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Affidavit of Two Disinterested Persons. Plaza-Anub
Affidavit of Two Disinterested Persons. Plaza-Anub
We, FELIPE P. PLAZA and NALEJO N. ANUB, both of legal age, both married
and residents of Tandag City, Surigao del Sur, state under oath, THAT:
2. We know her fact of birth, family background and correct spelling of her full
name as EUSEBIA MAHINAY MAHOMOC;
4. We are executing this Affidavit to apprise the Office of Civil Registrar General
of said discrepancy, to request that the name EUSEBIA MAHINAY MAHUMOK be
changed and reflected as EUSEBIA MAHINAY MAHOMOC, and for whatever legal
purpose this may serve best.
IN WITNESS WHEREOF, we have hereunto set our hands this 28th day of
December 2014, in Tandag City, Surigao del Sur, Philippines.
SUBSCRIBED AND SWORN TO BEFORE ME, a Notary Public for and in the
Province of Surigao del Sur, this 28 th day of December 2014, in Tandag City, Surigao
del Sur, the affiants personally appeared and affixed their signature and presented their
IDs as proofs of their identities.
Doc. No. _____; Page No. _____; Book No. _____; Series of 2014.