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Laman - 2 Disinterested Person Solo Parents
Laman - 2 Disinterested Person Solo Parents
WE, JAMES A. GALVEZ and AMEIL SHARIL B. SALVADOR, both of legal ages, Filipinos,
married, respectively and both are residents of Barangay Santa Maria Calauag, Quezon, after
having been sworn in accordance with the law hereby depose and state that;
1. We personally know MATEYA A. LAMAN, who is our long time neighbor and
acquaintance at Barangay Santa Maria Calauag, Quezon, and the fact of his birth is
registered at the Local Civil Registrar of May 9, 1979;
2. We know that on March 10, 2012, I was married to JULIUS ALMOJUELA LAMAN in
a catholic church wedding ceremony in Calauag Parish Church.
3. They are now separated with her husband for more than one (1) year since
September 13, 2015, She abandoned without providing any financial support and I
was left solo and alone with the responsibility of taking good care and providing
support for our children;
4.
5. We know for a fact that the person by the name of "MATEYA L. ALPUERTO" as
appearing in some documents or specifically in his Certificate of Live Birth and
identification cards and the name "MATEYA A. LAMAN" as appearing in her SAP
Application form and the same person and that his true and correct name is
MATEYA L. ALPUERTO;
6. We are not in any way related to any of the foregoing person within the fourth civil
degree either by consanguinity or affinity, nor do we have any pecuniary interest in
this matter whatsoever;
7. To remove confusion as to the two names, we hereby declare that the name
__________________ and ________________ refer to one and the same person
whose registered name is ________________;
IN WITNESS WHEREOF, we have hereunto set our hands this 18th day of February 2014 at
__________, Philippines.
_____________________ __________________
Affiant Affiant
SSS ID No: 01-1600990-8 PRC ID No: 0003384
Valid until: 11/12/2016
SUBSCRIBED AND SWORN TO before me this 18th day of February 2014 at _________
Philippines.
___________________________
Notary Public
Until December 31, 2015
PTR No._________; IBP No. _______
1-02-14/____________
Doc. No.___;
Page No. ;
Book No. XXIV;
Series of 2014.