Republic of the Philippines )

Municipality of Orani ) S.s.

Province of Bataan )

AFFIDAVIT

I, WILSON S. DOMINGO, of legal age, Filipino and with residence and postal
address at 83 Barrio Campo, Tenejero, Balanga City, Bataan, after having been sworn
to in accordance with law, hereby depose and state that:

1. I am applying for Philippine Veterans Affairs Office (PVAO);

2. I am submitting my application with the said company;

3. Said Application was not immediately submitted to the concerned agency

because of my age it is difficult to walk and suddenly there was a pandemic;

4. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 10 th day of

March, at Orani, Bataan.

WILSON S. DOMINGO
Affiant
OSCA: 5766

Subscribed and sworn to before me this 10 th day of March, 2023 in Orani Bataan.
Affiant(s) personally appeared before me and had exhibited a competent evidence of
identity. Affiant(s) represented to me that the signature on this document was voluntarily
affixed for the purpose(s) stated herein, and avows under penalty of law to the whole
truth of the contents of the document.

Atty. Ma. Luisa C. Muñoz

Doc. No. ___248____ Notary Public
Page No. ____52____ Notarial Commission No.403-22
Book No. ____II_____ Until December 31,2023
Series of ___2023___ PTR No. 9516615C,01/03/2023
IBP No. 272536,01/05/2023
Roll of Attorney No. 80171,05/18/2022
Orani, Bataan

ntil
De
ce
Republic of the Philippines )
Municipality of Orani) S.s.
Province of Bataan )

AGREEMENT/AUTHORITY TO OFFER FOR SALE

KNOW ALL MEN BY THESE PRESENTS:

This Agreement in entered into this 09th day of March, 2023 at Orani, Bataan, by
and between:

Names Address

MAGDALENA N. BECERIL Mambog, Hermosa, Bataan

RIZZA R. MALANG Mambog, Hermosa, Bataan
FLORENCIA N. SARMIENTO Mambog, Hermosa, Bataan
MARCOS P. NUGUID San Jose Del Monte, Bulacan
ROLANDO P. NUGUID Calamba, Laguna

all of legal age, Filipinos, hereinafter called as the “First Party”

-and-

Name Address

ALBERTO AQUINO DELA CRUZ Naparing, Dinalupihan, Bataan

of legal age, Filipino, hereinafter called as the “Second Party”

We authorize the SECOND PARTY to offer for sale our properties described as
follows:

A. Location: Bamban, Hermosa, Bataan

Area: 295,058.51 sq. m., more or less

B. Location: Bamban, Hermosa, Bataan

Area: 361,938 sq. m., more or less

Agent and seller will receive 50 percent share from the proceeds of the sale;

Agent is authorized to receive payment from the buyer on behalf of the seller;

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 09 th day

of March, 2023 at Orani, Bataan.

MAGDALENA N. BECERIL RIZZA R. MALANG

First Party First Party

FLORENCIA N. SARMIENTO MARCOS P. NUGUID

First Party First Party

ROLANDO P. NUGUID
First Party

ALBERTO AQUINO DELA CRUZ

 Second Party

Signed in the presence of:

MARIA P. NUGUID ROMAN NUGUID

ACKNOWLEDGMENT

BEFORE ME, this 09th day of March, 2023 at Orani, Bataan, personally
appeared as follows:

Name ID No.

MAGDALENA N. BECERIL VIN: 0805-0146A-2764MNB20000

RIZZA R. MALANG ID No.: 5296-8492-7051-9320
FLORENCIA N. SARMIENTO VIN: 0805-0147A-X0353FNS20000
MARCOS P. NUGUID ID No.: 6452-1508-6102-8467
ROLANDO P. NUGUID OSCA: 49471
ALBERTO AQUINO DELA CRUZ Driver’s Lic.: C02-21-200959

known to me to be the same persons who executed the foregoing instrument,

and acknowledged to me that the same is their free act and deed.

this document consists of two (2) pages, including the page where this
acknowledgment is printed and signed by the parties.

IN WITNESS WHEREOF, I have hereunto set my hand, the day, year and place
above written.

Atty. Ma. Luisa C. Muñoz

Notary Public
Doc. No. ____245____ Notarial Commission No.403-22
Page No. _____50____ Until December 31,2023
Book No. _____II____ PTR No. 9516615C,01/03/2023
Series of ____2023__ IBP No. 272536,01/05/2023
Roll of Attorney No. 80171,05/18/2022
Orani, Bataan

ntil
De
ce
Republic of the Philippines )
Province of Bataan ) S.s.
Municipality of Orani)

AFFIDAVIT

I, ELOISA LINA V. VELASCO, of legal age, Filipino, and with residence and
postal address at 204 Lakandula St. Mulawin, Orani, Bataan, after having been sworn to
in accordance with law, hereby depose and state that:

1. I am the registered owner of TRAVELLER’S FOOD STATION located at

Brgy. Tala, Orani, Bataan, registered with Department of Trade and Industry
(DTI) and Bureau of Internal Revenue (BIR;

2. I am currently engaging and managing the business with my daughter

KERTHNEY LEENE V. ALLINGAG as co-owners;

3. Therefore, the said business is deemed a family-runned business;

4. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 02 nd day of

March, 2023 at Orani, Bataan.

