JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, OFELIA TRINIDAD ZUELA, 74 years old, born on October 13, 1949, Filipino, and
presently residing at Barangay Daungan, Mauban Quezon Province and REYNALDO
BANAGAN PASATIEMPO, 74 years old, born on October 30, 1949, Filipino, presently residing
at Barangay Daungan, Mauban Quezon Province, after being duly sworn to in accordance with
law, depose and state that:

1. We personally know ESTRELLA BETLRAN MANCENIDO (deceased) being

acquaintance for a long period of time;

2. That we declare, confirm and affirm that she died on March 6, 2001 due to Pulmonary
Cardiac Arrest at Barangay Daungan, Mauban Quezon.

3. That she was buried at the catholic cemetery located at Brgy. Mabato, Mauban Quezon
Province.

4. That we have a personal knowledge of the foregoing facts because we were neighbors
and close family friend;

5. We are not related by affinity or consanguinity to the above-mentioned person; and

6. We are executing this affidavit to confirm and affirm the foregoing facts and for whatever
legal purpose it may serve.

IN WITNESS WHEREOF, WE have hereunto set our hands this ____ day of
____________, 20__ at _______________________________.

OFELIA TRINIDAD ZUELA REYNALDO BANAGAN PASATIEMPO

Senior Citizen ID: 001004 Senior Citizen ID: 004874

SUBSCRIBED AND SWORN to before me in the ___________________ this ____day of

_______________, ________ by affiants, who have satisfactorily proven to me his/her identity
through their identifying documents written below their name and signature, that they are the same
persons who personally signed before me the foregoing Joint Affidavit of Two Disinterested
Persons and acknowledged that they executed the same.

Doc. No. ____________;

Page No. ____________;
Book No. ____________;
Series of 2024