REPUBLIC OF THE PHILIPPINES)

IN THE CITY OF DAVAO) S.S.

x…………………………………………..x

JOINT AFFIDAVIT

WE, ___________________, of legal age, Filipino, and presently residing at

________________________________, and _______________, of legal age,
Filipino, married and presently residing at ________________________, after being
duly sworn to in accordance with law, depose and state that:

1. We personally know the spouses _________________ and ______________

who were legally married on September 2, 2022 at
_____________________; (Copy of Marriage Contract is hereto attached)

2. That we have personal knowledge and were fully aware of the fact that the
spouses have been separated since 2004 and were no longer cohabiting with
each other and live in the same house.

3.

4. We are executing this affidavit to confirm and affirm that

____________________ has no live-in partner or intimate partner since …………..

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

IN WITNESS WHEREOF, we have set unto our hands this 11 th day of August 2022
at Davao City.

_________________________ ______________________
Affiant Affiant
OSCA ID No. 18-40098 ID No. ________

SUBSCRIBED AND SWORN to before me in the City of Davao 11th day of

August 2022, who has satisfactorily proven to me their identity through their identifying
documents written below their name and signature, that they are the same persons
who personally signed before me the foregoing Joint Affidavit of Two Disinterested
Persons and acknowledged that they executed the same.

Doc. No. __ ;
Page No.___ ;
Book No.____;
Series of 2022.