Republic of the Philippines

____________ City

AFFIDAVIT OF CIVIL STATUS

I, EDMUND RICABLANCA, of legal age, Filipino, single and with residence at

____________________, after having been duly sworn to in accordance with law, hereby
depose and state:

1. That I am single and remain to be so to this very day and hour;

2. That I have never contracted any marriage in the Philippines or elsewhere;
3. That there is no legal impediment for me to contract marriage under the Philippine laws.

That I am executing this Affidavit for the purpose of complying with the requirements of the
Registry of Deeds and for all legal purposes this may serve.

IN WITNESS WHEREOF, I have hereunto set my hands this _____________ in

______________________.

EDMUND RICABLANCA
Affiant

SUBSCRIBED AND SWORN TO before me this ________________ at

__________________, affiant exhibiting his ID _______________.

Doc No.
Page No.
Book I
Series of 2022.
Republic of the Philippines
____________ City

AFFIDAVIT OF CIVIL STATUS

I, JAMES RICABLANCA, of legal age, Filipino, single and with residence at

____________________, after having been duly sworn to in accordance with law, hereby
depose and state:

1. That I am single and remain to be so to this very day and hour;

2. That I have never contracted any marriage in the Philippines or elsewhere;
3. That there is no legal impediment for me to contract marriage under the Philippine laws.

That I am executing this Affidavit for the purpose of complying with the requirements of the
Registry of Deeds and for all legal purposes this may serve.

IN WITNESS WHEREOF, I have hereunto set my hands this _____________ in

______________________.

JAMES RICABLANCA
Affiant

SUBSCRIBED AND SWORN TO before me this ________________ at

__________________, affiant exhibiting his ID _______________.

Doc No.
Page No.
Book I
Series of 2022.
Republic of the Philippines
____________ City

AFFIDAVIT OF CIVIL STATUS

I, EDILBERTO RICABLANCA, of legal age, Filipino, widower and with residence at

____________________, after having been duly sworn to in accordance with law, hereby
depose and state:

1. That I contracted marriage with Miguela Ricablanca;

2. That Miguel Ricablanca died on ________________;
3. That thereafter I have never contracted any marriage in the Philippines or elsewhere;
4. That there is no legal impediment for me to contract marriage under the Philippine laws.

That I am executing this Affidavit for the purpose of complying with the requirements of the
Registry of Deeds and for all legal purposes this may serve.

IN WITNESS WHEREOF, I have hereunto set my hands this _____________ in

______________________.

EDILBERTO RICABLANCA
Affiant

SUBSCRIBED AND SWORN TO before me this ________________ at

__________________, affiant exhibiting his ID _______________.

Doc No.
Page No.
Book I
Series of 2022.
Republic of the Philippines
____________ City

AFFIDAVIT THAT MIGUELA RICABLANCA WAS THE SOLE HEIR OF VINENCIO RICANA

I, EDILBERTO RICABLANCA, of legal age, Filipino, widower and with residence at

____________________, after having been duly sworn to in accordance with law, hereby
depose and state:

1. That the late Miguela Ricablanca was my legal wife;

2. That Miguel Ricablanca died on ________________;
3. That I am aware that she was the only legitimate heir of Vinencio Ricana to the exclusion
of others;

That I am executing this Affidavit for the purpose of complying with the requirements of the
Registry of Deeds and for all legal purposes this may serve.

IN WITNESS WHEREOF, I have hereunto set my hands this _____________ in

______________________.

EDILBERTO RICABLANCA
Affiant

SUBSCRIBED AND SWORN TO before me this ________________ at

__________________, affiant exhibiting his ID _______________.

Doc No.
Page No.
Book I
Series of 2022.