REPUBLIC OF THE PHILS )

Quezon City ) S.S.

JOINT AFFIDAVIT

We, JOSE M BALMEO JR. and JAN KAEKO D. BALMEO both of legal age, Filipino and residents
of 22 Uranus St., St. Dominic 8, Congressional Ave., Bahay Toro, Quezon City do hereby depose and
say:

1. That we are the consignee of the shipment with DHL airwaybill number 3279820213;

2. That said shipment of one box contains assorted used goods from an online shop in Japan;

3. That this is to certify that the content of the package is for our family’s personal use only;

4. That this affidavit is being executed to attest to the truth of the foregoing facts and for all the
legal intents and purposes.

AFFIANT FURTHER SAYETH NAUGHT

JOSE M. BALMEO JR. JAN KAEKO D. BALMEO

Affiant Affiant

ACKNOWLEDGMENT

SUBSCRIBED AND SWORN TO before me this 11th day of MAY 2020, at Quezon City,
Philippines, affiant presenting copies of their passport as proof of their identity

JOSE M. BALMEO JR. Phil. Passport EC6059141

JAN KAEKO D. BALMEO Phil. Driver’s Lic. No. N04-16-016741

I further certify that I have personally examined that the Affiant executed the foregoing freely
and voluntarily.

Notary Public

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