ELOISA LINA V. VELASCO

Affiant
ID No. 20190028

Subscribed and sworn to before me this 02 nd day of March, 2023 in Orani

Bataan. Affiant(s) personally appeared before me and had exhibited a competent
evidence of identity. Affiant(s) represented to me that the signature on this document
was voluntarily affixed for the purpose(s) stated herein, and avows under penalty of law
to the whole truth of the contents of the document.

Atty. Ma. Luisa C. Muñoz

Doc. No. ___203____ Notary Public
Page No. ____42____ Notarial Commission No.403-22
Book No. ____II_____ Until December 31,2023
Series of ___2023___ PTR No. 9516615C,01/03/2023
IBP No. 272536,01/05/2023
Roll of Attorney No. 80171,05/18/2022
Orani, Bataan

ntil
De
ce
Republic of the Philippines )
Municipality of Orani ) S.s.
Province of Bataan )

AFFIDAVIT OF NON-COHABITATION

I, ROBELIZA M. SAPUTRA, of legal age, Filipino, and with residence and postal
address at Paraiso, Orani, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

1. I am the mother of VALERIE ARBRIA M. SAPUTRA who was born on

February 17, 2011, she is now 12 years old:

2. My husband and the father of the said child is NUR ALAM SAPUTRA. We got
married on January 19, 2010 in Orani, Bataan, we are separated for almost
ten (10) years; hence, I have since been a solo parent to our child;

3. I am the one taking care and financially supporting our child;

4. I have not re-married, nor have I currently been cohabiting with someone
else, neither do have I have any plans of doing so in the near future;

5. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 22 nd day of

February, 2023 at Orani, Bataan.

ROBELIZA M. SAPUTRA
Affiant
UMID: CRN-0033-8362643-8

Subscribed and sworn to before me this 22nd day of February, 2023 in Orani
Bataan. Affiant personally appeared before me and had exhibited a competent evidence
of identity. Affiant represented to me that the signature on this document was voluntarily
affixed for the purpose(s) stated herein, and avows under penalty of law to the whole
truth of the contents of the document.

Atty. Ma. Luisa C. Muñoz

Doc. No. ___147____ Notary Public
Page No. ____31____ Notarial Commission No.403-22
Book No. ____II_____ Until December 31,2023
Series of ___2023___ PTR No. 9516615C,01/03/2023
IBP No. 272536,01/05/2023
Roll of Attorney No. 80171,05/18/2022
Orani, Bataan

ntil
De
ce

Republic of the Philippines )

Municipality of Orani) S.s.
Province of Bataan )

JOINT AFFIDAVIT OF TWO (2)

DISINTERESTED PERSONS with AFFIDAVIT OF DECLARATION

We, DIGNA B GUEVARRA and JOCELYN V. GEMZON, both of legal age,

Filipino and with residence and postal address at #102 Ibaba Samal, Bataan, and #113
Yakal St., Orani, Bataan respectively, after having been duly sworn to in accordance
with law, hereby depose and state that:

6. We personally know ROMEO DEGUZMAN ENRIQUEZ, who was born on

December 15, 1974;

7. He has two (2) children, namely:

ZANDER JAZZ M. ENRIQUEZ, born on April 03, 2012

ROMEO JR. M. ENRIQUEZ, born on September 02, 2015

8. His wife and mother of the 2 (two) children is CATRINA M. MANLICLIC. They
are separated for almost ten (10) years; hence, ROMEO has since been a
solo parent;

9. He is the one who is taking care and financially supporting his children;

10. He was not re-married, nor have currently been cohabiting with someone
else, neither do have any plans of doing so in the near future;

11. We know the foregoing because we are the close friends of ROMEO and we
have known him for a long time now;

12. We are not in anyway related to him, either by consanguinity or by affinity;

13. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.
 IN WITNESS WHEREOF, we have hereunto affixed our signatures this 21 th day of
February, 2023 at Orani, Bataan.

DIGNA B GUEVARRA JOCELYN V. GEMZON

Affiant Affiant
VIN:0809-0118A-B2161DBG20000 VIN:0812-0041A-l1371JVG20000

Subscribed and sworn to before me this 21th day of February, 2023 in Orani
Bataan. Affiant personally appeared before me and had exhibited a competent evidence
of identity. Affiant represented to me that the signature on this document was voluntarily
affixed for the purpose(s) stated herein, and avows under penalty of law to the whole
truth of the contents of the document.

