I am a bona fide member of the Social Security System with SSS No. 33-2213760-3;
2. That as per Social Security System record, my SSS Identification Card has already been
sent through mail to my address at Hiway 17 Malumot, Panapaan VII, Bacoor Cavite;
3. That I hereby declare and attest that as of this date, I have not received my SSS I.D. Card
whether by mail or through personal service;
all intents and for purposes of securing my SSS I.D.. In the event the same was lost, I
request that I be issued a new one, and for whatever legal purpose it may serve;
City, Philippines.
GENARO MAGAUAY MENDOZA, JR.

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009
Pasig City )s.s.
I, ANITA MAGLENTE BOBOSA, of legal age, Filipino, single, and a

resident of Estacio Pagkalinawan Homeowner’s Asscoiation, Nagpayong
Pinagbuhatan, Pasig City, after having been duly sworn to in accordance with
1. That I was born on December 10, 1957 in Masbate, to my parents Leonila

Maglente and Biato Bobosa;
2. That I am now processing for the renewal of my Philippine Passport with

the Department of Foreing Affairs, Manila and among the requirements
thereto is the submission of my authenticated Certificate of Live Birth
and other documents;
3. That there is a discrepancy in my old Passport, wherein my name was

erroneously registered therein as ANITA MAGLENTE BELLO, the
surname of my late common-law- husband and I opted to use his last
name BELLO that’s why it was registered in my Philippine Passport;
5. That considering that my civil status remain single up to present time,

I am requesting the Department of Foreign Affairs of Manila to correct my
name from ANITA MAGLENTE BELLO to ANITA MAGLENTE BOBOSA,
the latter, being my true and correct name as correctly reflected in my
authenticated Birth Certificate, Certiifcate of Baptism, NBI Clearance and
other important documents;
6. That I hereby declare and attest that the name ANITA MAGLENTE
BELLO, the name erroneously registered in my Old Passport and the
name ANITA MAGLENTE BOBOSA, being my true and correct name as
correctly reflected in my authenticated Birth Certificate, Certiifcate of
Baptism, NBI Clearance and other important documents, refers to the
name of one and the same person, the herein affiant;
7. That for all intents and purposes, my true and correct name is ANITA
MAGLENTE BOBOSA and not ANITA MAGLENTE BELLO;

the foregoing facts for all intents and for whatever legal purpose it may
serve;
ANITA MAGLENTE BOBOSA

Affiant
2014 in Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2014

Pasig City )s.s.
I, RONALDO FERNANDEZ, of legal age, Filipino, married, and resident of No. 132 Banaag
Street, Pineda, Pasig City, after having been duly sworn to in accordance with law, hereby depose
and say:
1. That I was born out of wedlock on December 1, 1958 in Manila, to my parents Lamberto
Goot and Soledad Agua Fernandez;
9. That although my parents were not married, we (the undersigned and my other siblings)
are considered to be illegitimate, opted to use the last name of our father GOOT and
that is reflected in our respective documents/records. In my case, my school records,
employment records, Philippine Passport, Marriage Contract, Birth Certificates of my
children, and other important document, i.e. Driver’s License.;
10. That recently, when I secured a copy of my Birth Certificate, I discovered that the facts
of my birth were not duly registered. It is for this reason that I caused the late
registration of my birth with the intention of using my accustomed last name GOOT.
However, as required by the law, before an illegitimate child could use the surname of
the father, a child must have been acknowledged by the father and has the latter’s
authority to use his last name;
11. That in the process of the late registration of my birth, my father has already passed
away, and thus, I could no longer be acknowledged as his child, I opted now to use the
surname of my mother FERNANDEZ. I was advised accordingly that I use the maiden
name of my mother, and now would appear as RONALDO FERNANDEZ;
12. That I hereby declare and attest that the name RONALDO FERNANDEZ GOOT, my
accustomed name, as reflected in my my school records, employment records,
Philippine Passport, Marriage Contract, Birth Certificates of my children, . Driver’s
License and the name RONALDO FERNANDEZ, as now appearing in my Birth
Certificate (late registration), refer to one and the same person;
City, Philippines.
RONALDO FERNANDEZ
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2008

Pasig City )s.s.
I, EMELITA F. CRUZ, of legal age, Filipino, and resident of No. 40 Kapt. Ato St., Bo. Sta.
Cruz, Pasig City, after having been duly sworn to in accordance with law, hereby depose and say:
1. That I am the mother of JEROME F. CRUZ. who was born out of wedlock on February 26,
1991 in Pasig, Metro Manila (now City), to my deceased common-law-husband SEGUNDO
GINES JR.;
2. That although I and Segundo Gines Jr. were not married, we opted to use the last name of
Segundo Gines Jr. to our son and that is reflected in his school records;
14. That I hereby declare and attest that the name JEROME F. CRUZ, as reflected in his
Certificate of Live Birth and the name JEROME C. GINES, as reflected in his school
records, refer to one and the same person;
City, Philippines.
EMELITA F. CRUZ
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009

Pasig City )s.s.
I, JOGELINA SONIDO LABOGUEN, of legal age, Filipino and resident of 454 Duhat St.,
Napico, Pasig City, after having been duly sworn to in accordance with law, hereby depose and
say:
1. That I am a holder of a Philippine Passport issued by Department of Foreign Affairs, Manila
on 1997;
16. That on the same year, I was able to travel to Paris to visit my relative who were a
resident of the said country;
17. That I was able to stay in Paris, France for almost five year;
18. That sometime on June 2002, an incident had transpired involving my friend who
allegedly committed a violation of the existing law/rules of the said country and since, I
was at that time invited to stay with her on her place. The following day, I was taken
aback when a police officer arrested her, consequently, since I was there visiting her, I
was also invited by police officers to their precincts and before I knew it, I was required
to produce documents for my travel back to Philippines;
19. That I went back to the Philippines with travel documents bearing No. PA/TD-012/02
issued by the Philippine Consulate General in Paris in lieu of my passport bearing No.
H166887 issued on May 25, 2002 which at the time of the said invitation was not in my
possession for the same was left by the herein affiant in my place in Paris which is
owned by my friend who was having her vacation and I have no means of retrieving the
same due to her absence;
City, Philippines.
JOGELINA SONIDO LABOGUEN

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
K8
Pasig City )s.s.
AFFIDAVIT
I, BRENDA D. CASIPONG, of legal age, Filipino and resident of No. 106 Villa Tupaz San
juaquin, Pasig City after having been duly sworn to in accordance with law, hereby depose and
say:
1. That I am the surivivng wife of the late DANILO NEGROS CASIPONG, who died on
September 21, 2013 in Pasig City and presently her wake is in our house, at the above
mentioned address;
2. That as the wife of the deceased, I have been responsible for the payment of the following
expenses during and after the wake, such as:
Coffin and Funeral Service, etc. - 13,000.00

Daily Expenses/ Food and
Transportation expenses (7 days) - 10,000.00
P23,000.00
3. That I hereby declare and attest that all expenses incurred for the funeral, wake and vigil of
my husband was defrayed by the undersigned;
City, Philippines.
BRENDA D. CASIPONG
Affiant
CORROBORATION
We, PEPITO LUMIGUID and GINA ORTIGUERO both of legal age, Filipinos and residents
of Brgy. San Juaquin, Pasig City, after having been duly sworn to in accordance with law hereby
depose and state that the statements made by BRENDA D. CASIPONG are true and correct to
the best of our knowledge and belief.
PEPITO LUMIGUID GINA ORTIGUERO
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2013
Pasig City )s.s.
AFFIDAVIT
I, FELICIANO S. FRANCISCO JR., of legal age, Filipino and resident of No. 38-C
Blumintritt St., Kapasigan, Pasig City, after having been duly sworn to in accordance with law,
1. That I am the surivivng brother of the late ANGELITA FELICIDAD S. FRANCISO, who died
on June 14, 2008 in Rizal Medical Center, Pineda, Pasig City;
2. That as the brother of the deceased, I have been responsible for the payment of the
following expenses during and after the wake, such as:
LOYOLA PLANS CONSOLIDATED - P24,000.00

Funeral Service, etc. - 45,000.00
Daily Expenses (3 days) - 12,000.00
Cremation - 16,000.00
P97,000.00
3. That I hereby declare and attest that all expenses incurred for the funeral, wake and vigil of
my sister was defrayed by the undersigned;
City, Philippines.
FELICIANO S. FRANCISCO JR.

Affiant
CORROBORATION
We, NORA D. DEAN and HERMINEIA ABELLA, both of legal age, Filipinos and residents
of Brgy. Kapasigan, Pasig City, after having been duly sworn to in accordance with law hereby
depose and state that the statements made by FELICIANO S. FRANCISCO JR. are true and
NORA D. DEAN HERMINEIA ABELLA
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2011
Pasig City )s.s.
AFFIDAVIT
I, ROWENA B. SALINAS, of legal age, widow, Filipino and resident of 3006 Dalandan St.,
say:
1. That I am the surivivng wife of the late ISIDRO C. SALINAS, who died on August 9, 2009 in
Pasig City and presently his wake is in the above-mentioned address ;
Pasig Public Cemetey (Apartment) - P 750.00

Coffin and Funeral Service, etc. - 19,500.00
Daily Expenses (7 days) - 11,500.00
P31,750.00
19.That I hereby declare and attest that all expenses incurred for the funeral, wake and vigil of
my husband was defrayed by the undersigned;
20.That I am executing this Affidavit to attest to the truth and veracity of the foregoing facts for
City, Philippines.
ROWENA B. SALINAS
Affiant
CORROBORATION
We, URSULA REYES and MILAGROS R. GUINEZ, both of legal age, Filipinos and
residents of No. 3004 Dalandan St., Kalawaan Sur, Pasig City and No. 16 Dalandan St., Kalawaan
Sur, Pasig City, respectively, after having been duly sworn to in accordance with law hereby
depose and state that the statements made by ROWENA B. SALINAS are true and correct to the
URSULA REYES MILAGROS R. GUINEZ
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009

Pasig City )s.s.
AFFIDAVIT OF BURIAL CLAIM
I, EVANGELINE S. GARCIA, of legal age, widow, Filipino and resident of 14-A Lopez
Jaena St., San Jose, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say, THAT:
1. I am the surivivng spouse of the late EDUARDO R. GARCIA, who died on January 10,
2015 in The Medical City Hospital, Pasig City;
The Evergreen Chapels (Pasig) Inc.

(Coffin and Funeral Service, etc.) - 495,000.00
1 Day burial extension - 27,240.00
P522,240.00
3. I hereby declare and attest that all expenses incurred for the funeral, wake and vigil of my
husband was defrayed by the undersigned;
City, Philippines.
EVANGELINE S. GARCIA
Affiant
CORROBORATION
We, ____________________________________ and ____________________________,

both of legal age, Filipinos and residents of Barangay San Jose, Pasig City, respectively, after
having been duly sworn to in accordance with law hereby depose and state that the statements
made by EVANGELINE S. GARCIA are true and correct to the best of our knowledge and belief.
Witness Witness
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2015

Pasig City )s.s.
I, JACQUELINE DE CASTRO CRUZ, of legal age, Filipino and resident of No. 672 Gen.
Malvar St., Manggahan, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am a holder of a Philippine Passport issued by Department of Foreign Affairs, Manila;
21.That the said passport was lost sometime on December 13, 2005, a copy of the said
Affidavit of Loss is hereto attached and made integral part of this affidavit;
22.That there appears a discrepancy in my aforesaid passport where it bears the place of birth,
Pasig, Rizal instead of Taguig, Metro Manila as correctly reflected in my Certificate of Live
Birth;
23.That the foregoing discrepancy was due to erroneous entry of the herein affiant in the
application form forwarded to the Department of Foreign Affairs, Manila, an inadvertence on
my part;
24.That for all intents and purposes my true and correct place of birth is Taguig, Metro Manila;
25.That I hereby declare and attest that the place of birth Pasig, Rizal as reflected in my
adverted passport and Taguig, Metro Manila being my true and correct place of birth as
reflected in my Certificate of Live Birth, official and other public documents, refer to one and
the same person;
City, Philippines.
JACQUELINE DE CASTRO CRUZ

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
K8

Pasig City )s.s.
I, EMELY G. AMBRAD, of legal age, Filipino and resident of No. Riverville Home Molave
St., Nagpayong, Pasig City, after having been duly sworn to in accordance with law, hereby depose
and say:
1. That I am the mother of MARIA JOLLY G.AMBRAD, who was born on August 13, 1975 in
Pasig Rizal (now city);
2. That my said daughter was Baptist at St. Francis of Assisi Parish Mandaluyong Rizal (now
city);
3. That there appears a discrepancy in her Certificate of Baptism to wit:
a. Her name was registered therein as MARIA JULIE AMBRAD, instead of MARIA
JOLLY AMBRAD, her true and correct name as correctly reflected in her important
documents;
b. Her father’s name was registered therein as NESTOR AMBRAD, instead of JOSE
AMBRAD, her father’s true and correct name;
- presumably the wrong entry were committed by the person who caused the
registration;
City, Philippines.
EMELY G. AMBRAD
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
cjd

Pasig City )s.s.
AFFIDAVIT
I, NORBERTO CATANGAY LORIA, of legal age, Filipino and resident of No. 269 Dr. Pilapil
St., San Miguel, Pasig City, after having been duly sworn to in accordance with law, hereby depose
and say:
1. That I was born on July 12, 1945 in Candelaria Quezon;

2. That when I was a kid, my mother told me that my date of birth is May 13, 1946, of which I
accustomed to use and which date of birth reflected on my SSS record and other important
documents;
3. That when I secured a copy of my Certificate of Baptism from San Juan Batangas, my date
of birth was registered therein as July 12, 1945 and not May 13, 1946, my accustomed
date of birth ;
4. .That for all intents and purposes my true and correct date of birth is July 12, 1945;
5. That I hereby declare and attest that the correction mentioned in the previous paragraph,
refer to one and the same person;
City, Philippines.
NORBERTO CATANGAY LORIA

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
cjd

JOINT AFFIDAVIT
We, MARLIYN MOLLO and CHRISTIAN DELLEVA, Filipinos and residents of Nagpayong
2, Pinagbuhatan, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
7. That we personally know ALFONSO A. GIANAN JR, who was born on October 31, 1966 in
Tondo Mainla, being the son of Alicia Gianan and Alfonso Gianan married to Maria Luz
Gianan on April 10, 1995 in Kanangga Leyte.
8. That they are blessed with Two Children (Alfonso C. Gianan III and Kent Adrian C. Gianan)
9. That the he is working abroad (Israel) since1999 up to the present;
10. That the aforesaid person is a resident of Asilo St., Nagpayong, Pinagbuhatan, Pasig City,
Philippines before he work abroad;
11. That he graduated Mechanical Engineering from Feati University, Manila, batch 1989-1990;
12. That he has no administrative, civil nor criminal case pending before any court, tribunal or
forum of justice in the Philippines
City, Philippines.
MARILYN MOLLO CHRISTIAN DELLEVA

Affiant Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
cjd
Pasig City )s.s.
AFFIDAVIT
I, ALFONSO SANDREX DELURIA, of legal age, Filipino and resident of No. 677 MRR St.,
Pineda, Pasig City, after having been duly sworn to in accordance with law, hereby depose and
say:
1. That I am a holder of a Philippine Passport with No. QQ0766379 issued by Department of

Foreign Affairs Manila on July 26, 20056 and valid until July 26,2010
14. That sometime on September 29, 2005, I was employed in Riyadh, Kingdom of Saudi
Arabia as driver.
15. That I had a dire experienced in the said country, wherein I was ill-treated by my employer
without food and salary for three month. Consequently, I asked my employer to give me
my passport and terminate my working relationship due to the foregoing, the former did not
give me the said passport and instead, asked for 10,000 Riyal for the issuance of the said
passport;
16. Due to the foregoing, I file a complaint with the Philippine Embassy, however, I was advised
to pay the employer in order to procure the said passport, which I can not do so for I
received no salary from my employer and have no means for paying the same. Thus, I
was issued a travel documents bearing the name MASTURA MAMA on January 29, 2006;
17. That for all intents and purposes my true and correct name is ALFONSO SANDREX
DELURIA;
18. That I hereby declare and attest that the name MASTURA MAMA as reflected in my travel
documents and ALFONSO SANDREX DELURIA being my true and correct name as
correctly reflected in my Certificate of Live Birth, official and other public documents, refer
to one and the same person;
City, Philippines.
ALFONSO SANDREX DELURIA
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
K8

Pasig City )s.s.
AFFIDAVIT
I, PETER T. LIBALIB, of legal age, Filipino and a resident of Block 8 Lot 4 Phase II UHA
San Pedro St., Pinalad Road, Nagpayong, Pinagbuhatan, Pasig City, after having been duly sworn
1. That I have caused to register as voter in Belwang, Sadanga, Mount. Province where I first
exercised my right of suffrage thereat under precint no. 0012A;
2. That sometime on 1998, I transferred my residency in Baguio, Benguet under Precinct No.
0156A where I also exercised voting;
3. That sometime on 2001, I transferred again my residency in Bagong Katipunan, Pasig City
under Precinct No. 0055B where I also exercised voting;
4. That I am now a resident of Pinagbuhatan, Pasig City and that due to the foregoing tripple
registration, I hereby manifest my intention to cancel my registration at Baguio, Benguet
and Bagong Katipunan, Pasig City and retain my registration in Belwang, Sadanga, Mount.
Province;
Further, Affiant sayeth naught.
PETER T. LIBALIB
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009

Pasig City )s.s.
AFFIDAVIT
I, JENNIFER LANTACA BERNALES, of legal age, Filipino and resident of No. Phase 1
Centennial 1-A, Nagpayong, Pinagbuhatan, Pasig City, after having been duly sworn to in
1. That I have caused to register as voter in Bgry. Poblacion, Carmen, Agusan del Sur, where I
first exercised my right of suffrage thereat under precint no. 0011A;
2. Thereafter, I transferred residence in Brgy. South Poblacion, Guinsiliban, Camigin and

caused to be registered as Voter under Precinct No. 0308A where I also exercised voting;
3. That lastly, I transferred residence at Brgy. Fairview, Quezon City and had registered as
voter under Precinct No. 2060B where I also exercised voting;
4. That due to the foregoing triple registration, I hereby manifest my intention to cancel my
registration at Bgry. Poblacion, Carmen, Agusan del Sur, under precint no. 0011A and Brgy.
South Poblacion, Guinsiliban, Camigin under Precinct No. 0308A;
JENNIFER LANTACA BERNALES

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009

Pasig City )s.s.
AFFIDAVIT
I, IBUL SALI KALIM, of legal age, Filipino and resident of VICPER Malinao, Pasig City,
1. That I am previously registered at Kabbon, Pandami Sulu under precint no. 0015A;
2. Sometime on 2004, I transferred to Brgy. Maharlika Village, Taguig where I am also a

registered voter under Precint No. 0451A;
3. That I am a resident of Malinao, Pasig City, I am on the process for my registration, and I
am requesting the COMELEC to cancel my records at Kabbon, Maharlika, Taguig, under
precint nos. 0054A and 0451A and retain my records at Bgry. Sitangkai, Sitangkai, Tawi-
Tawi where I am also a registered voter under Precint No. 0011C;
IBUL SALI KALIM

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009
Pasig City )s.s.
AFFIDAVIT
I, HEXTER S. SAYSON, of legal age, Filipino and a resident of B5 L9 Villa Raymundo,

and say:
1 That sometime on 1994, I exercise my right of suffrage in Binalbagan, Payao, Negros

Occidental, with Precinct No. 0093A;
2. Sometime on 2005, we transferred to Payatas Quezon City where I am also a registered

voter with Precinct No. 1870C;
26.That due to the foregoing double registration, I hereby manifest my intention to cancel my
registration at Payatas Quezon City and that my registration in Binalbagan, Payao, Negros
Occidental;
HEXTER S. SAYSON
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009
Pasig City )s.s.
AFFIDAVIT
I, TOUHAMI P. GILMAN, of legal age, Filipino, married, and resident of No. 7942 San
Sebastian Homes, Nagpayong, Pinagbuhatan, Pasig City, after having been duly sworn to in
a. That sometime on 1998, I exercise my right of suffrage in Dasmarinas, Cavite,

under Precinct No. 0420A;
b. Sometime on 2004, we transferred to Quezon City where I am also a registered

voter under Precinct No.3430A;
28.That after 2004, I again transferred residence from Quezon City to Taytay and also a
registered voter under Precinct No.390J;
29.That due to the foregoing triple registration, I hereby manifest my intention to cancel my
registration at Dasmarinas Cavite and Quezon City and that my registration in Taytay be
retained;

TOUHAMI P. GILMAN
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006

Pasig City )s.s.
AFFIDAVIT
I, BELY JEAN C. LLAMAZARES, of legal age, single, Filipino and resident of #50 West
Bank, Maybunga, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
8. That since my schooldays I have been a resident of Brgy. Villa Sal, Patnongon, Antique
and became a registered voter of the said Municipality under Precinct No. 0076A;
9. That thereafter, we transferred residence in Brgy. Pembo, Makati and re applied for the
Comelec registration at the said locality under Precinct No. 1016A;
10. That from August 2008 up to the present, I have been living in in the above given
address; since, I am residing in Pasig for good, I hereby manifest my intention to transfer
my registration in Pasig City;
11. That I am cancelling my registration in Brgy. Villa Sal, Patnongon, Antique under Precinct
No. 0076A and that of my registration in Brgy. Pembo, Makati under Precinct No. 1016A;
BELY JEAN C. LLAMAZARES

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009

Pasig City )s.s.
AFFIDAVIT
I, THELMA A. CRUZ, of legal age, married, Filipino and resident of #B14 Luzviminda
Eusebio Ave., Pinagbuhatan, Pasig City, after having been duly sworn to in accordance with law,
1. That I have been a resident of Brgy. San Andres, Cainta, Rizal and became a registered
voter of the said Municipality under Precinct No. 0120B;
10. That thereafter, we transferred residence in Brgy. San Juan, Taytay, Rizal and re applied for
the Comelec registration at the said locality under Precinct No. 0402A;
11. That from March 2006 up to the present, I have been living in in the above given address;
since, I am residing in Pasig for good, I hereby manifest my intention to transfer my
registration in Pasig City;
12. That I am cancelling my registration in Brgy. San Andres, Cainta, Rizal under Precinct No.
0120B and be retain our registration with Brgy. San Juan, Taytay, Rizal for us to be able to
transfer as a voters in Pasig City;
THELMA A. CRUZ
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009

Pasig City )s.s.
AFFIDAVIT
I, ROLAINE ARAZA, of legal age, Filipino and resident of 177 Magnolia St., Garden
Royale Villas, Pinagbuhatan, Pasig City, after having been duly sworn to in accordance with law,
1. That I have been a resident of Sta. Cruz, Makati City, for almost three years and became a
registered voter of that City;
2. That thereafter, we permanently resided in Pinagbuhatan, Pasig City;
3. That due to the foregoing, I hereby manifest my intention to cancel my registration

with Makati City at Barangay Sta. Cruz;
ROLAINE ARAZA
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2008
Pasig City )s.s.
AFFIDAVIT
I, NINIA DOMINGO BALDERAMA, of legal age, Filipino and resident of No. 11 Sterly St.,
Bartville Subd., Brgy. Dela Paz, Pasig City, after having been duly sworn to in accordance with law,
1. That since birth I am a resident of Sto. Nino, Sto. Domingo, Albay and a registered voter of
the said barangay;
31.That sometime on year 2002, I transferred from Sto. Nino, Sto Domingo, Albay to Brgy. 16
Kawit-East, Legaspi, Albay and directly registered my self as a voter of the said locality;
32.That on year 2005, I transferred again in No. 11 Sterly St., Bartville Subd., Brgy. Dela Paz,
Pasig City, and manifest my intention to transfer my registration to Pasig City, thus this
affidavit and prayer with COMELEC that my records with my previous residency be
cancelled;
NINIA DOMINGO BALDERAMA

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
Pasig City )s.s.
AFFIDAVIT
I, MONICO L. DOBLON, of legal age, Filipino and resident of Dilang 1, Nagpayong,

and say:
1. That on 1994 I am a registered voter of Sulangan, Guillan, Eastern Samar;
2. That sometime on 2000, I transferred from Sulangan, Guillan, Eastern Samar to Sta. Lucia,
Pasig City, and directly registered my self as a voter of the said City;
3. That due to the foregoing transfer, I hereby manifest my intention to cancel my records from
Sulangan, Guillan, Eastern Samar and retain my record in Sta. Lucia, Pasig City;
FURTHER, AFFIANT SAYETH NAUGHT.
MONICO L. DOBLON
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
cjd

Pasig City )s.s.
AFFIDAVIT
I, ALFREDO A. ITANG, of legal age, Filipino and resident of 83 Phase 2 Ilugin,

and say:
1. That on 1998 I am a registered voter of B.F Int’l Village, Las Pinas;
2. That sometime on year 2000, I transferred from B.F Int’l Village, Las Pinas to Cebu City,
Cebu, and directly registered my self as a voter of the said City;
3. That due to the foregoing transfer, I hereby manifest my intention to cancel my records from
B.F Int’l Village, Las Pinas and retain my record in Cebu City, Cebu;
ALFREDO A. ITANG
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006

Pasig City )s.s.
AFFIDAVIT
I, MEDEN CESTINA MOLINA, of legal age, Filipino and resident of 33-C. J.L St., West
Rembo, Makati City, after having been duly sworn to in accordance with law, hereby depose and
say:
1. That in year 1998 I reside at Rosario, Pasig City and became a registered voter of said
barangay;
2. That sometime in 2003, I transferred to San Vicente Buhi, Camarines Sur and directly
registered my self as a voter of the said locality;
2. That due to the foregoing I have a double registration from COMELEC and the intention
of the herein affiant to become a permanent register voter of West Rembo, Makati City, I
hereby request the COMELEC that my records with Rosario, Pasig City be cancelled and
San Vicente Buhi, Camarines Sur be retained and for me to be able to register as a voter
in Makati City;
MEDEN CESTINA MOLINA

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009

Pasig City )s.s.
AFFIDAVIT
I, RODRIGO REAS PORAZO, of legal age, married, Filipino and a

resident of 42 Sgt. PAscua St., Bagong Ilog, Pasig City, after having been duly
1. That I was born on October 25, 1947 at Aboyog, Leyte;
2. That I am a bonafide member of Social Security System bearing SSS No.

03-39649459;
3. That due to the foregoing, I have a double registration from SSS Office
with the name PABLO P. AURELLADO who was previously employed at
Special Services Limited and the intention of the herein affiant to cancel
the name PABLO P. AURELLADO who was previously employed at
Special Services Limited and I hereby request the SSS Office that the
name RODRIGO REAS PORAZO be retained and to be able to register
as an SSS member bearing SSS No. 03-39649459;
serve;
RODRIGO REAS PORAZO

Affiant
2011 in Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT
I, LIONY ABORDAJE GIL, of legal age, Filipino and resident of 382 R. Villa Hernandez St.,
San Joaquin, Pasig City, after having been duly sworn to in accordance with law, hereby depose
and say:
1. That I reside at Brgy. San Joaquin, Pasig City and became a registered voter of said
barangay and registered my name LIONY COLLADO GIL under Precinct No. 0452C;
2. That sometime in 2003, in the above-mentioned barangay, I registered my self as LIONY
ABORDAJE GIL under Precinct No. 0452B;
3. That due to the foregoing I have a double registration from COMELEC and the intention of
the herein affiant to become a permanent register voter of Brgy. San Joaquin, Pasig City, I
hereby request the COMELEC that my records under Precinct No. 0452C be cancelled and
my registration under Precinct No. 0452B be retained;
LIONY ABORDAJE GIL

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009

Pasig City )s.s.
AFFIDAVIT
I, ANDRES M. MAGCAWAS, of legal age, Filipino and resident of Phase 2, Block 2 Purok
Ilugin, Pinagbuhatan, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That since birth up to 2005, I reside at Bulihan, San Antonio, Quezon, and became a
registered voter of said barangay under Precinct No. 0024A;
2. That sometime on 2006 up to present, I transferred to Lodlod, Lipa City, Batangas, and
directly registered my self as a voter of the said locality;
3. That due to the foregoing I have a double registration from COMELEC and the intention
of the herein affiants to become a permanent register voter of Lodlod, Lipa City, I hereby
request the COMELEC that my records with San Antonio, Quezon, be cancelled and for me
to be able to register as a voter in Lodlod, Lipa City, Batangas;
ANDRES M. MAGCAWAS
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2008

Pasig City )s.s.
JOINT AFFIDAVIT
We, JUANITO O. MEGINO and LOLITA C. MEGINO, both of legal age, Filipinos and
resident of 22 Almond St., MRV Sta. Lucia, Pasig City, after having been duly sworn to in
1. That from 1970 up to 1987, we reside at Anak Bayan, Malate and are registered voters of
the said locality;
5. That from 1999 to 2003, we transferred to Barangay Sta. Lucia, San Juan and became a
registered voter of the said locality;
6. That we were now renting at No. 22 Almond St., MRV Sta. Lucia, Pasig City and hereby
declare as our permanent address;
7. That due to the foregoing double registration and the intention of the herein affiants to
become a permanent register voter Sta. Lucia, Pasig City, we hereby request the
COMELEC that our records with Malate be cancelled and retain our registration with San
Juan for us to be able to transfer as a voters in Pasig City;
IN WITNESS WHEREOF, we have hereunto affixed our signature this ___ day of ___ 2006 at
Pasig City..
JUANITO O. MEGINO LOLITA C. MEGINO

Affiant Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
K8

Pasig City )s.s.
AFFIDAVIT
I, GRACIELA G. LATUPAN, of legal age, Filipino and resident of 17 Pluto St., Greenland
Village Rosario, Pasig City, after having been duly sworn to in accordance with law, hereby depose
and say:
1. That on 2001, I reside at Malamig, Mandaluyong City and are registered voters of the said
locality with precint No. 0615B;
14. That on 2003, I go to Julo San Antonio, Nueva Ecija and became a registered voter of the
said locality with precint No. 0031A;
15. That I were now residing at 17 Pluto St., Greenland Village, Rosario, Pasig City and hereby
declare as our permanent address;
16. That due to the foregoing double registration and the intention of the herein affiants to
become a permanent register voter Rosario, Pasig City, we hereby request the COMELEC
that our records with Julo San Antonio, Nueva Ecija be cancelled and retain our registration
with Malamig, Mandaluyong City for me to be able to transfer as a voters in Pasig City;
IN WITNESS WHEREOF, we have hereunto affixed our signature this ___ day of ___ 2009 at
Pasig City..
GRACIELA G. LATUPAN
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009

Pasig City )s.s.
AFFIDAVIT
I, CONCEPCION BAULA BAMBILLA, of legal age, Filipino and resident of Villa Cuana
Phase 3 Blk. 13, Pinagbuhatan, Pasig City, after having been duly sworn to in accordance with law,
1. That I am a resident of Sagad, Pasig City since birth and a voter of said locality, however on
1996 when I got married, we transferred to Lupang Arienda, Taytay, Rizal and I cause the
registration in the said locality;
2. That when we transferred to Taytay, Rizal, we were advised that the place where our
residential abode was constructed in jurisdictionally located at Cainta, thus, I cause the
registration to Cainta, Comelec;
3. Due to the foregoing I had the following of Comelec registration with different locality,
particularly described as follows, to wit:
PASIG - 11326042
TAYTAY - 5813030001191
TAYTAY - 20-0695004
CAINTA - 02980418
4. That due to the foregoing registrations and the intention of the herein affiant to become a
permanent register voter Pinagbuahtan, Pasig City, I hereby request the COMELEC that my
records with Taytay, and Cainta be cancelled and retain my registration with Sagad, Pasig
for me to be able to transfer as a voter in Pinagbuhatan, Pasig City;
CONCEPCION BAULA BAMBILLA

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
K8

Pasig City )s.s.
AFFIDAVIT
I, FIDEL R. CASTRO, of legal age, Filipino and resident of No. 231 Dr. Pilapil Stret, San
say:
1. That I have been a resident of the above given address since last year. Previously, I was
residing in Marikina where I am a registered voter thereat;
2. That now I am applying for employment under casual appointment with LGU-Pasig to be
assigned in the Regional Trial Court, Branch 71, Pasig City;
3. That among the requirements for such application is the submission of COMELEC
Certificate;
4. That however, I am unable to submit the required Comelec Certificate for reason that I am
still registered in Comelec Marikina, but currently applying for its transfer to COMELEC,
Pasig;
5. That I hereby undertake to submit the required Certificate as soon as the same becomes
ready and available;
FIDEL R. CASTRO
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2008

Pasig City )s.s.
AFFIDAVIT
I, DEONITO ELIZAGA FLOR, of legal age, Filipino and resident of No. 3111 Peacock St.,
Centennial II, Pinagbuhatan, Pasig City, after having been duly sworn to in accordance with law,
1. That from 1996 up to 2001, I reside at republic Holy Spirit, Quezon City and a registered
voter of the said locality;
2. That from 2001 to 2004, my family and I transferred to Brgy. Laoangan, Northern Samar
and became a registered voter of the said locality;
3. That we were able to acquire property at No. 3111 Peacock St., Centennial II,
Pinagbuhatan, Pasig City and hereby declare as my permanent address;
4. That due to the foregoing double registration and the intention of the herein affiant to
become a permanent register voter Pinagbuahtan, Pasig City, I hereby request the
COMELEC that my records with Quezon City be cancelled and retain my registration with
Samar for me to be able to transfer as a voter in Pasig City;
City, Philippines.
DEONITO ELIZAGA FLOR

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
K8

Pasig City )s.s.
AFFIDAVIT
I, DINA C. LIDAY, of legal age, Filipino and resident of No. 245 D Market Ave. San Miguel,
1. That I am a former resident of Bacoor Cavite and a registered voter of the said locality;
6. That sometime on 2004, my family and I transferred to San Miguel, Pasig City and now a
permanent resident of the latter residential address;
7. That due to the foregoing transfer, I hereby manifest my intention to be a permanent

register voter of Kapitolyo, Pasig City, thus this affidavit and prayer with COMELEC that my
records with Bacoor Cavite (COMELEC) be cancelled;
City, Philippines.
DINA C. LIDAY
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
Pasig City )s.s.
AFFIDAVIT OF NON FILING OF INCOME TAX
I, JERRY BRIAN C. BOLINAO, of legal age, Filipino, with residential address at 20 P.

