zzzzzzzzzzzzzzREPUBLIC OF THE

PHILIPPINES )
PROVINCE OF xxxxxxxxxxxxxxxxxxxxxxx
)S.S.
MUNICIPALITY OF xxxxxxxxxxxxxxx )
X------------------------------------------------------/

AFFIDAVIT OF RELINQUISHMENT

I, xxxxxxxxxxx nee xxxxxxxxxxxxxxxxxx,

Filipino, of legal age, a xxxxxxxxxxxxxxxxxxx,
married but now separated de facto with my
husband xxxxxxxxxxxxxxxxxx, with official
address at xxxxxxxxxxxx,
xxxxxxxxxxxxxxxxxxxxxxx, Philippines, after
having sworn in accordance with law, do
hereby depose and state:

1.That I was married to xxxxxxxxxxxxxxxxxx

on February 5, 2004 at xxxxxxxxxxxx
xxxxxxxxxxxxx;
2. That out of the relationship were born
my children with the following
circumstances as follows:
NAME DATE OF
BIRTH
 a.xxxxxxxxxxxxxxxxxxxxxxxxx
b. xxxxxxxxxxxxxxxxxxxxxxxxx
c. xxxxxxxxxxxxxxxxxxxxxxxxx
d. xxxxxxxxxxxxxxxxxxxxxxxx9
3. That my husband and I had a serious
conflict when I found out that he had a
mistress. Furthermore, I learned that my
husband has already a child with his
mistress.
4. That sometime on June 14, 2014, I
could no longer take the constant conflicts
and quarrels with my husband for the
above-mentioned reason that I decided to
transfer my residence to an apartment in
xxxxxxxxxxxxxxxxx;
5. That I took with me my four children,
namely xxxxxxxxxxxxxxxxxxxx;
6. That since then, my husband and I
have been living separately;
7. That since that time that I left him, he
also stopped supporting me and our
children that I had to take care of the four
from that time until now;
8. That since that time also, my husband
did not give any financial or monetary
 support for the children’s food, medicine,
and education up to now;
9. That in fact, I have not talked nor
communicated with him for he had
abandoned us already. From that time, he
had not extended any financial support
whatsoever;
10. That I am executing this affidavit to
attest to the truth of the foregoing facts,
particularly that of the abandonment of
my spouse, and for whatever legal purpose
this affidavit may deem serve.

IN WITNESS WHEREOF, I have hereunto

set my hand this xxxxxxxxxxxxxxxx, in
xxxxxxxxxxxxxx, Philippines.

xxxxxxxxxxxxxx
Affiant
PRC ID NO. xxxxxxxxxxxxxxxxx issued by
PRC
SUBSCRIBED AND SWORN TO before
me, this xxth day of June, 2016, in
xxxxxxxxxxxxxxxxxxx, affiant showing her
competent evidence of identity, details of
which is written below her name. WITNESS
MY HAND AND SEAL the above date and
place mentioned.

xxxxxxxxxxxxxxxxxx
Doc. No.690; Notary Public until
December 31, 2017
Page No. 88; Roll No. xxxxxx
Book No. X; IBP Noxxxxxxx
Series of 2016 PTR No. xxxxxxxxxxx