HQP-HLF-900

(V01, 11/2021)

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

(For MRI/SRI Claims)

WE,____________________________________________, of legal age, Filipino, with

residence at _____________________________________________________________ and
__________________________________________, of legal age, Filipino, with residence at
________________________________________, after being duly sworn to in accordance
with the law, depose, and state that:

1. We personally know ___________________________________ and his/her family,

being acquaintances for a long time;

2. We were informed that his/her heirs were required to submit records of their birth,
marriage, and other documents for their application of MRI/SRI claim in the housing
loan of ________________________________, who died on _______________;

3. As verified, the following information is/are found to be inconsistent:

Information Document Document

Which inconsistency/ies is/are due to the unfamiliarity or mere inattention of the

typists who prepared these documents;

4. Based on our personal knowledge, the correct information is

__________________________. (if applicable);

5. Based on our personal knowledge, ______________________ and

_____________________ refer to one and the same person (if applicable);

6. We are not related by affinity or consanguinity to the Deceased-Borrower and his/her

heirs. We are executing this affidavit, not for any remuneration whatsoever but to
attest to the truth and veracity of the foregoing statements in connection with the
heirs’ application for MRI/SRI Claims with the Pag-IBIG Fund.

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

_____________________________________________ ______________________________________________
Affiant Affiant

_____________ No. ________________ _____________ No. ________________

Issued on ________________________ Issued on ________________________
Expiry Date _______________________ Expiry Date _______________________

SUBSCRIBED AND SWORN to before me in the ___________________ this ____day

of _______________, ________ by affiants, who have satisfactorily proven to me their
identities 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.

NOTARY PUBLIC

Doc. No. ____________;

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