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Republic of the Philippines }

City of _____________________ } s.s.

AFFIDAVIT OF IDENTIFICATION

I, TESTIGO R. SANTOS, of legal age, single[/married] and with


residence address at Fairview, Quezon City, after being duly sworn to
according to law, hereby depose and state:

1. That I was born on July 21, 1930;

2. That I know TINUTUKOY CRUZ, male, about 69 years old, and


a resident of _______________________________, married to
_____________________________ with _________ (___) children, whose
signature and thumb mark appears below, signed and thumb-marked
before me;

____________________________________
TINUTUKOY CRUZ

3. I have known TINUTUKOY CRUZ since 1977 as we were


neighbors then;

4. I have known him only by the said name and I do not know of
any other person by the same name;

5. That during my acquaintance with the said TINUTUKOY


CRUZ, I came to know that he is the son of TATAY L. CRUZ and NANAY
M. CARPIO and was born on November 23, 1935 in Somewhere,
Southern Leyte;

6. That I am executing this affidavit in order to attest to the truth


of foregoing circumstances.

IN WITNESS WHEREOF, I have hereunto set my hand this ___day


of ___________________, at the __________________________.

Signature of Affiant

SUBSCRIBED AND SWORN to before me this


_________________ affiant, personally appearing, with the foregoing
document, known to me, exhibiting to me his/her Community Tax
Certificate No. ______________ issued at _______________, on
_______________ and his current government ID issued by
_________________ with No._______________ and avows to the whole
truth of the contents of the above document.

Doc. No. :__________


Page No.:__________
Book No.:__________
Series of 2007

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