Burgos St., San Jose, Pasig City, after having been duly sworn in accordance with law hereby
depose and state:
1. That I am the mother of JOHANNE FAITH Q. BOLINAO who is presently employed in

Ireland as an Overseas Contract Worker
2. That my husband is in the process of filing his income tax abroad and one of the
requirements is my Income Tax Return,:
3. That I am a plain housewife and not gainfully employed since I have devoted my time to
take care of our children;
4. That in lieu of the Income Tax Return I am requesting a certification from the Bureau of
Internal Revenue.
3. That under the provision of the National Internal Revenue Code specifically Sec. 24
(2A) as amended, I am exempted and not required to file inncome tax return, hence, my inability to
produce copy of ITR;
facts and to request the Bureau of Internal Revenue for the issuance of a Certification for non filing
of income tax.
City, Philippines.
STELLA SICAY GENIO

Affiant
Pasig City.
Doc. No
Page No.
Doc. No.
Series of 2006
Pasig City )s.s.
AFFIDAVIT
(SINGLE PARENT)
I, ESTRELLA A. CACHERO, of legal age, widow, Filipino and resident of 19 Maralita St.
Sto. Tomas, Pasig City, after having been duly sworn to in accordance with law, hereby depose and
say:
1. That I am the mother of the herein named children, to wit:
1.1. ESTELA A. CAHERO who was born on April 10, 1984 in Paranaque Metro
Manila (now city);
1.2. CATHERINE A. CAHERO who was born on March 31, 1985 in Paranaque
Metro Manila (now city);
1.3. GARRY BOY A. CAHERO (deceased) who was born on June 27, 1986 in
Paranaque Metro Manila (now city);
1.4. HENRIX A. CAHERO who was born on September 12, 1988 in Pasig Metro
Manila (now city);and
1.5. JEROME A. CAHERO who was born on December 31, 1989 in Pasig Metro
Manila (now city);;
2. That I hereby declare and attest that I am the head of the family, since their father
died on June 6, 2003, who supports my children who were both dependent upon the
herein affiant for basic support from sustenance, medical, clothing and education;
3. That I am a single parent;
Philippines.
ESTRELLA A. CACHERO
Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2010
Pasig City )s.s.
AFFIDAVIT
I, DIGNA A, EUSEBIO, of legal age, married, Filipino and resident of

Estacio Pagkalinawan HOA Nagpayong, Pinagbuhatan, Pasig City, after having
1. That I am the mother of GLENNA ANN MAE A. EUSEBIO, who was born
on August 21, 2001 in Pasig City. That the facts of her birth were duly
registered at the Office of the Local Civil Registry of Pasig City;
2. That I am applying for her Change of Name with the Local Civil Registry
of Pasig City and one of the requirements thereto is the submission of an
affidavit staing therein that she is presently enrolled at Nagpayong High
School, Pinagbuhatan, Pasig City for school year 2014-2015;
3. That being her mother, I hereby declare and attest that my daughter
GLENNA ANN MAE A. EUSEBIO is presently enrolled at Nagpayong
High School, Pinagbuhatan, Pasig City for school year 2014-2015;
serve;

DIGNA A, EUSEBIO
Affiant
2015 in Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2015

Pasig City )s.s.
AFFIDAVIT of RETIREMENT
I, HERMINIGILDO VERDEFLOR, of legal age, Filipino and resident of No. Blk 17 Dama De
Noche St., Sta. Ana, Taytay Rizal, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am working as a carpenter since year 1975 up to year 2004;
2. That I am a bonafide member of Social Security System and I am applying for my pension;
3. That I am now 60 years old and no longer capable to work as carpenter, thus I am
executing this affidavit;
City, Philippines.
HERMINIGILDO VERDEFLOR
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2008

Pasig City )s.s.
AFFIDAVIT
I, LILIA PALMA OREJAS, of legal age, married, Filipino and resident of No. 1 Atis St.,
Resettlement Area, Kalawaan, Pasig City, after having been duly sworn to in accordance with law,
a. I am an Overseas Filipino Worker (OFW) since year 1992 up to November 2,

2012;
2. I am a bonafide member of Social Security System with SSS No. 03-4073052-2 and
I am applying for Retirement Claim;
3. That I am now 60 years old and no longer interested to work abroad. Since my
arrival from Cyprus on November 3, 2012, I have never been employed with any
company/business entity up to the present;
City, Philippines.
LILIA PALMA OREJAS

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2012

Pasig City )s.s.
AFFIDAVIT
I, ARTURO ANQUILLANO DAYAG, of legal age, married, Filipino and resident of No. 1621
Okra St., Napico, Manggahan, Pasig City, after having been duly sworn to in accordance with law,
a. I am previously employed as an Overseas Filipino Worker (OFW) from June 1990

up to September 18, 2012;
2. I am a bonafide member of Social Security System with SSS No. 03-2481717-3 and I
am applying for Retirement Claim Benefit;
3. I am no longer OFW since my arrival from Jeddah, K.S.A. on October 19, 2012, and
I have never been employed with any company/business entity up to the present;
City, Philippines.
ARTURO ANQUILLANO DAYAG

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2012

Pasig City )s.s.
AFFIDAVIT
I, ROMEO LAZARTE ZALDARRIAGA, of legal age, Filipino and resident of No. 1304
Callejon II, Sta. Cruz, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am applying for my salary loan at Robison’s Bank and among the requirements is the
signature/consent of my wife and in the absence thereof, this affidavit;
2. That I am the husband of ZENAIDA DIMAL ZALDARRIAGA and our marriage was
celebrated on March 3, 1971 in Pasig, Rizal (now city);
3. That my wife is an Overseas Filipino Worker, working at Dubai, Kingdom of Saudi Arabia,
thus cannot sign to the said document;
City, Philippines.
ROMEO LAZARTE ZALDARRIAGA

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006

Pasig City )s.s.
AFFIDAVIT
I, ROSA MARIA M. JIMENA, of legal age, married to JOEL R. JIMENA,

Filipino and resident of No. 168-C Dr. Sixto Antonio Ave., Rosario, Pasig City,
say:
1. That I am applying for my salary loan at United Coconut Planter’s Bank
(UCPB) and among the requirements is the signature/consent of my
husband and in the absence thereof, this affidavit;
2. That I am the wife of JOEL R. JIMENA, and our marriage was celebrated
on February 29, 1992 in Paco Church, Manila City;
3. That my husband is an Overseas Filipino Worker, working as a seaman at

Bahamas, Europe, thus cannot sign to the said document;
serve;

ROSA MARIA M. JIMENA

Affiant
2011 in Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT
I, DR. MARISSA A. DE LEON, of legal age, Filipino and with office address at 5 th Floor,
Pasig City Health Office, Pasig City, after having been duly sworn to in accordance with law,
1. That I am applying for my S2 License at the Dangerous Drug Board and among the
requirements is the submission of this affidavit;
2. That I hereby declare and attest that the said license will not used in any private practice
solely for Government purposes;
City, Philippines.
DR. MARISSA A. DE LEON

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009

Pasig City )s.s.
AFFIDAVIT
I, AMANDA JUAT, of legal age, Filipino and resident of No. 48 Sta. Fe., Kapitolyo, Pasig
1. That I am the wife of NARCISO C. JUAT, the latter whose executed affidavit of loss on July
24, 2002 notarized by Atty. Ricardo Castillo, about the Original Certificate of Title No. PT-
34855 of our land property, located at Palatiw, Pasig City;
2. That sometime this January of 2006, I accidentally found/recover the said Original
Certificate of Title while cleaning our cabinet, where we place/secure our important
documents;
3. That due to the foregoing, we would like you to cancel the affidavit of loss we submitted to
your good office (Office of Registry of Deeds);
City, Philippines.
AMANDA JUAT
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
Cjd…….

Pasig City )s.s.
AFFIDAVIT
I, ELEAZAR M. MERO, of legal age, Filipino, with residential address at 173 Rosario Vill.,
Sta. Lucia, Pasig City, after having been duly sworn in accordance with law hereby depose and
state:
2. That I am the brother of DARIO M. MERO and CHRISTOPHER M. MERO, the latter was
married to LETICIA BALABA MERO;
3. That the land inherited by my brothers covered and embraced by TCT No. PT- 129181 has
an existing improvement described as a two (2) storey residential building;
City, Philippines.
ELEAZAR L. MERO
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
K8

Pasig City )s.s.
AFFIDAVIT
I, NESTOR E. DE JESUS JR., of legal age, Filipino, with residential address at 24 Tahimik
St., Sta. Ana, Taguig City, after having been duly sworn in accordance with law hereby depose and
state:
5. That I am employed with TRP INC., and the duly authorized representative of the said
company. The said company is an applicant for Precursor & Essential Chemical License to
use controlled chemical/s with prior approval from the Philippine Drug Enforcement Agency.
6. That the following are the controlled chemicals being handled by our company:
Name of Controlled Purpose of handling Project Annual Supplied by:

Chemicals & its % the Controlled Consumption
concentration Chemical/s (Forend-
users, please
indicate the
purpose)
USED AS
TOULENE PROTECTIVE 12 CARBOYL METRO
COATING FOR INDUSTIRES
PCB
7. That the Company, by virtue of this Affidavit hereby binds itself to all the provisions of
Republic Act 9165, otherwise known as the Comprehensive Dangerous Drug Act of 2002,
and other implementing rules and regulations and assuring that such law and regulations
shall be faithfully complied with;
City, Philippines.
NESTOR E. DE JESUS JR.

Affiant
Pasig City.
Doc. No
Page No.
Doc. No.
Series of 2006
K8

Pasig City )s.s.
AFFIDAVIT
I, NESTOR E. DE JESUS JR., of legal age, Filipino, with residential address at 24 Tahimik
St., Sta. Ana, Taguig City, after having been duly sworn in accordance with law hereby depose and
state:
1. That I am employed with TRP INC., and the duly authorized representative of the said
company. The said company is an applicant for Precursor & Essential Chemical License to
use controlled chemical/s with prior approval from the Philippine Drug Enforcement Agency.
2. That the chemicals listed below are strictly intended for the production of Lever
Combination switches and other small switches, to wit:
2.1 Pad Sap Ink 21-GY-21;

2.2 Pad Sap Ink 380D;
2.3 Pad Sap Ink GRAY 2;
2.4 Thinner ES;
2.5 Hardener JA950;
2.6 Pelicoat RF;
2.7 GP7 (GP) Cleaner;
2.8 K3 Lubricant;
2.9 Light Stopper;
2.10 One Shot
2.11 LPG Mould Cleaner;
2.12 Elepcoat LSS-520;
2.13 Floil G-424 Grease;
2.14 Floil AG 400N Grease;
2.15 Maltemp D Grease;
2.16 Maltemp L Grease;
2.17 Maltemp SH-J Grease;
2.18 Permalub BGN-1 Grease and;
2.19 Permalub JD-21 Grease.
City, Philippines.
NESTOR E. DE JESUS JR.

Affiant
Pasig City.
Doc. No
Page No.
Doc. No.
Series of 2006
K8
January 30, 2006
The Securities and Exchange Commission

SEC BLdg., EDSA, Greenhills
Mandaluyong City, Metro Manila
Sir/Madam:
This is to confirm that all corrections in the Articles of Incorporation of
ATTAQWAH NEIGHBORHOOD ASSN. INC.

(Name of Corporation)
were made prior to notarization and were made with the full knowledge and consent of all the
incorporators.
I, the undersigned incorporator hereby undertake full responsibility for corrections made,
particularly on ________________________________________________________.
Very truly yours,
AHMAD D. ALEMAN
Incorporator
No. 9810 San Sebastian

Nagpayong, Pinagbuhatan,
Pasig City
Pasig City.
Doc. No. 16
Page No.4
Doc. No. LX
Series of 2006
/k8

Pasig City )s.s.
AFFIDAVIT
I, MARIA MAGDALENA MODELO MONTANO, of legal age, Filipino, with residential

address at 12 B Jade St., San Isidro, Green Park , Cainta Rizal, after having been duly sworn in
4. That I was born on June 8, 1984 in Philippine General Hospital, Manila;
5. That the facts of my birth were duly registered at the Local Civil Registry of Manila;
6. That since childhood I was under impression that the spelling of my name is MA.
MAGDALENA MODELO MONTANO, which name I used in all my transaction, in my
school records ( from elementary to college) and other public documents;
7. That when I secured a copy of my Certificate of Live Birth, I noticed that the true and
correct spelling of my name is MARIA MAGDALENA MODELO MONTANO and not MA.
MAGDALENA MODELO MONTANO my accustomed name;
8. That for all intents and purposes my true and correct name is MARIA MAGDALENA
MODELO MONTANO;
9. That I hereby declare and attest that the name MA. MAGDALENA MODELO MONTANO
which name I used in my all transaction since childhood and reflected in my records from
Jose Rizal University, and MARIA MAGDALENA MODELO MONTANO my true and
correct name as correctly reflected in Certificate of Live Birth, refer to one and the same
person;
City, Philippines.
MARIA MAGDALENA MODELO MONTANO

Affiant
Pasig City.
Doc. No 221
Page No. 45
Doc. No. LIX
Series of 2006
Cjd…….

Pasig City )s.s.
AFFIDAVIT
I, IRIC V. BALOG, of legal age, Filipino, with residential address at 43 Ilian-ilang St., De
Castro Subd., Sta Lucia, Pasig City, after having been duly sworn in accordance with law hereby
depose and state:
1. That I am securing a business permit at the Business Permit and Licencesing Office ,Pasig
City to establish a new business with name Video Professionals;
2. That sometimes on year 2000, I try to secure a business permit for the said business, but
after the assessment for my business I did not follow the next step, because the one who is
giving me financial support died ( my brother Ricardo Balog);
3. That as of now, I have the budget for the said business and now I am securing a business
permit to operate;
City, Philippines.
IRIC V. BALOG
Affiant
Pasig City.
Doc. No
Page No.
Doc. No.
Series of

Pasig City )s.s.
AFFIDAVIT
I, ANIE FLOR F. PACULAN, of legal age, Filipino, with residential address at #77 7th Street,
Isla Homes 2 & 3 Subd., Pinagbuhatan, Pasig City, after having been duly sworn in accordance
1. That I am processing my business permit at the Business Permit and Licensing Office
Pasig City with business name Filterpro Environment Sales & Services;
2. That sometimes on year ____, I try to secure a business permit for the said business, but
after the assessment for my business I did not follow the next step due to financial problem;
3. That as of now, I have the budget for the said business and now I am securing a business
permit to operate;
City, Philippines.
ANIE FLOR F. PACULAN

Affiant
Pasig City.
Doc. No
Page No.
Doc. No.
Series of 2011
Pasig City )s.s.
AFFIDAVIT
I, ROCHELLE HARRIET DANGA ALBELDA, of legal age, Filipino, with business address
at 745 C Raymundo Ave., Maybunga, Pasig City, after having been duly sworn in accordance with
1. That I am securing a Barangay Clearance from Barangay Maybunga, Pasig City to apply a
business permit at the Business Permit and Licencesing Office ,Pasig City to establish a
new business with name SHAFT & KONXEPT-ZERO ENTERPRISE;
2. That on January 29, 2009, I secured a copy of DTI Certificate from Deaprtment of Trade
and Industry and my business address was indicated therein as “ 9 ORIOLE STREET,
GREEN MEADOWS LIBIS, QUEZON CITY, NCR, SECOND DISTRICT, NATIONAL
CAPITAL REGION (NCR)”, where in truth in fact it is my residential address, presumably it
was inadvertence on my part who caused the registration of the same;
3. That as of now, I am willing to secure a Business Permit to operate with business address
at the abovementioned address, but one of the requirement thereof is the submission of
this affidavit;
City, Philippines.
ROCHELLE HARRIET DANGA ALBELDA

Affiant
Pasig City.
Doc. No
Page No.
Doc. No.
Series of

Pasig City )s.s.
AFFIDAVIT OF NUN-SUBMISSION OF TISSUE FOR BIOPSY
I, ROWENA B. RINGOR, of legal age, Filipino, single, with residential address at No. 136-A
Shaw Blvd., Mandaluyong City, after having been duly sworn in accordance with law hereby
depose and state:
1. That on December 23, 2005, I went to the Rizal Medical Center,

Pasig City for a pre-natal check-up because I was then 3 months pregnant;
2. That due to unavoidable and unforeseen event, while I was

having a checkup, I suffered a miscarriage;
3. That when I woke up I was not given instruction that the fetus is required to be
brought to the laboratory for a BIOPSY;
4. That when I was discharged from the hospital I brought home the fetus and buried it
ay my province in Pangasinan;
facts and to request the Social Security System for the reimbursement for my maternity expenses;
City, Philippines.
ROWENA B. RINGOR
Affiant
Pasig City.
Doc. No
Page No.
Doc. No.
Series of 2006
/k8
Pasig City )s.s.
I, PALERMO A. SANTOS, of legal age, Filipino, with residential address at No. 6 N.

Cuevas St., Kalawaan, Pasig City, after having been duly sworn in accordance with law hereby
depose and state:
1. That I am the owner of a softdrinks business registered under my name PALERMO A.

SANTOS located at No. 6 N. Cuevas St., Kalawaan, Pasig City;
2. That the said business was duly registered at the Business Permit and License Office,
Pasig City;
3. That the business establishment where my business stand is owned by my brother in-
law Edgardo Cuevas Ison and he is not asking from me any rental fee or whatsoever,
thus I am not paying a rental fee;
City, Philippines.
PALERMO A. SANTOS
Affiant
Pasig City. Affiant exhibited to me his Community Tax Certificate No._______ issued on
_________ at Pasig City.
Doc. No.
Page No.
Book No.
Series of 2012
Pasig City )s.s.
I, GILBERT C. JULIANO, of legal age, Filipino, with residential address at No. 20

Marcial St.,Suarez Ville Subd., Pinagbuhatan, Pasig City, after having been duly sworn in
a. I am the cousin and authorized representative of RAFAEL D. PUNZALAN,

the latter being the registered owner of a business KALEL GLASS &
ALUMINUM SERVICES located at No. 20 Marcial St.,Suarez Ville Subd.,
b. That the said business was duly registered at the Business Permit and
License Office, Pasig City, Department of Trade and Industry and Bureau of
Internal Revenue;
c. The business establishment of RAFAEL D. PUNZALAN was stand and

operated at the property owned by our grandparents MARCIANO
PUNZALAN and IDA PUNZALAN and they are not asking from me any rental
fee or whatsoever, thus he is not paying any rental fee;
GILBERT C. JULIANO
Affiant
in Pasig City. Affiant exhibited to me his Community Tax Certificate No._______
issued on _________ at Pasig City.
Doc. No.
Page No.
Book No.
Series of 2015
Pasig City )s.s.
I, GEORGE C. PADAMA, of legal age, Filipino, with residential address at No. 1 Castillo
St., Kalawaan, Pasig City, after having been duly sworn in accordance with law hereby depose and
state:
a. That I am the owner of a parcel of land located at the abovementioned address;
b. That the said business was duly registered at the Business Permit and
License Office, Pasig City;
12. That the business establishment where my business stand is owned by my brother in-law
Edgardo Cuevas Ison and he is not asking from me any rental fee or whatsoever, thus I am
not paying a rental fee;
City, Philippines.
GEORGE C. PADAMA
Affiant
Doc. No.
Page No.
Book No.
Series of 2012

Pasig City )s.s.
I, JULIETA F. CRUZ, of legal age, Filipino, with residential address at 147 Dr. Sixto Antonio
Avenue, Maybunga, Pasig City, after having been duly sworn in accordance with law hereby
depose and state:
14. That I am the owner of the house located at 147 Dr. Sixto Antonio Avenue, Maybunga,
Pasig City, where an Internet Café business owned by my cousin Lalaine B. Bautista;
15. That I fully accommodated my cousin Lalaine B. Bautista to use my house for such
business without asking any rental payment from him;
City, Philippines.
JULIETA F. CRUZ
Affiant
Doc. No.
Page No.
Book No.
Series of 201

Pasig City )s.s.
AFFIDAVIT
I, MARCO ANTONIO D. MAINES, of legal age, Filipino, married, with residential address at
23E Everlasting St., De Castro Subdivision, Sta. Lucia, Pasig City, after having been duly sworn in
1. That I am the father of MARIELIZ CHRISTINE O. MAINES, student of Pasig City
Science High School and applying for scholarship program at UP, Diliman, Quezon City
and one of the requirements is the submission of this affidavit;
2. That by these presents, I hereby declare that our family together with my sister, Cecilia
Rosario M. Villejo shares the payment for water, electric and home rental bills. I have
been responsible for the payment of the following expenses, such as:
a. 50% of electrical and water bills – PhP3,000.00 more or less per month;
b. 25% of home rental bill - PhP2,500.00 per month;
3. That I am executing this affidavit in order to attest to the truth of the foregoing facts for
City, Philippines.
MARCO ANTONIO D. MAINES

Affiant
Pasig City.
Doc. No
Page No.
Doc. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT
I, NENITA E. FLORENDO, of legal age, Filipino, married, with residential address at 56

Lozada Compound, Sto. Tomas, Pasig City, after having been duly sworn in accordance with law
1. That I am the mother of JEROME E. FLORENDO, student of Pasig City Science High
School and applying for scholarship program at UP, Diliman, Quezon City and one of
the requirements is the submission of this affidavit;
2. That by these presents, I hereby declare that our family together with my brothers in
law, Ronaldo C. Florendo and Rafael C. Florendo, shares the payment for water,
electric and other bills. and that I am responsible for the payment of our expenses,
such as 50% of electrical and water bills – PhP2,000.00 more or less per month;
City, Philippines.
NENITA E. FLORENDO
Affiant
Pasig City.
Doc. No
Page No.
Doc. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT
I, FILOMENA N. ROSALES, of legal age, Filipino, married, with residential address at 149
Dr. Pilapil St., San Miguel, Pasig City, after having been duly sworn in accordance with law hereby
depose and state:
1. That I am the mother of JAYSON N. ROSALES, student of Pasig City Science High
School and applying for scholarship program at UP, Diliman, Quezon City and one of
the requirements is the submission of this affidavit;
2. That by these presents, I hereby declare that our family together with my neighbor,
Raymundo Tesiorna shares the payment for Manila Water Bill;
3. That I am executing this affidavit in order to attest to the truth of the foregoing facts for all
City, Philippines.
FILOMENA N. ROSALES
Affiant
Pasig City.
Doc. No
Page No.
Doc. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT
I, RODOLFO G. HONRADO, of legal age, Filipino, with postal address at Surigao

Development Corp., 4TH Floor, Enzo Bldg., Makati City, after having been duly sworn in accordance
1. That I am the Vice President for Finace and Admin of Surigao Development Corporation
(SUDECOR), Cantilan, Surigao Del Sur;
2. That the said Surigao Development Corporation (SUDECOR), Cantilan, Surigao Del Sur,
is the producer of lumber and flywood products and Surigao Development Corporation
(SUDECOR), Pasig City Branch is our exclusive distributor of the same products;
City, Philippines.
RODOLFO G. HONRADO
Affiant
Pasig City.
Doc. No
Page No.
Doc. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT
I, DAISY SAMSON, of legal age, Filipino, married, with residential address at Lot 9 Blkl. 6
Harison Ville, Parkwood, Maybunga, Pasig City, after having been duly sworn in accordance with
5. That I was born on October 19, 1970 in Pasig City of Filipino parents, Manuel U.
Samson and Casimira V. Permison;
6. That I am a Filipino and my husband is a Japanese citizen;
7. That we were blessed with a daughter named SEIJI SAMSON FURUKAWA, the latter
was born on October 30, 2001 in Samikukai Hospital, Taihei, Sumida, Ku, Tokyo;
8. That the facts of my daughter’s birth were duly registered at Tokyo;
9. That in accordance with Philippine Laws, specifically Art. IV of the new Constitution
which specifically provides that the following are citizens of the Philippines:
Sec. 1. The following are citizens of the Philippines:
1. xxx;
2. those whose fathers and mothers are citizens of the Philippines ;
3. xxx;
4. xxx;
5. xxx..
10. Due to the foregoing provision, since I am a Filipino, thus, my child is a Filipino citizen;
and to request the Department of Foreign Affairs for the issuance of Philippines
Passport.
City, Philippines.
CARINA ESPANTO TIUJONGCO-FLORES

Affiant
Pasig City.
Doc. No
Page No.
Doc. No.
Series of 2006
/k8
Pasig City )s.s.
AFFIDAVIT OF NON FILING OF INCOME TAX
I, GLORIA B. CARPIO, of legal age, Filipino, with residential address at 165-I Cadena De
Amor, Banaag St., Pineda, Pasig City, after having been duly sworn in accordance with law hereby
depose and state:
11. That I am the wife of EDGAR GENIO who is presently employed in Ireland as an
Overseas Contract Worker
Internal Revenue.
of income tax.
City, Philippines.
STELLA SICAY GENIO

Affiant
Pasig City.
Doc. No
Page No.
Doc. No.
Series of 2006
/MCA
Pasig City )s.s.
AFFIDAVIT
I, ANDREA FARIDA MANSOUR SELIM, of legal age, Filipino, with residential address at
122 M.H. Del Pilar St. Santo Tomas, Pasig City, after having been duly sworn in accordance with
1. That I was born on September 10, 1991 in Los Banos Laguna, being the daughter of
Spouses Farouk Ismail Mansour Selim and Bernadette Antinero Mansour Selim who were
Egyptian and Filipino citizens respectively although my father Farouk is an Egyptian he had
always considered himself as Filipino citizen;
2. The facts of my birth were duly registered in the Office of the Local Civil Registry of Los
Banos Laguna;
3. I am now in the process of my enrollment at Pasig Catholic College however, the latter
is in doubt as to my nationality/Citizenship;
4. That based on the foregoing and all my school and other personal records, the herein
affiant for all legal intents and purposes, is a Filipino citizen and has not acquired a double
citizenship in any country notwithstanding the fact that my father is an Egyptian National for
the reason that I am not qualified to be an Egyptian National based on Egyptian Law;
5.That attached herewith are supporting documents proving the citizenship of the herein
affiant;
6. That I am executing this Affidavit to attest to the truth and veracity of the foregoing facts.
City, Philippines.
ANDREA FARIDA MANSOUR SELIM

Affiant
Pasig City.
Doc. No
Page No.
Doc. No.
Series of 2013
Pasig City )s.s.
AFFIDAVIT OF NATIONALITY
I, MARIA CONCHITA GRACE DALMACIO, of legal age, Filipino citizen, with postal and
residential address at 1844 A. Flores St., Caniogan, Pasig City, Philippines, after having been duly
1. That I was born on September 27, 1966 in Dipolog City, Zamboanga del Norte,
Philippines, being the daughter of Spouses Manuel Dalmacio and Veronica Bernardo, who were
both Filipino citizens;
Dipolog City, Zamboanga del Norte, Philippines and National Statistics Office (NSO);
3. That I hereby declare and attest that I did not enter into any valid matrimony with any
person elsewhere in the Philippines or outside the Philippines, thus, I remain to be single up to
present and I don’t have any nationality aside from being a Filipino Citizen
4. That based on the foregoing and all personal records, the herein affiant for all legal
intents and purposes, is a Filipino citizen;
5. That attached herewith are supporting documents proving the citizenship of the herein
affiant;
City, Philippines.
MARIA CONCHITA GRACE DALMACIO

Affiant
Pasig City.
Doc. No
Page No.
Doc. No.
Series of 2011
Pasig City )s.s.
AFFIDAVIT OF NATIONALITY
I, MARIA CONCHITA GRACE DALMACIO, of legal age, Filipino citizen, with postal and
residential address at 1844 A. Flores St., Caniogan, Pasig City, Philippines, after having been duly
1. That I am the mother and standing guardian of KEISHI DALMACIO KOJO who was born
on November 13, 2003 in Kalawaan, Pasig City, Philippines to his father Teruyuki Kojo a Japanese
Citizen;
2. That the facts of my son’s birth were duly registered in the Office of the Local Civil
Registry of Pasig City, Philippines and National Statistics Office (NSO);
3. That I hereby declare and attest that KEISHI DALMACIO KOJO don’t have any
nationality aside from being a Filipino Citizen;
4. That based on the foregoing and all personal records, for all legal intents and purposes
KEISHI DALMACIO KOJO is a Filipino citizen;
5. That attached herewith are supporting documents proving the citizenship of my son
KEISHI DALMACIO KOJO;
City, Philippines.
MARIA CONCHITA GRACE DALMACIO

Affiant
Pasig City.
Doc. No
Page No.
Doc. No.
Series of 2011
/k8
Pasig City )s.s.
AFFIDAVIT
I, DANILO CAVITANA, of legal age, Filipino, with residential address at 554 Yakal St.,
Napico, Manggahan, Pasig City, after having been duly sworn in accordance with law hereby
depose and state:
1. That I applied for registration with Bureau of Internal Revenue for my business Slylight Ads
sometime on September 6, 1995 under TIN no. 043-178-969-740;
2. That the said business was also registered with the Business Permit and License Office;
3. That I applied for cessation of the said business with the Office of the Business Permit and
License Office sometime on October 20, 1997;
4. That I failed to inform the Bureau of Internal Revenue regarding the termination of the said
business, and as a consequence, the said agency continue to assess the said business for
tax purposes;
5. That I hereby declare and attest that the said business has long been terminated since
October 20, 1997;
to request the Bureau of Internal Revenue for the clearance of the said registration;
City, Philippines.
DANILO CAVITANA
Affiant
Pasig City.
Doc. No
Page No.
Doc. No.
Series of 2007
K8
Pasig City )s.s.
AFFIDAVIT of EXPLANATION
I, ROMEO R. DAVID, of legal age, Filipino, with residential address at 24-C Magat Salamat
St., Proj. 4 Quezon City, after having been duly sworn in accordance with law hereby depose and
state:
7. That I applied for TIN Registration with Bureau of Internal Revenue, Pasig City as a part-
time real estate agent for which I was issued a Tax Identification Number 247542468;
8. That sometime last week I received a Notice to the Public to ask for BIR receipt from BIR
agent which I cannot issue since I am not an owner/proprietor of any business;
9. That I am a part-time real estate agent of Fil-Estate Realty Corporation and my clients are
formally introduced to the said company and the latter company issued receipt for any
amount paid to them for any transaction involving the sale of their real properties, for this
reason, I am not entitled to issued Official Receipts;
City, Philippines.
ROMEO R. DAVID
Affiant
Pasig City.
Doc. No
Page No.
Doc. No.
Series of 2006
K8

Pasig City )s.s.
I, LORENZO L. GUINTO, JR, of legal age, Filipino, with office and residence address at
587 Purok Rizal M. H. Del Pilar St., Pinagbuhatan, Pasig City, after having been duly sworn in
1. That I am the authorized representative of TAYO NAMAN INC and applied for
TIN Registration with Bureau of Internal Revenue, Pasig City for which it was
issued a Tax Identification Number 007-291-495-000;
2. That when I applied for its registration, it was discovered by the BIR of Pasig
City that there is also another Tax Identification Number 229-478-818-000
registered under TAYO NAMAN INC.;
3. That due to the foregoing double registration of TIN Nos., being the authorized
representative, I hereby manifest my intention to cancel the registration of Tax
Identification Number 229-478-818-000 and that Tax Identification Number
229-478-818-000 be retained;
foregoing facts and to request the Bureau of Internal Revenue for the
cancellation of the registration of Tax Identification Number 229-478-818-000;
City, Philippines.
LORENZO L. GUINTO, JR
Affiant
Pasig City.
Doc. No
Page No.
Doc. No.
Series of 2011

Pasig City )s.s.
I, ERWIN ROMMEL P. JUNI of legal age, married to Fermina De Luna-Juni Filipino, with
residential and postal address at 14-D Kalayaan St., Ususan, Taguig City, after having been duly
1. That I am the father of JOANNAH JOY DE LUNA JUNI who is now applying for
Scholarship, and applied for a Certifiction of Non-Filing with Bureau of Internal
Revenue, Taguig City for which I was issued a Tax Identification Number 194-330-
174-000;
2. That when I requested for a Certification, it was discovered by the BIR of Taguig City
that my aforesaid Tax Identification Number 194-330-174-000 registered under my
name was registered as “SINGLE PROPRIETOR”;
3. That due to the foregoing erroneous registration as “SINGLE PROPRIETOR”, I

hereby manifest my intention to cancel the registration as “SINGLE PROPRIETOR”
and be changed as INDIVIDUAL;
facts and to request the Bureau of Internal Revenue of Taguig City for the
cancellation of my registration as “SINGLE PROPRIETOR” under Tax
Identification Number 194-330-174-000;
City, Philippines.
ERWIN ROMMEL P. JUNI

Affiant
Pasig City.
Doc. No
Page No.
Doc. No.
Series of 2011

Pasig City )s.s.
SWORN STATEMENT
I, AVELINO LALOG MARALIT, of legal age, Filipino, with residential address at 25 Pine
St., Northwood Village, Sta. Lucia, Pasig City, after having been duly sworn in accordance with law
1. That I am the former owner of a tricycle which was sold to DEMETRIO C. MAYONI, a copy
of the deed of sale executed on January 29, 2003 is hereto attached;
2. That from the year 2003, when the said tricycle was sold, I did not file for Income Tax
Return due to the fact that I do not have any source of income and by reason of the said
transfer and conveyance, I am no longer the person who is required to file Income Tax
Return as tricycle operator of said motor vehicle with Plate No. TV6946 but the vendee
Demetrio C. Mayoni;
City, Philippines.
AVELINO LALOG MARALIT

Affiant
Pasig City.
Doc. No
Page No.
Doc. No.
Series of 2010

Pasig City )s.s.
SWORN STATEMENT
I, AVELINO LALOG MARALIT, of legal age, Filipino, with residential address at 126 Villa
Rey Road 2, Pinagbuhatan, Pasig City, after having been duly sworn in accordance with law
9. That I am the registered owner of a motor vehicle under Certificate of Registration No.
CR No. 62133445 and Official Receipt No. 834665580, which is more particularly
described as follows:
MAKE : ISUZU
TYPE OF BODY : JITNEY
MOTOR NO. : 398839
SERIAL/CHASSIS NO. : HMW 4672 C89
PLATE NO. : DGL-522
10. That from the time of my acquisition of the said motor vehicle, the same is categorized
as private service vehicle up to the present and never been classified as PUBLIC
UTILITY (PUJ);
and to request the Bureau of Internal Revenue for the clearance of the said registration;
City, Philippines.
AVELINO LALOG MARALIT

Affiant
Pasig City.
Doc. No
Page No.
Doc. No.
Series of 2010

Pasig City )s.s.
I, REX V. REYNO, of legal age, Filipino, with residential address at 808 Cluster 8 Flexi
Homes, Rosario, Pasig City, after having been duly sworn in accordance with law hereby depose
and state:
12. That I am the registered owner of XERVER.INFO COMPUTER SERVICES, doing

business at above mentioned address;
2. That the said business is applying for the termination/cancellation of the said business from
BIR Pasig City:
5. That one of the requirements in the Termination/Cancellation of said Certificate of

Registration is the submission of unused official receipts and invoices;
6. That I hereby attest that even from the start we did not use invoices/receipt for the
said business nor we applied for printing of receipts and invoices;
facts and to request the Bureau of Internal Revenue for the clearance of the said
registration;
City, Philippines.
REX V. REYNO
Affiant
Pasig City.
Doc. No
Page No.
Doc. No.
Series of 2006
Cjd…….

Pasig City )s.s.
AFFIDAVIT
(Re: Cancellation of the Cancellation/Cessation of Business)
I, LILIBETH ANTONIO-GARCIA, of legal age, Filipino, married, with

residential address at No. 79-A C. Santos St., Ugong, Pasig City, after having
1. That I am the registered owner of GARCIA’S MEDICAL CLINIC, doing

business at above mentioned address;
2. That on the said business, I applied for the cessation/cancellation of
the said business from BIR Pasig City and submitted already all my documents
such as Book of Accounts, etc. with the Bureau of Internal Revenue :
3. That I am now in the process of canceling the aforesaid

Cancellation/Cessation of my aforesaid clinic service and in lieu thereof I am
now planning to change into other line of business and one of the
requirements thereto is the submission of this Affidavit ;

the foregoing facts and to request the Bureau of Internal Revenue for the
cancellation of my aforesaid Cancellation/Cessation of business;

LILIBETH ANTONIO-GARCIA
Affiant
2013 in Pasig City. Affiant exhibited to me her PRC ID with Reg No. 0068783
and valid until February 10, 2014.
Doc. No
Page No.
Doc. No.
Series of 2013

Pasig City )s.s.
AFFIDAVIT OF LOSS
I, FEJAY R. FABROADA, of legal age, Filipino, with residential address at No. 40 B. E.

Jacinto Street, Bambang, Pasig City, after having been duly sworn in accordance with law hereby
depose and state:
1. That I am a holder of a Professional Driver’s License issued by the Land Transportation

Office;
2. That yesterday, December 17, 2012, while I was riding a passenger bus going to
Mandaluyong City, I noticed that my belt bag including the aforesaid Driver’s License
was missing, presumably the same was misplaced under unknown circumstances;
3. That for all intents and purposes, the aforesaid Professional Driver’s License is now
considered lost;
for all intents and for whatever legal purpose it may serve and for the re-issuance of
new Driver’s License;
City, Philippines.
FEJAY R. FABROADA
Affiant
Pasig City.
Doc. No
Page No.
Doc. No.
Series of 2012

Pasig City )s.s.
(Re: Mutilated Passport)
I, JUAN FELIPE E. ENRIQUEZ, of legal age, Filipino, single, with postal address at No.153
Dr. Sixto Antonio Ave., Rosario, Pasig City, after having been duly sworn in accordance with law
1. I am a holder of a Philippine Passport with No. EB0385559 duly issued by the

Department of Foreign Affairs, Manila, issued on June 16, 2010 and valid until June 15, 2015;
2. Sometime in July 2014, I was in Canada and on my way to enter the territory of
U.S.A. at the border gate of Canada and U.S.A. my Passport was inspected by a security officer
and when he returned it back to me I noticed that the cover of my Passport fell off. Due to
foregoing, I superglued the cover of my passport to put it back together;
3. That for all intents and purposes, the aforesaid Philippine Passport is now
considered mutilated;
4. I am now in the process of securing a new Philippine Passport for the

replacement/renewal of the mutilated passport;
and to request for the renewal of my passport and for whatever legal intents it may serve.
City, Philippines.
JUAN FELIPE E. ENRIQUEZ

Affiant
Pasig City.
Doc. No
Page No.
Doc. No.
Series of 2014.

