Republic of the Philippines)

Malolos City, Bulacan )S.S.

x------------------------------x

JOINT AFFIDAVIT OF COHABITATION

We, DANIELLE JUNE A. ORTIZ and MARIANE JELLEEN R.

ILETO, of legal ages, Filipinos, and both presently residing at 5E Llenado
Street, Malinta, Valenzuela City, after having been duly sworn to in
accordance with law do hereby deposes and states, THAT:

1. We are the above-named affiants as well as the personal circumstances to

whom they pertain;

2. We have been living as husband and wife under the same roof without the
benefit of marriage continuously and without interruption, since 2012 up
to the present;

3. Out of our cohabitation, we begot two (2) children, namely:

a.) RAFAELLA ORTIZ, who was born on July 23, 2015, in Valenzuela City;
b.) ANDREI ORITZ, who was born on November 21, 2018, in Valenzuela City;

4. Since we lived together under the same roof since 2012, at present, we
decide to marry each other on;

5. In view thereof, we have caused the preparation of this instrument in

compliance with the requirements of the office of the Local Civil Registry
and other government agencies and instrumentalities in connection with
the marriage requirements/purposes; and

6. We are willingly and voluntarily executing this JOINT AFFIDAVIT OF

COHABITATION to attest the truth and veracity of the foregoing
statements and to inform the authorities thereof for all legal intents and
purposes it may serve.

IN WITNESS WHEREOF, we have placed our signatures on this 28 th day of

December 2022, hereat Malolos City, Bulacan.

DANIELLE JUNE A. ORTIZ MARIANE JELLEEN R. ILETO

LTO Driver’s License No. N25-12-000666 Passport I.D No. P9632310B
Affiants

SUBSCRIBED AND SWORN TO BEFORE ME this 28th day of

December 2022, hereat Malolos City, Bulacan. Affiant personally appeared
exhibiting to me their above-mentioned Identification Cards, that they are
the same persons who signed this instrument before me and acknowledge
that executed the same.

WITNESS MY HAND AND SEAL

Doc No. 371;

Page No. 76;
Book No. XXIII;
Series of 2022.