Atty. Ma. Luisa C. Muñoz

Doc. No. ___133____ Notary Public
Page No. ____28____ Notarial Commission No.403-22
Book No. ____II_____ Until December 31,2023
Series of ___2023___ PTR No. 9516615C,01/03/2023
IBP No. 272536,01/05/2023
Roll of Attorney No. 80171,05/18/2022
Orani, Bataan

ntil
De
ce

Republic of the Philippines )

Municipality of Orani ) S.s.
Province of Bataan )

CERTIFICATION

To whom it may concern:

I, JAIRA REJOICE V. GALICIA, of legal age, Filipino, single and with residence
and postal address at Garnet St., Masantol, Orani, Bataan, do hereby certify that I am
the owner/holder of GCash account number 09566913962.

I am executing this certification to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my hand this 10 th day of

February, 2023 in Orani, Bataan.

JAIRA REJOICE V. GALICIA

 Affiant
Philhealth ID No. 07-250170640-0

Subscribed and sworn to before me this 10th day of February, 2023 in Orani
Bataan. Affiant personally appeared before me and had exhibited a competent evidence
of identity. Affiant represented to me that the signature on this document was voluntarily
affixed for the purpose(s) stated herein, and avows under penalty of law to the whole
truth of the contents of the document.

Atty. Ma. Luisa C. Muñoz

Doc. No. ___92____ Notary Public
Page No. ___20____ Notarial Commission No.403-22
Book No. ____II_____ Until December 31,2023
Series of ____2023____ PTR No. 9516615C,01/03/2023
IBP No. 272536,01/05/2023
Roll of Attorney No. 80171,05/18/2022
Orani, Bataan

ntil
De
ce

Republic of the Philippines )

Municipality of Orani ) S.s.
Province of Bataan )

AFFIDAVIT OF NO EARNINGS

I, ELOISA C. PILAPIL, of legal age, Filipino, and with residence and postal
address at #166 Hyperion St., Brgy. Apollo, Orani, Bataan, after having been sworn to
in accordance with law, hereby depose and state that:

1. I am the owner of ZEKI COMMERCIAL UNIT RENTAL;

2. I allow my sister LYDIA C. ORCINE to use one of the units/stalls in my building

for her business named ORBETECH COMMUNICATION EQUIPMENT
TRADING;

3. I derive no earnings from the said use of my unit/stall because I allow her to use
it for free;

4. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.
 IN WITNESS WHEREOF, I have hereunto affixed my hand this 08 th day of
February, 2023 in Orani Bataan.

ELOISA C. PILAPIL
Affiant
PRC: 0000626

Subscribed and sworn to before me this 08th day of February, 2023 in Orani,
Bataan. Affiant personally appeared before me and had exhibited a competent evidence
of identity. Affiant represented to me that the signature on this document was voluntarily
affixed for the purpose(s) stated herein, and avows under penalty of law to the whole
truth of the contents of the document.

Atty. Ma. Luisa C. Muñoz

Doc. No. ___78____ Notary Public
Page No. ___16____ Notarial Commission No.403-22
Book No. ____II_____ Until December 31,2023
Series of ____2023____ PTR No. 9516615C,01/03/2023
IBP No. 272536,01/05/2023
Roll of Attorney No. 80171,05/18/2022
Orani, Bataan

ntil
De
ce

Republic of the Philippines )

Municipality of Orani ) S.s.
Province of Bataan )

AFFIDAVIT OF NO EARNINGS

I, ELOISA C. PILAPIL, of legal age, Filipino, and with residence and postal
address at #166 Hyperion St., Brgy. Apollo, Orani, Bataan, after having been sworn to
in accordance with law, hereby depose and state that:

1. I am the owner of ZEKI COMMERCIAL UNIT RENTAL;

2. I allow my nephew GILBERT C. ORCINE to use one of the units/stalls in my

building for her business named JCO GRILL HOUSE;

3. I derive no earnings from the said use of my unit/stall because I allow him to use
it for free;

4. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.
 IN WITNESS WHEREOF, I have hereunto affixed my hand this 08 th day of
February, 2023 in Orani Bataan.

ELOISA C. PILAPIL
Affiant
PRC: 0000626

Subscribed and sworn to before me this 08th day of February, 2023 in Orani,
Bataan. Affiant personally appeared before me and had exhibited a competent evidence
of identity. Affiant represented to me that the signature on this document was voluntarily
affixed for the purpose(s) stated herein, and avows under penalty of law to the whole
truth of the contents of the document.