Pasig City )s.s.
(Re: Mutilated Passport)
I, ROQUE SIMBAJON ITING, of legal age, Filipino, married, with residential address at No.
247 Duhat Extension, Napico Manggahan, Pasig City, after having been duly sworn in accordance
1. That I am a holder of a Philippine Passport with No. BB048148 duly issued by the
Department of Foreign Affairs, Manila, issued on May 2, 1996 and has been expired on May 2,
2001;
2. That now I am in the process of renewal of the said passport at the Department of
Foreign Affairs, however, it would appear that pages 2 and 3 in particular have writings/notes.
Such notes were made by the undersigned due to inadvertence;
3. That for all intents and purposes, the aforesaid passport is now considered
mutilated;
facts and to request for the renewal of my passport and for whatever legal intents it may serve.
City, Philippines.
ROQUE SIMBAJON ITING

Affiant
Pasig City.
Doc. No
Page No.
Doc. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT OF NON FILIING OF INCOME TAX
I, STELLA SICAY GENIO, of legal age, Filipino, with residential address at 165-I Cadena
De Amor, Banaag St., Pineda, Pasig City, after having been duly sworn in accordance with law
4. That I am the wife of EDGAR GENIO who is presently employed in Ireland as an
Internal Revenue.
of income tax.
City, Philippines.
STELLA SICAY GENIO

Affiant
Pasig City.
Doc. No
Page No.
Doc. No.
Series of 2006
/MCA
Affiant
Pasig City.
Doc. No
Page No.
Doc. No.
Series of 2006
/MCA

Pasig City )s.s.
AFFIDAVIT OF NON FILIING OF INCOME TAX
I, MA. LOURDES B. GO, of legal age, Filipino, with residential address at No. 687 Yakal
St., Napico, Manggahan, Pasig City, after having been duly sworn in accordance with law hereby
depose and state:
 That I am the wife of MICHAEL C. GO who is presently employed in Ireland as an

 That my husband is in the process of filing his income tax abroad and one of the
 That I am a plain housewife and not gainfully employed since I have devoted my time to
 That in lieu of the Income Tax Return I am requesting a certification from the Bureau of
Internal Revenue.
 That under the provision of the National Internal Revenue Code specifically Sec. 24 (2A) as
amended, I am exempted and not required to file inncome tax return, hence, my inability to
 That I am executing this Affidavit to attest to the truth and veracity of the foregoing facts and
to request the Bureau of Internal Revenue for the issuance of a Certification for non filing of
income tax.
City, Philippines.
MA. LOURDES B. GO
Affiant
Pasig City.
Doc. No
Page No.
Doc. No.
Series of 2006
/MCA

Pasig City )s.s.
AFFIDAVIT OF SEPARATION
I, BITUIN A. GARCIA, of legal age, Filipino, with residential address at 220 B 7TH Avenue,
Grace Park, Caloocan City, after having been duly sworn in accordance with law hereby depose
and state:
a. That I am being treated at the Philippine Heart Center under Out-Patient

Department for which I am applying for a social medical service at the said
hospital;
b. That one of the requirements is the submission of an affidavit stating among

others that I am separatedthe mother of the following children, namely:
c. MARK L. BAUTISTA who was born on November 6, 1983 in Pasig City,

Philippines;
d. ROMMEL L. BAUTISTA who was born March 25, 1986 in Pasig City and ;
e. RACHEL MITZ L. BAUTISTA who was born on March 19, 1992 in Pasig City;
13. That their father is a U.S. citizen and I have been receiving financial support from him
for my afore-named children;
14. That my children was petition by their father and now resident of No. 443 N 3rd St.,
Watseka Illinois, U.S.A;
15. That due to the foregoing, I hereby declare and attest that I renounced my right to claim
any financial support from ROGER BAUTISTA since my children are now in his
custody;
16. That I am executing this affidavit to attest to the veracity of the foregoing statements for
City, Philippines.
BITUIN A. GARCIA
Affiant
Pasig City.
Doc. No
Page No.
Doc. No.
Series of 2009

Pasig City )s.s.
AFFIDAVIT OF MARRIAGE
I, ROSALINDA B. SAN PEDRO, of legal age, Filipino, with residential address at No. 54
J.B. Miguel St., Bambang, Pasig City, after having been duly sworn in accordance with law hereby
depose and state:
17. That I am the lawful wife of ATILANO SAN PEDRO JR. and we were married on
February 22, 1967 in Cainta, Rizal;
18. That when I tried to secure a copy of the said Marriage Contract from the Office of the
Local Civil Registry of Cainta, Rizal, to my dismay, I was informed that there documents
of that year were destroyed by fire, thus, they cannot issue the herein affiant’s request
of the copy of the said Marriage Contract;
19. That for all intents and purposes, I hereby declare and attest that I am the lawful wife of
ATILANO SAN PEDRO JR. and we were married on February 22, 1967 in Cainta,
Rizal;
20. That I am executing this affidavit to attest to the veracity of the foregoing statements for
City, Philippines.
ROSALINDA B. SAN PEDRO

Affiant
Pasig City.
Doc. No
Page No.
Doc. No.
Series of 2005

Pasig City )s.s.
SWORN STATEMENT
I, LOURDES R. ZABALA, of legal age, Filipino, with residential address at No. 75 Villa San
Juan, Sto. Tomas, Pasig City, after having been duly sworn in accordance with law hereby depose
and state:
1. That I am the surviving legal wife of the late BAYANI DIONISIO ZABALA, who died
on March 23, 2008. We were married on May 23, 1968 in the Church of our Lady of Loreto. Out
of the said marriage, we begot four (4) children, namely: Benedic, Lorena, Rowena, and Vergel, all
surnamed Zabala;
City of Pasig.......................) s.s
AFFIDAVIT OF NON-FILING OF INCOME TAX RETURN
I, AMELITA A. SAMSON, of legal age, married, Filipino, with posta

nt, I was constrained to work abroad and left for Saudi Arabia in 1998. When I left, our
relationship as husband and wife was smooth and I did not see any marital problems. It was
already in my four (4) years in Saudi Arabia when I discovered that my husband had cohabited with
other woman, whom he begot a child named Cedric C. Zabala;
3. That I am executing this affidavit to attest to the veracity of the foregoing statements
for all intents and for the purpose of proving that I am the legal wife of the late Bayani Dionisio
Zabala, and as a requirement in claiming death benefits and any all other benefits from the Social
Security System, where my husband is a bona fide member thereof;
City, Philippines.
LOURDES R. ZABALA
Affiant
Pasig City.
Doc. No
Page No.
Doc. No.
Series of 2009

Pasig City )s.s.
I, MA. RITA C. PERLAS, of legal age, Filipino, with postal and residential address at No.
Blk 43 Lot11 Phase 3, Casimiro, Deparo, Novaliches, Caloocan City, after having been sworn in
1. That I am the winner of NOKIA 6020 in ESKINOL and WATSON’S GANDANG

MAALIWALAS Raffle Promo;
2. That one of the requirements of the said contest is to present the unscratched Security
Code in the bottle of Eskinol Product;
3. That sometime in December 2005, my little daughter accidentally scratched the security
code in the bottle;
4. That I hereby declare that the scenario happen is not intentional;
5. That I am executing this affidavit to attest to the veracity of the foregoing statements for all
City, Philippines.
MA. RITA C. PERLAS

Affiant
Pasig City.
Doc. No
Page No.
Doc. No.
Series of 2006
Cjd…….
Pasig City )s.s.
I, JOSE KENNEDY C. AGUILAR, of legal age, Filipino, with residential address at SPS
Subdivision, Rosario, Pasig City, after having been duly sworn in accordance with law hereby
depose and state:
1. That I am the biological and natural father of KENNEDY R. AGUILAR, JR., who was
born on September 16, 1995 in Quezon City and whose surname is eventually entered
on his Certificate of Live Birth as “AGUILAR”;
2. That he is my only child by and to his mother GILDA B. REUSORIA, who is born out of
wedlock and it turned out that I took advantage of using my surname in my child’s Birth
Certificate by indicating therein that me and GILDA B. REUSORIA got married on
October 17, 1993 at Tabaco, Albay where in truth in fact were not;
3. That at present, I am in the process of applying my aforesaid child as one of my

beneficiaries at Philhealth and one of the requirements theretoi is the submission of this
Affidavit;
4. Considering the foregoing circumstances, I hereby declare and attest that me and
GILDA B. REUSORIA were not married;
5. That I am executing this Affidavit to attest to the veracity of the foregoing statements for
City, Philippines.
JOSE KENNEDY C. AGUILAR

Affiant
Pasig City.
Doc. No
Page No.
Doc. No.
Series of 2008
Pasig City )s.s.
AFFIDAVIT
I, RECHELINE T. ROQUERO, of legal age, Filipino, with residential address at No. 59 A

Mabini St., Manggahan, Pasig City, after having been duly sworn in accordance with law hereby
depose and state:
1. That I was born on January 9, 1982 in Kalumboyan, Bayawan City;

2. That up to the present I am single and have no child to support;
3. That I intend to travel to Holland to work and study;
4. That nobody is dependent upon me for support, financially or otherwise;
5. That in my travel to Holland, I shall not be liability of the Holland Government and I can
support my self all throughout my stay in the said country and that I have no
responsibility for any support of any person in the Philippines, including any children of
my siblings;
6. That I am executing this affidavit to attest to the veracity of the foregoing statements
City, Philippines.
RECHELINE T. ROQUERO Affiant
City.
Doc. No
Page No.
Doc. No.
Series of 2006
Pasig City )s.s.
AFFIDAVIT OF NON-ACCOMPANYING CHILDREN
I, JOSE GREFAL YONG, of legal age, Filipino, with residential address at No. 190 Willarey
Subd., Main Road, Brgy. Pinagbuhatan, Pasig City, after having been duly sworn in accordance
1. I am the father of the following:
a. CHRISTIAN REYES YONG, born on September 5, 1989 in Calamba, Laguna;

b. DONNA REYES YONG, born on February 11, 1991 in Calamba, Laguna;
c. MARIA RIZZA REYES YONG, born on June 26, 1992 in Calamba, Laguna;
d. JONEL REYES YONG, born on October 22, 2003 in Calamba, Laguna;
e. MAINAH REYES YONG, born on September 5, 1989 in Sta. Rosa, Laguna;
2. I intend to travel for Canada as soon as the pertinent travel papers becomes ready
and available;
3. My abovenamed children are all studying here in the Philippines, some of them are
graduating students, and for which reason I could not join them in my travel to Canada.
4. I am executing this affidavit to attest to the veracity of the foregoing statements for all
City, Philippines.
JOSE GREFAL YONG

Affiant
Pasig City.
Doc. No
Page No.
Doc. No.
Series of 2010
Pasig City )s.s.
AFFIDAVIT OF NON-TENANCY
We, CHARITO ARCEGA OCAMPO, LILIA ARCEGA ABRIAM, JESUS TAMAYO ARCEGA,
JR. , ELENA ARCEGA MILANES and MARIBETH ARCEGA BLANCO, of legal age, Filipino, with
residential address at L11 B 24 Petunia St., Castle Spring Heights, Kaloocan City, after having
been duly sworn in accordance with law hereby depose and state, That:
1. I am a registered teacher and practicing my profession as a High School Facutly at

National College of Business and Arts;
2. I personally know Spouses Diomedes Artieda and Josie Artieda whom I knew when I
had the chance to work with Spouses Crispin Almeda and Doris Almeda for about 15 years from
1981 to 1996 beng the “yaya” of their only son, Chris Almeda;
3. I was already serving spouses Crispin Almeda and Doris Almeda, before Diomedes
Artieda was hired as gardener and later Josie Artieda as house help in 1985-1986. I had personal
knowledge that the two had a relationship while serving with our employer spouses Doris and
Crispin Almeda who initially had no knowledge about their love affair and were surprised that they
suddenly eloped;
4. After several years, I learned that Diomedes Artieda and Josie Artieda stayed at
Harangan or Sitio Daong, the vacation house of spouses Almeda, when I heard from said
(Almeda’s) they were surprised to hear all of a sudden that their former helpers were already
staying in their vacation house; Out of pity and compassion, the Almedas tolerated them (Artiedas)
to temporarily stay and be occupants of the said vacation house but it was made clear the such
accommodation was only by tolerance;
5. Before the Diomedes and Josie stayed in the said house, the lot have already been
planted with fruit bearing trees and other ornamental plants by Doris Almeda and her children such
as Santol, Kaimito, Manggo and Banana. I had personal knowledge as to this fact for I can still
recall when Aimee and Chris (children of Crispin and Doris) were on their childhood days, we
frequently visited the place and assisted in the planting of fruit trees and ornamentals like Fortune
Plants, San Francisco, Gumamela, Santan, Lerio, Palms Narra and Golden Shower trees. It was
also the place where the family celebrate and spend special occasions;
6. That during the duration of stay of spouses Diomedes and Josie Artieda in the place
subject of this controversy, the registered owners Crispin and Doris have not received any of the
fruits from the fruit bearing trees and whenever the latter asked the former as to the fruits thereof,
they would always say the fruits had not yet fully grown or that the fruit bearing trees have no
produce or fruits or “nalanta” or “nalaglag;
7. I was surprised to learn that the Spouses Artieda are claiming themselves as the
tenants of the land where in fact the land was not intended as agricultural farm but solely as a
vacation spot.
8. That I affirm and confirm the veracity of the foregoing statements that I understood that
the same is true and correct to the best of my knowledge.
City, Philippines.
Affiants:
CHARITO ARCEGA OCAMPO LILIA ARCEGA ABRIAM JESUS TAMAYO ARCEGA, JR.
ELENA ARCEGA MILANES MARIBETH ARCEGA BLANCO
Pasig City.
Doc. No
Page No.
Doc. No.
Series of 2010

Pasig City )s.s.
I ELMER B. GARCERO, of legal age, Filipino, with office address at TPMO Office
Santo Tomas, Pasig City, after having been duly sworn in accordance with law hereby
depose and state, That:
5. That I was to be presented as the prosecution’s intitaial witness in the

hearing of People of the Philippines vs. Carlos Lozano, Jr. y Ocampo (SB)
Crim case No. 149332 for Corruption of Public official on Februsry 5, 2014
before the Regional Trial Court, Pasig City Branch 161;
6. On the said date I was not able to attend the hearing due to the fact that
I have encountered family problems on the scheduled day of the hearing
thus I have left with no other choice but to go to Valenzuela on that day
to look into the matter considering that my personal presence is really
needed on the said event;
7. That I deeply apologize for the inconvenience that I have caused and it
was not my intention to delay the proceedings;
8. That I am executing this affidavit in order to attest to the veracity of the

foregoing circumstances and for all intents and for whatever legal
ELMER B. GARCERO
Affiant
Pasig City.
Doc. No
Page No.
Doc. No.
Series of 2014
Pasig City )s.s.
AFFIDAVIT
I, REGINA A. FRANCISCO, of legal age, Filipino, with address at 40 B. V Pozon St.,

Bambang, Pasig City, after having been duly sworn in accordance with law hereby depose and
state, That:
1. I am the mother of the late MICHELLE A. FRANCISCO, who died on December 9,

2005 in Manila;
2. My daughter is a member of Social Security System;
3. I am in the process of claiming the lumpsum from the Office of Social Security System,
and among the requirements is the submission of this affidavit;
4. Being the mother I am responsible for the benefits of the deceased;
5. That I am executing this affidavit in order to attest to the veracity of the foregoing
circumstances and for all intents and for whatever legal purpose it may serve.
City, Philippines.
REGINA A. FRANCISCO
Affiant
Pasig City.
Doc. No
Page No.
Doc. No.
Series of 2006
cjd
Pasig City )s.s.
We, WILLY S. CO, married to Marilou Co, MICHAEL S. CO, single, MARY ANN
CO-BORROMEO, married to Eduardo Borromeo, BELINDA CO-CASTILLO, married to
Ferdinand Castillo, NORMAN S. CO, married to Monica Co; NORMITA CO-ROMERO,
married to John Gary Romero; and LESTER S. CO, married to Magnolia D. Co, all of
legal age, Filipino, with residential address at No. 45 San Francisco Street, Barangay
Kapitolyo, Pasig City, after having been duly sworn in accordance with law hereby depose
and state, That:
1. We are among the children and surviving legal heirs of the late AVELINO C.
CO who is also a co-registered owner of the parcel of land covered and embraced by
Transfer Certificate of Title No. PT-140730 containing an area of Three Hundred Sixty-
Six (366) Square Meters located at No. 45 San Francisco Street, Barangay Kapitolyo,
Pasig City;
2. On the abovedescribed property, we constructed a two-storey residential

house (duplex type) under Building Permit No. BP-09R0027 sought from the Building
Official of Pasig on January 23, 2009 and that we are now securing an Occupancy Permit
from the same office;
3. Pursuant to Rule 74, Sec. 1 of the Revised Rules of Court of the Philippines,
and all being with full capacity to contract, we do hereby adjudicate unto ourselves the
legal portion of the late AVELINO C. CO, of the parcel of land including the newly-
built residential house described above, in equal shares.
4. That the deceased died intestate, without Will or Testament, and without
any outstanding debts in favor of any person or entity;
5. That we are executing this affidavit in order to attest to the veracity of the
foregoing circumstances and for all intents and for whatever legal purpose it may serve.
WILLY S. CO MICHAEL S. CO
MARY ANN CO-BORROMEO

BELINDA CO-CASTILLO NORMAN S. CO
NORMITA CO-ROMERO
LESTER S. CO
in Pasig City.
Doc. No
Page No.
Doc. No.
Series of 2009

Pasig City )s.s.
AFFIDAVIT
I, GERONIMA S. ANICETO, of legal age, Filipino, with present postal address at No. 251 De
Guzman Compd., E. Rodriguez Ave., Manggahan, Pasig City, after having been duly sworn in
21. That I was born on October 28, 1941 in Aroroy, Masbate being the daughter of
Albertano Mendoza and Maria Caballero;
1. That I am a bona fide member of Social Security System with No. 03-1868801-7;
2. That sometime on 1968, United Textile Inc. is in need of a factory worker, however
among the requirement thereto is that the applicant should have working experience in
the same field;
3. That at that time my mother was confined in a hospital and I am in current need of a
job to support my mother’s medical needs and sustenance. That I asked one
CONCHITA RAMOS, the wife of our cousin, who had a working experience in the said
field as a factory worker to use her name as my name and submit her working
certificate to Unite Textile Inc.;
4. Due to the foregoing I was hired as a factory worker and was entered in the name of
CONCHITA RAMOS, which name was forwarded in the Social Security System;
5. That I hereby declare and attest that the name CONCHITA RAMOS as reflected in my
employment records and in the records of SSS and GAUDIOSA C. MENDOZA being my
true and correct name as reflected in my Certificate of Live Birth, refer to one and the
same person;
City, Philippines.
GAUDIOSA C. MENDOZA
Affiant
City.
Doc. No
Page No.
Doc. No.
Series of 2005

Pasig City )s.s.
AFFIDAVIT OF NO INDEBTEDNESS
I, AQUILINO S. DELA CRUZ, of legal age, Filipino, with present postal address at No. 32
Uranus Street, Pasig Greenland Village, Pasig City, after having been duly sworn in accordance
1. That I am the President of STEELITE CONSTRUCTION CORPORATION, with business

address at No. 32 Uranus Street, Pasig Greenland Village, Pasig City;
2. That we are the contractor of recently completed project “150 Guyed Tower at Brgy.
Dila-Dila Site, located at Zone 6, Brgy. Dila-Dila, Sta. Rita, Pampanga;
3. That I hereby declare and attest that all the labors and materials used in the said
project are all paid, thus, we have no outstanding obligation or debts to any person or
entity;
City, Philippines.
AQUILINO S. DELA CRUZ

Affiant
City.
Doc. No
Page No.
Doc. No.
Series of 2005
Pasig City )s.s.
AFFIDAVIT OF INDEBTEDNESS
We, LYDIA MISA TIRADOR and PILAR MISA PEÑALOSA, both of legal age, both
married, both Filipinos, with present postal address at No. 76 San Roque Street, Bagong Ilog,
Pasig City, after having been duly sworn in accordance with law hereby depose and state:
1. That we are co-registered owners of a parcel of land situated in Bagong Ilog, Pasig
City, covered and embraced by Transfer Certificate of Title No. 11122 of the Register of Deeds of
Pasig City;
2. That we sold the abovementioned property to Spouses Marlon D. Santos and Evelyn
C. Santos, residents of No. 12 Santiago Street, Bagong Ilog, Pasig City for a total consideration of
the above parcel of land in the sum EIGHT HUNDRED THOUSAND PESOS (P800,000.00);
3. That the down payment which is P400,000.00 has been paid to us earlier by
Spouses Santos leaving unpaid is the balance of P400,000.00. However, instead of executing a
Deed of Conditional Sale for such payment, a Deed of Absolute Sale was executed.
4. That eventually, the above property has been transferred in the name of SPOUSES
MARLON D. SANTOS and EVELYN C. SANTOS;
5. That we hereby declare and attest that Spouses Marlon D. Santos and Evelyn C.
Santos have outstanding obligation to us in the amount of FOUR HUNDRED THOUSAND
PESOS (PHP400,000.00);
4. That we are executing this affidavit in order to attest to the veracity of the
foregoing circumstances and for all intents and for whatever legal purpose it may serve.
City, Philippines.
LYDIA MISA TIRADOR PILAR MISA PEÑALOSA

Affiant Affiant
WITH CONFORMITY:
MARLON D. SANTOS EVELYN C. SANTOS
City.
Doc. No
Page No.
Doc. No.
Series of 2008
Pasig City )s.s.
SWORN STATEMENT
I, EVANGELINE P. ARELLANO, Filipino, with residential address at No. 51 D Commercio

St., Kapasigan, tPasig City, after having been duly sworn in accordance with law hereby depose
and state:
1. I have a dating relationship with one Julius Rigor A. Sangil for more than one year;
2. My parents Benjamin and Remedios Arellano as well as the parents of Julius Rigor’s
parents Ma. Ofelia C. Avendano are aware and have full knowledge of our relationship
since we would at time have dinner at our house or at the Sangil’s residence;
3. During our relationship we had occasions of engaging into sexual intercourse, I have
surrendered myself freely and voluntarily fro the sake of our relationship since I have
learned to love him;
4. Julius Rigor never applied force, intimidation, violence or threat against my person in order
to solicit sexual intercourse with me, we did it out of our love for each other and not for
anything else;
5. Although I am still a minor, I have read and I was made to understand the contents of this
sworn statement before I affixed my signature;
6. That I am executing this affidavit to attest to the veracity of the foregoing statements and to
deny any accusations made against Julius Rigor A. Sangil that I was forced and or abused
by him sexually.
City, Philippines.
EVANGELINE P. ARELLANO
Affiant
Corroborating witness:
Josephine Bon
Pasig City.
NOTARY PUBLIC
Doc. No
Page No.
Doc. No.
Series of 2005
Pasig City )s.s.
SWORN STATEMENT
I, JEFFREY D. ANONICAL, both of legal age, Filipinos, with residential address at 159-A
M.H. Del Pilar Street, Sto. Tomas, Pasig City, after having been duly sworn in accordance with law
1. That I am the brother of Janvier Anonical, who also lived with me at the same address.
2. That he has an outstanding account with the Bayan Telecommunications amounting to
P2,094.32 as of September 8, 2009 under Account No. 329584038;
3. That in view of the fact that my brother is working in Singapore, and that he could not
personally settle the abovementioned accounts, and for which reason, I hereby undertake
to transfer the account in my name and that I am willing to settle or shoulder the liabilities
incurred by the said account;
4. That I hereby declare that my brother has no intention of abandoning his liabilities over the
said account but solely for the above working commitment in Singapore;
circumstances and for whatever legal purpose it may serve..
City, Philippines.
JEFFREY D. ANONICAL
Affiant
Pasig City.
NOTARY PUBLIC
Doc. No
Page No.
Doc. No.
Series of 2009
Pasig City )s.s.
SWORN STATEMENT
I, IRISH VICTORINO, of legal age, Filipino, with present postal address at No. 192 Villa
Sula, Palatiw, Pasig City, after having been duly sworn in accordance with law hereby depose and
state; That:
1. Sometime on November 204, I got involved with a married man by the name of Marlon
Yuzon;
2. We were romantically involved and he in turn tried to leave his family;
3. Until such time that I taught that I was pregnant so we tried to hide and live together
somewhere in Antipolo;
4. Marlon Yuzon’s wife Venus Yuzon tried to talk to me one day and I realized that what I
did was wrong, my conscience bothered me knowing that I was about to destroy a
family and myself;
5. Due to the foregoing, I undertake to avoid Marlon Yuzon and that I will cease and
desist from seeing him in order to prevent further harm that may be caused by our
illicit relationship;
circumstances and for the purpose of requesting Mrs. Venus Yuzon from further filing a
criminal case against me for adultery.
City, Philippines.
IRISH VICTORINO
Affiant
City.
Doc. No
Page No.
Doc. No.
Series of 2005
Pasig City )s.s.
AFFIDAVIT
I, JOSEPH M. VARGAS, both of legal age, married, Filipino and resident of Block 19, Lot 6,
Unit 5, Christine Royale Subd., Eusebio Avenue, San Miguel, Pasig City, after having been duly
1. That I am the sister of ANGELITA M. VARGAS, who died on March 31, 2009
at Medical City, Pasig City;
2.
3. That I am now in the process for completing the requirements for the funeral
benefits, death claims and any other benefits relative to the death fo my
aforesaid sister;
4. That she erroneously signed her name in some of her documents such as
Marriage Contract, and Death Certificate of her husband as MAGDALINA
which she used to do, while to the Official Receipt of the Funeral her name
was written as MAGDALENA;
22. That the name MAGDELA which was registered to the official receipt of the funeral
and registered to her birth certificate and the name MAGDALINA which she used to
signed in some of her documents refers one and the same person Magdalena R.
Zaulda;
FLOR C. VILLAR MARILYN P. MOLLO

Affiant Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2007
24. That I am the mother of the late PAUL C. VICTORINO, who died on October 26, 2007
in Maguyam, Silang Cavite;
25. That the aforesaid deceased is a bona fide member of Social Security System;
26. That the deceased was supporting the herein affiants’ basic need from sustenance,
medication and financial need during his lifetime up to the time of his death;
IN WITNESS WHEREOF, I have hereunto set my hand this ___ day of ____at the
__________________.

Pasig City )s.s.
AFFIDAVIT
I, KRISHNA KATHERINE J. CORDOVA, of legal age, Filipino, with present postal

address at No. 1123 G. Raymundo St/. Malinao, Pasig City, after having been duly sworn in
accordance with law hereby depose and state; That:
1. That I am the biological mother of ALEXANDRA MARIA LOURDES CORDOVA, who was
born out of wedlock on December 11, 2001 in Pasig City;
2. That the said child is my daughter to MARCIAL M. ROSAL;
3. That my daughter was born illegitimate, because of the absence of our marriage, thus I
hereby declare and attest that ALEXANDRA MARIA LOURDES CORDOVA, was born out
of wedlock on December 11, 2001 in Pasig City and her father is MARCIAL M. ROSAL;
circumstances and for whatever legal purpose it may serve.
Philippines.
KRISHNA KATHERINE J. CORDOVA

Affiant
Doc. No
Page No.
Doc. No.
Series of 2008

Pasig City ) S.S.
I, MILA COSINO HERNANDO, of legal age, Filipino, and with residence address at 18
Cuanas Apartment, Industria Street, Kapasigan, Pasig City, after having been duly sworn in
1. That I am presently employed at AMKOR TECHNOLOGY PHILIPPINES, INC., with official

address at Km. 22 East Service Road, South Superhighway, Bo. Cupang, Muntinlupa City.
2. That accordingly, I am a holder of Tax Identification No. 206-321-441;;
3. That I have employed with the aforesaid company since June 13, 2000;
4. That I have been filing my Income Tax Return with the Bureau of Internal Revenue using
the Form 1700 (a BIR Form particularly for individuals earning compensation income;
5. That to my dismay, I received a letter stating therein that I have failed to file my returns from
the December 31, 2000 up to December 31, 2004 and that requiring me to comply
therewith. I have noted that in the said letter, I am being required to file a return under
Form Type 1701, when in truth, I am filing my return under Form 1700 considering the fact
that I am an individual earning through compensation;
6. That by these presents, I hereby deny that I am the person being referred to with the said
letter to comply but other person bearing the same name with me or a discrepancy on my
BIR records was made;
7. To prove my claim, I am attaching my Annual Income Tax Return BIR Form No. 1700 I have
filed on April 18, 2001 and the Certificate of Compensation Payment/Tax Withheld (BIR
Form No. 2316) duly prepared by AMKOR TECHNOLOGY PHILIPPINES, INC.;
City, Philippines.
MILA COSINO HERNANDO

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2007
JEN
Pasig City )s.s.
AFFIDAVIT
I, RAQUEL ESPIRITUSANTO, of legal age, U.S. Citizen and resident of No. 10 Dama de
Noche St., Sta. Lucia, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I was born on January 22, 1961 at Sta. Ana, Manila being the daughter of Eliseo
Nazario and Maria Reyes (both deceased); the record of his birth is duly registered before
the Local Civil Registrar of Manila;
2. That I was married to Jorge B. Espiritusanto and we had two (2) children namely: Rachel N.
Espiritusanto and Joel N. Espiritusanto;
3. That on January 30, 1985, I obtained my American Citizenship through naturalization;
4. That I hereby expressly manifest my intention to reside permanently in the Philippines;
City, Philippines.
RAQUEL ESPIRITUSANTO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2007
/k8

Pasig City )s.s.

I, JEFFERSON I. AGRUDA, of legal age, single, Filipino and with postal address at 3569
Kagitingan St., Caniogan, Pasig City, after having been duly sworn to in accordance with law,
1. I am the absolute owner of a motor vehicle as evidenced by a Deed of Sale of Motor

Vehicle executed on January 18, 2012 duly notarized by Atty. Ama Charissa D.
Diaz entered as Doc. No. 475; Page No. 96; Book No. 5; Series of 2012, more
particularly described as follows:
MAKE/SERIES : NISSAN SENTRA SEDAN

MOTOR NO. : GA14616241B
COLOR : WHITE
MV FILE NO. : 1340-00000171628
MODEL : 1996
PLATE NO. : UJB 805
2. That the original color of the above-described motor vehicle is WHITE since from the
time of its acquisition;
3. That I intend to modify its color from WHITE to RED, but prior thereof, there is a need to
seek clearance from the Traffic Management Group;
Philippines.
JEFFERSON I. AGRUDA
Affiant
Doc. No.
Page No.
Book. No.
Series of 2013

Pasig City )s.s.
I ROMEO M. SANTOS of legal age, Filipino and with postal address of J.

B. Miguel Street, Bambang, Pasig City, after having been duly sworn to in
1. That herein affiant is the registered owner of a motor vehicle (Pick-Up)

with Plate No. GLP 258 and covered by Engine No. F5A2418722 and Chassis No.
DA71T-197734 ;
2. That the original color of the above-described motor vehicle is WHITE

since from the time of its acquisition;
3. That I intend to modify its color from WHITE to RED, but prior thereof,
there is a need to seek clearance from the Traffic Management Group;

serve;

ROMEO M. SANTOS
Affiant
in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2012

Pasig City )s.s.
I, ARLYN SOLITARIO, of legal age, Filipino and with postal address of No. 18 Pardo De
Tavera St., Santol, Quezon City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. I am the registered owner of a motor vehicle, more particularly described as

follows:
MAKE/SERIES : TOYOTA OCOROLLA

MOTOR NO. : 4A-B045117
CHASSIS/SERIAL NO. : AE101-9500623
COLOR : BLACK GRAY
MODEL : 1992
PLATE NO. : TEW843
2. That the original color of the above-described motor vehicle is BLACK GRAY
3. That I intend to modify its color from BLACK GRAY to BLUE, but prior thereof,
there is a need to seek clearance from the Traffic Management Group as to its
change of color;
Philippines.
ARLYN SOLITARIO
Affiant
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
I, SALLY VARIAS-TSAI, of legal age, Filipino and with postal address at 1237 puROK 6
East Bank Road, Sta. Lucia, Pasig City, after having been duly sworn to in accordance with law,
4. That I am the registered owner of a motor vehicle, more particularly described

as follows:
MAKE/SERIES : TOYOTA COROLLA XL

ENGINE NO. : 2E-3295043
CHASSIS/SERIAL NO. : EE110-5502562
PLATE NO. : XHU281
CERT. OF REG. NO. : CR NO. 6323088-2
OFFICIAL RECEIPT NO. : 849067365
5. That from the time of my acquisition from the previous owner until the present,
the color of the said motor vehicle is WHITE, however, I learned that the original
color thereof is BLUE; hence, there is a need to seek clearance from the Traffic
Management Group as to its change of color;
City, Philippines.
SALLY VARIAS-TSAI
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010
Pasig City )s.s.
AFFIDAVIT OF CHANGE OF BODY
I, JOSELITO A. RIVETA, of legal age, Filipino and with official address at 147 William
Street, Pasay City, after having been duly sworn to in accordance with law, hereby depose and
say:
1. That I am the duly authorized representative of KEROLLE GENERAL

MERCHANDISE, the registered owner of a motor vehicle, more particularly described as follows:
MAKE/SERIES : ISUZU ELF

MOTOR NO. : 844-252
CHASSIS/SERIAL NO. : NKR-58E-0533325
PLATE NO. : UGB-709
CERT. OF REG. NO. : 6266136
DATE OF REGISRATION : 3-13-96
2. That the original body of the above-described motor vehicle is ALUMINUM VAN
3. That I intend to modify its body from ALUMINUM VAN to DROP SIDE, but prior
thereof, there is a need to seek clearance from the Traffic Management Group;
City, Philippines.
JOSELITO A. RIVETA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009

Pasig City )s.s.
I, ROBERTO DESIDERIO, of legal age, Filipino and with postal address at 31 Sampaguita
St., Violeta Vill. Guiguinto Bulacan after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am the lawful owner a motor vehicle, more particularly described as follows:
MAKE/SERIES : HINO/REBUILT/TRUCK STAKE CARGO

MOTOR NO. : JC3C B43815
CHASSIS/SERIAL NO. : FCJJB-11078
PLATE NO. : VOR-888
CERT. OF REG. NO. : 82908235
DATE OF REGISRATION : 10-23-2002
2. That the original body of the above-described Hino/Rebuit/Truck Stake Cargo

vehicle is Hino/Rebuit/Truck Stake Cargo vehicle since from the time of its acquisition;
3. That I intend to modify its body from Hino/Rebuit/Truck Stake Cargo to Truck Double
Decker, but prior thereof, there is a need to seek clearance from the Traffic Management Group;
Philippines.
ROBERTO DESIDERIO
Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
I, RONDY G. ORACION, of legal age, Filipino and with postal address at 15M Castillo St.,
Kalawaan, Pasig City after having been duly sworn to in accordance with law, hereby depose and
say:
1. I am the mortgagor of a motor vehicle registered under the name of Cecilia C. Loza,
and more particularly described as follows:
MAKE/SERIES : KAWASAKI
ENGINE NO. : BC175AEA76269
DENOMINATION : Motorcycle without Side Car
CHASSIS/SERIAL NO. : BC175A-B52214
PLATE NO. : 3292NB
2. That the original body of the above-described motor vehicle is tricycle without
sidecar since from the time of its acquisition;
3. That I intend to modify its body from tricycle without sidecar to tricycle with sidecar,
but prior thereof, there is a need to seek clearance from the Traffic Management Group;
Philippines.
RONDY G. ORACION
Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
I, RONALD PLACIDO, of legal age, Filipino and with postal address at no. 2654 Rosario
Village, Rosario, Pasig City after having been duly sworn to in accordance with law, hereby depose
and say:
1. That I am the registered owner a motor vehicle, more particularly described as

follows:
ENGINE NO. : KC125EEB77399
CHASSIS/SERIAL NO. : KC125E-B77399
PLATE NO. : TJ2509
2. That the original body of the above-described motor vehicle is without sidecar since
from the time of its acquisition;
3. That I intend to modify its body from motor vehicle without sidecar to tricycle with
sidecar, but prior thereof, there is a need to seek clearance from the Traffic Management Group;
Philippines.
RONALD PLACIDO
Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
AFFIDAVIT OF CHANGE OF ENGINE
I, REYNALDO P. DIONISIO, of legal age, Filipino and with postal address at Barangay
Rosario, Pasig City after having been duly sworn to in accordance with law, hereby depose and
say:
1. I am the absolute owner a motor vehicle more particularly described below, by virtue
of a Deed of Absolute Sale executed by and between 3 KINGS MARKETING CORP., as Vendor
and the undersigned as Vendee:
MAKE : TOYOTA HI-LUX

TYPE : PICK-UP
PLATE NO. : NMD-963
ENGINE NO. : 319770
CHASSIS/SERIAL NO. : RN-25-075774
FILE NO. : 1344-00000057704
2. I caused the replacement of its engine from Engine No. 319770 to its Engine No.
RF604613 duly purchased from Aftershock Auto Parts under Sales Invoice No. 44135 on
November 3, 2011;
for all intents and as a requirement for registration of its replacement and/or clearance with the
concerned government agency/entity and for whatever legal purpose it may serve;
Philippines.
REYNALDO P. DIONISIO
Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
AFFIDAVIT
(Jurisdictional Registration)
I, RONALD PLACIDO, of legal age, Filipino and with postal address at no. 2654 Rosario
Village, Rosario, Pasig City after having been duly sworn to in accordance with law, hereby depose
and say:
1. That I am the registered owner a motor vehicle, more particularly described as

follows:
ENGINE NO. : KC125EEB77399
CHASSIS/SERIAL NO. : KC125E-B77399
PLATE NO. : TJ2509
2. That the above-described motor vehicle was registered in Land Transportation

OfficeCaloocan since from the time of its acquisition;
3. That since I am now using the said motor vehicle for school service in Pasig City, I
am requesting the LTO of Caloocan to transfer the jurisdiction of registration to LTO Kapitolyo,
Pasig City for convenient purposes;
Philippines.
RONALD PLACIDO
Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
I, JASON I. MANDOCDOC, of legal age, Filipino and with postal address of Block 3, Lot 11,
Pag-ibig Subd., Pinagbuhatan, Pasig City, after having been duly sworn to in accordance with law,
a. That I am the registered owner of a motor vehicle, more particularly described as

follows:
MAKE/SERIES : SUZUKI
ENGINE NO. : F465-TH212726
CHASSIS/SERIAL NO. : BF44R-112723
COLOR : BLUE
MODEL : 2006
PLATE NO. : ZL 1003
CERT. OF REG. NO. : 4688539-2
OFFICIAL RECEIPT NO. : 692257451
6. That the original color of the above-described motor vehicle is BLUE since from
the time of its acquisition;
7. That I intend to modify its color from BLUE to BLACK, but prior thereof, there is
a need to seek clearance from the Traffic Management Group;
City, Philippines.
JASON I. MANDOCDOC
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009

Pasig City )s.s.
AFFIDAVIT OF CHANGE
OF MOTOR DENOMINATION
I, ROLLY E. REYES, of legal age, Filipino and with official address at No. 36 Sterly St.,
Bartville Subd., Dela Paz, Pasig City, after having been duly sworn to in accordance with law,
1. That I am the registered owner of a motor vehicle, more particularly described as

follows:
MAKE and TYPE : SUZUKI/ Motorcycle w/ Side Car

MOTOR NO. : E107-TH401282
CHASSIS/SERIAL NO. : BE12B-TH-500687
PLATE NO. : PR4607
2. That the original denomination of the above-described motor vehicle is MC since

from the time of its acquisition;
3. That on July 23, 2004, my brother caused the registration of the said motor vehicle
and registered the denomination as MTC;
3. That I intend to modify its denomination from MTC to MC;
City, Philippines.
ROLLY E. REYES
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009

Pasig City )s.s.
AFFIDAVIT OF CHANGE
OF MOTOR DENOMINATION
I, ALBERTO AGAR TALACAY, of legal age, Filipino and with official address at No. 16
Damayan St., E. Santos St., Sto. Tomas, Pasig City, after having been duly sworn to in accordance
1. That I am the registered owner of a motor vehicle, more particularly described as

follows:
MAKE and TYPE : Kawasaki/ Motorcycle w/out Side Car

MOTOR NO. : BC175AEAE2670
CHASSIS/SERIAL NO. : BC175ABA5579
PLATE NO. : 4498TQ
2. That the original denomination of the above-described motor vehicle is MC without

side car from the time of its acquisition;
3. That I intend to modify its denomination from MTC to TC;
City, Philippines.
ALBERTO AGAR TALACAY

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010.
Pasig City ) S.S.
I, ANDREA A. VINLUAN, of legal age, Filipino, and with residential address at 152-D Dr.
Pilapil St., San Miguel, Pasig City, after having been duly sworn in accordance with law hereby
depose and state:
1. That I am the mother of JOCELYN ARQUERO VINLUAN, the latter was born on August 14,
1971 in Pasig, Rizal (now City);
3. That in the copy of her Certificate of Baptism, my daughter’s first name was registered and
spelled therein as JOSIELYN VINLUAN instead of JOCELYN VINLUAN her sponsor
Isidro Urbano cause the registration of the said name which was not confirmed by her
parents;
4. That for all intents and purposes my daughter’s true and correct name is JOCELYN
ARQUERO VINLUAN;
City, Philippines.
ANDREA A. VINLUAN
Affiant
Pasig City.
Doc. No. ____

