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VERIFICATION AND CERTIFICATION

OF NON-FORUM SHOPPING

I___________________, of legal age, Filipino, married and a resident of


resident of __________________. After having duly sworn to in accordance with
law, do hereby depose and say:

1. I am the Petitioner in the instant case;


2. I have caused the preparation of the herein Petition and the contents thereof
are true to the best of my knowledge and/or are based on authentic records;
3. Herein Petition is not filed to harass, cause unnecessary delay, or needlessly
increase the cost of litigation;
4. The factual allegations therein have evidentiary support, or if, specifically
so identified, will likewise have evidentiary support after a reasonable
opportunity for discovery;
5. I have not commenced any action or proceeding involving the same issue in
the Supreme Court, the Court of Appeals, or any other tribunal.;
6. To the best of my knowledge, no such action or proceeding is pending in
the Supreme Court, Court of Appeals, or different Divisions thereof, or any
other tribunal or agency;
7. If there is any other action or proceeding which is pending, or should I
thereafter learn that a similar action or proceeding has been field or is
pending, I hereby undertake to report that fact or the status thereof within
five (5) days therefrom to this Honorable Court.

IN WITNESS WHEREOF, I hereunto sign my name on December 26,


2022 at Batangas City, Batangas, Philippines.

Affiant

SUBCRIBED AND SWORN TO before me this 26th day of Decemberr, 2022 at


Batangas City, Philippines, affiant exhibiting to me his valid identification card as stated
below her name to prove her identity.

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