Atty. Ma. Luisa C. Muñoz

Doc. No. ___79____ Notary Public
Page No. ___16____ Notarial Commission No.403-22
Book No. ____II_____ Until December 31,2023
Series of ____2023__ PTR No. 9516615C,01/03/2023
IBP No. 272536,01/05/2023
Roll of Attorney No. 80171,05/18/2022
Orani, Bataan

ntil
De
ce

Republic of the Philippines )

Municipality of Orani ) S.s.
Province of Bataan )

AFFIDAVIT OF COHABITATION

We, ANDRIAN CANALAN TALAGA and LORENA DE JESUS NAVOA, both of

legal age, Filipinos and with both residence and postal address at #751 Tabon St.,
Tapulao, Orani, Bataan, after having been duly sworn to in accordance with law, hereby
depose and state that:

1. We are common law husband and wife;

2. We have been living together without the benefit of marriage since 2013;

3. We have a child named Hanna Colline N. Talaga who was born on January
11, 2017;

4. We intend to legalize our relationship anytime soon;

 5. We are executing this affidavit to attest to the truth of the foregoing and for
the whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signature this 06 th day

of February, 2023 at Orani, Bataan.

ANDRIAN CANALAN TALAGA LORENA DE JESUS NAVOA

Affiant Affiant
DL No. C02-07-002281 VIN: 0809-0161A-J1179LDN20000

Subscribed and sworn to before me this 06th day of February, 2023 in Orani,
Bataan. Affiant(s) personally appeared before me and had exhibited a competent
evidence of identity. Affiant(s) represented to me that the signature on this document
was voluntarily affixed for the purpose(s) stated herein, and avows under penalty of law
to the whole truth of the contents of the document.

Atty. Ma. Luisa C. Muñoz

Doc. No. _____52_____ Notary Public
Page No. _____12_____ Notarial Commission No.403-22
Book No. ______II_____ Until December 31,2023
Series of ____2023____ PTR No. 9516615C,01/03/2023
IBP No. 272536,01/05/2023
Roll of Attorney No. 80171,05/18/2022
Orani, Bataan

ntil
De
ce

Republic of the Philippines )

Municipality of Orani) S.s.
Province of Bataan )

AUTHORITY TO OFFER FOR SALE

I, DAVID VELASCO, of legal age, Filipino and with resident and postal address
at #204 Lakandula St., Mulawin, Orani, Bataan, authorize JAMINA LEENE V. REYES,
of legal age, Filipino and with resident and postal address at #204 Lakandula St.,
Mulawin, Orani, Bataan, to offer for sale our property details of which are listed below;
 LOCATION : KARTALAN MORONG AGRI LAND

TCT NO. : No Title Right

LAND AREA : 968 Hectares

SELLING PRICE : 20 Php/per Square Meter

TERMS OF PAYMENT : Cash payment and/or Bank Transfer

Expenses to be Paid by Seller : 5% Agent Commission

Agent is not authorized to receive payment on Sellers behalf from the buyer , nor
bind the Seller by any contract without subsequent specific condition.

Agent shall protect and hold the Seller free from any claims and obligation from
any brokers and agents registered under this network.

IN WITNESS WHEREOF, we have hereunto affixed my signatures this 06 th day of

February, 2023 at Orani, Bataan.

DAVID VELASCO
Owner/Seller

Signed in the presence of:

____________________ ____________________

ACKNOWLEDGMENT

BEFORE ME, this this 06th day of February, 2023, personally appeared as
follows:

Name ID No.

DAVID VELASCO ID No. 6382-4970-1568-9641

known to me to be the same persons who executed the foregoing instrument,

and acknowledged to me that the same is their free act and deed.

IN WITNESS WHEREOF, I have hereunto set my hand, the day, year and place
above written.

Atty. Ma. Luisa C. Muñoz

Notary Public
Doc. No. ______49___ Notarial Commission No.403-22
Page No. ______11___ Until December 31,2023
Book No. _______II____ PTR No. 9516615C,01/03/2023
Series of ______2023__ IBP No. 272536,01/05/2023
Roll of Attorney No. 80171,05/18/2022
Orani, Bataan

ntil
De
ce
 Atty. Ma. Luisa C. Muñoz
Notary Public
Doc. No. _____49____ Notarial Commission No.403-22
Page No. _____11____ Until December 31,2023
Book No. ______II____ PTR No. 9516615C,01/03/2023
Series of ____2023___ IBP No. 272536,01/05/2023
Roll of Attorney No. 80171,05/18/2022
Orani, Bataan

ntil
Dece
mber

Republic of the Philippines )

Municipality of Orani ) S.s.
Province of bataan )

AFFIDAVIT OF CLOSURE OF BUSINESS

I, MA. LUISA C. MUÑOZ, of legal age, Filipino, and with residence and postal
address at Abucay, Bataan, after having been sworn to in accordance with law, hereby
depose and state that:

1. I am the registered owner of THE GREEN ALLEY located at Dinalupihan,

Bataan, previously registered with the Department of Trade and Industry (DTI);