Page No.____
Book. No.____
Series of 2007
Pasig City )s.s.
AFFIDAVIT OF LEGAL BENEFICIARY
I, PEDRO A. ESTEBAN, of legal age, Filipino, married, and with postal address at 26 A
ROTC Street, Rosario, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I married to the late MERLITA G. ESTEBAN who died on December 13, 2009
in Veterans Memorial Hospital, Quezon City;
2. That during the lifetime of my wife, she worked as an Overseas Filipino Worker as
Waitress at Rawabi Al Sham Restaurant at P.O. Box 71500 Abu Dhabi, United Arab Emirates;
4. That I hereby declare and attest that I am the legal husband and that my three (3)
children namely: MAILEEN E. ANTONIO, married, and residing at No. 25 J ROTC
Rosario, Pasig City, FLORIAN E. MONTEMAYOR, married, and residing at M. Santo
Street, Ugong, Pasig City and RIZALINA G. ESTEBAN, single, who lives with me at
No. 26 A ROTC street, Rosario, Pasig City, are the legal beneficiaries of the late
MERLITA G. ESTEBAN, as evidenced by our Certificate of Marriage and the respective
Birth Certificates of our children, thus, legal heirs of the deceased
5. ;
City, Philippines.
PEDRO A. ESTEBAN
Affiant
Conforme:
MAILEEN E. ANTONIO FLORIAN E. MONTEMAYOR
RIZALINA G. ESTEBAN
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2010
Pasig City )s.s.
I, ALFREDO P. BUAN, of legal age, Filipino, married to JOVE ODCHIGUE-

BUAN, and with postal address at 490 Sandoval Compound, Maybunga, Pasig
and say:
1. That I married to JOVE ODCHIGUE-BUAN on January 29, 2007 in

Malinao, Pasig City;
2. That I am a bonafide member of SSS with No. 03-2543112-1;
3. That I am previously employed at Lunar Steel Company as a

Maintenance since 1972 up to December 15, 2010;
4. That I hereby declare and attest that my legal beneificiaries are my

wife Jove Odchigue-Buan and that of my three (3) children namely: ALFREDO
O. BUAN, JR. born on May 01, 2000; ALVEN O. BUAN born on March 3, 2002
and ALDEN O. BUAN, born on June 22, 2004, , are my legal beneficiaries, as
evidenced by our Certificate of Marriage and the respective Birth Certificates of
our children, thus, my legal heirs and beneficiary;

serve;

ALFREDO P. BUAN
Affiant
2012 in Pasig City. Affiant exhibited to me his OSCA ID with No. 28214 issued
by OSCA Office of Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2012
Pasig City )s.s.
I, BERNABE C. RAYTA, of legal age, Filipino, married to MELINDA

ANGELES-RAYTA, and with postal address at Jenny’s Avenue, Rosario, Pasig City,
say:
1. That I married to MELINDA ANGELES-RAYTA on December 20, 1978 in

Cainta, Rizal;
2. That I am a bonafide member of SSS with No. _____________;
3. That I am previously employed at Cherry Alfonso Plants & Nursery as

a Driver since ________ up to ______________________;
4. That I hereby declare and attest that my legal beneificiaries are my

wife MELINDA ANGELES-RAYTA and that one of my minor child name:
BERNABE A. RAYTA, JR. born on November 05, 1998, are my legal
beneficiaries, as evidenced by our Certificate of Marriage and the respective
Birth Certificates of our children, thus, my legal heirs and beneficiary;

serve;

BERNABE C. RAYTA
Affiant
2012 in Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2012

Pasig City )s.s.
I, ANNA LIZA J. RAMOS, of legal age, widow, Filipino and with postal address at No. 1250
Purok 6, Sta. Lucia, Pasig City, Philippines, after having been duly sworn to in accordance with law,
1. That I am the surviving wife and surviving legal heirs the late ROMULO S. RAMOS,
an Overseas Filipino Contract Worker as Supervisor who died on April 7, 2011 in Doha, State of
Qatar, due to accident;
2. That out of said union we were blessed with two (2) children namely: ROMEL J.
RAMOS born on January 14, 1995 and BEYONCE J. RAMOS born on March 13, 2005;
3. That the aforementioned children are still minor and under my custody and care;
4. That I hereby declare and attest that I am the surviving legal wife and my two (2)
children are the surviving legal beneficiaries of the late ROMULO S. RAMOS as evidenced by our
Certificate of Marriage and the respective Birth Certificates of our children, thus, legal heirs of the
deceased
City, Philippines.
ANNA LIZA J. RAMOS

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2012

Pasig City )s.s.
I, JEFFREY D. MILLEZA, of legal age, Filipino, married, and with postal address at No. 33
Feliciano St., Sagad, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. I am presently employed at Maersk Shipping Company and a holder of MEDICARD;
2. I am married to Rea Gustillo Milleza sometime in May 7, 2005 in Pasig City and we were
blessed with one (1) child named Ken Andrei G. Milleza who was born on November 20, 2011 in
Quezon City;
3. That I have been separated with my wife for almost 2 years now for irreconciliable
differences;
3. I am filing for the inclusion of my minor son Ken Andrei G. Milleza as my legal
beneficiary in my MEDICARD;
4. I hereby declare and attest that my son Ken Andrei G. Milleza is my legal beneficiary;
City, Philippines.
JEFFREY D. MILLEZA
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2011

Pasig City )s.s.
I, RAMON V. HERMOSURA, of legal age, Filipino, married, and a resident of No. 5117
Ilugin Phase I, Pinagbuhatan, Pasig City, after having been duly sworn to in accordance with law,
1. That I am the only sibling and the only suriviving legal heir of the late LYDIA
MASIAS HERMOSURA, who died on October 3, 2009 in Javillonar Hospital, Sagad, Pasig City;
2. That the facts of her death were duly registered at the Local Civil Regisrty of Pasig City;
3. That because of the onslaught of typhoon “Ondoy” on September 26, 2009, which
almost all of the areas in our community in Pasig City were flooded, which I found it difficult to
commute to be able to visit my sister, I had the time only on September 30, 2009, I went to my
sister’s house. I came to know from Ferdinand Javier Genove who was then a caretaker of my
sister’s house, that my sister was in Batangas during that time;
8. That I was shocked when I came to know from my son that my sister died on
October 3, 2009. Immediately, after I heard that sad news, I went to the house of my sister Lydia
M. Hermosura at No. 60 E Santos Street, Bambang, Pasig City to confirm the news; When I got
there, I was personally informed by the same person (Ferdinand Javier Genove) that the latter has
already been interred. Thereafter, I gathered some information from other reliable persons
regarding my sister’s death. I sought information that she died on October 3, 2009 and found out
that she was interred on October 11, 2009, and not on October 6, 2009;
9. That the foregoing facts of death of my sister were not relayed to me. Based on
the foregoing circumstances, it would appear that there are something that I and the rest of our
relatives do not know about my sister’s death;
10. That it is of my view that there are some persons who have hidden interest
about the estates of my sister;
11. I hereby declare and attest that I am the only legal heir, the only sibling of LYDIA
M. HERMOSURA;
12. I hereby deny and refute any other person who shall claim of the estates of my
Lydia M. Hermosura except the undersigned;
City, Philippines.
RAMON V. HERMOSURA
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2011
Pasig City ) S.S.
AFFIDAVIT
I, CELIA B. JOSE, of legal age, Filipino, and with residential address at 71 Capt. Ciano
Street, Ibayo, Tipas, Taguig City, after having been duly sworn in accordance with law hereby
depose and state:
1. That I am the mother and the legitimate beneficiary of OSCAR JOSE II, who is currently
insured at Asian Life and General Assurance;
2. That last August 15, 2007, I was hospitalized at Pasig City General Hospital due to
Cholecystolethiasis;
3. That the check to be issued is in the name of my aforenamed son who currently on board
as seaman;
4. That I am asking the Insurance Company to put the check payable to me;
City, Philippines.
CELIA B. JOSE
Affiant
Pasig City.
Doc. No. ____

Page No.____
Book. No.____
Series of 2007

Pasig City ) S.S.
JOIN AFFIDAVIT OF TWO DISINTERESTED PERSONS
We, MELY BATALLA and GLORIA TEJERERO, both of legal age, Filipinos, and
with residential address at Block 31, Lot 8, San Juan Homes, Taytay, Rizal and Block 31,
Lot 4, San Juan Homes, Taytay, Rizal, respectively, after having been duly sworn in
1. We personally know EMILIO C. VILLANUEVA who was born on May 28, 1951 in
Alcala, Pangasinan, son of Felipe Villanueva and Juliana Cabreros;
2. We also know that EMILIO C. VILLANUEVA is a bonafide member of Philhealth

and on March 17, 2012 he was hospitalized at Cardinal Santos Medical Center and
died there on March 20, 2012;
3. That the surviving heirs of the late EMILIO C. VILLANUEVA is now claiming for
reimbursement of the hospital bills at the Philhealth Insurance and the check to be
issued is in the name of the aforesaid deceased member;
4. That the surviving heirs is asking the Philhealth Insurance to put the check payable
to SHELLA M. VILLANUEVA niece of the deceased member. However, the said
office is requiring them to submit this affidavit stating the relationship of the
surviving heirs to the deceased member as the legal beneficiary;
5. We hereby declare and attest that the late EMILIO C. VILLANUEVA is the brother
of the late GERMAN C. VILLANUEVA and the latter’s surviving daughter SHELLA
M. VILLANUEVA is now in the process of claiming for the reimbursement of
hospital bills;
6. For all intents and purposes, we hereby declare and attest that SHELLA M.
VILLANUEVA is the niece and surviving heirs of the late EMILIO C. VILLANUEVA;
7. That we are executing this Affidavit to attest to the truth of the foregoing statement
MELY BATALLA GLORIA TEJERERO

Affiant Affiant
Pasig City.
Doc. No. ____

Page No.____
Book. No.____
Series of 2012
Pasig City )s.s.
AFFIDAVIT
I, AILLEN NEYRA GALLARDO, of legal age, Filipino and resident of Zone 1, Bayambang,
Pangasinan, Pasig City, after having been duly sworn to in accordance with law, hereby depose
and say:
1. That I was born on May 5, 1973 in Balanga, Bataan, being the daughter of Alexander Z.
Gallardo and Leonila Neyra;
2. That the facts of my birth were duly registered at the Office of the Local Civil Registry of
Balanga, Bataan with Registry No. 221 (F-73);
3. That the discrepancies in my name was reflected in all my records and other important
documents because I used to spelled my name as AILLEN MAY which I knew it was
my true given name;
4. That when I secure my birth certificate at the National Statistics Office there appear my
true, correct name as AILLEN and the name which I used since my schooldays and
up to the present time AILLEN MAY refers to one and the same person the herein
affiant;
all intents and for whatever purposes legal purpose it may serve;
City, Philippines.
AILLEN NEYRA GALLARDO

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2007

CITY OF PASIG………………… ) SS
JOINT AFFIDAVIT
We, WILMA CASULLA and SUSAN PAULINO, both of legal age, Filipinos and residents
of #88 A. C. Santos St., Ugong, Pasig City and Bambang, Pasig City, respectively after having
1. That we personally know one AILLEN NEYRA GALLARDO, who was born on May 5,
1973 in Balanga, Bataan, being the daughter of Alexander Z. Gallardo and Leonila Neyra;
Balanga, Bataan with Registry No. 221 (F-73);
3. That the discrepancies in her name was reflected in all her school records and other
important documents because she used to spelled her name as AILLEN MAY which
she knew it was her true given name;
4. That when she secure her birth certificate at the National Statistics Office there appear
her true, correct name as AILLEN and the name which she used since her
schooldays and up to the present time AILLEN MAY refers to one and the same
person AILLEN NEYRA GALLARDO;
for all intents and for whatever purposes legal purpose it may serve;
IN WITNESS WHEREOF, WE have set my hand this ___ day of __________, 2007 at
WILMA CASULLA SUSAN PAULINO

Affiant Affiant
Pasig City.
Doc. No
Page No.
Doc. No.
Series of 2007

Pasig City )s.s.
I, DIORANDA C. MONTESA, of legal age, Filipino and resident of Bongo, Sta. Maria,
Romblon, after having been duly sworn to in accordance with law, hereby depose and say:
1. That I married to the late JOSELITO F. MONTESA who died on January 19, 2010 in Pasig
City;
2. That the deceased is a bonafide member of Social Security System ;
3. That the facts of his death were duly registered at the Local Civil Regisrty of Pasig City,
5. That I hereby declare and attest that I am the legal wife and that my three (3) minor children
namely: JHON JOSHUA MONTESA, JAIRA JOSEL MONTESA and JAISEL JOICE
MONTESA are the legal beneficiaries of the late JOSELITO F. MONTESA, as evidenced
by our Certificate of Marriage herein attached;
City, Philippines.
DIORANDA C. MONTESA
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2010

Pasig City )s.s.
I, MARIA EILEEN REYES-BAUTISTA, of legal age, Filipino and resident of 36 Stella Maris
St., Kapitolyo Subdivision, Pasig City, after having been duly sworn to in accordance with law,
1. That I married to the late ELMO RAYMOND V. BAUTISTA, II who died on June 17, 2008
in Pasig City;
2. That the deceased is a bonafide member of Government Service Insurance System

(GSIS);
3. That the facts of his death were duly registered at the Local Civil Regisrty of Pasig City,
4. That I hereby declare and attest that I am the legal wife and that my only son named: ARBY
R. BAUTISTA are the legal beneficiaries of the late ELMO RAYMOND V. BAUTISTA, II,
as evidenced by our Certificate of Marriage herein attached;
City, Philippines.
MARIA EILEEN REYES-BAUTISTA

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT
I, JIMMY SERAPIA GALULAN , of legal age, Filipino and resident of #3 Mulawin St.,
Jabson Site, Rosario, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I was born on June 3, 1953 in bacolod City , being the son of Carlos Galulan
and Candelaria Serapia;
2. That I am claiming the burial assistance of my mother as a member of Senior

Citizen at Pasig City;
3. That when I present one of my valid I. D. which is my Voters Identification there

appears my name as JAIME S. GALULAN;
4. That since my schooldays and up to the time of my employment I am using

JIMMY S. GALULAN which was also recorded in my birth certificate to to all my
important documents;
5. That the discrepancies in my name which was reflected in my Voter’s ID JAIME S.

GALULAN and the name which I am using as my true, correct name JIMMY S.
GALULAN refers to one and the same person ;
for all intents and whatever legal purpose it may serve;
City, Philippines.
JIMMY S. GALULAN
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2007

Pasig City )s.s.
AFFIDAVIT
I, ANGEL BUENAOBRA GERNALE, of legal age, Filipino and resident of 1304 Villa Silva
Compound, Palatiw, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am one of the surviving children of the late ANTONIO FORTES GERNALE, who
died on July 5, 1987;
2. That his remains were buried on New Site particularly in Lot D No. 47 Pasig Municipal
Cemetery, which we purchased from the Municipal Government who was then headed
by Mayor Mario Raymundo;
3. That as far as I know, we hold perpetual ownership of the Lot D No. 47 as it is actually
located in the New Site;
4. That however, as per record from the City Government of Pasig, Lot D No. 47 is
referred as in the Old Site, thus, it would appear that we are renting the lot. When in
truth and in fact, the Lot D No. 47 is actually located in the NEW SITE, therefore, the
same is a PERPETUAL LOT;
5. That I only learned such discrepancy, when I caused the burial of my mother Julita
Buenaobra Gernale on the same lot as abovementioned;
for all intents and whatever legal purpose it may serve;
City, Philippines.
ANGEL BUENAOBRA GERNALE

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2008

Pasig City )s.s.
I, EMILIANO B. ABABAN, of legal age, Filipino, married, and resident of 287 E.
Esguerra St., Pinagbuhatan, Pasig City, after having been duly sworn to in accordance
1. That I am the lawful owner of a parcel of land by virtue of a “KASUNDUAN”

executed on November 30, 2005 by and between the undersigned and
HENRY T. CASIDSID duly notarized by Atty. Bernabe Tatad Villapaz docked as
Doc. No. 307; Page No. 63; CXLV, Series of 2005 and covered and embraced
by Tax Declaration No. E-016-05388;
2. That a residential house is constructed over the above-described parcel of

land and I am requesting the City Assessor’s Office of Pasig City for the
declaration of the said improvements under my name;
3. That however, in the Tax Declaration No. E-016-05388 issued by the City
Assessor’s Office, it would appear that the location of property indicated
therein is Sitio Ilugin, Pinagbuhatan, Pasig City, which is different from
the exact and true location of the aforesaid property which is Esguerra
Compound, Pinagbuhatan, Pasig City, as correctly reflected in the
Certification dated July 14, 2013 issued by the esguera Compound
Homeowners Association, Inc and in the attached “KASUNDUAN” which
states therein the location of the aforesaid property as Esguerra
Compound, Pinagbuhatan, Pasig City;
4. That for all legal intents and purposes, the true and correct location of the
aforesaid property covered by Tax Declaration No. E-016-05388 is
Esguerra Compound, Pinagbuhatan, Pasig City and not Sitio Ilugin,
Pinagbuhatan, Pasig City ;
5. That we are executing this Affidavit to request from the Assessor’s Office for
correction of location of property from Sitio Ilugin, Pinagbuhatan, Pasig
City, to Esguerra Compound, Pinagbuhatan, Pasig City, in the Tax
Declaration No. E-016-05388 and to attest to the truth and veracity of the
foregoing facts for all intents and whatever legal purpose it may serve;
EMILIANO B. ABABAN
Affiant
in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2013

Pasig City )s.s.
WE, GLORIA ROMUALDEZ, REBECCA ROMUALDEZ and DOLORES ROMUALDEZ, all

of legal age, Filipino and resident of 169 Dr. Sixto Antonio Avenue, Brgy. Rosario, Pasig City, after
6. That we are the registered owners of a parcel of land covered and embraced by
Transfer Certificate of Title No. 42656 situated in Int. Ortigas Avenue Extension, Sta.
Lucia, Pasig City, Cadastral No. Psd-316973, Assessor’s Lot No. 1-C-3 containing an
area of Three Hundred Sixty Four (364) Square Meters and under Tax Declaration No.
E-026-00277;
7. That a five-door two storey aparment building is constructed over the above-described
parcel of land . Such structure is under the name of our parents “Mr. and Mrs. Jacinto
Romualdez” who sought permission from the undersigned owners to build the same
since 1984;
8. That however, in the Tax Declaration No. E-026-06203 issued by the City Assessor’s
Office for the above five-door two storey building, it would appear that the location of
property indicated therein is De Castro Subdivision, Sta. Lucia, Pasig City, which is
different from the location of property indicated on the tax declaration of its land (T.D.
No. E-026-00277) which is Int. Ortigas Avenue Extension, Sta. Lucia, Pasig City, as
correctly reflected in the approved Building Plan of the subject structure (5-door two-
storey building) submitted to the Building Official, Pasig City which states therein the
Assessor’s Lot No. 1-C-3, Tirso Castro Street, Rosario, Pasig, Metro Manila;
9. That for all legal intents and purposes, the true and correct location of the property
where the above structure stands is Int. Ortigas Avenue Extension, Sta. Lucia, Pasig
City;
10.That we are executing this Affidavit to request from the Assessor’s Office for correction
of location of property from De Castro Subdvision, Sta. Lucia, Pasig City, to Int. Ortigas
Avenue Extension, Sta. Lucia, Pasig City, in the Tax Declaration No. E-026-06203
and to attest to the truth and veracity of the foregoing facts for all intents and whatever
City, Philippines.
GLORIA ROMUALDEZ REBECCA ROMUALDEZ

Affiant Affiant
DOLORES ROMUALDEZ
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2007
Pasig City )s.s.
AFFIDAVIT
I, LUCITA C. RAMOS, all of legal age, Filipino and resident of No. 107 M. H. del Pilar
Street, Sto. Tomas, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am the surviving legal wife of the late EMERITO R. RAMOS, who died on July
2. That my husband Emerito R. Ramos is one of children and heirs of the property of their
deceased parents Salvador Ramos and Lorenza Reyes declared for tax purposes under Tax
Declaration No. E-028-00034 and covered with Transfer Certificate of Title No. 6728/T-344-II
containing an area of Five Hundred Seventy Five (575) Square Meters;
3. That as the heirs of the said parcel of land, my husband Emerito Ramos and her sister
Ofelia Ramos Antiporda executed an Extrajudicial Settlement and had the Transfer Certificate of
Title No. 6728/T-344-II cancelled and transferred to the heirs’ names on November 22, 1988 as
Transfer Certificate of Title No. 68729. I could not present a copy of the abovementioned
Extrajudicial Settlement because my copy has been lost. I also tried to secure a copy thereof from
the Register of Deeds for Rizal, but I was told that the same also could not be located;
4. That in 2003, the co-owners mutually agreed to terminate their co-ownership, hence,
they executed a partition agreement the said lot into five (5) parcels of land based on the approved
subdivision plan, a copy of which is hereto attached for ready reference;
5. That the said parcel of land has now five (5) separate titles, to wit:
a. TCT No. PT-120351 belongs to Ofelia R. Antiporda, married Fermin P. Antiporda

(Lot 3 of the subd. plan Psd-00-0141484);
b. TCT No. PT-120353- pertains to an Alley (Lot 5 of the subd. plan Psd-00-
0141484);
c. TCT No. PT-120352- pertains to a Road Widening (Lot 4 of the subd. plan Psd-
00-0141484);
d. TCT No. PT-120349- pertains to legal easement (Lot 1 of the subd. plan Psd-00-
0141484);
e. TCT No. PT-120350- pertains to my husband Emerito Ramos and the
undersigned (Lot 2 of the subd. plan Psd-00-0141484);
6. That it would appear that the Tax Declaration No. E-028-00034 which involves the
property that has been the subject of Extrajudicial Settlement and Partition Agreement is still intact
as it was before;
7. That in view of the foregoing, I hereby request from the City Assessor’s Office to cause
the issuance of Tax Declaration on the property covered and embraced now by Transfer Certificate
of Title No. PT-120350 which pertains to my deceased husband Emerito Ramos and the
undersigned identified as Lot 2 of the subdivision plan Psd-00-0141484;
facts for all intents and whatever legal purpose it may serve;
City, Philippines.
LUCITA C. RAMOS
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2008
Pasig City )s.s.
AFFIDAVIT
I, RUBEN CORTES, of legal age, Filipino and resident of Agapito Subdivision, Santolan,
1. That I am the brother of the late CATALINO CORTES, who died on June 8, 2005;
2. That I know for fact that my brother during his lifetime owns a residential house and lot
where he and his family reside for a long time as proven by Transfer Certificate of Title
No. 34190 registered under his name located at 1223 Sta. Lucia Street, Manela
Compound, Manggahan, Pasig City;
3. That I also know for a fact from the year 2003 up to the time of her death, my brother’s
wife Anita Cortes has borrowed money and made additional advances from Mr. Roy
Venida with the promise of selling the subject property and as a gesture of good faith
has surrendered possession of TCT. No. 34190 to Roy Venida for safekeeping. Their
only child Alex Cortes was likewise aware of this arrangement which is tantamount to a
Contract to Sell;
4. When the property was eventually transferred in the name of Roy Venida, I was not
surprised because the same was made for a valuable consideration and that there was
full consent from the deceased parents whose property was the subject matter of the
intended sale and not because of taking advantage of the situation and inducing Alex
Cortes to sell the subject property;
AFFIAT FURTHER SAYETH NAUGHT.
City, Philippines.
RUBEN CORTES
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2008

Pasig City )s.s.
AFFIDAVIT
I, MARIANO P. TUAZON, of legal age, Filipino and resident of 119 Dr. Sixto Antonio
Avenue, Maybunga, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am the registered owner of a business under the business name and style M.P.
TUAZON TRADING, with business address above given;
2. That I will be turning 77 years old this July 2008;

3. That considering my advanced age, I could no longer afford to manage the said trucking
business, and for this reason, I have been authorized my daughter Cornelia L. Tuazon
to act as the manager of the said business for and on my behalf;
4. That Cornelia L. Tuazon has been operating the said business since 1992 long after I
decided to entrust her the supervision of every transactions involved in the business;
5. That for all legal intents and purposes, I am recognizing my daughter as the co-owner of
the M.P. TUAZON TRADING;
City, Philippines.
MARIANO P. TUAZON
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2008

Pasig City )s.s.
AFFIDAVIT
I, CLAIRE LYNN TAN TIU, of legal age, Filipino and resident of unit 2504, One San Miguel
Building San Miguel Ave. San Antonio, Pasig City, after having been duly sworn to in accordance
6. That I am the registered owner of a newly established business under the name and
style MIGAELLA ENTERPRISES, with office address above mentioned;
7. That the aforesaid business was duly registered in the Business Permit and License
office, Pasig City and Department of Trade and Industry last July 30, 2008;
8. That as the owner of the new aforenamed business, I am now applying to engage the
said business in dealing/contracting with the City Government of Pasig and now
accomplishing the Application for Accreditation, and one of the requirements is the
sbmission of this affidavit;
City, Philippines.
CLAIRE LYNN TAN TIU

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009.

Pasig City )s.s.
AFFIDAVIT
I, LORETA D. ABACO, of legal age, Filipino and resident of 169 Callejon 2 Sta. Cruz, Pasig
18. That I am now 66 years old senior citizen. I will be turning 67 years old on June 14, 1942;
19. As a senior citizen, I would like to apply to be a member of Senior Citizen’s Affairs here in
Pasig City;
20. That I am a bona fide resident of Pasig. I have been here in Pasig since 1976 where my
five (5) children grew up particularly in Sta. Cruz; but now I am widowed by my late
husband, I do not have my own house but only staying with my son Armando Abaco, in the
residence at 169 Callejon 2, Sta. Cruz, Pasig City, who is also bona fide resident of Pasig
City,
21. That only this time that I am applying for a senior citizen .through the help of my daughter in
law in the Office of the Senior Citizen’s Affairs;
22. The reason for my late application is due to lack of knowledge;
for whatever legal purpose it may serve;
City, Philippines.
LORETA D. ABACO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2008

Pasig City )s.s.
AFFIDAVIT
I, LORRAINE C. CANEDA, of legal age, Filipino and resident of No. 039 R. Thaddeus St.,
Marietta-Romeo Village, Sta. Lucia, Pasig City, after having been duly sworn to in accordance with
1. I am the granddaughter of MAMERTA PELIGRO CABALE who was born on

November 17, 1918 in Leyte;
2. My grandmother who is now 92 years old senior citizen would like to apply to be a
member of Senior Citizen’s Affairs here in Pasig City;
3. Since my grandmother reached the age of 60, she never applied for a senior citizen
here in Pasig or anywhere else in the Philippines;
4. That only this time that she is applying for a senior citizen through the help of the
undersigned in the Office of the Senior Citizen’s Affairs;
5. The reason for her late application is due to her health condition and lack of time to
assist her;
6. For all intents and purposes, I hereby declare and attest that my grandmother is a
bonafide resident of Pasig City since 2008 up to present;
City, Philippines.
LORRAINE C. CANEDA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
AFFIDAVIT
I, NESTOR RONDILLA, of legal age, Filipino and with official address at 1417 Severino
Reyes Street, Sta. Cruz, Manila, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am the duly authorized representative of Benedicto Lopez, Jr., Corporate

Secretary of Super-Aire Refrigeration and Contractors, Inc., as per Secretary’s
Certificate executed on March 9, 2009 as Doc. No. 118; Page No. 24; Book No.CIX;
Series of 2009, with authority among others to transact, sign, necessary documents in
behalf of the company;
2. That the Company has an existing project with the City Government of Pasig to supply
and deliver various aircon spare parts and I am now facilitating the payment therefor;
3. For all legal intents and purposes, I hereby affirm and confirm the authenticity and
validity of the documents involved in the said projects and that the signatures appearing
over my name are all mine;
City, Philippines.
NESTOR RONDILLA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009
Pasig City )s.s.
AFFIDAVIT
I, JEAN F. SULA, of legal age, Filipino, widow, and with official address at 44
Afable Street, Sagad, Pasig City, after having been duly sworn to in accordance with law,
1. That I am one of the beneficiaries of the Programang Pantawid Pamilyang

Pilipino (4P’s) and one of the requirements thereto is a proof of identification
with one valid ID such as Voter’s ID;
2. For all legal intents and purposes, I hereby affirm and confirm the authenticity
and validity of my signature appearing over my name in the said Voter’s ID
issued by Comelec;
foregoing facts and for whatever legal purpose it may serve;
JEAN F. SULA
Affiant
in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2013
Pasig City )s.s.
I, MADILYN VERGARA EVANGELISTA, of legal age, Filipino, and resident of No. 477
M.H. del Pilar Street, Pinagbuhatan, Pasig City, after having been duly sworn to in accordance with
1. That I was born on December 17, 1967 in Pasig Rizal (now City), to Spouses Cristino
Evangelista and Luzviminda Vergara;
2. That I was baptized on the 18 th day of February 1968 at St. Francis of Assisi Parish duly
solemnized by Rev. Fr. Rogelio de Redona, the Sponsors were Rebecca Ramos and
Loreta Pagkalinawan, for which I was issued a Certificate of Baptism, a copy of which is
hereto attached;
3. That I hereby attest and declare to the authenticity and validity of the attached
Baptismal Certificate and all the contents thereof are true and correct;
City, Philippines.
MADILYN VERGARA EVANGELISTA

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2012
Pasig City )s.s.
AFFIDAVIT
I, LAUREANO M. URI, of legal age, Filipino and resident of Bolante 1, San Agustin,
and say:
1. I am the husband of Ambrosia H. Bustamante-Uri and our marraiage was celebrated

on April 25, 1985;
2. The facts of our marriage were duly registered at the Local Civil Registry of San
Antonio, Nueva Ecija and National Statistics Office (NSO);
3. I hereby affirm and confirm that the signature appearing on our Marriage Contract
and Driver’s License Card and the signature appearing in my insurance records
and Identification Cards such as St. Peter Plan, Ama Plans, First Country
Cooperative and Philhealth were made by only one and the same person, the herein
affiant LAUREANO M. URI;
4. For all legal intents and purposes, I hereby affirm and confirm the authenticity and
validity of the abovementioned Marriage Contract and Insurance Plans and
Identification Cards and that the same were signed for a valuable consideration to
my full satisfaction and benefit;
City, Philippines.
LAUREANO M. URI
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010
Pasig City )s.s.
AFFIDAVIT
I, CORAZON S. CONDE, of legal age, Filipino and resident of No. 43 Countryside Ave.,
Sta. Lucia, Pasig City, after having been duly sworn to in accordance with law, hereby depose and
say:
1. That I bought a motor vehicle from Perry L. Utanis and Nelly S. Utanis as per Deed of
Sale executed on September 23, 2009 as Doc. No. 280; Page No. 56; Book No.LXXIII;
Series of 2009;
2. That I personally witnessed Perry L. Utanis and Nelly S. Utanis when they affixed their
signature on the Deed of Sale and with the records of PNP;
3. That I hereby affirm and confirm that the signature appearing on the Deed of Sale and in
the PNP records made by only one and the same person, the vendor Perry L. Utanis;
4. For all legal intents and purposes, I hereby affirm and confirm the authenticity and validity
of the abovementioned Deed of Sale and the PNP records and that the same were
signed for a valuable consideration to his full satisfaction and benefit;
City, Philippines.
CORAZON S. CONDE
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009
Pasig City )s.s.
JOINT AFFIDAVIT OF BOUNDARY OWNERS
WE, DELFINA J. SAYAS, MAMERTO A. LARA and MICHAEL T. BENITO, all of legal age,
Filipinos and residents of E. Santos Avenue, Sumilang, Pasig City, after having been duly sworn to
1. That we are the owners and occupants of the respective houses located at E. Santos
Avenue, Sumilang, Pasig City, of which properties we respectively inherited from our
deceased grandparents, located and built bordering the house of Josefina O. Manalo;
2. That as the boundary owners of the said houses, we know for a fact that Josefina O.
Manalo has been living in an old house located at No. 36 E. Santos Avenue, Sumilang,
Pasig City, since 1951;
3. That the house of Josefina O. Manalo is built within the boundary limit of her lot, hence,
does not encroach nor occupy any portion of our respective lots;
DELFINA J. SAYAS MAMERTO A. LARA

Affiant Affiant
MICHAEL T. BENITO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2008
Pasig City )s.s.
SWORN STATEMENT
I, RODOLFO HERNANDEZ SULIT, of legal age, Filipino, with present postal and
residential address at No. 215 Dona Nieves Subdivision, Sto. Nino, Angono Rizal, after having
been sworn in accordance with law do hereby depose and state that:
1. That I am the legitimate owner of RH TILUS MOTORS AND FABRICATION SHOP with
business name registration number (Certificate No. 3RG0000157995 located at 15 F
Tiamzon Street, Edenville Subdivision, Kalayaan, Angono Rizal, of which I am now
applying for necessary permits and license therefor;
2. That the above property covered by Transfer Certificate of Title No. 397245, where the
said business stands is absolutely owned by the undersigned by virtue of a Deed of
Absolute Sale duly executed by and between Raymundo G. Concepcion and the
undersigned;
3. Since the transfer of ownership from Raymundo G. Concepcion to the undersigned as

buyer is still on process, may I request for the issuance of permit for the above business
using the old title in the name of the previous owner;
RODOLFO HERNANDEZ SULIT

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT
I, ISABELITA DE LEON, of legal age, Filipino, with official address at Pasig City Hall, 5 th
Floor, City Hall Building, Pasig City, after having been sworn in accordance with law do hereby
depose and state that:
1. I am the Acting Chief of the PASIG HOUSING REGULATORY UNIT (PHRU), LGU-
Pasig which is one of the offices under the supervision and control of the City Mayor;
2. Based on records of PHRU, the Pasig City Housing Projects include the existing 14
Cluster Buildings Medium Level Eusebio BLISS Housing Project, located at Jenny’s
Avenue, Barangay Maybunga, Pasig City which has presently a total number of 336
units;
3. Based on records, it appears that out of Three Hundred Thirty Six (336) who applied as
buyer of units in the said Eusebio BLISS Buildings, only Forty Three (43) applicants
have fully paid for their respective units taken through PAG-IBIG housing loan and
Development Loan while the rest are still paying for their monthly amortization;
4. I also certify that the unit buyers who applied and executed Contract to Sell are not yet
considered unit owners as the purchase price for their units have not been fully paid
and that a significant number of present occupants and/or buyers are even notoriously
delinquent in their amortization payments; with some as second owners/occupants in
violation of Section6, Par. 2 of the Master Deed with Declaration of Restrictions of
Eusebio BLISS Village;
5. I also certify that based on the foregoing, it can be concluded that the simple majority on
a per unit of ownership basis, it is the City of Pasig as the developer-owner which still
comprise the majority which can amend or revoke the Enabling or Master Deed of
Restrictions through the execution of an instrument to be registered in the HLURB;

City, Philippines.
ISABELITA DE LEON
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2008

Pasig City )s.s.
AFFIDAVIT
I, CELIA F. LAOSANTOS, of legal age, Filipino, married, with official
address at Villa Reyes F. Manalo St., Bambang, Pasig City, after having
been sworn in accordance with law do hereby depose and state that:
1. I am the elected President of UNITED NEIGHBORHOOD ASSOCIATION

VILLA REYES F. MANALO INC, INC., with business address at Villa Reyes
F. Manalo St., Bambang, Pasig City;
2. The said Association has been duly registered in the year 2010 with
the Securities and Exchange Commission under Company Registration
No. CN201010935;
3. Based on records of the Association, it appears that the Association

failed to hold an election of officers/board of directors for the year
2014, for the following reasons, that in the year 2014, the officers
including the undersigned as the President, did not manage to hold an
election due to inadvertence and due to lack of association funds as
some of the members did not make their monthly dues, there were no
funds to use for the holding of election;
4. Due to foregoing circumstances, it was only on 2014, we did not hold

an election or a lapse of less than one (1) year;
5. I, in behalf of the whole officers of the ASSOCIATION, through the kind

discretion of the HLURB, hereby request for its re-registration and that
this explanation would merit the HLURB’s usual kind consideration;

IN WITNESS WHEREOF, I have set my hands this ___ day of __________,

CELIA F. LAOSANTOS
Affiant
2015 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2015
Pasig City )s.s.
AFFIDAVIT
I, ARIES C. SORIA, of legal age, Filipino, with official address at

Samahang Kapatiran ng Purok 5, Market Ave. Ext., San Miguel, Pasig City, after
1. That I am the elected Vice President of SAMAHANG KAPATIRAN NG

PUROK 5 HOMEOWNERS ASSOCIATION, INC., with official address at Market
Ave. Ext., San Miguel, Pasig City;
2. That the said Association has been duly registered at Secutirties and
Exchange Commission;
3. That based on records of the Association, it appears that the

Association failed to hold an election of officers/board of directors for the year
2008 up to 2013 for the reasons that the Association did not manage to hold
an election due to inadvertence and due to lack of association funds as some of
the members did not make their monthly dues, there were no funds to use for
the holding of election;
4. That due to foregoing circumstances, it was only on last February 16,

2014, we held an election or a lapse of six (6) years, wherein I was elected as
Vice President;
5. That I, in behalf of the whole officers of the ASSOCIATION, through the

kind discretion of the HLURB, hereby request for the approval of recently held
election of officers and be registered with the HLURB and that this explanation
would merit their usual kind consideration;

the foregoing facts and for whatever legal purpose it may serve;
IN WITNESS WHEREOF, I have set my hands this ___ day of __________,

ARIES C. SORIA
Affiant
2014 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2014
Pasig City )s.s.
AFFIDAVIT
I, JENNY E. MERALINA, of legal age, Filipino, with official address at Venancio Caliwag
Street, PInagbuhatan, Pasig City, after having been sworn in accordance with law do hereby
5. I am the Secretary of MUSLIM CHRISTIAN OF PINAGBUHATAN HOMEOWNERS

ASSOCIATION, INC., with official address at Esguerra Street, Brgy. PInagbuhatan,
Pasig City;
6. The said Association has been duly registered at in the year 2007;
7. Based on Article V, Section 4, thereof, to wit:
Section 4: Election and Term of Office. Directors shall be elected by secret ballot
at the annual meeting of the members of the Association. The directors so elected shall
hold office for a term of one (1) year and until their successors are elected and qualified.
8. Based on records of the Association, it appears that the Association failed to hold an
election of officers/board of directors for the year 2008, 2009 and 2010, for the following
reasons:
a. In the year 2008, the officers including the undersigned as the Secretary, did not
manage to hold an election due to inadvertence;
b. In the year 2009, due to lack of association funds as some of the members did
not make their monthly dues, there were no funds to use for the holding of
election;
c. In the year 2010, because of the onslaught of typhoon”Ondoy” on September
26, 2009, which affected the whole community of Pinagbuhatan, Pasig City, we
decided to defer election once again;
9. Due to foregoing circumstances, it was only on January 2, 2011, we held an election or

a lapse of three (3) years;
10. I, in behalf of the whole officers of the ASSOCIATION, through the kind discretion of the
HLURB, hereby request for the approval of recently held election of officers and that
this explanation would merit the HLURB’s usual kind consideration;
City, Philippines.
JENNY E. MERALINA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2012

Pasig City )s.s.
AFFIDAVIT
I, LEAH DS. VELASCO, of legal age, Filipino and resident of #752 C M Suarez Ave.,
Palatiw, Pasig City after having been duly sworn to in accordance with law, hereby depose and
say:
1. That I am managing a St. Agustine Medical/Laboratory at Palatiw, Pasig City;

2. That the said Medical/Laboratory started operating since September 15, 1999;
3. That since the said Medical/Laboratory operated I have never hire anyone because
as a Medical Tech. I can operate the said Medical/Laboratory alone;
4.
5. That I am applying for a refund of the Income Tax I have contributed during my employment
at Quality Results, Incorporated with business address at Penthouse 2 &3 Hanston
Building, Emerald Ave., Ortigas Center, Pasig City;
6. That I went personally to the Office of Bureau of Internal Revenue, Revenue District Office
of Pasig City and was able to talk to certain Mr. Joel L. Tesorero, Revenue Officer 1, under
Assessment Division of that office. The accountant of the Quality Result, Incorporated in
the person of Romeo Florenosos was able to talk to Mr. Joel Tesorero at 12:00 pm today,
May 9, 2006 at the former’s office;
28. That the said person assured us that he will help for the release of my income tax
refund;
29. That I was employed with Quality Results, Inc. from May 24, 2002 up to August 13,
2005;
30. That since my separation from Quality Results Inc. on August 13, 2005, I have never
been employed with any company/business entity up to the present;
That I am executing this Affidavit to attest to the truth and veracity of the foregoing facts for all
City, Philippines.
RENEE P. YANEZA
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006

Pasig City )s.s.
AFFIDAVIT
I, DINA D. DEMANO, of legal age, Filipino and with postal address at 2094 C. Cruz,
and say:
1. That I am the wife of ROLANDO G. DEMANO who died last October 9, 2007
at Fort Bonifacio General Hospital, ASCOM, PA Fort Andres Bonifacio, Makati City;
2. That being the wife of ROLANDO G. DEMANO I caused the registration of

his death at the Local Civil registrar of Pasig City sometime on October 11, 2007
without knowing the fact that the registration of death is where the person died,
attached herewith is the said death certifIcate of my husband at the City of Pasig,
where it was ist registered, marked as Annex “A”;
3. That after a week when I secure a copy of the said death certificate I was
informed by the Local Civil registrar of Pasig City of the rejection of the registration
of the said death of my husband and they fulled-out the death certificate informing
me that it should be registered at the City of Makati where my husband died;
4. That after a week I proceed to Makati to registered the death of my

husband ROLANDO G. DEMANO, explaining the cause of the delayed of the
registration of his death, they asked for different documents as a proof of my
explanation;
5. That after so many month the said death was registered as late registration,
attached herewith is the said death certificate of my husband at the City of Makati,
marked as Annex “B”;
6. That it was not on my part why the registration of the death of my husband
was delayed it is because of some unavoidable circumstances happened;
City, Philippines.
DINA D. DEMANO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2008

Pasig City )s.s.
AFFIDAVIT
I, JEROSIE V. DELA VEGA, of legal age, Filipino and with postal address at 9396 Yakal
Street, Acacia, PInagbuhatan, Pasig City, after having been duly sworn to in accordance with law,
1. That I am the sister of ROSEMARIE V. SINGSON.
2. That my aforenamed sister is living with me at the above given address at No. 9396
Yakal Street, Acacia, Pinagbuhatan, Pasig City, along with her two (2) children eversince
she has been separated with his husband;
3. That one of her children named PAUL ERNEST HENRY V. SINGSON is applying
for the STFAP Scholarship Program at the University of the Philippines, Los Banos,
Laguna;
4. That she, together with her two (2) children are staying in my house along with my
family but regularly shares payment for the utilities such as water bills in Manila Water
Company and electricity bills in Manila Electric Company, in the amount of P200.00 and
P500.00, per month, respectively ;
5. That she could not present any utility bills, as one of the requirements for the
approval of such application for scholarship, showing her name as the subscriber because
of the foregoing reason that she is only living with me who merely shares payment therefor;
City, Philippines.
JEROSIE V. DELA VEGA

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2008

Pasig City )s.s.
AFFIDAVIT
I, CATHERINE R. JACINTO, of legal age, Filipino and with postal address

at 2054 Catalino Cruz Street, PInagbuhatan, Pasig City, after having been duly
1. That I am the mother of minor KATRINA CASSANDRA J.

