Republic of the Philippines )

City of Lucena ) Sc.

AFFIDAVIT

I, CORNELIA ENMAS REYES, of legal age, Filipino and a resident of University

Village, Brgy. Ibabang Dupay, Lucena City, after having been duly sworn to in accordance with
law hereby depose and state:

That I am the surviving wife of GUILLERMO MOSTIERO REYES,

who died on July 27, 2022 in Lucena City;

That I know that the true and correct spelling of my husband surname is
REYES, he been using since childhood and all government records and our
children Birth Certificate;

That however, I found out in our MARRIAGE CONTRACT issued by

Philippines Statistic Authority, his surname was entered as GUILLERMO
MOSTIERO DE LOS REYES;

That I hereby attest that GUILLERMO MOSTIERO REYES and

GUILLERMO MOSTIERO DE LOS REYES, refer are but one and the same
person;

That I am executing this affidavit to attest to the truth of the foregoing

facts and/or for whatever legal purposes this may serve;

IN WITNESS WHEREOF, I have hereunto affixed my signature on September 16, 2022

in Lucena City.

CORNELIA ENMAS REYES

Declarant
Proof of Identity: Senior ID
No. 015791

CORROBORATION

We, FILOMENA B. BAYANI and IMELDA GIRLIE S. MOSQUEDA, both of legal

age, Filipinos and residents of Brgy. 5, Lucena City, hereby confirm in the foregoing statements
of CORNELIA ENMAS REYES to be true and correct:
 FILOMENA B. BAYANI IMELDA GIRLIE S. MOSQUEDA
Declarant Declarant
Proof of Identity: Senior ID Proof of Identity: Senior ID
No. SC 2014-11-25 16493 No. SC 2011-02-11 519

SUBSCRIBED AND SWORN to before me at the date and place above mentioned.

Doc. No.___;
Page No. ___;
Book No____;
Series of 2022
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