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REPUBLIC OF THE PHILIPPINES )

PROVINCE OF CAVITE ) S.S.


CITY OF IMUS )

AFFIDAVIT OF COHABITATION

We, FLORENCIA OCAMPO AREVALO and RICKY ARPON, both


of legal age, both Filipino citizens, and both with residence and postal address at
No. 436, Maliksi I, Bacoor City, Cavite, after being duly sworn to according to law
hereby freely states, THAT:

1. We have been living together as husband and wife for more than
twelve (12) years, since year 2010 and up to the present;

2. During our relationship, we begot one (1) child, named JHANA


ERICKA A. DALIDA who was born on July 11, 2012 at PGH, Manila;

3. We wish to avail the Programang Pabahay of the National Housing


Authority;

4. We execute this Affidavit of Cohabitation freely and voluntarily to


attest to the truthfulness of the foregoing statement and for the application for
Pre-Qualification National Housing Authority and of any legal purpose it may
duly serve.

IN WITNESS WHEREOF, We have hereunto affixed my signature this__ th


day of _________________ 2022 at _______________, Cavite.

FLORENCIA OCAMPO AREVALO RICKY ARPON


Affiant Affiant
ID No: Philhealth 19-089983842-8 UMID No: CRN-0111-5183448-3

SUBSCRIBED AND SWORN to before me this __th day of


_____________ 2022 at Imus City, Cavite, affiants having exhibited to me
their identifications as affixed below their names above.

Doc. No. ____;


Page No. ____;
Book No. ____; NOTARY PUBLIC
Series of 2022.

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