GERONIMO who was born on May 29, 1996 at Pasig City.
2. That me and my aforenamed daughter are living with my parents

at the above given address at 2054 Catalino Cruz Street,
PInagbuhatan, Pasig City, since I has been legally separated with
my husband;
3. That my daughter KATRINA CASSANDRA J. GERONIMO is

applying for STFAP Scholarship Program at the University of the
Philippines, Diliman, Quezon City;
4. That me together with my daughter are staying in their house

along with my parents and they are responsible for payment for the
utilities such as water bills in Manila Water Company and electricity
bills in Manila Electric Company, respectively ;
5. That as one of the requirements for the approval of such
application for scholarship is an Electric Bill and NAWASA bill,
showing the name as the subscriber because of the foregoing
reason that we are only living with my parents house and did not
pay bills therefor;

it may serve;

CATHERINE R. JACINTO
Affiant
2013 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2013
Pasig City )s.s.
AFFIDAVIT
I, GENELINE V. ENRIQUEZ, of legal age, married, Filipino and with postal address at no.
98 Concepcion St., Buting, Pasig City, after having been duly sworn to in accordance with law,
1. That I am the the coordinator and authorized representative of SHOBE

MANPOWER AGENCY;
2. That the list of the following persons, hereto attached, are separated from
employment;
Philippines.
GENELINE V. ENRIQUEZ
Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
SWORN AFFIDAVIT
I, LOLITA SANTIAGO, of legal age, Filipino and with postal address at 17 Quiogue Street,
Villa Susana, Caniogan, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am the owner of a residential apartment located at the above given address;
2. That Spouses Andrea Gauna and Guillermo Gauna, both of legal age, Filipinos,
happened to be the lease holders of my above residential apartment during the period
MARCH 1, 2004 up to MARCH 1, 2005 as evidenced by a Contract of Lease earlier
submitted to the Energy Regulatory Commission;
City, Philippines.
LOLITA SANTIAGO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2008

Pasig City )s.s.
SWORN AFFIDAVIT
I, INOCENCIO G. SUÑGA, of legal age, Filipino and with postal address at No. 57
Countryside Avenue, Sta. Lucia, Pasig City, after having been duly sworn to in accordance with
1. That I am the biological father of MARIAN RUTH J. SUÑGA-MUYOT, the youngest

of my four children to my deceased wife Magliwanag J. Sunga;
2. That I donated to my aforenamed daughter Marian Ruth J. Sunga-Muyot my real

estate property located at Barangay Rosario, Pasig City, covered and embraced by Transfer
Certificate of Title No. 136004 containing an area of Ninety Six (96) Square Meters, which donation
has been the subject of a Deed of Donation executed on June 11, 2008 entered into the notarial
register of Atty. Edwin G. Condaya, as Doc. No. 60; Page No. 13; Book No. VIII; Series of 2008;
3. That on the property subject matter of the above donation, an improvement of a

house made up of a semi-concrete materials is erected thereon declared for tax purposes as under
Tax Declaration No. E-026-10811, and where I am physically occupying as my residential abode;
4. That such donation ONLY pertains to the LOT excluding the improvement
(residential house);
5. That should the Lord Almighty finally summon my soul from its earthly abode, then it
is my wish and desire to donate and grant the residential house (improvement) to my daughter
MARIAN RUTH J. SUNGA which my heirs should respect, then, she shall have the full use and
enjoyment of the above-described property including the improvement;
City, Philippines.
INOCENCIO G. SUÑGA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2008

Pasig City )s.s.
AFFIDAVIT OF ACCEPTANCE
I, GLENN DEL REMEDIOS ADA, of legal age, Filipino, married to Alaine Angelica Ada,
and with postal address at No. 101 P. Pasco Avenue, corner F. Cruz Street, Santolan, Pasig City,
1. That I am the son of SPOUSES NONATO ADA and EDITA ADA;
2. That my parents donated to me their lot containing an area of 186 Square Meters
located in Brgy. Santolan, Pasig City, covered and embraced by Transfer Certificate of Title No. PT-
90878 issued by the Registry of Deeds of Pasig City and such is the subject of a Deed of Donation
duly executed by and between my parents SPS. NONATO ADA and EDITA ADA, as the Donors,
and the undersigned as the DONEE on December 9, 2010 before Notary Public Leticia M. Amon
and entered into her notarial register as Doc. No. 401; Page No. 81; Book No. II; Series of 2010;
3. That my parents voluntarily and freely give, transfer and convey, by way of
donationto me, my heirs, executors and assigns, all of the right, title and interest which my parents
have in the above-described real property, together with all the buildings and improvements found
therein, free from all liens and encumbrances and charges of whatsoever nature;
4. That for my part, I hereby accept and acknowledge the above described real
property as a gift from my parents with full of gratitude and appreciation;
City, Philippines.
GLENN DEL REMEDIOS ADA

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
SWORN AFFIDAVIT
I, LYDIA SAN JUAN, of legal age, Filipino and with postal address at No. 78B M.H. Del
Pilar St., Sto. Tomas, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am the wife of the late VIRGILIO SAN JUAN, the seventh of ten children to
my deceased mother-in law ESTER SAN JUAN;
2. That my husband is the owner of a portion of a parcel of land That a house made
up of a semi-concrete materials is erected on the property of Ester San Juan, and
where I am physically occupying as my residential abode
City, Philippines.
LYDIA SAN JUAN

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010
Pasig City )s.s.
AFFIDAVIT OF AUTHENTICITY OF DOCUMENTS/IDENTIFICATIONS
I, ARLENE MAE LIM, of legal age, Filipino, and with postal address at
_________________________________ , Pasig City, after having been duly sworn to in
1. I am the owner of Sizzling Plate and Chicken Company with business address at
SM City Novaliches Branch, Quirino Highway, Brgy. San Bartolome, Novaliches,
Quezon City;
2. I am in the process of securing permits/licenses from the local government of

Quezon City, and that as one of the requirements, I submitted certified photocopies
of Secretary’s Certificate and Contract of Lease;
3. I hereby affirm and confirm the authenticity and validity of the Secretary’s Certificate
and Contract of Lease, such certified true copies thereof means that said
documents are true and faithful reproduction of the originals thereof;
City, Philippines.
ARLENE MAE LIM

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
I, ERNESTO CONCEPCION, of legal age, Filipino, married, and with

residence and postal address at No. 4797 F. Manalo St., Bambang Pasig City,
say:
4. On October 9, 2013, I executed an Affidavit duly notarized by Atty.

Ricardo Castillo under Doc No. 106; Page No. 22; Book No. XCIV; Series
of 2013, attesting therein that my son Edward Concepcion abandoned
his wife Meriam De Vega Tegio-Concepcion and his whereabouts have
been unknown to his own family and to his wife for considerable
length of time;
5. That I undertake that the said affidavit hereto attached is the

attached document;


it may serve;

ERNESTO CONCEPCION
Affiant
2011 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2013

Pasig City )s.s.
I, JAMES O. MANGADLAO, of legal age, Filipino, single, and with

residence and postal address at Block 40, Lot 14, Holiday Homes, Biclatan,
Gen. Trias, Cavite, after having been duly sworn to in accordance with law,

thereto is the submission of my Authenticated Documents such as
Certificate of Completion dated September 13, 2007 issued by the City
Government of Pasig and Certificate of Employment issued on 03 rd day
of July 2009 by Proserve Manworks Inc;
9. That I undertake that the following documents hereto attached are the
attached documents;

it may serve;

JAMES O. MANGADLAO
Affiant
2011 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT OF AUTHENTICITY OF DOCUMENT/IDENTIFICATION
I, FINNELA M. ROGANDO, of legal age, Filipino, single, and with

residence and postal address at 18-B, Phase 1-C Essen, Mercedes Exec. Village,
San Miguel, Pasig City, after having been duly sworn to in accordance with law,

thereto is the submission of my Authenticated Documents such as
Certificate of Completion dated December 01, 2009 issued by The
Linden Suites;
2. That I undertake that the above certification hereto attached is the

attached document;
4. That I further declare and attest that the above document is


it may serve;

FINNELA M. ROGANDO
Affiant
2012 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2012
Pasig City )s.s.
I, NEIL E. CUEVA, of legal age, Filipino, single, and with residence and
postal address at Block 3, Lot 8, Villa Gloria, Pinagbuhatan, Pasig City, after

thereto is the submission of my Authenticated Documents, to wit:
a. Certification dated 24 January 2012 issued by the South Cotabato

Provincial Hospital;
b. Four (4) Letter of Reference all dated 24 January 2012 issued by
the South Cotabato Provincial Hospital;
c. Certificate of Attendance issued on 27 November 2010 by
Operating Room Nurses Association of the Phils., Inc;
d. Certificate of Training conducted on July 29-31, 2009 issued by the
Association of Nursing Service Administrator of the Phils., Inc.,
(ANSAP);
e. Certificate of Attendance issued on 18 April 2009 by Philippine
Nurses Association;
2. That I undertake that the abovementioned documents hereto attached

attached documents;



NEIL E. CUEVA
Affiant
2012 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2012

Pasig City )s.s.
I, GENEROSA B. COLUMNA, of legal age, Filipino, married, and with

residence and postal address at 131 M. H. Del Pilar St., Pinagbuhatan, Pasig
and say:
1. That I am the mother of CARLGENE B. COLUMNA, who was born on

May 28, 1975 and was baptized on August 03, 1975 at the National Shrine of
St. Michael & The Archangels and among the requirements thereto is the
submission of my Authenticated Baptismal Certificate;
2. That being her mother, I undertake that the abovementioned

Baptismal Certificate of my son is hereto attached and the authenticated copy
of the same;
said Baptismal Certificate;



GENEROSA B. COLUMNA
Affiant
2012 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2012
Pasig City )s.s.
I, MARIA CRISTINA A. SALVADOR, of legal age, Filipino, single, and

with residence and postal address at C2 U8 M. Concepcion Ave., Grand Monaco
Exec. Homes, San Joaquin, Pasig City, after having been duly sworn to in

thereto is the submission of my Authenticated Philipppine Passsport;
2. That I undertake that the abovementioned Philipppine Passsport is

hereto attached and the authenticated copy of the same;
said Philipppine Passsport;



MARIA CRISTINA A. SALVADOR

Affiant
2012 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2012
Pasig City )s.s.
We, ELSIE R. BESORIO and ROSARIO E. ADEVOSO, both of legal age, Filipinos and
residents of Blk. 10, Lot 5, P2B2, Katiyakan St., Karangalan Village, Pasig City and Blk. 11, Lot 9,
P2B2 Katungkulan St., Karangalan Village, Pasig City, respectively, after having been duly sworn
to in accordance with law, hereby depose and say, that:
1. We personally know one JEFFREY MEJICO FAUSTINO who was born on August 15,
1972 in Quezon City, son of Spouses Faustino P. Faustino and Mirasol M. Mejico;
2. The facts of his birth were duly registered at the Local Civil Registry of Quezon City and
National Statistics Office (NSO);
3. We were informed that in his Civil Service Picture-Seat Plan his picture and signature
which were taken 17 years ago was different to his present physical appearance and signature
appearing in his Postal I.D. and Professional Regulation Commission (PRC) I.D. Attached
herewith is the pictures of Jeffrey Mejico Faustino when his status is single during his college
day/graduation day and family pictures and his present pictures together with his family proving
that the person appearing in the pictures refers to one and the same person;
4. We hereby affirm and confirm that the signature and picture appearing on his Civil
Service Picture-Seat Plan and the signature and picture appearing on his Identification Cards such
as Postal I.D. and Professional Regulation Commission (PRC) I.D. were made by only one and
the same person, the herein affiant JEFFREY MEJICO FAUSTINO;
5. For all legal intents and purposes, we hereby affirm and confirm the authenticity and
validity of the abovementioned Identification Cards and that the same were signed by JEFFREY
MEJICO FAUSTINO for a valuable consideration to his full satisfaction and benefit;
` ELSIE R. BESORIO ROSARIO E. ADEVOSO

Affiant Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2012
Pasig City )s.s.
I, SITTI GERNALD S. SAHIBUL, of legal age, Filipino, single, and with residence
and postal address at B-31 L-19 Maharlika Village, Taguig City, after having been duly
1. That I was seen and examined at CARDINAL SANTOS MEDICAL CENTER,

with business address at 10 Wilson St., Greenhills West, San Juan City, Metro
Manila, Philippines last August 10, 2011;
2. That the results of my examination revealed that I had pneumonia but presently
stable and is mananged conservatively. Copy of my Medical Certificate is
hereto attached dated August 11, 2011;
3. That I hereby affirm and confirm the authenticity and validity of the attached
Medical Certificate issued by the CARDINAL SANTOS MEDICAL CENTER,

SITTI GERNALD S. SAHIBUL

Affiant
in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
AFFIDAVIT
I, MILAGROS A. VICTORIA, of legal age, Filipino, a doctor by profession and with office
address at City Health Office, City Government of Pasig, after having been duly sworn to in
1. I am presently employed with the City Government of Pasig assigned at Pasig City
Health Office as Rural Health Physician, and that accordingly, I am a holder of S2
License;
2. I hereby confirm and affirm that my S2 License shall be used exclusively for
government practice only.
City, Philippines.
MILAGROS A. VICTORIA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
I, ELIZABETH G. MOLMISA, of legal age, Filipino, and with postal address at Block 3 Lot
4 Abraza Subd., Pinagbuhatan, Pasig City, after having been duly sworn to in accordance with law,
1. That I am the wife of BERNARD MOLMISA who is undergone for Medical Clearance at
MegaClinic as one of his requirements to work abroad (Qatar) and he was issued a Medical
Certificate, a copy of which is hereto attached;
2. That I hereby affirm and confirm the authenticity and validity of the attached Medical
Certificate;
3. That I further declare and attest that the foregoing document proving that the herein
affiant’s husband actually undergone for Medical Clearance at MegaClinic and his Medical
Certificate is genuine and authentic;
Philippines.
ELIZABETH G. MOLMISA
Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
SWORN STATEMENT
I, CECILIA LOPEZ-CANETE, of legal age, married, Filipino, and with postal

address at 2733 BPTHAI 2, Ibayo, Tipas, Taguig City, after having been duly sworn to in
1. That I am applying for a position of Teacher III with the Division Office of Pasig City
and as one of the requirements thereto is my Original Basic Transcript of Records
and Transcript of Records of my MA units;
2. That I hereby declare and attest that I graduated with the Degree of Master of
Physics Education at Ateneo De Manila University (ADMU) last May 25, 2011 and
was issued a Transcript of Records of my MA units, a copy of which is hereto
attached;
Transcript of Records of my MA units;
affiant’s graduated with the Degree of Master of Physics Education at Ateneo De
Manila University (ADMU) last May 25, 2011 and the Transcript of Records of my
MA units is genuine and authentic;
City, Philippines.
CECILIA LOPEZ-CANETE
Affiant
___ in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
I, JACQUELYN C. ANORE, of legal age, Filipino, and with postal address at no. 85 G.
Cattleya Cmpd. San Agustin St. Palatiw, Pasig City, after having been duly sworn to in accordance
1. That I am applying to work abroad and among the requirements therein is the
submission of my Authenticated Documents such as, Certificate of Live Birth,
Marriage Contract, and NBI;
2. That I undergone the said following documents hereto attached are the
documents;
4. That I further declare and attest that the foregoing document is genuine and
authentic;
Philippines.
JACQUELYN C. ANORE
Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
I, DELTON P. DUHAYLUNGSOD, of legal age, Filipino, single, and with postal address at
No. 97 San Bernardo St., San Joaquin, Pasig City, after having been duly sworn to in accordance
5. That I am applying to work abroad and among the requirements therein is the
submission of my Authenticated Documents such as Certification of Employment;
6. That I undergone the said following documents hereto attached are the
documents;
8. That I further declare and attest that the foregoing document is genuine and
authentic;
Philippines.
DELTON P. DUHAYLUNGSOD
Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
I, ROEL B. GUIRAL, of legal age, Filipino, and with postal address at Centennial 1-A,
Nagpayong , Pinagbuhatan, Pasig City, after having been duly sworn to in accordance with law,
6. That I was previously employed at the following hospitals, to wit:
a. TAGUIG CITY HOSPITAL as Volunteer Nurse and assigned at

Out-Patient Department from April 05, 2010 up to July 05, 2010,
and that accordingly, I was a issued a Certification, a copy of
which is hereto attached;
b. MADRID DISTRICT HOSPITAL as Volunteer Nurse and

assigned at Medical, Surgical, Obstetric, Gynecology, Pediatric
and Geriatic Units from April 5, 2008 to March 31, 2009, then
October 5, 2009 to February 26, 2010, and that accordingly, I
was a issued a Certification, a copy of which is hereto attached;
c. CERTIFICATE OF COMPLETION issued by Department of

Labor and Employment dated September 30, 2009, and that
accordingly, I was a issued a Certificate of Completion, a copy of
which is hereto attached;
Certifications/Certificate of Completion;
affiant actually employed at the abovementioned hospitals is genuine and authentic;
City, Philippines.
ROEL B. GUIRAL
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010
Pasig City )s.s.
I, ELLA RIÑO ROTONI, of legal age, Filipino, and with postal address at No. 254 R.
Jabson Street, San Joaquin, Pasig City, after having been duly sworn to in accordance with law,
1. That I am the aunt and the standing guardian of JEMAYCA MARIE RIÑO FAJARDO,
who was born on March 05, 1994 in Paranaque City, being the son of James Fajardo
and Marilyn Rino-Fajardo and was baptized at San Antonio de Padua Parish,
Parqanaque City on October 16, 1994 by Rev. Fr. Stephen C. Villanueva ;
2. That the facts of her baptismal appeared on the Baptismal Register of the said Church
docketed as Book No. 11, Page No. 121; Line No. 4, hereto attached the aforesaid
Baptismal Certificate;
3. That my niece is now living in Japan together with her mother;
documents;
5. That I further declare and attest that the foregoing document is genuine and authentic;
Philippines.
ELLA RIÑO ROTONI

Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.

Pasig City )s.s.
AFFIDAVIT OF AUTHENTICITY OF DOCUMENTS
I, KERWIN DIAZ LAZARO, of legal age, Filipino, and with postal address at 9D P. Ponce
and say:
1. That I am presently employed with SMART COMMUNICATIONS, INC. as Junior

Engineer, and assigned at Service Surveillance Operations Team, Network & Platforms
Services Division from December 01, 2007 up to the present, and that accordingly, I
was a issued a Certificate of Employment, a copy of which is hereto attached;
a. That I hereby affirm and confirm the authenticity and validity of the attached
Certificate of Employment;
b. That I further declare and attest that the foregoing document proving that the
herein affiant actually employed at Smart Communications, Inc. from
December 01, 2007 up to present is genuine and authentic;
City, Philippines.
KERWIN DIAZ LAZARO

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT OF AUTHENTICITY OF DOCUMENTS
I, MICHELLE M. CABRERA, of legal age, married, Filipino, and with postal and residential
address at No. 11128 Talisay St., Nagpayong, Pinagbuhatan, Pasig City, after having been duly
1. That I am previously employed with the following company, to wit:
a. GOLDEN TRI BLOC, INC. from May 2005 up to February 2010 as Counter
Person to Outlet Supervisor; and
f. BRILLIANT BAKER’S INC. from end of February 2010 up to present as Outlet

Supervisor;
2. I hereby declare and attest that GOLDEN TRI BLOC, INC. and BRILLIANT BAKER’S
INC. is a sister company under GOLDEN DONUT INC. a Dunkin’ Donuts franchising holder and
that I was a issued a Certificate of Employment by Mr. Ronald S. Salindong, General Manager of
Brilliant Baker’s Inc. and Golden Tri Bloc, Inc., a copy of which is hereto attached;
3. That I hereby affirm and confirm the authenticity and validity of the attached Certificate of
Employment;
affiant actually employed at Golden Tri Bloc, Inc. from May 2005 up to February 2010 and at
Brilliant Baker’s Inc. from end of February 2010 up to present is genuine and authentic;
City, Philippines.
MICHELLE M. CABRERA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
I, KERWIN DIAZ LAZARO, of legal age, Filipino, and with postal address at 9D P. Ponce
and say:
c. That I am presently employed with SMART COMMUNICATIONS, INC. as

Junior Engineer, and assigned at Service Surveillance Operations Team,
Network & Platforms Services Division from December 01, 2007 up to the
present, and that accordingly, I was a issued a Certificate of Employment, a
copy of which is hereto attached;
d. That I hereby affirm and confirm the authenticity and validity of the attached
Certificate of Employment;
e. That I further declare and attest that the foregoing document proving that the
herein affiant actually employed at Smart Communications, Inc. from
December 01, 2007 up to present is genuine and authentic;
City, Philippines.
KERWIN DIAZ LAZARO

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
I, RUBY LYN L. MACOY, of legal age, Filipino, and with postal address at Circumferential
Road, San Roque, Antipolo City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am presently employed at MEDICAL CITY as Staff Nurse, and assigned at Intensive
Care Unit since Ausust 7, 2004 up to the present, and that accordingly, I was a issued a
Certificate of Employment, a copy of which is hereto attached;
Employment;
3. That I further declare and attest that the foregoing document proving that the herein affiant
actually employed at MEDICAL CITY as Staff Nurse, and assigned at Intensive Care Unit
since Ausust 7, 2004 up to the present is genuine and authentic;
City, Philippines.
RUBY LYN L. MACOY

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
I, RODRIGO D. SANOY, of legal age, Filipino, and with postal address in No. 28 Tatlong
Bayani St. Caniogan, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am the brother and authorized representative of TERESITO D. SANOY, who was
born on August 18, 1952 at Pasig Rizal (now City) being the son of Sotero Sanoy and
Paulina Deseto Sanoy;
2. That the facts of his birth were duly registered at the Office of Local Civil Registrar of Pasig
City
3. That he was baptized at Immaculate Conception Cathedral, Pasig City sometime on

December 25, 1952 solemnized by Rev. Fr. Carlos Van Ooteghem;
4. That I hereby affirm and confirm that the authenticity and validity of the attached Certificate
of Live Birth and Certificate of Baptism;
5. That I further declare and attest that the foregoing document proving that his actually born
on August 18, 1952 at Pasig City and baptized at Immaculate Conception Cathedral, Pasig
City sometime on December 25, 1952 solemnized by Rev. Fr. Carlos Van Ooteghem are
City, Philippines.
RODRIGO D. SANOY
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
I, ESTER A. RAÑA, of legal age, Filipino, and with postal address at No. 1 Apitong St.,
Marietta-Romeo Village, Sta. Lucia, Pasig City, after having been duly sworn to in accordance with
1. I am the mother and authorized representative of JANNET A. RAÑA, who was born on
October 2, 1968 at Manila;sss
2. The facts of her birth were duly registered at the Office of Local Civil Registrar of Manila;
3. My daughter was baptized at Archdiocese of Manila Parish of the Sacred Heart, Sta. Mesa,
Manila on June 15, 1969 solemnized by Rev. Fr. Quintin Andres;
4. I hereby affirm and confirm that the authenticity and validity of the attached Certificate of
Baptism;
5. I further declare and attest that the Baptismal Certificate proving that she actually born on
October 2, 1968 at Manila and baptized at Archdiocese of Manila Parish of the Sacred
Heart, Sta. Mesa, Manila on June 15, 1969 solemnized by Rev. Fr. Quintin Andres is
City, Philippines.
ESTER A. RAÑA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
I, LYSTER CALUMOT, of legal age, Filipino, and with postal address at No. 3078 V.P. Cruz
St., Lower Bicutan, Taguig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. I am the brother and authorized representative of SAMUEL CALUMOT, who was born on
February 9, 1980 at Otikon, Libagon, Southern Leyte, being the son of Esteban Calumot
and Fannie Dadson;
2. The facts of his birth were duly registered at the Office of Local Civil Registrar of Libagon,
Southern Leyte;
3. He was baptized on August 28, 1980 at Diocese of Maasin Immaculate Conception Parish
and solemnized by Rev. Fr. Gregorio C. Regis;
4. I further declare and attest that the foregoing document proving that my brother SAMUEL
CALUMOT was baptized on august 28, 1980 at Diocese of Maasin Immaculate Conception
Parish and solemnized by Rev. Fr. Gregorio C. Regis, a copy of which is hereto attached;
is genuine and authentic;
City, Philippines.
LYSTER CALUMOT
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
I, SAMUEL CALUMOT, of legal age, Filipino, and with postal address at No. 3078 V.P.
Cruz St., Lower Bicutan, Taguig City, after having been duly sworn to in accordance with law,
1. I was born on February 9, 1980 at Otikon, I was baptized at Diocese of Maasin on

February 9, 1980 by Rev. Fr. Gregorio C. Regis, a copy of which is hereto attached;
Baptism;
3. That I further declare and attest that the foregoing document proving that my daughter
GENELYN ONG, who was baptized at Diocesew of Virac, Virac Cataduanes sometime on
December 29, 1984 by Rev. Fr. Pascual M. Macuja, a copy of which is hereto attached; is
City, Philippines.
SAMUEL CALUMOT
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
I, SHERYLL A. PRESENTE , of legal age, Filipino, and with postal address at East 7A
Metrodorm Home Depot Compd., Julia Vargas, Ugong, Pasig City, after having been duly sworn to
1. That I am on the process for the completion of requirements for working visa to work
abroad (spain) and among the requirements is my Philippine Passport;
2. That I hereby affirm and confirm the authenticity and validity of the attached Philippine
Passport;
3. That I further declare and attest that the foregoing Philippine Passport is genuine and
authentic;
City, Philippines.
SHERYLL A. PRESENTE
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010
Pasig City )s.s.
AFFIDAVIT
(RE: ADDITIONAL BENEFICIARY)
I, DOLORES PANALIGAN LABIOS, of legal age, Filipino, and with postal address at No.
2811 Paseo Street, Barangay San Juan, Cainta Rizal, after having been sworn in accordance with
law do hereby depose and say:

2. That I declared my husband and my two (2) children as the beneficiaries of
Philhealth;
3. That I hereby declare my mother ANASTACIA C. AWAY as my additional beneficiary
4.
5. thereof;
6. That it would appear in my birth certificate that my mother’s name is reflected as

ATANACIA POSADAS HENARES, however, she has been using ANASTACIA
CULUBONG AWAY, as she is the widower of the late Santiago Away, and the
undersigned is her daughter to her second husband;
7. That I hereby declare and attest that my mother ATANACIA POSADAS HENARES
and ANASTACIA CULUBONG AWAY, refer to one and and the same person who will
I declare to be my additional beneficiary;
City, Philippines.
DOLORES PANALIGAN LABIOS

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009
Pasig City )s.s.
WE, MA. LUZ H. CALDERON, VIVIAN H. SALINAS, with postal address at 40 G. Bunyi
Street, Buting, Pasig City and MARIETA DEL ROSARIO RIVERA, with postal address at 42 G.
Bunyi, Pasig City, in their capacity as among the successors-in-interest of the late RAYMUNDA
BANGAYAN, all of legal age, Filipinos, and with postal address at 40 G. Bunhi , Pasig City, after
having been sworn in accordance with law do hereby depose and say:
1. That the late RAYMUNDA BANGAYAN is the registered owner of a parcel of land
covered by Tax Declaration No. E-005-02595 containing an area of 127.80 Square Meters;
2. Pursuant to Rule 74, Sec. 1 of the Revised Rules of Court of the Philippines, and all
being with full capacity to contract, we do hereby adjudicate unto ourselves the real property
abovedescribed left by the deceased.
3. That the deceased died intestate, without Will or Testament, and without any
outstanding debts in favor of any person or entity;
4. That we jointly pay the realty tax and its other obligations at the City Treasurer’s
Office of Pasig City and that the receipts therefor are in the safekeeping of Anacita Cruz, also heirs
of the said deceased;
5. That we are declaring our claim over our share, in order to protect our right over the
said property;
MA. LUZ H. CALDERON VIVIAN H. SALINAS
MARIETA DEL ROSARIO RIVERA

Conforme:
ANACITA CRUZ
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
I, JOHN MATHIAS C. MABANAG, of legal age, single, Filipino, and with postal address at
No. 23 Pepay Comp., Wawa, Taguig City, after having been sworn in accordance with law do
1. That I was born on October 28, 1988 in Taguig City;
2. That the facts of my birth were duly registered at the Local Civil Registry of Taguig
City;
3. That I am applying for Enlistment with the Armed Forces of the Philippines (AFP);
4. That I hereby declare and attest that my legal beneficiaries are my parents, PABLO
F. MABANAG and MARITES C. MABANAG;
Philippines.
JOHN MATHIAS C. MABANAG

Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2012
Pasig City )s.s.
I, ACE P. ESO, of legal age, Filipino, single, and with residence and postal
address at Block 5, Lot 21, Balsancat Village, Pinagbuhatan, Pasig City, after
having been sworn in accordance with law do hereby depose and say:
1. That I was born on January 11, 1989 in Bacolod City;
2. That the facts of my birth were duly registered at the Local Civil
Registry of Bacolod City;
3. That I am applying for Enlistment with the Armed Forces of the

Philippines (AFP);
4. That I hereby declare and attest that my legal beneficiaries are my

parents, Spouses AMADO NADALES ESO and JENIE PEDIONGCO- ESO;

serve;

ACE P. ESO
Affiant
in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2012
Pasig City )s.s.
I, ROMNICK ALFRED R. DELA PEÑA, of legal age, Filipino, single, and with postal
address at No. 156 Sto. Nino, Pinagsama Vill., Taguig City, after having been sworn in accordance
with law do hereby depose and say:
1. That I was born on April 17, 1989 at Basilan, Isabela City to Spouses Wilfredo B.
Dela Peña and Virginia D. Rojas- Dela Peña;
2. That the facts of my birth were duly registered at the Local Civil Registry of Basilan,
Isabela City;
4. That I hereby declare and attest that my legal beneficiary is my mother, Virginia D.
Rojas- Dela Peña;
City, Philippines.
ROMNICK ALFRED R. DELA PEÑA

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.

I, HASSANOR SOLAIMAN LUCMAN, of legal age, Filipino, single, and with postal address
at No. 0211 Baltazar St., Sto. Tomas, Pasig City, after having been sworn in accordance with law
do hereby depose and say:
1. That I was born on August 20, 1988 at Marawi City Lanao Del Sur to Spouses
Lucman Montoya Baraocor and Nobaisah Solaiman Baraocor;
2. That the facts of my birth were duly registered at the Local Civil Registry of Marawi
City Lanao Del Sur;
4. That I hereby declare and attest that my legal beneficiary is my parents, Lucman
Montoya Baraocor and Nobaisah Solaiman Baraocor;
City, Philippines.
HASSANOR SOLAIMAN LUCMAN

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.

I, AHDAN GANADOS GUZMAN, of legal age, Filipino, single, and with postal address at
Blk. 13, Lot 11, Dilang I, Nagpayong, Pinagbuhatan, Pasig City, after having been sworn in
accordance with law do hereby depose and say:
1. That I was born on September 5, 1990 in Candon, Ilocos Sur to Spouses Manuel G.
Guzman and Celsa P. Ganados;
2. That the facts of my birth were duly registered at the Local Civil Registry of Ilocos
Sur;
4. That I hereby declare and attest that my legal beneficiary is my mother, Celsa P.
Ganados-Guzman;
City, Philippines.
AHDAN GANADOS GUZMAN

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
I, DENNIS L. DELLOSON, of legal age, Filipino, single, and with postal address at Dilang I,
Nagpayong, Pinagbuhatan, Pasig City, after having been sworn in accordance with law do hereby
depose and say:
1. That I was born on December 6, 1989 in Camarines Sur to Spouses Elvira
Labarientos-Delloson and Rodolfo Delloson;
2. That the facts of my birth were duly registered at the Local Civil Registry of
Camarines Sur;
4. That I hereby declare and attest that my legal beneficiary is my mother, ELVIRA
LABARIENTOS;
City, Philippines.
DENNIS L. DELLOSON
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
I, GERRY VIRANA FELISILDA, of legal age, Filipino, single, and with postal address at 1B
Jenny’s Ave., Greenland Subd., Rosario, Pasig City, after having been sworn in accordance with
1. That I was born on August 20, 1988 at Camba-ol, Alicia, Bohol, son of Spouses Felix
Felisilda, Jr. and Clarita Virana;
2. That the facts of my birth were duly registered at the Local Civil Registry of Alicia,
Bohol;
3. That I am applying for military training with the Armed Forces of the Philippines
(AFP);
4. That I hereby declare and attest that my legal beneficiary are my parents Felix
Felisilda, Jr. and Clarita V. Felisilda;
City, Philippines.
GERRY VIRANA FELISILDA

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010
Pasig City )s.s.
I, CHRIS JOHN P. CATALUNIA, of legal age, Filipino, single, and with postal address at
114-A Westbank Rd., Floodway, Maybunga, Pasig City, after having been sworn in accordance with
1. That I was born on September 11, 1990 at Surigao City, Surigao Del Norte, son of
Spouses Cresente G. Catalunia and Gina P. Gatalunia;
2. That the facts of my birth were duly registered at the Local Civil Registry of Surigao
City, Surigao Del Norte;
3. That I am applying for military training with the Armed Forces of the Philippines
(AFP);
4. That I hereby declare and attest that my legal beneficiary are my parents Spouses
Cresente G. Catalunia and Gina P. Gatalunia;
City, Philippines.
CHRIS JOHN P. CATALUNIA

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
I, SALVACION T. EBIO, of legal age, Filipino, and with postal address at No. 18 St. Francis
St., Michael Subd., San Miguel, Pasig City, after having been sworn in accordance with law do
1. That I am a depositor of Banco De Oro, Pateros Branch and a holder of Time Deposit
Certificate with No. 5754057 under Account No. 364805754057;
2. That I am the aunt and standing guardian of CHRISTOPHER GELBERT T.

