Eleonor L. Dinlayan affirms in an affidavit that she lived with Samuel Adaya for 7 years in a common law marriage and had two children with him. She attests that Samuel Adaya has passed away and she is gathering documents to support her children's claims to his benefits since they were not married officially. She signs the affidavit to affirm the truthfulness of her statements.
Eleonor L. Dinlayan affirms in an affidavit that she lived with Samuel Adaya for 7 years in a common law marriage and had two children with him. She attests that Samuel Adaya has passed away and she is gathering documents to support her children's claims to his benefits since they were not married officially. She signs the affidavit to affirm the truthfulness of her statements.
Eleonor L. Dinlayan affirms in an affidavit that she lived with Samuel Adaya for 7 years in a common law marriage and had two children with him. She attests that Samuel Adaya has passed away and she is gathering documents to support her children's claims to his benefits since they were not married officially. She signs the affidavit to affirm the truthfulness of her statements.
City of Tagum )s.s x-------------------------------x
AFFIDAVIT OF COMMON LAW WIFE
I, ELEONOR L. DINLAYAN, _____years old, Filipino, and a resident of _________, Philippines, after having been duly sworn to in accordance with law, do hereby depose and state THAT:
1. I am the same person whose circumstances stated above;
2. I personally know SAMUEL ADAYA who died last _________
because we lived together as husband and wife without the benefit of marriage for seven (7) years before he died;
3. During our cohabitation, we begot two (1) minor son
______DODONG_______
4. I am in the process of collating the documents needed in support
of my children’s claims and benefits in behalf of his deceased father;
5. I execute this affidavit to attest to the truthfulness and veracity of
my statement above and for whatever legal purpose this may serve .
IN WITNESS WHEREOF, I hereunto set my hand this
_________at________, Philippines.
ELEONOR L. DINLAYAN Affiant
SUBSCRIBED AND SWORN to before me this_________, at
__________, Philippines, affiant exhibiting to me her competent evidence of identity written below her name and signature.