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Republic of the Philippines…}

Province of Surigao del Sur…}


City of Tandag…} S. S.

AFFIDAVIT OF TWO DISINTERESTED PERSONS

We, HAZEL F. LIBATIN and MARILOU LUIB, both of legal age, both married
and residents of Brgy. Awasian, Tandag City, Surigao del Sur, state under oath, THAT:

1. We personally know the spouses TREVOR SCRIVENER and ANALYN


PADILLA, being our neighbors, for not less than fourteen (14) years;

2. The spouses first lived as husband and wife in a common-law relationship


since 2001 until they decided to tie their knots in a civil wedding last August 12, 2014,
solemnized by Judge Rufo Naragas in his sala at Regional Trial Court, Branch 40,
Tandag City, Surigao del Sur;

3. On their union, they begot two (2) female children, one is ten (10) years old
and the other is eight (8) years old;

4. Being neighbors, we know that TREVOR SCRIVENER is deciding to be


naturalized as Filipino citizen, hence, we also hereby vouch his intentions. Ever since
he came to our barangay, we have witnessed his sincere desire to be accepted as a
member of our community, and he has established a warm and friendly relationship with
the people in our barangay;

4. We are executing this Affidavit to attest the truthfulness of the foregoing facts
and for whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto set our hands this ____________


2015, in Tandag City, Surigao del Sur, Philippines.

HAZEL F. LIBATIN MARILOU LUIB


Affiant Affiant

SUBSCRIBED AND SWORN TO BEFORE ME, a Notary Public for and in the
Province of Surigao del Sur, this __________________, in Tandag City, Surigao del
Sur, the affiants personally appeared and affixed their signature and presented their IDs
as proofs of their identities.

ANDREI ARREZA ANDRESAN


Notary Public
Until December 31, 2015
Capitol Road, Telaje, Tandag City
8300 Surigao del Sur
IBP No. 811366; Jan. 5, 2015; Surigao del Sur
PTR No. 5427379; Jan. 5, 2015; Surigao del Sur
IBP Roll No. 41883
MCLE Compliance No. IV-00134
MISC. CASE NO. 05-2014

Doc. No. ______; Page No. _______; Book No. _______; Series of 2015

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