Republic of the Phippines )

Province of Bohol ) s.s.

Tagbilaran City )

AFFIDAVIT OF LEGAL GUARDIANSHIP

I, ________________, of legal age, Filipino, married and a resident of barangay

___________________ after being duly sworn to in accordance with law, hereby depose and say:

1. That I am the spouse of ___________________ who is the legitimate child of spouses

_________________________, both deceased;

2. That since our marriage last _____________________, ________________ and I are living together
under the same roof at barangay ________________________;

3. That my wife pursued her college studies at ________________________________;

4. That my wife named above is living with me, under my custody and guardianship and fully
dependent upon me for support for her sustenance and cost of education;

5. That I am in my full civil capacity and neither am I an imbecile, insane, a vagrant or a vicious
person or a habitual drunkard or a habitual criminal, and had not abandoned, neglected or
refused to support my wife named above who is of legal age and/ or caused her to commit
offenses against the law.

6. I am executing this affidavit to attest to the truth of the foregoing facts, specifically to attest to the
truth of my GUARDIANSHIP of my wife named above, whose maiden name is
_____________________ and for whatever purpose this may serve best.

IN WITNESS WHEREOF, I hereunto affix my signature this _____________________ at

_________________________________.

Affiant

SUBSCRIBED AND SWORN to before me this _________________________ at _______________________,

with Affiant exhibiting to me his Competent Evidence of Identity, ______________________________________