2. Said business closed and stopped its operation since the year 2019;

3. The business closure was due to the fact that it has no income and faced
financial difficulty;

4. Said business also has no outstanding liability or obligation;

5. In view of the above, I am requesting that my registration with the Department of

Trade and Industry (DTI), Bureau of Internal Revenue (B.I.R.), Municipal
Licensing Office of the Municipality of Dinalupihan, Bataan, and Barangay Rizal,
Dinalupihan, Bataan be cancelled or revoked;
 6. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ___ day of

____________, 2023 at Orani, Bataan.

MA. LUISA C. MUÑOZ

Affiant
_______________________

Subscribed and sworn to before me this ___ day of ____________, 2023 in

Orani, Bataan. Affiant personally appeared before me and had exhibited a competent
evidence of identity. Affiant represented to me that the signature on this document was
voluntarily affixed for the purpose(s) stated herein, and avows under penalty of law to
the whole truth of the contents of the document.

Atty. Ma. Luisa C. Muñoz

Notary Public
Doc. No. __________ Notarial Commission No.403-22
Page No. __________ Until December 31,2023
Book No. ______II___ PTR No. 9516615C,01/03/2023
Series of ____2023__ IBP No. 272536,01/05/2023
Roll of Attorney No. 80171,05/18/2022
Orani, Bataan

ntil
Dece
mber

Republic of the Philippines )

Municipality of Orani ) S.s.
Province of bataan )

AFFIDAVIT

I, EARLE C. RONQUILLO, of legal age, Filipino, and with residence and postal
address at Saba, Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

1. My father is EDRIGO M. RONQUILLO, the original owner of the property situated

at Saba, Hermosa, Bataan, he is a Member of Penelco with account Name
EDRIGO M. RONQUILLO II and with account No. _____________, for our house
at the said property;

2. However, my father died on December 2014 in Hermosa Bataan, hence I am

now the present owner of a house situated at the said property;

3. I am requesting the Penelco to change the electric meter in the said house with
account name EDRIGO M. RONQUILLO II to EARLE C. RONQUILLO;

4. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 25 th day of

January, 2023 at Orani, Bataan.
 EARLE C. RONQUILLO
Affiant
PRC: 0535127

Subscribed and sworn to before me this this 25th day of January, 2023 at Orani,
Bataan. Affiant personally appeared before me and had exhibited a competent evidence
of identity. Affiant represented to me that the signature on this document was voluntarily
affixed for the purpose(s) stated herein, and avows under penalty of law to the whole
truth of the contents of the document.

Atty. Ma. Luisa C. Muñoz

Doc. No. ____________ Notary Public
Page No. ____________ Notarial Commission No.403-22
Book No. ______I______ Until December 31,2023
Series of ____2023____ PTR No. 9516615C,01/03/2023
IBP No. 272536,01/05/2023
Roll of Attorney No. 80171,05/18/2022
Orani, Bataan

ntil
De
ce

AFFIDAVIT IN LIEU OF CERTIFICATE OF LEGAL CAPACITY TO

CONTRACT MARRIAGE FOR U.S CITIZENS

Republic of the Philippines

Before me, personally appeared the undersigned who, being duly sworn, states:

7. My name is __ALFREDO F. VIANZON__ , of legal age, and I am a citizen of

Canada;

8. I hold Canadian passport with ID no. HP302814, issued on November 15, 2016;
issued at Canadian Department;

9. I am a legal resident of (state) Vancouver Canada;

10. My address while in the Philippines is Barangay Balut, Orani Bataan;

11. I have been married Two (2) times previously. All previous marriage have been
legally terminated.
 ALFREDO F. VIANZON
Affiant
Passport: HP302814

SUBSCRIBED AND SWORN to before me on 23 rd day of January, 2023 at Orani,

Bataan.

Atty. Ma. Luisa C. Muñoz

Doc. No. ____482_____ Notary Public
Page No. _____98_____ Notarial Commission No.403-22
Book No. ______I_____ Until December 31,2023
Series of ____2023____ PTR No. 9516615C,01/03/2023
IBP No. 272536,01/05/2023
Roll of Attorney No. 80171,05/18/2022
Orani, Bataan

ntil
De
ce

Republic of the Philippines )

Municipality of Orani ) S.s.
Province of bataan )

AFFIDAVIT OF NO RENTAL

I, RHEA I. BERNALES, of legal age, Filipino, and with residence and postal
address at St. Joseph, Bayan, Orani, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

12. I am the owner of the property wherein MAHMEE LOU MINIMART is located at
St. Joseph, Bayan (POB.), Orani, Bataan, Philippines;

13. LAVERNE TEMPLO VIUYA JR. is the owner/sole proprietor of the said
business;

14. I am not requiring him to pay rent for the use of my property for commercial
purposes;

15. As a consequence of no rental payment will be incurred, there will be no rent

expense be charged to the said business;

16. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.
 IN WITNESS WHEREOF, I have hereunto affixed my signature this 19 th day of
January, 2023 at Orani, Bataan.