CLEMENTE, of legal age, Filipino, and with postal address at above-mentioned address;
3. That I hereby declare and attest that my legal beneficiary is my nephew, Christopher
Gelbert T. Clemente;
City, Philippines.
SALVACION T. EBIO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT
I, CEFERINA P. DELFIN, of legal age, widow, Filipino, and with postal address at Lot 1, Blk.
14, St. Michael Ville, Sta. Cruz, Pasig City, after having been sworn in accordance with law do
9. I am the wife and surviving legal heirs of ANACLETO H. DELFIN and our marriage was
celebrated on March 1, 1985 in Metropolitan Trial Court of Pasay City;
10. Out of said union we begot two (2) children, namely:
a. Dexter P. Delfin who was born on December 26, 1985 in Manila; and
b. Anna Erika P. Delfin who was born on October 2, 1990 in Manila;
3. My husband left savings account from RCBC, Kapasigan Branch, Pasig City;
4. Being the wife and beneficiary of the late Anacleto H. Delfin, I hereby adjudicate unto
myself the savings account at RCBC, Kapasigan Branch, Pasig City with Savings
Account No. 8117002057, pursuant to Rule 74, Sec. 1 of the Rules of Court of the
Philippines;
5. I hereby discharge and release the RCBC bank from any liability/ies that may arise from
this adjudication;
6. I hereby declare and attest that I am the wife and legal beneficiary of Anacleto H. Delfin;
City, Philippines.
CEFERINA P. DELFIN
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
I, NELSON BORGONIA JR. y RUBIA, of legal age, Filipino, single, and with postal address
at 132 Rosario Village, Sta. Lucia, Pasig City, after having been sworn in accordance with law do
1. That I was born on March 10, 1985 in Mandaon, Masbate to Spouses NELSON
BORGONIA SR. and ANTONIA N. RUBIA;
2. That the facts of my birth were duly registered at the Local Civil Registry of
Mandaon, Masbate;
4. That I hereby declare and attest that my legal beneficiary are my parents, NELSON
BORGONIA SR. and ANTONIA N. RUBIA-BORGONIA;;
City, Philippines.
NELSON BORGONIA JR.

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009
Pasig City )s.s.
AFFIDAVIT of SEPARATION
I, AMADO M. APOLINAR, of legal age, married, Filipino and a resident of No. 1108 Villa
Raymundo Guapo, Palatiw, Pasig City after having been duly sworn to in accordance with law,
1. That I am processing for my Retirement Calim Benefit with Social Security System and one
of the requirements thereto is the submission of this Affidavit;
2. That I was employed with Freyssinet Manila, Inc. from ________________up to

_____________________;
3. That since my separation from Freyssinet Manila, Inc. on _______________, I have never
been employed with any company/business entity up to the present;
City, Philippines.
AMADO M. APOLINAR
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009

Pasig City )s.s.
AFFIDAVIT
Re: NON-HOLDING OF ELECTION
I, MARY ANN F. CABANGISAN, of legal age, Filipino, married, and with postal address at
No. 14611 Mahogany Street, Eusebio Avenue, Nagpayong II, PInagbuhatan, Pasig City, after
1. That I am a bona fide resident of the above given address and the incumbent
President of Green Homes Homeowners Association, Inc, Phase I,a non-stock corporation created
under the laws of the Philippines;
2. That in an emergency meeting held on August 22, 2012, duly presided by the
undersigned, among the matters that had discussed is the holding of election;
3. That almost 100% of the members and officials were present during the emergency
meeting, and that it was unanimously approved and agreed by the members and officials present
to defer the holding of election for reason that they are all satisfied with the management and/or
supervision of the present officers, hence, the election was not held.
City, Philippines.
MARY ANN F. CABANGISAN

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2012

Pasig City )s.s.
AFFIDAVIT
Re: NON-HOLDING OF ELECTION
I, LUZ C. CORTEZA, of legal age, Filipino, married, and with postal address at No. 623
Yakal Street, Napico Manggahan, Pasig City, after having been duly sworn to in accordance with
1. That I am a bona fide resident of the above given address and the incumbent
Secretary of Napico Homeowners Association VII, Inc, ,a non-stock corporation created under the
laws of the Philippines;
2. That in a regular meeting held on July 31, 2011, among the matters discussed is the
deferment of holding an annual election which is supposed it to be held every 1 st Sunday of
December, every year pursuant to Section 4 Article V of the Association’s By-Laws, but instead
amend the same to read as follows:
“Section 4. “Election and Term of Office. Directors shall be elected by secret ballot at the
annual meeting of the members of the association on the est Sunday of 2013 and after two (2)
years thereafter. The directors so elected shall hold offices for a term of two (2) years and until
their successors are elected and qualified;”
and Section2, Article VIII of NAHA VII By-laws to read as follows:
“Section 2 Annual Meeting. The annual meeting of the members shall be held on the first
Sunday of December each year, at which meeting the members shall transact business as may
properly be brought during the meeting;”
3. That it was unanimously approved and agreed by the Officers/.Board of Directors to

defer the holding of election for reason that the association is presently saddled with numerous
cases on its members brought about by the refusal of the previous Board of Directors/Officers to
hold regular annual membership, election of officers, auditing of funds among others, hence, there
is a necessity to focus our attention on the cases brought about by the said circumstances, and
thus, constrained to defer the election.
3. Among the cases are as follows:
Title Case Number Branch Court

1. Napico Homeowwners SCA No. 3607-PSG Br. 71 RTC Pasig
Association VII, Inc. vs. Venancio Civil Case No.
Fulgeras 16270
For Ejectment
Association VII, Inc. vs. Josefina Civil Case No.
Cabeas 12263
For Ejectment
Association VII, Inc. vs. Gloria Civil Case No. 16265
Cosca For Ejectment
4. Napico Homeowwners SCA No. 16262 Br. 68 MTC Pasig
Association VII, Inc. vs. Maria For Ejectment
Caloyloy
Association VII, Inc. vs. Antonio For Ejectment
Galut

Association VII, Inc. vs. Florenia For Ejectment
Villadarez
Association VII, Inc. vs. Lorenzo For Ejectment
Lacaden
8. Napico Homeowwners SCA No. 3459 Br. 71 RTC Pasig
Association VII, Inc. vs. Allan For Ejectment
dela Paz
9. Napico Homeowwners Civil Case No. Br. 69 MTC Pasig
Association VII, Inc. vs. Domingo 16264
Fulgeras For Ejectment
10. Napico Homeowwners Civil Case No. Br. 68 MTC Pasig
Association VII, Inc. vs. Maura 16316
Payawal For Ejectment
City, Philippines.
LUZ C. CORTEZA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2012
Pasig City )s.s.
AFFIDAVIT OF SURVIVING PARENT
I, FLAVIANA TIPOSO LEGASPI, of legal age, widow, Filipino and with postal address at
103 Westbunk Road, Floodway Maybunga, Pasig City, after having been duly sworn to in
1. That I am the only surviving parent of the late RODOLFO TIPOSO LEGASPI, JR., who
died on September 14, 2009 in Pasig City. Attached herewith is the death certificate
of my son;
2. That my deceased son is a bonafide member of Government Service Insurance

System (GSIS);
3. That my son died having the civil status of being single but left two beneficiaries who
are his children, namely: XYRIL LEGASPI and ZYRUS LEGASPI, both minors;
4. That the undersigned is dependent for suppored from my deceased son and I am
unmarried at the time of application for survivorship benefits;
City, Philippines.
FLAVIANA TIPOSO LEGASPI

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009

Pasig City )s.s.
AFFIDAVIT OF SURVIVING HEIR

I, RUBY LARA MARIANO, of legal age, single, Filipino and with postal address at 7
Gladiola Street, Midtown Village, San Andres, Cainta, after having been duly sworn to in
1. That I am the surviving daughter of the late REMEDIOS LARA MARIANO who died on
January 13, 2009 in Pasig City. Attached herewith is the death certificate of my
mother;
2. That during the lifetime of my mother, she is receiving pension due my my father’s
membership of Government Service Insurance System (GSIS);
4. That the undersigned is dependent for support from my deceased mother;
City, Philippines.
RUBY LARA MARIANO

Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009

Pasig City )s.s.
AFFIDAVIT OF SURVIVING SPOUSE
I, MARILYN D. HERMOSO, of legal age, Filipino and with postal address at 46

Katarungan St., Caniogan, Pasig City, after having been duly sworn to in accordance with law,
1. That I am the surviving wife of the late LEONARDO HERMOSO, who died on August 12,
2008 in Amang Rodriguez Medical Center, Marikina City attached herewith is the
death certificate of my husband;
2. That my deceased husband is a bonafide member of Government Service Insurance

System (GSIS);
husband;
4. That the undersigned is dependent upon the deceased and I am unmarried at the time of
application for survivorship benefits;
City, Philippines.
MARILYN D. HERMOSO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009
Pasig City )s.s.
AFFIDAVIT OF SURVIVING SPOUSE
I, OLIVIA S. LAYSICO, of legal age, widow, Filipino and with postal address at No. 2 San
Isidro St., Pineda, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am the surviving wife of the late CONRADO S. LAYSICO, who died on March 5, 2011
in Pasig City General Hospital, Pasig City attached herewith is the death certificate of
my husband;
2. That my deceased husband is a bonafide member of Government Service Insurance

System (GSIS);
husband;
4. That the undersigned is dependent upon the deceased and I am unmarried at the time of
application for survivorship benefits;
City, Philippines.
OLIVIA S. LAYSICO
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
SWORN STATEMENT
I, ARSENIO W. GARCIA, of legal age, Filipino, widower, and with postal address at No.
366 P. Bernal Street, Ugong, Pasig City, after having been duly sworn to in accordance with law,
1. That I was born on March 20, 1961 in Barangay Ugong, Pasig Rizal (now City), and the
sixth child of Spouses Agustin Garcia and Maxima Waling. ;
2. That I am the brother of RICARDO W. GARCIA, the youngest child among the siblings,
who was born on November 8, 1964;
3. That all the members of our family composing of our parents and seven siblings with
the strong bond of relationship, altogether grew up under one and the same
dwelling/compound/house and even up to the time that we got our own family,
altogether live under the same house I considered our family as extended family type.
4. That considering the foregoing, I have actual knowledge that my brother Ricardo W.
Garcia cohabited with ANNABEL COLENDRES since 1985 who eventually begot a
child named LEAH COLENDRES VILLARISCO, who was born out of wedlock on
February 2, 1987 in Roxas City, Capiz;
5. That however, I know for a fact that the said child has not been acknowledged by his
father Ricardo W. Garcia because during the delivery of the said child in Roxas City,
Capiz, and the consequent registration of such birth, my brother Ricardo was not
present or available due to his working commitment in Manila.
6. That because of his working commitment, his wife Annabel Colendres and my niece
Leah Colendres Villarisco regularly visit their father Ricardo here in Manila especially
for some special occasions;
7. That Ricardo W. Garcia and Annabel Colendres jointly supported their child. My
brother who was then gainfully employed with the restaurant business company,
provided his family with the food, medicine and shouldered the education of his
daughter;
City, Philippines. Affiant exhibited to me his Community Tax Certificate No. ______________
issued on _________________ at Pasig City.
ARSENIO W. GARCIA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2008

Pasig City )s.s.
SWORN STATEMENT
I, EUGENIO C. BENITO, JR., of legal age, Filipino, married, and with postal address at No.
366 P. Bernal Street, Ugong, Pasig City, after having been duly sworn to in accordance with law,
1. That I was born on September 26, 1957 in Barangay Ugong, Pasig Rizal (now City);
2. That I am the husband of Eugenia W. Garcia-Benito, sister of RICARDO W. GARCIA;
3. That I have been married to Eugenia for almost twenty seven years now, when Ricardo
W. Garcia was in his grade III;
4. That after our wedding, we decided to live with Eugenia’s family in the above given
address. Up to this present time, we still live together with my brothers/sisters in law
including Ricardo W. Garcia.
5. That I have personal knowledge that my brother-in-law RICARDO W. GARCIA

cohabited with ANNABEL COLENDRES since 1985. Out of the said relationship, I
know personally that they were blessed with a child named LEAH COLENDRES
VILLARISCO, who was born out of wedlock on February 2, 1987 in Roxas City, Capiz;
6. That Ricardo W. Garcia and Annabel Colendres jointly supported their child, financially
and emotionally. My brother who was then gainfully employed with the restaurant
business company, provided his family with the food, medicine and shouldered the
education of his daughter;
EUGENIO C. BENITO, JR.
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2008
Pasig City )s.s.
AFFIDAVIT
I, MICHELLE DILANTAR ASPIRAS, of legal age, Filipino, single, and with postal address
at No. 2823 Lourdes Street, Villa Alfonso, Bambang, Pasig City, after having been duly sworn to in
1. That I was previously employed with PIPAY GARMENTS as Sales, Staff/Trainee at SM

Department Store-Ortigas Branch from December 2005 to May 2006;
2. That as a private company employee, I caused to be a member of the Social Security

System and that I am availing maternity benefits therefrom, and that one of the
requirements is the submission of a Certificate of Employment from the aboveindicated
company;
3. That however, I could not submit the desired Certificate because of the fact that
PIPAY’S GARMENTS is no longer operational and its establishment is already closed,
hence, my inability to secure said certificate;
4. That for all legal intents and purposes, I actually rendered services at the said company
as Sales Staff/Trainee from December 2005 to May 2006;
City, Philippines.
MICHELLE DILANTAR ASPIRAS

Affiant
Pasig City. Affiant
Doc. No.
Page No.
Book. No.
Series of 2010
Pasig City )s.s.
AFFIDAVIT
I, DANILO T. SEBASTIAN, of legal age, Filipino, married, and with postal address at No. 34
Green Palm Street, Malinao, Pasig City, after having been duly sworn to in accordance with law,
1. That I was previously employed with AMIGO MANUFACTURING CORP. as Machine

Operator at Wackwack Road, Mandaluyong City from year 1981 to 2002;
2. That as a private company employee, I caused to be a member of the Social Security

System and that I am availing retirement benefits therefrom, and that one of the
requirements is the submission of a Certificate of Employment from the aboveindicated
company;
3. That however, I could not submit the desired Certificate because of the fact that AMIGO
MANUFACTURING CORP. is no longer operational and its establishment is already
closed, hence, my inability to secure said certificate;
4. That for all legal intents and purposes, I actually rendered services at the said company
as Sales Staff/Trainee from year 1981 to 2002;
City, Philippines.
DANILO T. SEBASTIAN
Affiant
Pasig City. Affiant
Doc. No.
Page No.
Book. No.
Series of 2012
Pasig City )s.s.
SWORN STATEMENT
I, SERGIO R. MEJIA, of legal age, Filipino, married, and with postal address at No. 570 Lt.
F. Santos Street, Ugong, Pasig City, after having been duly sworn to in accordance with law,
1. That I was born on October 7, 1975 in Barangay Ugong, Pasig Rizal (now City);
2. That I personally know RICARDO W. GARCIA, as my friend in the same community

where we live for a very long time now. We were both born and raised in the same
community ;
3. That all throughout we grew up in the same community, well acquainted with each
other, studied with the same school and grew up as normal children who shares or
sometimes fight over toys;
4. That I personally know that Ricardo W. Garcia, during our bachelor days, he had a love
interest. He seriously had a relationship with Annabel Colendres, until eventually they
lived as husband and wife but without the benefit of marriage, and later on, God gave
them a child named LEAH COLENDRES VILLARISCO, who was born out of wedlock
on February 2, 1987 in Roxas City, Capiz;
5. That I know for a fact that Leah Colendres Villarisco is a jolly child, who I always loved
to cuddle every time I visit the place of my friend Ricardo; That Ricardo W. Garcia is a
caring and loving man. He never abandoned his family, by his own ways and means,
he, as a gainfully employed man, entirely supported his family with the food, medicine
and shouldered the education of his daughter;
SERGIO R. MEJIA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2008
Pasig City )s.s.
SWORN STATEMENT
I, SERGIO R. MEJIA, of legal age, Filipino, married, and with postal address at No. 366 P.
Bernal Street, Ugong, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I was born on September 26, 1957 in Barangay Ugong, Pasig Rizal (now City);
2. That I am the brother of RICARDO W. GARCIA, the youngest child among the siblings
was born on November 8, 1964;
3. That all the members of our family composing of our parents and seven siblings with
the strong bond of relationship, altogether grew up under one and the same
dwelling/compound/house and even up to the time that we got our own family,
altogether live under the same house I considered our family as extended family type.
4. That considering the foregoing, I have actual knowledge that my brother Ricardo W.
Garcia cohabited with ANNABEL COLENDRES since 1985 who eventually begot a
child named LEAH COLENDRES VILLARISCO, who was born out of wedlock on
February 2, 1987 in Roxas City, Capiz;
5. That Ricardo W. Garcia and Annabel Colendres lived together and jointly supported
their child. He did not miss in providing his family with regular support;
City, Philippines.
SERGIO R. MEJIA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2008
Pasig City )s.s.
AFFIDAVIT
I, HERSON T. MACOY, of legal age, Filipino, married, and with postal address at
No. 272 Sta. Ana Subdivision, San Miguel, Pasig City, after having been duly sworn to in
That, I am the registered owner of a parcel of land situated in the Sitio of Pasong
Balite, Barrio of Pamplona, Municipality of Las Pinas, Province of Rizal;
That, the Transfer Certificate of Title with Regisration No. T-65611 was registered
and entered at Las Pinas City, Philippines, on the 6th day of March in the year nineteen
hundred and ninety eight at 11:45 AM;
That ,the Transfer Certificate of Title named and registered in my Herson T.

Macoy, for simple reason that a joint ownership during the application of the registration
the parties involved unable to attend in the process;
That, I personally and voluntarily give all the rights and privilege to all parties
mentioned below with equal share as co-owner of said mentioned titles as follows:
1) Miriam Macoy Posilero of Virginia Beach, Virginia USA

2) Teofista Macoy Zantua, of Remedios St., Manila, Philippines
3) Rufina T. Macoy, of Remedios St., Manila, Philippines
4) Surviving spouse and children and legal heirs of of the deceased
Francisco T. Macoy (died on December 1, 1992), namely: Isabel D. Macoy,
Elizabeth M. Toledo and Leilani M. Villacarlos
That, I have no intention in selling or loan the property without the consent or
authority of the abovementioned co-owner;
That, I am executing this Affidavit knowing that the above-described land is free
from all encumbrances and for all legal purpose it may serve;
HERSON T. MACOY
Affiant
in Pasig City.
Doc. No.
REPUBLIC OF THE PHILIPP$倦週 Ũ 뀟⿐뀠什뀡 ‫ ܈‬뀢 ‫ ܈‬連 ֠逤 ֠뀥

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UBSCRIBED AND SWORN to before me, Notary Public this ___ day of ___ 2010 in
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2010
Pasig City )s.s.
I, JACQUELINE DE CASTRO CRUZ, of legal age, Filipino and resident of No. 672 Gen.
Malvar St., Manggahan, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am a holder of a Philippine Passport issued by Department of Foreign Affairs, Manila;
2. That the said passport was lost sometime on December 13, 2005, a copy of the said
Affidavit of Loss is hereto attached and made integral part of this affidavit;
3. That there appears a discrepancy in my aforesaid passport where it bears the place
of birth, Pasig, Rizal instead of Taguig, Metro Manila as correctly reflected in my
4. That the foregoing discrepancy was due to erroneous entry of the herein affiant in
the application form forwarded to the Department of Foreign Affairs, Manila, an
inadvertence on my part;
5. That for all intents and purposes my true and correct place of birth is Taguig, Metro
Manila;
6. That I hereby declare and attest that the place of birth Pasig, Rizal as reflected in
my adverted passport and Taguig, Metro Manila being my true and correct place of
birth as reflected in my Certificate of Live Birth, official and other public documents,
refer to one and the same person;
City, Philippines.
JACQUELINE DE CASTRO CRUZ

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2006
Pasig City )s.s.
AFFIDAVIT
I, ARCHIE S. DANDAN of legal age, Filipino and with postal address at 14 G. Santiago
St., Bg. Ilog, Pasig City, after having been duly sworn to in accordance with law, hereby depose
and say:
1. That sometime last June 6, 10, 2008 I applied at LEAD Resources Management
Corp. licensed by Department of Labor with POEA #478-LB-032504-R;
2. That I was considered by the said company as Team Leader at Kuwait and
scheduled for medical examination;
3. That because of financial problem I decided to back out on my application at

the above mentioned company;
4. That I hereby declared and attest my willingness to get all my documents which
was submitted to LEAD Resources Management Corp;
City, Philippines.
ARCHIE S. DANDAN
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2008

Pasig City )s.s.
AFFIDAVIT
I, RONALD S. MANCENIDO of legal age, Filipino and with postal address at 639 Malvar
St., Manggahan, Pasig City, after having been duly sworn to in accordance with law, hereby
depose and say:
1. That I am Civil Engineer in profession who passed last May 2001;
2. That being a Civil Engineer I never practice my profession

Pasig City )s.s.
AFFIDAVIT
I, ROSE GARCIA, of legal age, Filipino and with postal address at Blk. 17 Paru-paro St.,
1. That I am the common-law wife of AQUINO PALANGEO who is prisoner at

the Bilibid Prison in Muntinlupa City;
2. That since the year 2007 we are living together under one and same roof as
husband and wife without the benefit of marriage;
3. That I am expressing my willingness to see my husband because for a

long period of time we have not seen each other because I was then at
the province during the time he was at the Bilibid Prison;
IN WITNESS WHEREOF, I have hereunto set my hand this ___ day of _______, 2008 at
the City of Pasig.
ROSE GARCIA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2008
Pasig City )s.s.
AFFIDAVIT
(SOLO PARENT)
I, LUANNE MARIELEISE P. MADRID, of legal age, married, Filipino, with

present postal and residential address at #no. 58 E Dr. Pilapil St., Sagad, Pasig City, after
1. That I am the mother of minor children namely JARISHA LYKA P. MADRID,

LAHAINA KYLA P. MADRID and KEON HAVIKKA P. MADRID,;
2. That in view of the fact that we are living separated from my husband, their father,
ALLAN L. MADRID since 2011 I have been solely supporting my children
financially out of my earnings;
3. That in view of the foregoing, I am applying for SOLO PARENT at DSWD and I
hereby declare and attest that I am the head of the family who support my children
and who depends upon the herein affiant for basic support from sustenance,
medical, clothing;

LUANNE MARIELEISE P. MADRID

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2014
Pasig City )s.s.
AFFIDAVIT
(SOLO PARENT)
I, JENNIFER M. DELGADO, of legal age, Filipino, with present postal and

residential address at #132 Door F. Concha Lane Street, Sto. Tomas, Pasig City,
after having been sworn in accordance with law do hereby depose and state
that:
1. That I am the mother of BYRON JED DELGADO, who was born out of
wedlock on July 12, 2009 in Angeles, Pampanga. He is my son to my
former common law husband Clifford Caymo;
2. That in view of the fact that I am long been separated to his father
Clifford Caymo since birth of my aforenamed son, I have been solely
supporting my child financially out of my little earnings. I am presently
living with my parents and that I am now financially constrained;
3. That in view of the foregoing, I am applying for SOLO PARENT at DSWD

and I hereby declare and attest that I am the head of the family who
support my child and who depends upon the herein affiant for basic
support from sustenance, medical, clothing;
serve;

JENNIFER M. DELGADO
Affiant
2013 in Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2013

Pasig City )s.s.
AFFIDAVIT
(SOLO PARENT)
I, SCARLET P. FUENTEBLANCA, of legal age, Filipino, with present postal and residential
address at #U 107 Tower F, Hampton Gardens Condo., Maybunga, Pasig City, after having been
sworn in accordance with law do hereby depose and state that:
1. That I am the mother of QYM YSHAIRRE FUENTEBLANCA, who was born out of
wedlock on March 21, 1997 at Gloria, Oriental Mindoro;
2. That in view of the fact that I am long been separated to his father JOHN CONRAD A.
BANDOLON since the birth of my aforenamed son, I have been solely supporting my
child financially out of my little earnings;
3. That in view of the foregoing, I am applying for SOLO PARENT at DSWD and I hereby
declare and attest that I am the head of the family who support my son and who
depends upon the herein affiant for basic support from sustenance, medical, clothing;
City, Philippines.
SCARLET P. FUENTEBLANCA
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2012

Pasig City )s.s.
AFFIDAVIT
(SOLO PARENT)
I, AURORA P. JUAN, of legal age, Filipino, with present postal and residential address at
No. 1805 Pacific Place, Pearl Drive, Ortigas, Pasig City, after having been sworn in accordance
1. That I am the mother and standing guardian of DOLLY MARZINE JUAN CABAL, who
was born out of wedlock on May 9, 2006 in Pasig City. She is my daughter to my
former common law husband Jonathan Cabal;
2. That in view of the fact that I am long been separated to his father Jonathan Cabal since
one (1) year old of my aforenamed daughter, I have been solely supporting my child
financially out of my little earnings;
6. I am a single parent;
declare and attest that I am the head of the family who support my daughter and who
depends upon the herein affiant for basic support from sustenance, medical, clothing;
City, Philippines.
AURORA P. JUAN
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2012

Pasig City )s.s.
AFFIDAVIT
I, NENITA L. MARASIGAN, of legal age, Filipino, with present postal and residential
address at No. 3307 Papaya St., Kalawaan, Pasig City, after having been sworn in accordance
with law do hereby depose and state:
1. That I am married to Vicente A. Marasigan sometime in October 2, 1988 in Manila and
we were blessed with six (6) children. I am long been separated from Vicente A. Marasigan since
1998 because of irreconciliable differences and my husband become irresponsible and with his
vice of womanizing, we had constant fights over the same;
2. That since our separation, I have been solely supporting my children who depend upon
the herein affiant for basic support for sustenance, medical, clothing, education, and other
expenses out of my little earnings;
3. That I am planning to buy a house and lot located at Valle Verde, Pasig City from my
own money. That the money to be used in buying the said house and lot belong to me alone;
City, Philippines.
NENITA L. MARASIGAN
Affiant
Pasig City.
Doc. No.
Page No.
DC ERTIFI
011

Pasig City )s.s.
AFFIDAVIT
(SOLO PARENT)
I, MARIA PAOLA ISABEL A. ESPIÑO, of legal age, single, Filipino, with present postal and
residential address at #110 Dr. Sixto Antonio Ave., Rosario, Pasig City, after having been sworn in
1. That I am the mother of MARIA PRECIOUS JONE E. ROXAS, who was born out of wedlock
on November 18, 2008 in Pasig City. She is my daughter to my former common law
husband Jordan W. Roxas;
2. That in view of the fact that I am long been separated to her father JORDAN W. ROXAS
since the birth of my aforenamed daughter, I have been solely supporting my child
financially out of my little earnings. I am presently living with my parents and that I am now
financially constrained;
declare and attest that I am the head of the family who support my child and who depends
upon the herein affiant for basic support from sustenance, medical, clothing;
City, Philippines.
MARIA PAOLA ISABEL A. ESPIÑO

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2011
Pasig City )s.s.
AFFIDAVIT
(SOLO PARENT)
I, VIRGIE F. RAMOS, of legal age, Filipino, with present postal and residential address at
No. 28 E. Mendoza St., Buting, Pasig City, after having been sworn in accordance with law do
a. That I am the mother of GENALYN RAMOS ESPINOSA and her

dependants are the following children, to wit:
i. Jerico R. Espinosa, born on July 2, 1998;

ii. Lawrence R. Espinosa, born on October 12, 1999;
iii. Miguel R. Espinosa, born on January 9, 2001;
iv. Jerome F. Ramos, born on May 2, 2003; and
v. John Zen F. Ramos, born on March 13, 2007;
b. In behalf of my daughter, Genalyn Ramos Espinosa, I am applying for SOLO

PARENT at DSWD;
c. That my daughter is a solo parent since her husband abandoned them

sometime in year 2000. Since then, she stand as the head of the family;
d. I hereby declare and attest that Genalyn Ramos Espinosa is the head of the
family who supports her children and depend upon her for basic support
from sustenance, medical, clothing and education;
e. That my daughter, Genalyn Ramos Espinosa, is a single parent;
f. I am executing this Affidavit to attest to the truth and veracity of the foregoing
City, Philippines.
VIRGIE F. RAMOS
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT
(SOLO PARENT)
I, GENALYN RAMOS ESPINOSA, of legal age, Filipino, with present postal and residential
address at No. 28 E. Mendoza St., Buting, Pasig City, after having been sworn in accordance with
law do hereby depose and state:
1. That I am the mother and guardian of the following children, to wit:
a. Jerico R. Espinosa, born on July 2, 1998;

b. Lawrence R. Espinosa, born on October 12, 1999;
c. Miguel R. Espinosa, born on January 9, 2001;
d. Jerome F. Ramos, born on May 2, 2003; and
e. John Zen F. Ramos, born on March 13, 2007;
2. I am applying for SOLO PARENT at DSWD;
3. I am a solo parent since my husband abandoned us sometime in year 2002. Since

then, I stand as the head of the family;
4. I hereby declare and attest that I am the head of the family who supports my children
and depend upon me for basic support from sustenance, medical, clothing and
education;
City, Philippines.
GENALYN RAMOS ESPINOSA

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT
(SOLO PARENT)
I, JINKY A. BERNARDINO, of legal age, Filipino, with present postal and residential
address at #710 Suarez St., Maybunga, Pasig City, after having been sworn in accordance with
law do hereby depose and state that:
a. I am presently working at TeleTech as Technical Support Representative and I

am applying for Health Care with Maxicare and among my dependents are my
children, namely: KERVIN V. ARDUO who was born on January 5, 1996 in
Pasig City and KIMBERLY A. BERNARDINO who was born on September 30,
1998 in Pasig City;
b. Sometime in March 1998 my husband abandon us and since our separation, I

stand as the head of the family;
c. I hereby declare and attest that I am the head of the family who supports my
children who depend upon the herein affiant for basic support from sustenance,
medical, clothing and education;
d. I am a single parent;
e. I am executing this Affidavit to attest to the truth and veracity of the foregoing
City, Philippines.
JINKY A. BERNARDINO
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2010.

Pasig City )s.s.
AFFIDAVIT
(SOLO PARENT)
I, JO ANN F. FABUL, of legal age, Filipino, with present postal and residential address at
No. 8 Villa Baltazar, Brgy. Palatiw, Pasig City, after having been sworn in accordance with law do
hereby depose and state that:
a. I am the mother of Tristan Darren F. Fabul who was born out of wedlock on
January 5, 2006 in Pasig City;
b. Since my common-law husband died on October 5, 2006, I am a solo parent
and stand as the head of the family;
c. I hereby declare and attest that I am the head of the family who supports my son
who depend upon the herein affiant for basic support from sustenance, medical,
d. I am a single parent;
e. I am executing this Affidavit to attest to the truth and veracity of the foregoing
City, Philippines.
JO ANN F. FABUL
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2011.

Pasig City )s.s.
AFFIDAVIT
(SOLO PARENT)
I, KATLEEN GERERO MORILLO, of legal age, Filipino, with present postal and residential
1, I am presently working at Transcom Wordwide as Call Center Agent and among the
requirements is the subsmission of this affidavit
among my dependent is my daughter NICOLE ANDREA MORILLO who was born on June
16, 2008 in Pasig City and KIMBERLY A. BERNARDINO who was born on September 30,
1998 in Pasig City;
c. Sometime in March 1998 my husband abandon us and since our separation, I

d. I hereby declare and attest that I am the head of the family who supports my
e. I am a single parent;
f. I am executing this Affidavit to attest to the truth and veracity of the foregoing
City, Philippines.
JINKY A. BERNARDINO
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2010.

Pasig City )s.s.
AFFIDAVIT
I, KATHLEEN DENISE SANOY-JIMENEZ, of legal age, married, Filipino,

with present postal and residential address at #39 Banaag St., Pineda, Pasig
state that:
1. That I am presently working at STREAM GLOBAL SERVICES as
Quality Analyst and among the requirements for the HMO is the subsmission of
this affidavit;
2. That my only dependent is my son, KURT DENISON S. JIMENEZ who

was born on July 20, 2005 in Pasig City;
3. That sometime in 2007 my husband DENISON L. JIMENEZ, abandon

us and since our separation, I stand as the head of the family;
4. That I hereby declare and attest that I am the head of the family who
supports my abovenamed son who depend upon the herein affiant for basic
support from sustenance, medical, clothing and education;


KATHLEEN DENISE SANOY-JIMENEZ

Affiant
2011 in Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT
(SOLO PARENT)
I, ALMA KRISTINE LUSANCO, of legal age, Filipino, with present postal and residential
address at #307 B Geronimo St., buenmar Subd., Maybunga, Pasig City, after having been sworn
in accordance with law do hereby depose and state that:
1. I am presently working at Thomson Renters as Call Center Agent and among the
requirements is the subsmission of this affidavit among my dependent is my son
KYLE JEROME LUSANCO SANTOS who was born on March 14, 2000 in Quezon
City;
6. Sometime in December 2003 my husband abandon us and since our separation, I

a. I hereby declare and attest that I am the head of the family who supports my
b. I am a single parent;
c. I am executing this Affidavit to attest to the truth and veracity of the foregoing
City, Philippines.
JINKY A. BERNARDINO
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2010.

Pasig City )s.s.
AFFIDAVIT
(SOLO PARENT)
Pasig City )s.s.
AFFIDAVIT
(SOLO PARENT)
I, JOS-SAN V. LORENZO, of legal age, Filipino, with present postal and residential address
at #8 Violet St., Stella Maris Subd., Maybunga, Pasig City, after having been sworn in accordance
with law do hereby depose and state:
1. That I am the mother of RAIANA JADE PEDRAZA who was born on June 16, 2009 at Pasig
City;
2. That I am applying SOLO PARENT at DSWD and I hereby declare and attest that I am the
head of the family who supports my daughter who depend upon the herein affiant for basic
City, Philippines.
JOS-SAN V. LORENZO
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2010.
Pasig City )s.s.
AFFIDAVIT
(SOLO PARENT)
I, KATLEEN GERERO MORILLO, of legal age, Filipino, with present postal and residential
law do hereby depose and state:
1, I am presently working at Transcom Wordwide as Call Center Agent and among the
requirements is the subsmission of this affidavit
2. That I am the mother of NICOLE ANDREA MORILLO who was born out of wedlock on
June 16, 2008 at Pasig City;
7. Sometime in September 2008 my husband abandon us and since our separation, I

8. I hereby declare and attest that I am the head of the family who supports my child who
depend upon the herein affiant for basic support from sustenance, medical, clothing
and education;
9. I am a single parent;
City, Philippines.
KATLEEN GERERO MORILLO

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2011.
Pasig City )s.s.
AFFIDAVIT
(SOLO PARENT)
I, MARIE JOYCE ANN SUEDE, of legal age, Filipino, with present postal and residential
address at #Ph 2 B1 Lot 14, Karikitan Rd., Karangalan Village, Brgy. Manggahan, Pasig City, after
having been sworn in accordance with law do hereby depose and state:
1. That I am the mother of ANGEL FELICITY BONSOL who was born on July 1, 2006 at Pasig
City;
head of the family who supports my daughter who depend upon the herein affiant for basic
City, Philippines.
MARIE JOYCE ANN SUEDE

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2010.

