AFFIDAVIT IN LIEU OF CERTIFICATE OF LEGAL CAPACITY TO CONTRACT

MARRIAGE

Before me, _________________________(Notary Public) personally appeared the

undersigned who, being duly sworn, states:

1. My name is _________________, of legal age, and I am a citizen of the ______;

2. I hold a _________________, issued on _________________ at _________________;
3. I am a legal resident of _________________;
4. My address while in the Philippines is _________________;
5. ☐ I have never been married; or
☐ I have been married ___ times previously. All previous marriages have been legally
terminated.
6. I am free to enter into this marriage and believe that there is not any impediment by
reason of kindred or alliance, or other lawful hindrance, to this marriage.

___________________________
Affiant

SUBSCRIBED AND SWORN to before me this ___ day of _______________, 2023 at

____________________, Philippines. Affiant exhibited to me his/her _________________,
with his photograph and signature appearing thereon, with no. _________________, issued
on _________________ at _________________.

NOTARY PUBLIC

Doc. No. ____

Page No. ____
Book No. ____
Series of 2023.