READ ME: DELETE THIS AFTER.

AFFIDAVIT OF NON-COHABITATION IS NAMED AFTER

SOMEONE WHO KNOWS YOU WHO NEEDS TO PROVE THAT YOU ARE NOT COHABITATING
WITH SOMEONE.

AFFIDAVIT OF NON-COHABITATION

REPUBLIC OF THE PHILIPPINES)

MUNICIPALITY OR TOWN OR CITY) S.S.
x---------------------------x

I, Name of the Person Proving you are not cohabitating with someone, of legal age, and a
resident of their address; and Name of the Person Proving you are not cohabitating with
someone, of legal age, and a resident of their address, after having duly sworn in accordance
with law hereby depose and state that:

We are executing this affidavit to confirm we personally know your name. We hereby confirm
that your name does not cohabitate nor have any common-law relationship to any person at all
to the best of our knowledge. We hereby confirm that your name is married to your husband
name and is a widow of your husband name. Delete the is a widow of your husband name if
not needed.

We hereby affirm we are not related in consanguinity in any form or way.

We are executing this affidavit to attest to the truth and veracity of the foregoing facts and for
whatever legal purpose it may serve.

FURTHER AFFIANT SAYETH NAUGHT.

_________________ ______________
Name Name
Affiant Affiant

ACKNOWLEDGMENT
REPUBLIC OF THE PHILIPPINES)
TOWN or MUNICIPALITY ) S.S.
x---------------------------x

SUBSCRIBED AND SWORN to before me this __ day of Month 2024, affiants exhibited a competent
proof of their Identity:
Name Proof of Identity

WITNESS MY HAND and NOTARIAL SEAL, __ day of Month 2024, at the aforementioned location.
Doc. No:_______;
Page No:_______;
Book No:_______;
Series of 2024.