Pasig City )s.s.
AFFIDAVIT OF SOLO PARENT)
I, ANGELINA G. CRUZ, of legal age, Filipino, with present postal and residential address at
#3 Sta. Rosa St., Kapitolyo, Pasig City, after having been sworn in accordance with law do hereby
10. That I am the mother of the following, to wit:
a. Xavier G. Cruz - September 15, 1980

b. Rameses G. Cruz - November 23, 1984
c. Lira Ruth G. Cruz - January 22, 1986
11. That I am applying SOLO PARENT at DSWD and I hereby declare and attest that I am
the head of the family who supports my children who depend upon the herein affiant
for basic support from sustenance, medical, clothing and education;
City, Philippines.
ANGELINA G. CRUZ
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2008

Pasig City )s.s.
AFFIDAVIT
(SOLO PARENT)
I, CATHERINE J. CIUBAL, of legal age, Filipino, with present postal and residential
address at #16 D.K. Magsaysay Street, Manggahan, Pasig City, after having been sworn in
1. That I am the mother of JERMAINE CATE C. MUNSOD who was born on February 2, 2008
in Pasig City;
2. That her father who left our domestic abode since my daughter was in her months old did
not come back even to support her basic needs thereby leaving all the financial and emotional
responsibility to the undersigned;
3. That I have been solely raising my abovenamed daughter and that it is for this reason that I
am applying SOLO PARENT at DSWD and I hereby declare and attest that I am solely supporting
my child who is dependent upon me for basic support from sustenance, medical, clothing and
education;
4. That because my salary does not cope to rent a house, I am compelled to live with my
parents together with my child;
City, Philippines.
CATHERINE J. CIUBAL
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT
(SOLO PARENT)
I, MAYLENE R. SORIA, of legal age, Filipino, with present postal and residential address at
#25 Eisenhower St., Phase 1-D, Parkwood Executive Village, Maybunga, Pasig City, after having
been sworn in accordance with law do hereby depose and state:
1. I am the mother of SHENDARA MAE SORIA who was born on June 20, 2004 in
Tagbilaran, Bohol;
2. That her father who left our domestic abode since my daughter was in her months old did
not come back even to support her basic needs thereby leaving all the financial and emotional
responsibility to the undersigned;
3. That I have been solely raising my abovenamed daughter and that it is for this reason that I
am applying SOLO PARENT at DSWD and I hereby declare and attest that I am solely supporting
my child who is dependent upon me for basic support from sustenance, medical, clothing and
education;
4. That because my salary does not cope to rent a house, I am compelled to live with my
relative together with my child;
City, Philippines.
MAYLENE R. SORIA
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT
(SOLO PARENT)
I, CRISTINA E. PERIN, of legal age, Filipino, with present postal and residential address at
#190 A Brown lane Dela Paz St., Caniogan, Pasig City, after having been sworn in accordance with
1. That I am the mother of FRANCIS E. PERIN who was born on June 29, 1996 at
Pasig City;
3. That I am applying SOLO PARENT at DSWD and I hereby declare and attest that I
am the head of the family who supports my abovenamed child who depend upon
the herein affiant for basic support from sustenance, medical, clothing and
education;
City, Philippines.
CRISTINA E. PERIN
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT
(SOLO PARENT)
I, SCARLET P. FUENTEBLANCA, of legal age, Filipino, with present postal and residential
address at #U 107 Tower F, Hampton Gardens Condo., Maybunga, Pasig City, after having been
sworn in accordance with law do hereby depose and state that:
1. I am the mother of QYM YSHAIRRE FUENTEBLANCA who was born on March 21,
1997 at Gloria, Oriental Mindoro;
2. That I am applying SOLO PARENT at DSWD and I hereby declare and attest that I
am the head of the family who supports my abovenamed child who depend upon
the herein affiant for basic support from sustenance, medical, clothing and
education;
City, Philippines.
SCARLET P. FUENTEBLANCA
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT
(SOLO PARENT)
I, GRACE ANNE T. CENTENO, of legal age, Filipino, with present postal and residential
address at #3 Dao St., Octagon Subd., Dela Paz, Pasig City, after having been sworn in
1. That I am the mother of the following children, to wit:
a. Gwyneth Louisse T. Centeno - May 17, 2000

b. Lara Gail T. Centeno - June 11, 2002
head of the family who supports my children who depend upon the herein affiant for basic
City, Philippines.
GRACE ANNE T. CENTENO

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009
Pasig City )s.s.
AFFIDAVIT
(SOLO PARENT)
I, MARIA KRISTINE Q. SANTIAGO, of legal age, Filipino, with present postal and
residential address at 40 C A Flores St., Bagong Ilog, Pasig City, after having been sworn in
1. That I am the mother of CADEN KEITH SANTIAGO who was born March 4, 2009 in
Pasig City:
2. That I am applying SOLO PARENT with DSWD and I hereby declare and attest that I am
the head of the family who supports my son who depend upon the herein affiant for basic
Philippines.
MARIA KRISTINE Q. SANTIAGO

Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT
(SOLO PARENT)
I, MARIE V. GOMEZ, of legal age, Filipino, with present postal and residential address at
No. 417 Charleston Tower, Hampton Gardens, C. Raymundo Ave., Maybunga, Pasig City, after
having been sworn in accordance with law do hereby depose and state:
a. That I am the mother of TYRA FRANCHESKA V. GOMEZ who was born on

August 19, 1997 in Baguio City:
b. That I am applying for SOLO PARENT with DSWD and I hereby declare and
attest that I am the head of the family who supports my daughter who depend
upon the herein affiant for basic support from sustenance, medical, clothing and
education;
c. That I am a single parent;
d. That I am executing this Affidavit to attest to the truth and veracity of the
Philippines.
MARIE V. GOMEZ
Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT
(SOLO PARENT)
I, YOLANDA U. MOHAMMAD, of legal age, Filipino, with present postal and residential
address at 130 Bayabas Ext. Napico, Pasig City, after having been sworn in accordance with law
do hereby depose and state:
1. That I am the mother of SARAH MAE MOHAMMAD, who was born on May 12, 1992 at
Quezon City:
2. That my daughter is applying for CHED Scholarship Program and among the requirements
is the submission of this Affidavit;
3. That I hereby declare and attest that I am the head of the family who support my daughter
who depend upon the herein affiant for basic support from sustenance, medical, clothing
and education;
City, Philippines.
YOLANDA U. MOHAMMAD
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009
City of Pasig.......................) s.s
AFFIDAVIT
I, BELINDA C. SORIENTE, of legal age, married, Filipino, with postal and residential
address at 57-A Industria, Kapasigan, Pasig City, after having been sworn in accordance with law
do hereby depose and state that:
1. That I am applying for a Housing Program of City Government of Pasig, “Pabahay sa

mga Pasiguenos”;
2. That sometime last week of November 2008 when the City Government of Pasig
thru Urban Poor Office call for meeting to all the applicants of Pabahay sa mga Pasiguenos
and unfortunately I have not attended the said meeting because my father died last
November 27, 2008 and during the time I am mourning with my father.
3. That I herby declared and attest that it is not my intention not to attend
the said meeting and it is the reason stated above;
City, Philippines.
BELINDA C. SORIENTE
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2008
Pasig City )s.s.
AFFIDAVIT
I, JASMIN E. SIERDA, of legal age, single, Filipino and resident of Jennys Ave., Rosario,
a. That I was born on September 20, 1971 at Camarines Sur of spouses

Catalino B. Sierda and the late Ofelia E. Sierda;
b. That I am the second child of Catalino B. Sierda and the late OFELIA E.
SIERDA who died last November 13, 2008 at Pasig City General Hospital;
c. That as one of the heir of OFELIA E. SIERDA, I have the right to claim the
Insurance of my late mother and other benefits due to her at OMB;
d. That for legal intents and purposes, I am one of the legal heirs of the late
OFELIA E. SIERDA and I hereby attest as to its veracity and authenticity of
my Certificate of Live Birth;
e. That we are executing this Affidavit to attest to the truth and veracity of the
foregoing facts and in support with his application for immigrant visa and for all
JASMIN E. SIERDA
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2008
Pasig City )s.s.
AFFIDAVIT
I, ROSE GARCIA, of legal age, Filipino and with postal address at Blk. 17 Paru-paro St.,
1. That I am the girlfrien of AQUINO PALANGEO who is prisoner at the Bilibid

Prison in Muntinlupa City;
2. That sometime on November 2008 when we happened to know and see each
other at the Bilibid Prison in Muntinlupa City since then we never see each
other;
3. That I am expressing my willingness to see my boyfriend because for a long

period of time we have not seen each other because I was then at the
province during those time we supposed to see each other;
IN WITNESS WHEREOF, I have hereunto set my hand this ___ day of _______, 2009 at
the City of Pasig.
ROSE GARCIA
Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009

Pasig City )s.s.
AFFIDAVIT OF CONFIRMATION OF SALE
WE, SPOUSES CESAR PATINDOL II and EREBETH H. PATINDOL, of legal age, Filipinos and
with postal address at NO. 4 Fernandez Street, Villa Alegre Subidivision,, Pasig City, after having
1. That we bouth a parcel of land from JOSE A. BAYOT which parcel ofland is a PORTION
of his land covered by Katibayan ng Orihinal na Titulo Blg. 3692 locatated at Salaban,
Amadeo Cavite;
2. That in the approved subdivision of this land (LOT NO. 258, CAD-482-D), that
PORTION which we bought from said JOSE A. BAYOT is now identified as LOT NO. 258-
B which contains an aea of Three Hundred Sixty (360) Square Meters;
3. That we executed this affidavit to confirm to the authorities concerned and parties
interested that LOT NO. 258-B is the lot we bought as shown in the approved survey
plan of LOT NO. 258, CAD-482-D and for all intents and for whatever legal purpose it
may serve.
IN WITNESS WHEREOF, WE have hereunto set our hands this ___ day of _______, 2009
at the City of Pasig.
CESAR PATINDOL II EREBETH H. PATINDOL

Affiant Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2009

Pasig City )s.s.
AFFIDAVIT OF CONFIRMATION OF SPECIAL POWER OF ATTORNEY
I, MARITES S. TAMBANILLO, of legal age, Filipino, married to Jophrey

Tambanillo and with residence and postal address at Unit-1 109 Paseo De
Animales, Santolan, Pasig City, after having been duly sworn to in accordance
1. That we bought a parcel of land from JOSE A. BAYOT which parcel

ofland is a PORTION of his land covered by Katibayan ng Orihinal na
Titulo Blg. 3692 locatated at Salaban, Amadeo Cavite;
4. That in the approved subdivision of this land (LOT NO. 258, CAD-482-
D), that PORTION which we bought from said JOSE A. BAYOT is now
identified as LOT NO. 258-B which contains an aea of Three Hundred
Sixty (360) Square Meters;
5. That we executed this affidavit to confirm to the authorities concerned

and parties interested that LOT NO. 258-B is the lot we bought as
shown in the approved survey plan of LOT NO. 258, CAD-482-D and for
IN WITNESS WHEREOF, WE have hereunto set our hands this ___ day of
MARITES S. TAMBANILLO
Affiant
2013 in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2013

Pasig City )s.s.
AFFIDAVIT OF CONFIRMATION
I, JOSEPHINE P. JAVIER, of legal age, Filipino and with postal address at No. 6
Kapitan Ato Street, Sta. Cruz, Pasig City, after having been duly sworn to in accordance
1. That the undersigned in her capacity as the Treasurer of JA.PA. REALTY

CORPORATION, with office address at No. 6, Kapitan Ato Street, Sta. Cruz, Pasig City,
hereby confirm and affirm and warrant the genuiness of the Deed of Assignment of
Lease executed by and between Victoria P. Javier and JA.PA. REALTY CORPORATION
executed on November 28, 1997 duly notarized by Atty. Mario L. Santos entered as
Doc. No. 488; Page No. 078; Book No. LXIX; Series of 1997;
2. The said assignment of lease involves the Contract of Lease between Victoria
P. Javier, Attorney in Fact, over the property located at A. Mabini Street corner Alcalde
Street, Pasig consists of 321 Square Meters covered by TCT No. 31187, owned by
Rufino B. Javier, married to Milagros Javier and Francisco B. Javier, married to Victoria
Paderes, the same personalities composing the JA.PA. REALTY CORPORATION except
Rufino B. Javier and his wife;
3. As per Contract of Lease particularly No. 14 thereof, the lessee shall turn
over the leased premises and restore possession thereof to lessors or its
representatives in as good condition as it was upon the commencent of such contract,
without the obligation on the part of the lessor to reimburse lessee for the construction
cost of the building introduced by the lessee;
4. The undersigned together with other officers of JA.PA. REALTY CORPORATION,

hereby confirmed that the subject building has been conveyed and therefore, the
ownership is now in the possession of the the undersigned;
5. That we executed this affidavit to confirm to the authorities concerned and
parties interested that the improvement (building) built on the parcel of land as
described in Transfer Certificate of Title No. 31187 were expressly conveyed to the
undersigned and such lease has been assigned to JA.PA. REALTY CORPORATION and for
IN WITNESS WHEREOF, I have hereunto set my hands this ___ day of _______,
JOSEPHINE P. JAVIER
CONFORME:
VICTORIA P. JAVIER FRANCISCO P. JAVIER
BENJAMIN P. JAVIER GLORIA P. JAVIER
in Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2012

Pasig City ) S.S.
I, MA. CECILIA LIRIO LLARENAS, of legal age, Filipino, and with residence and postal
address at No. 89 C. Santos St., Ugong, Pasig City, after having been duly sworn in accordance
1. That I was born on June 20, 1968 at Ugong, Pasig City by spouses Francisco Lirio
and Marcela Pascual;
2. That I am the sister of ALEJANDRO LIRIO who is now on process of his petition
by his wife LORLYN PAGELA LIRIO, whose marriage was solemnized last
January 10, 2009 at Regional Trial Court (RTC), Branch 152 solemnized by Hon. Judge
Danilo S. Cruz;
3. That being his sister I have all the knowledge regarding their relationship and as my
sister-in-law, LORLYN PAGELA LIRIO became the god mother of my younger
daughter name JAMAICA JANICA JOY L. LLARENAS sometime on November 13,
1994;
4. That since LORLYN PAGELA LIRIO was employment abroad at California, United
States of America they have constant communications thru letters and telephone of
my brother ALEJANDRO LIRIO since my brother also in working outside the country
at Riyad, Saudi Arabia;
5. That I hereby declared and attest that I am one of the witness of the said
marriage mentioned aboved and I have all the knowledge of the said marriage of
ALEJANDRO LIRIO and LORLYN PAGELA LIRIO;
City, Philippines.
MA. CECILIA LIRIO LLARENAS

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009
Pasig City ) S.S.
I, JENNIFER MARTIN, of legal age, Filipino, and with residence and postal address at
Suarezville Pinagbuhatan, Pasig City, after having been duly sworn in accordance with law hereby
depose and state:
1. That I was born on July 1, 1973 in Pasig Rizal (now City);
2. That I am the daughter of Nicasio Martin and Carmelita Mulano Martin;
3. That I did not grew up with my biological parents because of hardship and had a hard time
raising me, thus, the late REYNALDO R. HERMOSURA asked my parents to live with his
family along with his biological child Ramon Villar Hermosura;
4. That Reynaldo R. Hermosura stood up as my standing guardian up until his death on

December 7, 1988;
5. That it is for this reason that I erroneously indicated Jennifer Hermosura and not the true
name Jennifer Martin;
6. That I hereby declare and attest that I am not a biological daughter of REYNALDO R.
HERMOSURA. My biological parents are CARMELITA MULANO MARTIN and NICASIO
MARTIN;
City, Philippines.
JENNIFER MARTIN
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2010

Pasig City ) S.S.
I, RAMON VILLAR HERMOSURA, of legal age, Filipino, and with residence and postal
address at 5117 Ilugin Phase I, Barangay Pinagbuhatan, Pasig City, after having been duly sworn
1. That I was born on August 4, 1949 in Barangay Malinao, Pasig Rizal (now City) to Spouses
Reynaldo del Rosario Hermosura and Salud Villar;
2. That in my Birth Certificate duly issued by the Office of the Local Civil Registry of Pasig and
duly authenticated by the National Statistics Office, it would appear that the number of children
born to my mother SALUD VILLAR is three.
3. That I did not grew up with my biological parents because of hardship and had a hard time
raising me, thus, the late REYNALDO R. HERMOSURA asked my parents to live with his
family along with his biological child Ramon Villar Hermosura;
4. That Reynaldo R. Hermosura stood up as my standing guardian up until his death on

December 7, 1988;
5. That it is for this reason that I erroneously indicated Jennifer Hermosura and not the true
name Jennifer Martin;
6. That I hereby declare and attest that I am not a biological daughter of REYNALDO R.
HERMOSURA. My biological parents are CARMELITA MULANO MARTIN and NICASIO
MARTIN;
City, Philippines.
RAMON VILLAR HERMOSURA

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2010
Pasig City ) S.S.
I, EMELITA Q. CONSTANTINO, of legal age, Filipino, and with residence and postal address
at 634 JRA Compound, Lupang Pari, San Miguel, Pasig City, after having been duly sworn in
1. That I am the mothert of was born on July 27, 1996 at Paranaque;
2. That my daughter is a student of San Miguel Elementary School and a player of

the said school as a Track and Field Player and one of the requirements of the
said school is her Certificate of Live Birth;
3. That as her mother I have files the Late Registration of my daughter’s Certificate of
Live Birth at Paranaque and as of this time I have never get the copy of the said
Certificate of Live Birth at Paranaque becaused of financial problem;
City, Philippines.
EMELITA Q. CONSTANTINO
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009

Pasig City ) S.S.
I, ANNIE A. BAUTISTA, of legal age, married, Filipino, and with residence and postal
address at 133 B Banaag St., Pineda, Pasig City, after having been duly sworn in accordance with
e. That I am the mother of ROXANNIE A. BAUTISTA who was born on September

29, 1994 at Pineda, Pasig City;
f. That I am enrolling my daughter at PUP, Sta. Mesa, Manila and one of the
requirements is the submission of her Certificate of Live Birth;
g. However, I filed a Petition for Correction of Clerical Error in the Certificate of Live
Birth of my daughter from ROXANNEE to ROXANNIE, under R.A. 9048 in the Local Civil
Registry Office, Pasig City, with receipt number 6008198;
City, Philippines.
ANNIE A. BAUTISTA
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2010
Pasig City ) S.S.
I, MARIVIC L. CLEMEÑA, of legal age, married, Filipino, and with residence and postal
address at No. 3-A Garnet St., Concepcion Subd., Concepcion 1, Marikina City, after having been
1. That I am the mother of RALPH MIGUEL EMERSON LOPEZ CLEMEÑA who was born on
April 13, 2010 at Pasig City;
2. That I am the petitioner in the Petition For Change Of First Name under Petition No. CFN-
0057-2011 filed at the Local Civil Registry Office, City of Pasig seeking the change of first
name of my son in his Certificate of Live Birth from RALPH MIGUEL EMERSON to
MIGUEL EMERSON;
3. The ground for filing this petition is for the child’s convenience in school and that he is
publicly known in the community with the first name MIGUEL EMERSON;
4. For all intents and purposes, my son’s first name should be registered as MIGUEL
EMERSON;
City, Philippines.
MARIVIC L. CLEMEÑA
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2011
Pasig City ) S.S.
SWORN STATEMENT
I, EMERLITA L. PAMINTUAN, of legal age, Filipino, and with residence and postal address at
47 Sgt. Pascua St., Bg. Ilog, Pasig City, after having been duly sworn in accordance with law
1. That I am the owner of a motor vehicle more particularly described as follows:
MAKE / TYPE : SUZUKI
CHASSIS NO . : NF41H100835
MOTOR NO. : QS157FMI-20305100928
PLATE NO. : QG-1072
Thru a Deed of Sale with Doc. No. 498; Page No. 100; Book III; Series of 2008
notarized by Atty. Ricardo Castillo last October 2008;
2. That my I am on the process of transferring the ownership of the said motor

vehicle at the office of the Tricycle Operation & Regulatory Office (TORO) and one of
the requirement is the submission of the this sworn statement;
3. Tha I hereby declared and attest that I am the absolute owners of the said motor
vehicle described above thru deed of absolute sale attached hereto is the said copy
of the deed of sale;;
City, Philippines.
EMERLITA L. PAMINTUAN
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009

Pasig City ) S.S.
AFFIDAVIT
WE, SPOUSES LOIDA C. ESPINO and VIVENCIO V. ESPINO, JR., both of legal age,
Filipino and with postal address at Ilugin, Pinagbuhatan, Pasig City, after having been duly sworn
1. That we are the registered owner of lot and residential house situated at L-14, B-
5, Phase 2, Ilugin, Pinagbuhatan, Pasig City as evidenced by a Deed of Absolute
Sale signed by HON. ROBERT C. EUSEBIO, City Mayor and witnessed by Luisa
S. Soriano, Dolores Naval and Monica C. Asilo, attached herewith;
2. That we are applying for the change of ownership at the Declaration of Real
Property, because when I secured the copy of the tx declaration of the said
property the owner was recorded in the name of CARMEN FABRIGA who is
only the CARE TAKER of the said property;
3. That we hereby declared and attest that we are the absolute owners of the
property located L-14, B-5, Phase 2, Ilugin, Pinagbuhatan, Pasig City and not
CARMEN FABRIGA;
City, Philippines.
LOIDA C. ESPINO VIVENCIO V. ESPINO, JR.,

Affiant Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009
Pasig City ) S.S.
AFFIDAVIT
I MANUELA I. VILLENA, of legal age, Filipino, and with residence and postal address at
no. 10 Mulawin St., Jabson Site, Rosario, Pasig City, after having been duly sworn in accordance
1. That I graduated secondary education at JOSE FABELLA MEMORIAL SCHOOL,

Mandaluyong City sometime in year 1996;
2. That I am applying to work abroad and I was required to submit my school diploma;
3. That my said diploma was written in tagalog (Filipino Language), and I was notified by
the said school that it took three months to release the same translated in English form;
4. That due to the foregoing, instead of translating the said diploma, I executed this
affidavit for the authenticity of my high school degree;
Philippines.
MANUELA I. VILLENA
Affiant
City.
Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City ) S.S.
AFFIDAVIT
JINGO & JOANNA “G” FOODS CORPORATION, a,corporation created under the law of
the Philippines, duly represented in these presents by the Accounting Assistant, CLIFFORD
POLCA, of legal age, Filipino, and with official address at Jollibee Plaza, Ortigas Center, Pasig
6. That I am employed at JINGO & JOANNA “G” FOODS CORPORATION as Accounting

Assistance, with business address c/o at Tungko Mangga corner Quirino Highway, City
of San Jose del Monte, Bulacan;
7. That among my duties and responsibilities is to oversee/monitor the financial matters of

the Company and declare that our company is presently holding account with the
Philippne National Bank under Acct. No. 695-5135979;
8. That sometime on September 22, 2008, I asked Ms. Suzttte Vidal, one of our service
crews, to validate from the PNB-Tungko the outstanding balance of such account for
the purpose of reporting the same to the Managing heads;
9. That however, on that same day, Ms. Suzette Vidal has reported that her bag containing
the passbook pertaining to said account was taken against her with intent to gain by an
unidentified person and fled to an unknown direction, and that she tried all her efforts to
recover the same, but it proved to be of no avail;
10. That for all legal intents and purposes, I hereby declare and attest that the Passbook
under Account No. 695-5135979 is now considered lost;
City, Philippines.
CLIFFORD POLCA
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009

Pasig City ) S.S.
I, DELIA C. ROSALITO, of legal age, Filipino, and with residence and postal address at
36 –4 St. Carmen Subd., Angeles City, after having been duly sworn in accordance with law hereby
depose and state:
f. That I caused the correction of my son’s birth certificate at the Local

Civil Registrar of Pasig;
g. That I erroneously reflected to the said Certificate of Live Birth that I am

marriage, I place the date and place of marriage at the said Certificate
of Live Birth in fact we I am not married to the father of my son.
h. That I hereby declared and attest that the said discrepancy is on my

part and I decalred that I never been married to the father of JUSTINE
NOEL ROSALITO VALLADORES;
i. That I am executing this Affidavit to attest to the truth and veracity of the
City, Philippines.
DELIA C. ROSALITO
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009

Pasig City )s.s.
AFFIDAVIT OF SOURCE OF INCOME
We spouses, EDGAR O. MEDINA and BRENDA C. MEDINA, both of legal ages,

Filipinos and with postal address of 361 Dr. Sixto Antonio Ave., Maybunga, Pasig City, after having
1. That we are the parents of EDGAR C. MEDINA III, presently working at CANON
TECHNOLOGIES PHIL., INC.;
2. That the herein affiants are presently unemployed becaused we already reached
the mandatory retirable age and we are dependent upon the support of our son,
thus he is the only source of our income;
EDGAR O. MEDINA BRENDA C. MEDINA

Affiant Affiant
Pasig City.
Doc. No.
Page No.
Book. No.
Series of 2009

Pasig City ) S.S.
I, ANITA ABAD AMADO, of legal age, Filipino, and with residence and postal address at
270 Dakila Street, Sumilang, Pasig City, after having been duly sworn in accordance with law
1. That I am the owner of the real property (ricefield) containing an area of FIVE
THOUSAND NINE HUNDRED SEVENTY TWO (5,972) SQUARE METERS, under Tax
Declaration No. FL-017-01676 located in Mabato, Ibayo-Tipas, Taguig, Metro Manila;
2. That I am securing a Certification from the Department of Agrarian Reform which is

necessary for titling of the above property, and that one of the requirements for the
issuance of such certificate is to submit a sworn affidavit whether or not the said
property is tenanted;
3. That I hereby declare and attest that the subject parcel of land is not tenanted and does
not come within the operation of the Land Reform Code and allied circulars of the
Department of Agrarian Reform. A copy of the Statement of the Bark Chairman, Mr.
Francisco San Pedro that indeed the subject property is not tenanted is hereto attached
and made integral part of this Affidavit;
City, Philippines.
ANITA ABAD AMADO

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009

Pasig City ) S.S.
AFFIDAVIT OF AGGREGATE LAND HOLDING
I, MA. ARLENE HIERRO, of legal age, Filipino, and with residence and postal address at
1. That I am one of the surviving children of the late ANITA ABAD AMADO, who died on
March 18, 2009 in Pasig City;
2. That during the lifetime of my mother, she owns a property (ricefield) containing an area
of FIVE THOUSAND NINE HUNDRED SEVENTY TWO (5,972) SQUARE METERS,
under Tax Declaration No. FL-017-01676 located in Mabato, Ibayo-Tipas, Taguig, Metro
Manila;
3. That I have no other real property other than the above-described property;
City, Philippines.
MA. ARLENE HIERRO

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009
Pasig City ) S.S.
I, LEONARDO C. ENRIQUEZ, of legal age, Filipino, married to Winefreda Salvador-

Enrique, and with residence and postal address at Lubo, Jala-jala, Rizal, after having been duly
a. That I am the registered owner of the real property containing an area of FOUR
THOUSAND ONE HUNDRED THIRTY NINE (4,139) SQUARE METERS, under
Transfer Certificate of Title No. M-672 situated in the Barrio of Lubo, Municipality of
Jala-Jala, Province of Rizal;
b. That I am securing a Certification from the Department of Agrarian Reform which is

necessary for titling of the above property, and that one of the requirements for the
issuance of such certificate is to submit a sworn affidavit whether or not the said
property is tenanted;
c. That I hereby declare and attest that the subject parcel of land is not tenanted and
does not come within the operation of the Land Reform Code and allied circulars of
the Department of Agrarian Reform;
City, Philippines.
LEONARDO C. ENRIQUEZ
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2010
Pasig City ) S.S.
AFFIDAVIT OF AGGREGATE LAND HOLDING
I, MA. ARLENE HIERRO, of legal age, Filipino, and with residence and postal address at
4. That I am one of the surviving children of the late ANITA ABAD AMADO, who died on
March 18, 2009 in Pasig City;
5. That during the lifetime of my mother, she owns a property (ricefield) containing an area
of FIVE THOUSAND NINE HUNDRED SEVENTY TWO (5,972) SQUARE METERS,
under Tax Declaration No. FL-017-01676 located in Mabato, Ibayo-Tipas, Taguig, Metro
Manila;
6. That I have no other real property other than the above-described property;
City, Philippines.
MA. ARLENE HIERRO

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009

Pasig City ) S.S.
I, ALICIA R. ARABIT, of legal age, Filipino, and with residence and postal address at No. 14
Andrea St., Villa Susana, Caniogan, Pasig City, after having been duly sworn in accordance with
1. That I was married to the deceased, INOCENCIO C. ARABIT, a member of PAGIBIG, of

which our marriage was celebrated twice on April 8, 1975 and May 25, 1975 respectively;
2. That I am now filing a claim for the burial and death claims for his death with the above
mentioned office and a discrepancy arose pertaining to our date of marriage with the
Municipal Mayor of Binangonan Casimiro Ynares and with then Roman Cahtolic Church
whereby the former is the one duly registered with the Local Civil Registrar of Binangonan,
Rizal and the National Statistics Office;
City, Philippines.
ALICIA R. ARABIT
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009

Pasig City ) S.S.
AFFIDAVIT
I, LORAINE U. ELEUTERIO, of legal age, Filipino, and with residence and postal address at
Bolante I, San Agustin, Pinagbuhatan, Pasig City, after having been duly sworn in accordance with
1. That I am a holder of Educational Plan and Pension Plan with AMA PLANS, INC., with
business address at 531 3rd Floor, Unit 301 Shaw Boulevard, Mandaluyong City. I secured
the said plans through its Sales Consultant Darwin T. Baldonado;
2. That because of hardships and financial constraints, I could not pay the premiums of both
Educational and Pension Plan in one time, thus, it is for this reason that I am voluntarily
suspending the payment for premiums of Educational Plan while I will continue paying for
Pension Plan;
3. That as soon as I finished paying the Pension Plan, I will reinstate the Educational Plan
probably this October 2010;
4. That this manifestation is voluntary and out of my own volition and nobody persuaded me
to do it so;
City, Philippines.
LORAINE U. ELEUTERIO
Affiant
WITH CONFORMITY:
ARSENIO LIWANAG ESTRELLA SALAMANCA
DARWIN T. BALDONADO
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009

Pasig City ) S.S.
FFIDAVIT
I, LORAINE U. ELEUTERIO, of legal age, Filipino, and with residence and postal address at
Bolante I, San Agustin, Pinagbuhatan, Pasig City, after having been duly sworn in accordance with
6. That I am a holder of Educational Plan and Pension Plan with AMA PLANS, INC., with
business address at 531 3rd Floor, Unit 301 Shaw Boulevard, Mandaluyong City. I secured
the said plans through its Sales Consultant Darwin T. Baldonado;
7. That because of hardships and financial constraints, I could not pay the premiums of both
Educational and Pension Plan in one time, thus, it is for this reason that I am voluntarily
suspending the payment for premiums of Educational Plan while I will continue paying for
Pension Plan;
8. That as soon as I finished paying the Pension Plan, I will reinstate the Educational Plan
probably this October 2010;
9. That this manifestation is voluntary and out of my own volition and nobody persuaded me
to do it so;
City, Philippines.
LORAINE U. ELEUTERIO
Affiant
WITH CONFORMITY:
ARSENIO LIWANAG ESTRELLA SALAMANCA
DARWIN T. BALDONADO
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2010

Pasig City ) S.S.
AFFIDAVIT
I, CARLITO G. SAÑO, of legal age, Filipino, and with residence and postal address at 14C
Maestrang Pinang Street, Tipas, Taguig City, after having been duly sworn in accordance with law
1. That I am the registered owner of the following described motor vehicle:
Make/Type : Yamaha Sniper

Engine No. : 5D2-004322
Chassis No. : MH35D20018K004490
Plate No. : 9983-NI
Color : Blue
2. That the said motor vehicle was stolen on March 10, 2009 between 10:00 am. 6:00 p.m. at
parking near the gate of ABS-CBN Sgt. Esguerra Quezon City. I immediately reported
such loss incident at Anti-Carnapping Section, Quezon City Police District, Camp Karingal,
Sikatuna Village, Quezon City on the same date at around 9:00 p.m.. However, it was only
on May 15, 2009 that it was forwarded to the Headquarters Highway Patrol Group of the
Philippine National Police, Camp Crame, Quezon City. for which I was issued a
Certification to that effect, thus, considered late filing of report;
3. That on the account of my present job which constrained me to go abroad coupled with my
professional commitments in equally important matter, I have failed to outrightly report the
matter to Camp Crame Quezon City;
4. That now I am now ready to file this Affidavit of Late Reporting together with other lacking
requirements such as the Sales Invoice, Police Blotter from QCPD-Station 10 in order for
me to get the Nationwide Alarm Certificate sought to be applied for;
City, Philippines.
CARLITO G. SAÑO
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009
Pasig City ) S.S.
AFFIDAVIT OF CLAIM
I, EMMANUEL O. PAALA, of legal age, Filipino, and with residence and postal address at 427
F. Legaspi Street, Maybunga, Pasig City, after having been duly sworn in accordance with law
1. That I am currently employed by Accenture, Inc;
2. My permanent residence, as reflected in my company records, located at No. 427 F.

Legaspi Street, Maybunga, Pasig City, was damaged by the calamity/flooding that occurred
last Saturday, September 26, 2009 due to typhoon Ondoy;
3. As proof of the damage to my residence, I hereby attach a duly issued Barangay Certificate
which reflectes my name and address and the fact that my residence was indeed damaged
by the calamity;
4. That said residence is the same residence that was declared to HR as my permanent
residence;
5. I understand and represent that I am only entitled to the Calamity Assistance specific to
above mentioned calamity only once and that aside from this claim I have never filed a
Calamity Assistance with Accenture for the same incident;
City, Philippines.
EMMANUEL O. PAALA
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009

Pasig City ) S.S.
AFFIDAVIT OF CLAIM
I, GEORGEINO DE CASTRO BOO, of legal age, Filipino, and with residence and postal
address at 135 Athens Street, Greenpark, Barangay Manggahan, Pasig City, after having been
1. That I am currently employed by Hyper J Construction & Supply.;
2. My permanent residence, as reflected in my company records, located at No. 135 Athens

Street, Greenpark, Barangay Manggahan, Pasig City, was damaged by the
calamity/flooding that occurred last Saturday, September 26, 2009 due to typhoon Ondoy;
which reflects my name and address and the fact that my residence was indeed damaged
by the calamity;
residence;
Calamity Assistance with Accenture for the same incident;
City, Philippines.
GEORGEINO DE CASTRO BOO
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009

Pasig City ) S.S.
AFFIDAVIT OF CLAIM
I, KATHLEEN ANN C. MIRANDA, of legal age, married, Filipino, and with residence and
postal address at Block 6 Lot 11 Metrogreen Street, Birmingham Sunrise Subdivision, GBISAN,
San Mateo Rizal, after having been duly sworn in accordance with law hereby depose and state:
1. That I am currently employed at BPI Bank, BPI Aurora Boulevard, Cubao Quezon City.;
2. My permanent residence, as reflected in my company records, located at Block 6 Lot 11

Metrogreen Street, Birmingham Sunrise Subdivision, GBISAN, San Mateo Rizal, was
damaged by the calamity/flooding that occurred last Saturday, September 26, 2009 due to
typhoon Ondoy;
by the calamity;
residence;
Calamity Assistance with BPI Bank for the same incident;
City, Philippines.
KATHLEEN ANN C. MIRANDA

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009

Pasig City ) S.S.
AFFIDAVIT OF CLAIM
I, KATHLEEN ANN C. MIRANDA, of legal age, married, Filipino, and with residence and postal
address at Block 6 Lot 11 Metrogreen Street, Birmingham Sunrise Subdivision, GBISAN, San
Mateo Rizal, after having been duly sworn in accordance with law hereby depose and state:
1. That I am currently employed at BPI Bank, Aurora, Cubao, Quezon City;
2. My permanent residence including my appliances and furnitures, as reflected in my

company records, located at Block 1, Lot 5, Estacio Pagkalinawan Homeowner’s Asso.,
Nagpayong, Pinagbuhtan, Pasig City, was damaged by the calamity/flooding that occurred
last Saturday, September 26, 2009 due to typhoon Ondoy;
by the calamity;
residence;
Calamity Assistance with Unirock Corporation, Marikina City for the same incident;
City, Philippines.
KATHLEEN ANN C. MIRANDA

Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2009
AFFIDAVIT
I, ZENAIDA L. DASCIL, of legal age, Filipino and resident of 82-D Dr. Sixto Antonio Ave.,
say:
1. That I am seeking for legal assistance from Public Attorney’s Office (PAO), Pasig City;
2. That I hereby declare and attest that I do not own any property/ies here in Pasig City
whether through sale, by succession or donation, thus, have no real properties
registered under my name ZENAIDA L. DASCIL and the herein affiant belongs to
indigent family;
IN WITNESS WHEREOF, I have hereunto set my hands this ___ day of _______, 2011 at
the City of Pasig.
ZENAIDA L. DASCIL
Affiant
Doc. No.
Page no.
Book No.
Series of 2011

Pasig City ) S.S.
AFFIDAVIT
I, EDWIN BERTES, of legal age, married/single, Filipino, and with residence and postal
address at Urbano Velasco Avenue, Ferrer Compound II, Pinagbuhatan, Pasig City, after having
1. I am the lessee of the lot owned by Maria Lourdes F. Canosa who authorized Virginia F.
Tiburcio to act as attorney-in-Fact in these presents, located at Urbano Velasco Avenue,
Ferrer Compound II, Pinagbuhatan, Pasig City through a contract of lease;
2. I am aware that beside the leased lot, worship activing is regularly being conducted Born
Again Christians and their group, who are also lessee of the same lot;
3. That as the LESSEE of the leased lot , I am obliged to observe silence and maintain
peaceful condition inside and outside the premises particularly during the worship activity;
4. That I hereby warrant that I read and understood all the foregoing provisions of this affidavit
and shall abide by the above obligations, otherwise, I will be subject for ejectment and
other legal sanctions.
City, Philippines.
EDWIN BERTES
Affiant
CONFORME:
MARIA LOURDES F. CANOSA

Lessor
By:
VIRGINIA F. TIBURCIO
Attorney-In-Fact
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2010
Pasig City ) S.S.
AFFIDAVIT
We, ENGR. NICOLAS M. CRUZ and ENGR. RENATO P. MISAGAL, all of legal age,
Filipinos, and with official address at the City Government of Pasig, City Engineer’s
Office, Pasig City, after having been duly sworn in accordance with law hereby depose
and state:
1. We are presently employed at the Office of the City Engineer’s Office;
2. We personally know the recently concluded Pasig City local government project
entitled as “Concreting of Road-Center Island located at Portion of Mercedez Avenue
(from Sandoval Avenue up to Market Avenue, Brgy. San Miguel, Pasig City, under the
contract of AUKH CONSTRUCTION with the total project cost at P5,125,771.57;
3. The said project which has been satisfactorily completed on February 16, 2010,
was initiated by the City Government of Pasig in order to serve as
groundwork/foundation for the subsequent national project of DPWH which is the
Asphalt Overlay on the same location from Sandoval Avenue to Sapang Liwanag;
4. We hereby declare and attest to the correctness and accurateness of the project
cost of the above-entitled Pasig City local government, net at P5,125,771.57;
ENGR. NICOLAS M. CRUZ ENGR. RENATO P. MISAGAL

Chief, Horizontal Project Project Engineer
CONFORME:
ENGR. JOSE L. REYES
City Engineer
in Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2010

Pasig City ) S.S.
AFFIDAVIT OF NON-DEDUCTION OF PAG-IBIG CONTRIBUTION
I, ROBERT A. BERJA, of legal age, Filipino, and with residence and postal address at 20
Stella Maris Avenue, Maybunga, Pasig City, after having been duly sworn in accordance with law
1. That I am the Proprietor of JBERJ CONSTRUCTION SUPPLY, with business address at

No. 20 Stella Maris Avenue, Maybunga, Pasig City;
2. That I have two (2) workers assisting in the operation of the said business;
3. That I caused the two employees to be members ot the Social Security System, deducting
their respective contributions from their salary; However, by inadvertence, we failed to
apply them as member of PAG-IBIG, thus, we never had deductions of Pag-ibig
contributions from from their salary;
4. That it is only now that we are applying their names as member of PAG-IBIG FUNDS;
City, Philippines.
ROBERT A. BERJA
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2010
Pasig City ) S.S.
AFFIDAVIT OF NON-DEDUCTION OF SSS CONTRIBUTION
I, VRINDALIN E. SAROL, of legal age, single, Filipino, and with residence and postal
address at Blk. 29, Lot 12A, Brgy. Sto. Tomas, Calauan, Laguna, after having been duly sworn in
1. I am a bona fide member of Social Security System since I started working in Expercs, Inc.,
and that accordingly, I am a holder of SSS I.D. No. 33-6717181-5;
2. Presently, I am employed at PERFECT VIEW BULALOHAN RESTAURANT located at

Tagaytay City, Cavite, which employer has not been deducting from our salary our SSS
contribution neither on employee part nor on the employer counterpart;
3. That as evidence by the foregoing statement, attached herewith is my Employee Static

Information which shows my employment history;
4. That for all legal intents and purposes, I hereby declare and attest that I have not been
paying my SSS contribution during my employment with PERFECT VIEW BULALOHAN
RESTAURANT;
IN WITNESS WHEREOF, I have set my hand this 29th day of June, 2011 at Pasig City,
Philippines.
VRINDALIN E. SAROL
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2011
Pasig City ) S.S.
AFFIDAVIT OF EMPLOYMENT AND

NON-DEDUCTION OF SSS CONTRIBUTION
I, JESSELYN Q. BENITO, of legal age, married, Filipino, and with residence and postal
address at 242 Kalayaan St., Sumilang, Pasig City, after having been duly sworn in accordance
1. I am previously employed with the following companies as evidenced by my Certificates of

Employment, to wit:
g. M.E.P.P. Trading located at 27 F Unit 18, Tower 2 Enterprise Bld, Ayala cor.
Paseo de Roxas St., Makati City from June 2001 up to June 2003 as Executive
Assistant;
h. OPTIONS TELECOM located at 2nd Floor, University Mall Bld., 2507 Taft Ave.,
Malate, Manila from May 2003 up to December 2004 as Sales Personnel; and
i. PROVEN SOURCE SECURITY SOLUTIONS located at FTI Complex, Taguig
City from July 2005 up to August 2006 as Admin. Assistant;
2. I am a bona fide member of Social Security System since I started working in the above-
mentioned companies, and that accordingly, I am a holder of SSS I.D. No. 33-9392604-7;
3. Sometime in October 2006, I discovered that my employers in the above-mentioned

companies had not been paying my SSS contribution;
4. That as evidence by the foregoing statement, attached herewith is my Employee Static

Information which shows my employment history;
5. That for all legal intents and purposes, I hereby declare and attest that my employers have
not been paying my SSS contribution during my employment with M.E.P.P. Trading,
OPTIONS TELECOM and PROVEN SOURCE SECURITY SOLUTIONS;
IN WITNESS WHEREOF, I have set my hand this November 9, 2011 at Pasig City,
Philippines.
JESSELYN Q. BENITO
Affiant
Pasig City.
Doc. No.
Page No.
Doc. No.
Series of 2011
2. That after serious consideration of the circumstances leading to this incident, we have realized
that it was just a case of misunderstanding between the undersigned complainants and the
accused, we have therefore decided to withdraw the case we filed against the accused; and are
no longer interested in pursuing the prosecution of this case;
ANNEX “A”
One day, sabi ko kay CHZAR Y. VILLAVER pahingi ng two (2) valid ID, Birth
Cerficate and sign the Claim Form for Close BF-Guadalupe and she gave it to me. That
day okey pa si CHZAR Y. VILLAVER na kausap pero kinabukasan ayaw na raw niya maki
coordinate dahil ayaw ni Mr. Renato asawa ni CHZAR Y. VILLAVER or ka live-in dahil hindi
pa sila kasal. Ang gusto ni Renato ipakita ko daw ang lahat ng aking Bank Book dahil
magkano daw ang kanilang porsiyento para tulungan ako. To make the story short pera
muna bago ang lahat. Sabi ko okey lang kapag may nakuha, kaso wala pa akong
nakukuha.
Kaya pinagtapat ko na sa PDIC ang lahat.
Noong mag-open ako ng account ka joint ko si CHZAR Y. VILLAVER, ang kausap

ko ang manager and the assistant si Ramon Protacio and Heide Villena.
Pinapirmahan sa akin ang signature card para hindi ma withdraw in CHZAR Y.

