REPUBLIC OF THE PHILIPPINES )  

____________________________) S.S.
____________________________) 

AFFIDAVIT

KNOW ALL MEN BY THESE PRESENTS:

I, xxxx of legal age, Filipino, married, and a resident of xxx after having been sworn in
accordance with law, deposes and states that:

1. I am legally married to xxx.

2. Due to many differences and despite our best intention and effort to make our
marriage work, we are separated de facto commencing xxx. We have not seen
nor communicated with each other since then.
3. I have exerted diligent effort to locate him at his last known address at xxx
4. Affiant is purchasing a real estate property from xxx and shall be solely
responsible in paying for such purchase.
5. If any government agency should, in the future, require the signature of the
absent spouse, xxx, affiant shall be solely responsible in securing it from him and
shall not hold xxx. responsible for any delay in the processing of her purchase.
6. Lastly, affiant has no intent to finance the said real property purchase through a
bank loan.
7. Affiant is executing this Affidavit to facilitate the purchase of real property from
the said company.

IN WITNESS WHEREOF, I have hereunto set my hand

this ___________________ in _____________________, Philippines.

  xxx
Affiant
Identification Card xxx
ID  No. xxx
Issued at: xxx
Issued on: xxx

SUBCRIBED AND SWORN TO  before me this ___________________ in

_________________, Philippines, affiants exhibiting to me his valid proof of
identification.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2018.