RHEA I. BERNALES
Affiant
Pag-Ibig: 1420-0063-5649

Subscribed and sworn to before me this 19 th day of January, 2023 in Orani,

Bataan. Affiant personally appeared before me and had exhibited a competent evidence
of identity. Affiant represented to me that the signature on this document was voluntarily
affixed for the purpose(s) stated herein, and avows under penalty of law to the whole
truth of the contents of the document.

Atty. Ma. Luisa C. Muñoz

Doc. No. ____457_____ Notary Public
Page No. _____93_____ Notarial Commission No.403-22
Book No. ______I_____ Until December 31,2023
Series of ____2023____ PTR No. 9516615C,01/03/2023
IBP No. 272536,01/05/2023
Roll of Attorney No. 80171,05/18/2022
Orani, Bataan

ntil
SUBSCRIBED AND SWORN to before me this this 19 day of January, 2023Dein
th

ce
Orani, Bataan. Affiant, JAIRUS G. ROMAN personally appeared before me and had
exhibited a competent evidence of identity. Affiant represented to me that the signature
on this document was voluntarily affixed for the purpose(s) stated herein, and avows
under pen alty of law to the whole truth of the contents of the document.

Atty. Ma. Luisa C. Muñoz

Doc. No. ____458_____ Notary Public
Page No. _____93_____ Notarial Commission No.403-22
Book No. ______I_____ Until December 31,2023
Series of ____2023____ PTR No. 9516615C,01/03/2023
IBP No. 272536,01/05/2023
Roll of Attorney No. 80171,05/18/2022
Orani, Bataan

ntil
De
ce
Republic of the Philippines )
Municipality of Orani ) S.s.
Province of bataan )

AFFIDAVIT OF CLOSURE

I, DAISY Q. MACARAEG, of legal age, Filipino, and with residence and postal
address at Sitio Talahib, Mulawin, Orani, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

17. I am the registered owner of DQM SEAFOOD SUPPLY located at Sitio Talahib,
Mulawin, Orani, Bataan registered with the Department of Trade and Industry
(DTI) with Certificate No. 1111929;

18. Said business is closed effective on December 31, 2022 for lack of capital to
finance said business as it did not earn profits due to the pandemic;

19. Said business also has no ending inventory;

20. In view of the above, I am requesting that my registration with the Department of
Trade and Industry (DTI), Bureau of Internal Revenue (B.I.R.), Municipal
Licensing Office of the Municipality of Orani, Bataan, and Barangay Mulawin,
Orani, Bataan be cancelled or revoked;

21. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13 th day of

January 13, 2023 at Orani, Bataan.

DAISY Q. MACARAEG
Affiant
D.L. No. C02-16-001022
 Subscribed and sworn to before me this 13 th day of January 13, 2023 in Orani,
Bataan. Affiant personally appeared before me and had exhibited a competent evidence
of identity. Affiant represented to me that the signature on this document was voluntarily
affixed for the purpose(s) stated herein, and avows under penalty of law to the whole
truth of the contents of the document.

Doc. No. _____421__ ntil

Page No. _____86____ De
Book No. ______I_____ ce
Series of ____2023____ mb
er
31,
20
22
Series of 2022.
PTR No. 0551785C,
01/11/2021

Republic of the Philippines )

Municipality of Orani ) S.s.
Province of bataan )

AFFIDAVIT

I, CHARLENE S. CALADIAO, of legal age, married, and with residence and

postal address at #414 Raya St., Pantalan luma, Orani, Bataan, after having been
sworn to in accordance with law, hereby depose and state that:

5. I am the present owner of a house situated at Lot 30, Gabon, Abucay, Bataan,
having bought it from the heirs of the late Mariano C. Roque (Lolita Roque and
Norberto R. Roque) as evidenced by the Extrajudicial Settlement with Sale
executed by them on April 20, 2021. A copy of the Extrajudicial Settlement with
Sale is hereto attached as Annex “A”;

6. The original owner of the said property is Edwin Bustamante. He sold the same
to Mariano C. Roque as evidenced by a Deed of Sale hereto attached as Annex
“B”;

7. I am requesting the Penelco to install the electric meter in the said house under
my name;

8. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 29 th day of

December, 2022 at Orani, Bataan.
 CHARLENE S. CALADIAO
Affiant
ID No. 3201-7396-5024-9316

Subscribed and sworn to before me this this 29 th day of December, 2022 in

Orani, Bataan. Affiant personally appeared before me and had exhibited a competent
evidence of identity. Affiant represented to me that the signature on this document was
voluntarily affixed for the purpose(s) stated herein, and avows under pen alty of law to
the whole truth of the contents of the document.

