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REPUBLIC OF THE PHILIPPINES)

CITY/MUN. OF _____________ ) S.S.

AFFIDAVIT OF HEIRSHIP

WE, Rose G. Pensahan, Cyrus Don G. Pensahan and Roselie June G.


Pensahan, all of legal age, Filipinos and residents of Sumpong, Malaybalay City,
Bukidnon, after being duly sworn to in accordance with law, depose and
state THAT:

1. We are the surviving heirs of Orencio L. Pensahan who died on August 5,


2020 in Sumpong, Malaybalay City, Bukidnon;

2. That Orencio L. Pensahan was survived by his wife and the following
children/heirs:

Full Names of Children/Heirs Dates of Birth

1. Rose G. Pensahan March 24, 1969


2. Cyrus Don G. Pensahan October 11, 1993
3. Roselle June G. Pensahan June 1, 2002

3. As evidence of our legal relation to the deceased, photocopies of our birth


certificates are herein attached; and

4. We are executing this affidavit in good faith to attest to truth that there is
no other heir or heirs except for the above-named heirs of the said deceased
spouses and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, we have hereunto set our hands


this ___________________ in Malaybalay City, Bukidnon, Philippines.

Rose G. Pensahan Cyrus Don G. Pensahan


Affiant Affiant
ID No. _____________ ID No. _____________

Roselle June G. Pensahan


Affiant
ID No. _____________

SUBCRIBED AND SWORN TO before me this ___________________ in


_________________, Philippines, affiants exhibiting to me their Identification
Cards as Competent Evidence of Identity (CEI).

Doc. No. _____;


Page No. _____;
Book No. _____;
Series of 2020.

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