VILLAVER ang lahat ng pera ko. Ang pirma ko ay CHZAR Y. VILLAVER, January 21,
1951, at ang middle initial ang pumirma ay si Heidi Villena kaya ko ginawa yon ay utos ng
manager.
Tungkol naman sa picture ay humingi ako sa sister ko si Victori R. Diaz at pumayag

siya at nag bigay siya ng picture, two valid ID., Marriage Contract and Birth Certificate.
RENILDA R. JOSE
Pasig City )s.s.
AFFIDAVIT
I, JANEL M. LIMBO, of legal age, Filipino, after having been duly sworn to in accordance
with law, hereby depose and say that:
1. I personally know Mr. Sta. Ana as the owner of the house located at A. Mabini
Street, Kapasigan, Pasig City;
2. As of November 2009, Mr. Sta. Ana authorized me to occupy the said house and for
which verbal authority given me to accommodate the same, I was asked by Mr. Sta. Ana to act as
caretaker of the said house;
3. I am executing this Affidavit to attest to the truth of the foregoing facts;
City, Philippines.
JANEL M. LIMBO
Affiant
SUBSCRIBED AND SWORN to before me in the Municipality/City of __________________

this _____ day of ______________ by the affiant, who has satisfactorily proven his/her identity to
me that he/she is the same person who personally signed the foregoing affidavit before me and
acknowledged that he/she executed the same.
Doc. No.
Page No.
Book. No.
Series of 2010
Pasig City )s.s.
AFFIDAVIT
I, ELY L. PAEZ, of legal age, Filipino, single, with residential address at No. 27 Liwayway
Street, Caniogan, Pasig City, after having been duly sworn to in accordance with law, hereby
1. I am presently applying for Student Visa with Australian Embassy and that one of
the requirements is the submission of a declaration from the Applicant of Student Visa, hence, this
Affidavit;
2. I , ELY L. PAEZ, declare that I have access to funds from an acceptable source
that are sufficient to meet course fees, livings costs and school costs for the remainder of
my proposed stay in Australia after the first 12 months;
3. I am executing this Affidavit to attest to the truth of the foregoing facts and for
City, Philippines.
ELY L. PAEZ
Affiant
SUBSCRIBED AND SWORN to before me in the Municipality/City of __________________

this _____ day of ______________ by the affiant, who has satisfactorily proven his/her identity to
me that he/she is the same person who personally signed the foregoing affidavit before me and
acknowledged that he/she executed the same.
Doc. No.
Page No.
Book. No.
Series of 2010
Pasig City )s.s.
AFFIDAVIT
We, NUMERIANO C. CARBALLO, JOEL SANTOS CARBALLO, JOSEPH

SANTOS CARBALLO and JULIUS SANTOS CARBALLO, all of legal age, Filipinos,
with residential address at No. 8 Stella Maris Avenue, Maybunga, Pasig City, after
having been duly sworn to in accordance with law, hereby depose and say that:
1. The undersigned are the husband and children and surviving legal heirs
of the late CLARITA SANTOS CARBALLO, who died on September 16, 2009 at Medical
City, Pasig City;
2. Our deceased mother left certain properties which we are now in the
process of adjudicating/settling among us which settlement is the subject of
EXTRAJUDICIAL SETTLEMENT OF ESTATE OF THE LATE CLARITA S. CARBALLO WITH
WAIVER OF SHARE duly executed on October 6, 2010 entered into the notarial register
of Atty. Nelson C. Fajardo as Doc. No. 380; Page No. 77; Book No. VIII; Series of 2010;
3. That however, in the said EXTRAJUDICIAL SETTLEMENT OF ESTATE OF THE

LATE CLARITA S. CARBALLO WITH WAIVER OF SHARE, a copy of which is hereto
attached, we inadvertently omitted our respective CIVIL STATUS, and that we are being
required to supplement the CIVIL STATUS, hence, this Affidavit.
NUMERIANO C. CARBALLO - widow

JOEL SANTOS CARBALLO - single
JOSEPH SANTOS CARBALLO - Married to Alona Dizon Carpio-
Carballo
JULIUS SANTOS CARBALLO - single
3. We are executing this Affidavit to supply the above civil status of the
undersigned as part of the Extrajudicial Settlement abovementioned and to attest to
the truth of the foregoing facts and for whatever legal purpose it may serve;
Affiants:
NUMERIANO C. CARBALLO JOEL SANTOS CARBALLO

JOSEPH SANTOS CARBALLO JULIUS SANTOS CARBALLO
SUBSCRIBED AND SWORN to before me in the Municipality/City of

__________________ this _____ day of ______________ by the affiant, who has satisfactorily
proven their identity to me that they are the same person who personally signed the
foregoing affidavit before me and acknowledged that they executed the same.
Doc. No.
Page No.
Book. No.
Series of 2010

Pasig City )s.s.
AFFIDAVIT
I, DORRIS T. VINASAY, all of legal age, Filipino, with residential address at 15C
M.H Del Pilar St. Palatiw, Pasig City after having been duly sworn to in accordance with
law, hereby depose and say that:
1. The undersigned is presently employed as Administrative Manager of

eDRAGON POWER BUILDERS, INC., a corporation duly organized and existing under the
laws of the Philippines, with business address at Unit 7 Eighth Floor AIC-Burgundy
Empire Tower, ADB Avenue cor. Garnet and Sapphire Roads, Ortigas Center, Pasig City;
2. That the UNIT containing an area of 91.33 Square Meters Floor Area,
where the said Office is being operated is owned by the Company eDRAGON POWER
BUILDERS, INC., as evidenced by a Condominium Certificate of Title No. NO. PT-54788
issued by the Register of Deeds for Pasig City;
3. That Condominium Certificate of Title No. PT-54788 cancelled the CCT No.
PT-49183 (PT-29263) by virtue of a Deed of Absolute Sale executed by and between
Bank of Commerce and eDragon on May 23, 2008 entered as Doc. No. 2; Page No. 2;
Book No. VI; Series of 2008;
4. That when I verified from the records of real property tax of such property
at the Office of the City Treasurer, it would appear that the registered owner thereof is
istill under the name of AIC REALTY CORPORATION, the previous owner of such
property, which eventually transferred to BANK OF COMMERCE, which eventually now
transferred to Edragon;
5. That I am presently securing documents pertaining to the transfer of such

property from AIC REALTY CORPORATION to BANK OF COMMERCE, which documents
are being required by the City Assesor of Pasig to straighten the records of such
property in the Tax Declaration. Unfortunately however, the Register of Deeds after
diligent efforts of locating said documents, the same could not be found;
6. I am executing this Affidavit to attest to the truth of the foregoing facts

TERESA A. MARCOS
Affiant

Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
AFFIDAVIT
(Re: R.A. 3344: Unregistered Land)
We, SPOUSES CYNTHIA D. VICENCIO and JUANITO F. VICENCIO, both

of legal age, Filipinos, both residents of 112-H Dr. Sixto Antonio Avenue,
Barangay Rosario, Pasig City, after having been duly sworn to in accordance
with law, hereby depose and say that:
1. The undersigned are buyers of a parcel of land covered and

embraced by Tax Declaration No. E-018-17140 containing an area of Thirity
Eight (38) Square Meters and more particularly described as follows:
TAX DECLARATION NO. E-018-17140
Location of Property - Int. P. Bernal Street, Barangay Rosario,

Pasig City
Boundaries:
North : Pathway South : Prop. Of Victoriano Noda
East : Lot 2-B West : Feliciano Mariano, et al.
With one (1) residential house introduced thereon with a floor area of
20.75 Square Meters declared under Tax Declaration No. E018-17024.
2. We are now absolute owners thereof by virtue of a Deed of

Absolute Sale executed by and between the registered owners Felizardo C.
Sarcia and Rosalinda E. Sarcia on July 17, 2014 entered into the notarial
register of Atty. Tomas Dulay, Jr. as Doc. No. 396; Page No. 80; Book No. 81;
Series of 2014
3. We hereby declare and attest that the above parcel of land are not
duly registered. Pursuant to Republic Act No. 3344, only Tax Declaration
declared in the Office of the City Assessor is the basis of ownership of the
vendors/owners Spouses Felizardo C. Sarcia and Rosalinda E. Sarcia;
4. We are executing this Affidavit to attest to the truth of the

IN WITNESS WHEREOF, we have set our hands this ___ day of __________,
CYNTHIA D. VICENCIO JUANITO F. VICENCIO

__________________ this _____ day of ______________ by the affiants, who have
satisfactorily proven their identity to me that they are the same person who
personally signed the foregoing affidavit before me and acknowledged that
they executed the same.
Doc. No.
Page No.
Book. No.
Series of 2014
Pasig City )s.s.
AFFIDAVIT
(Re: R.A. 3344: Unregistered Land)
We, VICTORIA F. JUGO, VICTORIA ROSE F. JUGO and JAMIE ROSE F. JUGO,
all of legal age, Filipinos, residents of 18-A Dr. Sixto Antonio Avenue, Barangay
Kapasigan, Pasig City, after having been duly sworn to in accordance with law, hereby
1. The undersigned are the wife and children of the late FERNANDO JUGO,
who died on June 5, 1998 in Mandaluyong City;
2. At the time of death of FERNANDO JUGO, he left a property composed

of three parcels of land covered and embraced more particularly described as follows:
TAX DECLARATION NO. E-008-00945 Block No. 3

Boundaries:
North : NE- S. Antonio Avenue South : SW- Lot 6;
East : SE- Nicanor West : NW-Lot 2

Boundaries:
North : NE- Lot 6 South : SW- Hrs of Facundo;
East : SE- Lot 5 West : NW-Callejon #1

Boundaries:
North : NE- Lot 1 & 3 South : SW- Lots 5 & 4;
East : SE- Nicanor West : NW-Callejon #1
3. We hereby declare and attest that the above parcels of land are not duly
registered. Pursuant to Republic Act No. 3344, only Tax Declaration declared in the
Office of the City Assessor is the basis of ownership being claimed by the deceased
and now subject for adjudication of the heirs;
4. We are executing this Affidavit to attest to the truth of the foregoing facts
VICTORIA F. JUGO VICTORIA ROSE F. JUGO JAMIE ROSE F. JUGO

__________________ this _____ day of ______________ by the affiants, who have
satisfactorily proven their identity to me that they are the same person who personally
signed the foregoing affidavit before me and acknowledged that they executed the
same.
Doc. No.
Page No.
Book. No.
Series of 2011
NATIVIDAD DOROTEO DELA PAZ, married to FLORENCIO

DELA PAZ and MA. LUISA DOROTEO DELA PAZ, single;
Both of legal age, Filipinos, both residents of 453 Dr. Sixto
Antonio Avenue, Maybunga, Pasig City,
DECLARE AND MAKE MANIFEST:
WHEREAS, the herein parties are the only sibling and niece and the sole surviving
legal heirs of the late MIGUELA DOROTEO, who died single on March 21, 2009, in Pasig
City;
WHEREAS, the said deceased died intestate, without last will and testament and
WHEREAS, at the time of her death, said MIGUELA DOROTEO left a property
composed of two (2) adjacent parcels of land covered and embraced by Tax Declaration
No. E-013-10009 and E-013-10010 containing an area of 28 square meters and 41
square meters, respectively, with improvements thereon under Tax Declaration No. E-
013-03569 and more particularly described as follows:
TAX DECLARATION NO. E013-10009

Location of Property - Dr. Sixto Antonio Avenue, Maybunga, Pasig
City
Assessor’s Lot No. 8192
Boundaries:
North : NE- Lot 8200 (Lot 1 Psu-145198) South : SW-Alley

East : SE- Lot 8193 West : NW-Dr. Sixto Antonio
Ave.
TAX DECLARATION NO. E013-10010

Location of Property - Dr. Sixto Antonio Avenue, Maybunga, Pasig
City
Assessor’s Lot No. 8193
Boundaries:
North : NE- Lot 8200 (Lot 1 Psu-145198) South : SW-Alley

East : SE- Lot 8194 West : NW-Lot 8192
Pasig City )s.s.
AFFIDAVIT
I, CHONA P. BULAONG, of legal age, Filipino, with residential

address at Uacon Candelaria, Zambales , after having been duly sworn to in
That, I am an applicant for a long term fishpond lease agreement

with the Department of Agriculture/Bureau of Fisheries and Aquatic
Resources, Quezon City covering an area of FIVE (5) hectares more or less
located in Uacon, Candelaria, Zambales;
That, as an applicant, I do hereby declare that the area under my

application is not sub-leased to any other person/s nor will be subjected
to any form of sublease after the approval and/or during the existence of
the lease contract;
That, I am executing this Affidavit in compliance with the

requirements of my fishpond application.
Affiant further sayeth none.
CHONA P. BULAONG
Affiant
SUBSCRIBED AND SWORN to before me this ______ day of

__________________, 20 at ________________, Philippines. Affiant
exhibited to me his/her Community Tax Certificate No. __________ issued
on _____________ at __________________.
Doc. No.
Page No.
Book. No.
Series of 2011
Republic of the Philippines
Department of Agriculture
BUREAU OF FISHERIES AND AQUATIC RESOURCES
Arcadia Bldg., 860 Quezon Avenue, Quezon City
APPLICATION FOR FISHPOND LEASE AGREEMENT
Application No. ____________ Place CANDELARIA,

ZAMBALES
(New Lease, conversion, renewal, transfer Date
________________________
or change of area (state which)
TRANSFER
The Director
Bureau of Fisheries and Aquatic Resources
Quezon City
I, CHONA P. BULAONG, a citizen of the Philippines, 41 years old, single/married, my occupation

is housewife, and with residence at Uacon Candelaria, Zambales - No. 8550, to
lease and occupy a parcel of public forest land for fishpond purposes containing 5 hectares,
more or less, as shown in the attached sketch/survey plan and particularly bounded and described
as follows:
Province : Zambales North : Creek

Municipality : Candelaria East : Pasture Land
Barrio : Uacon South : Creek
Sitio : San Isidro West : Uacon Lake
My initial capital for the construction of the area which represents 1/5 of theamount needed to
complete its development based also at P10,000.00 per hectare is P __________ as evidenced by
the attached certification of bank deposit. Also enclosed is an affidavit stating that the said initial
capital will be exclusively used for the development of the area and a verified statement of my
assets and properties from which the initial capital needed will be derived.
I understand that this application does not authorize me to enter the area or introduce
improvements therein, unless a fishpond lease is issued in my favor. I also blind myself to comply
with the provisions of law,rules and regulations and the instruction issued by that Office and to
those that may subsequently be issued regarding the use and operation of the area herein
descrive and shall be solely responsible of the proper compllance with the same by all persons
who operate under my authority. I understand that this application is non-transferrable and that the
application fee paid therefor is non-refundable
Herrewith enclosed is an application of P1,000.00 pesos in cash, check or Postal Money Order
No.
_________dated______________.
____________________________
_________________________________
(Postal Address) (Signature of Apllicant)
Tin No.
___________________________
Subscribed and sworn to before me this ______day of______ at _________, Philippines. The
affiant exhibited to me his/her Community tax Certificate No, ____________ Issued at
_________________ on ___________
Doc. no. _____

Page No._____
Book No._____
_________________________
Series of 20___ NOTARY
PUBLIC
S
Pasig City )s.s.
AFFIDAVIT
I, AMBROCIO M. ALEJANDRO, of legal age, married to Leonida Alejandro,

Filipino, with residential address at 2906 J. Tambunting Street, Sta. Cruz, Manila, after
having been duly sworn to in accordance with law, hereby depose and say that:
1. The undersigned is the previous owner of a parcel of land located in Lot 9

Blk. 11 Phase II BI Karangalan Village, Pasig City containing an area of Seventy Four &
36 Square Decimeters (74,36), covered by TCT No. 75295;
2. That at present, the subject property (land) is now in the name of

THELMA B. VILLANUEVA, by virtue of a Deed of Absolute Sale executed on 15 July 2010
before Notary Public Romeo T. Telpo entered as Doc. No. 81; Page No. 17; Book No.
XXXIV; Series of 2010, which cancels the TCT No. 75295 and now TCT NO. 011-
2011000020 in the name of Thelma B. Villanueva;
3. That Thelma B. Villanueva caused the construction of the improvement

(house) out of her own personal money having the authority sought from the
undersigned by virtue of Special Power of Attorney as Doc. No. 268; Page No. 55; Book
No. 186; Series of 2009. Said improvement declared as Tax Declaration No. E-012-
29470 under my name.
4. That by these presents, considering that the land where the subject
house is actually owned by Thelma B. Villanueva, I hereby request the City Assessor of
Pasig to transfer the ownership of the said house under Tax Declaration No. E-012-
29470 in favor of THELMA B. VILLANUEVA.

AMBROCIO M. ALEJANDRO
Affiant

Doc. No.
Page No.
Book. No.
Series of 2011

Pasig City )s.s.
AFFIDAVIT
I, CRISTINA G. CAEDO, of legal age, widower, Filipino, with residential address

at No. 20 Wilson Street, Greenhills, San Juan city, after having been duly sworn to in
accordance with law, hereby depose and say that:
1. I am the lawfully wedded wife and the surviving legal heir of JOSE
CAEDO, who died in February 2006;
2. At present, I am in the process of adjudicating the properties left by my

husband and as a matter of fact, we have already notified my above purpose with the
Bureau of Internal Revenue;
3. Upon verification of the foregoing, I discovered that my late husband for

more than two decades now had a pending registration of transfer of property
(condominium unit) he bought from Conglomerate Developers, Inc., containing an area
of 66.72 Sqyare Meters covered by Condominium Certificate of Title NO. 2069. For
unknown reason, he (Jose Caedo) failed to do his obligation to follow up on the status
of the same;
4. By these presents, as a legitimate wife, I respectfully request that I be

allowed to represent my co-legal heirs (my children) to complete the process of
registration, or if not applicable, I am willing to abide with your Office’ rules and
regulations so that the same be included in the estates of my late husband for
adjudication/settlement.

CRISTINA G. CAEDO
Affiant

Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
AFFIDAVIT TO CORRECT BIRTH YEAR IN

NON-PROFESSIONAL DRIVER’S LICENSE
I, LOUIE GERONIMO BERNARDO, of legal age, Filipino, with residential

address at No. 236 Market Avenue, San Miguel, Pasig City, after having been duly
sworn to in accordance with law, hereby depose and say that:
1. I a holder of a Non Professional Driver’s License issued by the Land

Transportation Office;
2. Accordingly, in the said Driver’s License my birth year was mistakenly

typed as 1981 instead of my true birth year which is 1982 as indicated in my
3. For all intents and purposes my true and correct birth year is 1982;

and for the purpose of requesting the Land Transportation Office to correct my birth
year in my Non Professional Driver’s License from 1981 to 1982;
LOUIE GERONIMO BERNARDO

Affiant

Doc. No.
Page No.
Book. No.
Series of 2011
Pasig City )s.s.
AFFIDAVIT
I, APOLINAR P. PLANAS, of legal age, married to Tessie Z. Planas, Filipino, with

residential address at Fortune, Palma Street, Barangay Pag-Asa, Sta. Cruz, Marinduque,
after having been duly sworn to in accordance with law, hereby depose and say that:
1. The undersigned purchased two (2) certain parcels of land both located in
Bagong Ilog, Pasig City, (1) covered by TCT No. PT-114802 with an area of 84 Square
Meters with improvement and (2) covered by TCT No. PT-114799 with an area of 19
Square Meters from the heirs of the late Leonisa Pike Vda. De Sta. Ana, subject matter
of “Extrajudicial Settlement of the Estates of Leonisa Pike Vda. De Sta. Ana with
Absolute Sale executed on November 15, 2010 before Notary Public Leticia M. Amon
as Doc. No. 377; Page No. 76; Book No. II; Series of 2010;
2. That I am now in the process of registering the transfer of such property

in my name at the Register of Deeds of Pasig City; However, it would appear that the
property covered by TCT No. PT-114799 containing an area of 19 Square Meters needs
to seek approval of the sale as it found to be a road lot;
3. That in view of the foregoing, I hereby manifest my intention to register

the property described in TCT No. PT-114802 at the Register of Deeds leaving behind
the registration of TCT No. PT-114799 as I have to seek a lawyer to assist me in filing a
petition for approval of sale to a competent court jurisdiction;

APOLINAR P. PLANAS
Affiant

Doc. No.
Page No.
Book. No.
Series of 2011
NARRATIVE REPORT
I, SANDY P. CRUZ, of legal age, single, Filipino, with residential address at Block
4 Lot 27 Abraham Street, Sta. Lucia BLISS, Pasig City, after having been duly sworn to
in accordance with law, hereby depose and say that:
The undersigned is presently studying at ICCT Colleges taking up BS

Criminology;
During my class in CDI Fire Technology and Arson Investigation at around 10:00
am to 1:00 p.m., under Prof. Antonio Paulite, an untoward incident happened between
the undersigned and my Prof. Antonio Paulite;
Allow me to elucidate the facts/circumstances of such incident:
During our recitation, Prof. Paulite called my name and I stood up; he
asked a question about a certain topic. As I was thinking about the answer on
his question, he posed a personal question as I quoted him verbatimly: “O
SANDY, KUMUSTA Na yung BATA MO?”, then I replied in a polite manner: “AYUN
PO SIR NAG-AAPLY PA LANG, FOR NEURO PA LANG SILA, KASI UNA NA PO ANG
NEURO NGAYON.” Then he stated: “ALAM MO YANG BATA MO, HANGGANG
DIYAN NA LANG ‘YAN.” After hearing that, the whole class laughed. Then I
simply replied in a polite manner, “SIR, PORKE’T ANG TAAS NYO NA……. (while
the whole class is still laughing), INA-UNDERESTIMATE NIYO NAMAN ANG
KAKAYAHAN NG ISANG TAO.” (the whole class laughs and shouts). Suddenly,
he got angry and shouted on top of his voice. Such words are:
“NAMEMERSONAL KA SA SAGOT MO, NAGBIBIRUAN LANG TAYO DITO,
TAPOS PINEPERSONAL MO!!! ALAM MO BA KUNG ANO ANG
UNDERESTIMATE SA JOKE?!! As a gesture of respect, I apologized right
away, I said: “SIR, SORRY SIR.” He replied, “IKAW LANG ANG
ISTUDYANTENG GUMANYAN SA’KEN!!! I keep on repeating my apology to
him, he angrily shouted: “NO!! YOU LISTEN TO ME!!! YOU DON’T HAVE
THE RIGHT TO TALK TO ME LIKE THAT IN FRONT OF YOUR
CLASSMATES!!!! HINA-HIGHBLOOD AKO SA’YO!!! OKAY LANG SANA
KUNG DALAWA LANG TAYONG NAG-UUSAP SINABI MO SA’KIN YAN”!!!.
I was about to cry but I was still controlling my emotion. There are some
unsavory remarks came from his mouth against me like:
“BAWAL ANG PIKON SA PULIS”!!!!.

“ALAM MO YANG BATA MO MARUNONG YAN!MERON BANG
PROFESSOR NA AYAW MAKAPAGPULIS ANG ESTUDYANTE NIYA! ANO KO
GAGO!!
“KILALA KO KUNG SINU-SINO ANG MAKAKAPAG-PULIS DITO”!!
“IKAW HINDI KA NAMAN GANUNG KAGALING, NAKAKAPASA KA
LANG”!!
“AT ANG RANGO KO KELAN KO PINAGMAYABANG SA INYO YAN, DI
BA HINDE?” (then the whole class naturally agreed to
him.)”PINAGHIRAPAN KO’ TO”!!
“YOU’RE DECLARING WAR HUMANDA KA”!!
I also even threatened when he said: “BABANTAYAN KITA SA LABAS”!

“ALAM MO KUNG LALAKI KA LANG, BINIGWASAN KITA DYAN”!!
PASALAMAT KA BABAE KUNG HINDI HINAMON KITA NG SUNTUKAN!!”
After the class, I went to the Faculty Room purposely to personally

apologize to him (Prof. Antonio Paulite) what happened in the classroom earlier.
But due to several professors who were in the room, I waited them until they
leave to avoid further embarrassment while apologizing to him.
I approached him and said: “SIR, I’M HERE AS A STUDENT, HUMIHINGI PO

AKO NG SORRY SA NANGYARI KANINA. HINDI KO NAMAN PO SINASADYA NA
MAGALIT KAYO.” HINDI NAMAN DIN PO AKO SERYOSO SA SINABI KO KANINA.
SANA MAPAGBIGYAN NIYO PO AKO PARA MAITAMA KO ANG PAGKAKAMALI KO.”
While saying that I was crying but he did not respond and ignore me by using
his cellphone and listening to his MP3 music, as if I was not in front of him. With
that, I decided to leave, but before I left, I finally said: “SIR, PASENSIYA NA PO,
TULOY NA PO AKO.”
From then on, I suffered sleepless nights, mental anguish and even
suffered lack of concentration to my studies. I sought advice from my friends,
parents and lastly to the Guidance Counselor. I also sought advice from a
police general assigned at NHQ Camp Crame, he advised me to be more smart,
firm and brave to face pressures. After giving my side to the said police
general, he said that although the actuation of my professor (who is also a
member of the PNP) is wrong, it is good for me to experience that right now for
me to be prepared from more tough problems when I am already in the police
service.
I was even advised by my father to stop schooling due to that particular

incident, but the police general disagreed to my father’s advice. Instead, he
said, I must continue schooling and enjoy my right as a student.
SANDY P. CRUZ
Noted by:
FRANCISCO T. CRUZ
FLOW HARMONIC COMMERCIAL, INC.,
th
No. 55 5 Street, Isla Homes 2 & 3 Sandoval Avenue, Brgy. Pinagbuhatan, Pasig City

Pasig City )s.s.
AFFIDAVIT
I, PEDRO ENRIQUE RABONZA IV, of legal age, single, Filipino, with residential
address at corner Maroon and Purple Street, SSS Village, Marikina City, after having
been duly sworn to in accordance with law, hereby depose and say that:
1. The undersigned is the previous owner of a parcel of land located in Lot 9

Blk. 11 Phase II BI Karangalan Village, Pasig City containing an area of Seventy Four &
36 Square Decimeters (74,36), covered by TCT No. 75295;
2. That at present, the subject property (land) is now in the name of

THELMA B. VILLANUEVA, by virtue of a Deed of Absolute Sale executed on 15 July 2010
before Notary Public Romeo T. Telpo entered as Doc. No. 81; Page No. 17; Book No.
XXXIV; Series of 2010, which cancels the TCT No. 75295 and now TCT NO. 011-
2011000020 in the name of Thelma B. Villanueva;
3. That Thelma B. Villanueva caused the construction of the improvement

(house) out of her own personal money having the authority sought from the
undersigned by virtue of Special Power of Attorney as Doc. No. 268; Page No. 55; Book
No. 186; Series of 2009. Said improvement declared as Tax Declaration No. E-012-
29470 under my name.
4. That by these presents, considering that the land where the subject
house is actually owned by Thelma B. Villanueva, I hereby request the City Assessor of
Pasig to transfer the ownership of the said house under Tax Declaration No. E-012-
29470 in favor of THELMA B. VILLANUEVA.

AMBROCIO M. ALEJANDRO
Affiant

Doc. No.
Page No.
Book. No.
Series of 2011
October 3, 2013
THE REGISTER OF DEEDS

PASIG CITY
Dear Sir/Madam:
We, buyers of the property as described in Transfer Certificate of Title No.

PT-85455, respectfully request for the registration of Deed of Absolute Sale
executed on 16 April 2013 as Doc. No. 181; Page No. 38; Book No. XI; Series of
2013; and that we have no objection on the carry-over of the annotation of Entry
No. 4125/T-No.25044 as found in the dorsal portion of the subject title.
Thank you.
Very truly yours,
FRANCISCO P. JAVIER
JOSEPHINE P. JAVIER
BENJAMIN P. JAVIER
GLORIA P. JAVIER-ESTACIO
Pasig City )s.s.
I CARLOS APOSTOL, of legal age, Filipino, with Residential address at Kapitan

Ato St. Sta. Cruz, Pasig City, after having been duly sworn in accordance with law hereby
depose and state, That:
1. That I received a subpoena from Regional Trial Court Pasig City

requesting me to appear before the court for Civil Case case No. 142724
pending before Regional Trial Court, Pasig City Branch 161;
2. That on several scheduled date of hearings I was not able to attend due
to the fact that I have to attend and take care of my mother who is very
sick at that time, thus I have left with no other choice but not to be
present considering that there are no other person who will look into my
ailing mother;
3. That I deeply apologize for the inconvenience that I have caused and it
was not my intention to delay the proceedings;
4. That I am executing this affidavit in order to attest to the veracity of the

foregoing circumstances and for all intents and for whatever legal
CARLOS APOSTOL
Affiant
Pasig City.
Doc. No
Page No.
Doc. No.
Series of 2014

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Republic of the Philippines)

City of Pasig.......................) s.s

AFFIDAVIT OF CANCELLATION WITH NO FINANCIAL OBLIGATION

I, PRINCESS ARLESTHER STA. ANA LUCADING, of legal age, Filipino citizen,

1. That I am the Single Proprietor of PRINCESS ARLESTHER STA. ANA LUCADING,

2. That I am in the process of cancellation and/or revocation of my business

3. That I am no longer interested in the continuance of the operation of the said

PRINCESS ARLESTHER STA. ANA LUCADING

I, MARIA TERESA O. TUASON, of legal age, Filipino, married, and with

That, I am the registered owner of a residential house located at the

That said residential house is built on the lot owned by my father

That, I am executing this Affidavit knowing that the above-described land

IN WITNESS WHEREOF, I have set my hand this ___ day of __________,

MARIA TERESA O. TUASON

I, RACHEL CARIZA A. LACUNA, of legal age, Filipino, single, and with

1. That I am applying to work abroad at Qatar as Clerk/Receptionist

2. That I hereby undertake that the said documents hereto attached

5. That I am executing this Affidavit to attest to the truth and veracity

IN WITNESS WHEREOF, I have set my hand this ___ day of __________, at

RACHEL CARIZA A. LACUNA

I, JOHNFREY LOUIE G. PACIS, of legal age, Filipino, single, and with

1. That I am applying to work abroad at ABU DHABI as Ambulance

2. That I undertake that the said document hereto attached is the

4. That I further declare and attest that the foregoing document is

5. That I am executing this Affidavit to attest to the truth and veracity

IN WITNESS WHEREOF, I have set my hand this ___ day of __________, at

JOHNFREY LOUIE G. PACIS

I, JAMES O. MANGADLAO, of legal age, Filipino, single, and with

5. That I am applying to work abroad and among the requirements

6. That I undertake that the following documents hereto attached

7. That I hereby affirm and confirm the authenticity and validity of

8. That I further declare and attest that the foregoing document is

5. That I am executing this Affidavit to attest to the truth and veracity

IN WITNESS WHEREOF, I have set my hand this ___ day of __________, at

I, ADRIAN S. IMPERIO, of legal age, Filipino, single, and with residence

1. That I am applying to work abroad and among the requirements

a. Authenticated Certificate of Live Birth issued by the National

2. That I hereby undertake that the above mentioned documents hereto

4. That I further declare and attest that the foregoing document is

5. That I am executing this Affidavit to attest to the truth and veracity of

IN WITNESS WHEREOF, I have set my hand this ___ day of __________, at

AFFIDAVIT OF CHANGE OF COLOR

1. That I am the registered owner of a motor vehicle with Certificate of Registration CR

MAKE/SERIES : YAMAHA SNIPER T135 A/C

MARK ANTHONY NASOL FERNANDEZ

We, JENINIFER M. OBALDO, LEAH F. BALAJADIA and RAUL P.

1. That we are the duly appointed Board of Elections Inspectors in

3. That upon conclusion of the Election and Countinng Proper we

a.) Computerized Voters Lists;

IN WITNESS WHEREOF, I have set my hand this ___ day of __________,

JENINIFER M. OBALDO LEAH F. BALAJADIA RAUL P.

3. That it was only recently when I secured a copy of an authenticated

4. That considering that in the past years, the authenticated birth

8. That I am executing this Affidavit to attest to the truth and veracity of

IN WITNESS WHEREOF, I have set my hand this ___ day of __________,

ELIZABETH DOMINGO MIRANI-

I, RHOWELL G. YTABLE, of legal age, Filipino, married and with

9. That I am the youngest brother of ROBERT GOPONG YTABLE, II,

IN WITNESS WHEREOF, I have set my hand this _ day of ________,

IN WITNESS WHEREOF, I have set my hand this _ day of ________, at

IN WITNESS WHEREOF, I have set my hand this _ day of ________, at

IN WITNESS WHEREOF, I have set my hand this _ day of ________, at

IN WITNESS WHEREOF, I have set my hand this _ day of ________, at

IN WITNESS WHEREOF, I have set my hand this _ day of ________,

IN WITNESS WHEREOF, I have set my hand this _ day of ________,

IN WITNESS WHEREOF, I have set my hand this _ day of ________,

IN WITNESS WHEREOF, I have set my hand this _ day of ________,

IN WITNESS WHEREOF, I have set my hand this _ day of ________,

IN WITNESS WHEREOF, I have set my hand this _ day of ________, at