Atty. Ma. Luisa C. Muńoz

Notary Public
Doc. No. ____366_____ Notarial Commission No.403-22
Page No. _____75_____ Until December 31,2023
Book No. ______I_____ PTR No. 7611366C,06/10/22
Series of ____2022____ IBP No. 233375,07/01/2022
Roll of Attorney No. 80171,05/18/2022
Orani, Bataan

ntil
De
ce

Republic of the Philippines )

Municipality of Orani) S.s.
Province of Bataan )

OMNIBUS CERTIFICATE OF AUTHENTICITY

AND VERACITY OF DOCUMENTS
 I, MARIDEL M. ELACIO, of legal age, Filipino, and with residence and postal
address at Tugatog, Orani, Bataan, after having been duly sworn to in accordance with
law, hereby depose and state that:

14. I am an applicant for a job in Middle East, and as part of my job application, I
am submitting the following Certification of Employment from my previous
employers, to wit:

a. President Ramon Magsaysay Memorial Hospital from July 10, 2000 to

August 28, 2000;
b. Sta. Veronica General Hospital from December 16, 2000 to January
17, 2002;
c. Secretary/Medical Attendant for Jose C. Leoncio, MD from January,
2004 to November 2010;

2. I am hereby certifying the authenticity and veracity of the foregoing

documents, and am confirming and affirming that these documents are true
and correct to the best of my knowledge;

3. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 16 th day of

December, 2022 in Orani, Bataan.

MARIDEL M. ELACIO
Affiant
VIN: 0809-0171B-L0676MME20000

Subscribed and sworn to before me this 16 th day of December, 2022 in Orani,

Bataan. Affiant personally appeared before me and had exhibited a competent evidence
of identity. Affiant represented to me that the signature on this document was voluntarily
affixed for the purpose(s) stated herein, and avows under penalty of law to the whole
truth of the contents of the document.

Atty. Ma. Luisa C. Muńoz

Notary Public
Doc. No. _____297_____ Notarial Commission No.403-22
Page No. _____61_____ Until December 31,2023
Book No. ______I_____ PTR No. 7611366C,06/10/22
Series of ____2022____ IBP No. 233375,07/01/2022
Roll of Attorney No. 80171,05/18/2022
Orani, Bataan

ntil
De
ce

Republic of the Philippines )

Municipality of Orani) S.s.
Province of Bataan )

AFFIDAVIT OF
NO OPERATION

I, DANILO L. SAROL, of legal age, Filipino, married and with residence and
postal address at BLK33 LT12 PurityVille Subd. Tagumpay Orani, Bataan, after having
been sworn to in accordance with law, hereby depose and state that:
 1. I am the registered owner of DLS TRUCKING AND HAULING SERVICES
located at PurityVille Subd. Tagumapy Orani, Bataan registered with THE
Department of Trade and Industry (DTI) with Certificate No. 05632185;

2. I was issued a business permit by the Municipality of Orani, Bataan on January

6, 2021 and it has not been operating since January of this year (2022) for lack
of clients;

3. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 20 th day of

October, 2022 in Orani, Bataan

DANILO L. SAROL
Affiant
C02-08-005292

Subscribed and sworn to before me this 20th day of October, 2022 in Orani,
Bataan. Affiant personally appeared before me and had exhibited a competent evidence
of identity. Affiant represented to me that the signature on this document was voluntarily
affixed for the purpose(s) stated herein, and avows under penalty of law to the whole
truth of the contents of the document.

Republic of the Philippines )

Municipality of Orani) S.s.
Province of Bataan )

AFFIDAVIT OF
NO OPERATION

I, DANILO L. SAROL, of legal age, Filipino, married and with residence and
postal address at BLK33 LT12 PurityVille Subd. Tagumpay Orani, Bataan, after having
been sworn to in accordance with law, hereby depose and state that:

4. I am the registered owner of DLS TRUCKING AND HAULING SERVICES

located at PurityVille Subd. Tagumapy Orani, Bataan registered with THE
Department of Trade and Industry (DTI) with Certificate No. 05632185;

5. I was issued a business permit by the Municipality of Orani, Bataan on January

6, 2021 and it has not been operating since January of this year (2022) for lack
of clients;
 6. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 20 th day of

October, 2022 in Orani, Bataan

DANILO L. SAROL
Affiant
C02-08-005292

Subscribed and sworn to before me this 20th day of October, 2022 in Orani,
Bataan. Affiant personally appeared before me and had exhibited a competent evidence
of identity. Affiant represented to me that the signature on this document was voluntarily
affixed for the purpose(s) stated herein, and avows under penalty of law to the whole
truth of the contents of the document.

Atty. Ma. Luisa C. Muńoz

Notary Public
Doc. No. _____69_____ Notarial Commision No.403-22
Page No. _____15_____ Until December 31,2023
Book No. ______I_____ PTR No. 7611366C,06/10/22
Series of ____2022____ IBP No. 233375,07/01/2022
Roll of Attorney No. 80171,05/18/2022
Orani, Bataan

ntil
De
ce
 Subscribed and sworn to before me this 19th day of October, 2022 in Orani, Bataan.

