Affidavit of Acknowledgement - City

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REPUBLIC OF THE PHILIPPINES)

CITY OF TAGBILARAN ) S. S.

Registry No. ___________

AFFIDAVIT OF ACKNOWLEDGEMENT

I, MEDARDO T. TATAD, JR., Filipino, of legal age, single and a


resident of Salvador, Cortes, Bohol,, after having been sworn in accordance
with law, hereby depose and state, THAT:

1. I am the natural father of TIFFANY TAGARAO who was born in


Tagbilaran City; on April 24, 2001;

2. Her mother is Analiza Magbunag Tagarao who is my common-law-


wife;

3. I am executing this affidavit to attest to the truthfulness of the


foregoing statement and for purposes of acknowledging my child.

AFFIANT FURTHER SAYETH NONE.

IN WITNESS WHEREOF, I have hereunto set my hand this 19 th day, of


April, 2006, at Tagbilaran City, Bohol, Philippines.

MEDARDO T. TATAD, JR.


Affiant-Father

SUBSCRIBED AND SWORN to before me this ________________, at


Tagbilaran City, Bohol, Philippines.

ATTY. THADDEUS JOSE C. ACERO


Notary Public
Until December 31, 2006
Attorney’s Roll No. 23931
PTR # 2906349, 1-2-06, Valencia, Bohol
IBP # 622055, 12-21-05, TIN 126-371-455

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