Affidavit of Service - SAmple

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Republic of the Philippines

______________________
x----------------------------------x

AFFIDAVIT OF SERVICE

I, CARMEN LOR, of legal age, Filipino, married and a resident of


______________________________________, after being duly sworn to in
accordance with law, do hereby depose and state, that:

On May 29, 2016, at Cebu City, I served a copy of the following:

PETITION FOR ANNULMENT OF JUDGMENT UNDER RULE 47 OF


THE 1997 RULES OF CIVIL PROCEDURE

BY REGISTERED MAIL ADDRESSED TO THE FOLLOWING:

Regional Trial Court


Leyte

Dan Frone
Private Respondent
Wash Street,
Brgy. Sab, Ponpon, Leyte

Teo Frone
Private Respondent
Brgy. Isidro, Ponpon, Leyte

Dan Guzon
Private Respondent
Leyte

Enrique Labo
Private Respondent
Legi Street, Brgy. Gui I
Leyte

Provincial Assessor’s Office


Tacloban City, Province of Leyte
6001 and the

Municipal Assessor’s Office


Leyte

By depositing on May 29, 2016, a copy in the Post Office of


_______________________________________ in a sealed envelope, plainly
addressed to above-named addressees at their respective addresses with
postage fully paid and with instructions to the postmaster to return the mail to the
sender after ten (10) days if undelivered.

IN TRUTH WHEREOF, I have hereunto affixed my signature this 29 th day


of May, 2016 at _______________________________________, Philippines.
2

CARMEN LOS
Affiant
__________________
__________________

SUBCRIBED AND SWORN to before me this 29 th day of May, 2016 at


_________________________________, Philippines, by the affiant, who has
satisfactory proven her identity to me though her Identification Card above
indicated, that she is the same person who personally signed the foregoing
AFFIDAVIT OF SERVICE before me and acknowledged that she executed the
same.

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