Atty. Ma. Luisa C. Muńoz

Doc. No. _____63_____ Notary Public
Page No. _____14_____ Notarial Commision No.403-22
Book No. ______I_____ Until December 31,2023
Series of ____2022____ PTR No. 7611366C,06/10/22
IBP No. 233375,07/01/2022
Roll of Attorney No. 80171,05/18/2022
Orani, Bataan

ntil
Dec
em
ber
31,
 CERTIFIED TRUE COPY

Subscribed and sworn to before me this 9th day of August 2018 in the
City of San Fernando, Pampanga.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. II Commission Expires on 12/31/2020
Series of 20120. PTR No. 6586743B, 01/14/2020
Paid IBP Dues at IBP (01/14/2020)
Roll of Attorney No. 63074
MCLE Compliance No. VI-0009993, 07/03/2018 A.C.
Benoza Law Office, Ground Floor,
DATA College Bldg., Capitol Blvd., Sto. Niño,
City of San Fernando, Pampanga

Republic of the Philippines )

City of San Fernando )S.s.
Province of Pampanga )

AFFIDAVIT OF COHABITATION

I, Elgie Gulapa Komoto, of legal age, Filipino and with residence and postal
address at No. 36, Ferguzon Street, Buas, Candaba, Pampanga, after having been duly
sworn to in accordance with law, hereby depose and state that:

1. Me and my partner, Adam Manganti Maliwat, have been living together as

husband and wife under the same house continuously and without any
interruption since the year 2018, or for a period of almost four (4) years now;
 2. During our cohabitation, and even until now, we remain both of single status;
hence, there exists no legal impediment for us to marry each other;

3. We have no children as of the moment;

4. I am executing this affidavit to attest to the truth of the foregoing, in support of

Elgie’s Application for Open Work Permit in Canada, and for whatever legal
purpose this may serve best.

In witness whereof, I have hereunto affixed our hands this 7 th day of October,
2021 in the City of San Fernando, Pampanga.

Elgie Gulapa Komoto

Affiant
Passport No. P5286615B

Subscribed and sworn to before me this 7 th day of October, 2021 in the City of
San Fernando, Pampanga. Affiant personally appeared before me and had exhibited a
competent evidence of identity. Affiant represented to me that the signature on this
document was voluntarily affixed for the purpose(s) stated in the document and avow
under penalty of law to the whole truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Notarial Commissio No. 33-21
Series of 2021. until December 31, 2022
PTR No. 0551785C, 01/11/2021
IBP No. 155775, 01/29/2021
Roll of Attorney No. 63074
City of San Fernando, Pampanga
Republic of the Philippines )
City of San Fernando )S.s.
Province of Pampanga )

AFFIDAVIT OF COHABITATION

We, Edlyn D. Malang and Kevin V. Canlas, both of legal age, Filipinos and with
residence and postal address at Lot 22, Concepcion Drive, Citicenter, Phase 3, Pandan
Angeles City, Pampanga after having been duly sworn to in accordance with law,
hereby depose and state that:

5. We have been living together as husband and wife under the same house
continuously and without any interruption since May 25, 2019, or for a period
of almost two (2) years now;

6. During our cohabitation, and even until now, we remain both of single status;
hence, there exists no legal impediment for us to marry each other;

7. We have no children as of the moment;

8. We are executing this affidavit to attest to the truth of the foregoing, in support
of Edlyn’s Application for Open Work Permit in Canada, and for whatever
legal purpose this may serve best.

In witness whereof, we have hereunto affixed our hands this __ th day of April,
2021 in the City of San Fernando, Pampanga.

Edlyn D. Malang Kevin V. Canlas

Affiant Affiant
Passport No. P0784855B Passport No. P8067940A

Subscribed and sworn to before me this __ th day of April, 2021 in the City of San
Fernando, Pampanga. Affiants personally appeared before me and had exhibited a
competent evidence of identity. Affiants represented to me that the signature on this
document were voluntarily affixed for the purpose(s) stated in the document and avow
under penalty of law to the whole truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. IX Commission Extended until June 30, 2021
Series of 2021. PTR No. 0551785C, 01/11/2021
IBP No. 155775, 01/29/2021
Roll of Attorney No. 63074
A.C. Benoza Law Office, Ground Floor,
DATA College Bldg., Capitol Blvd., Sto. Niño,
City of San Fernando, Pampanga
Republic of the Philippines )
City of San Fernando ) S.s.
Province of Pampanga )

OMNIBUS CERTIFICATE OF AUTHENTICITY

AND VERACITY OF DOCUMENTS

I, Maria Cristina Joven, of legal age, Filipino, married, and with residence and
postal address at 3091 Pampang Road Lourdes North West Angeles City, after having
been duly sworn to in accordance with law, hereby depose and state that:

4. I am an applicant for a job in the government service, and ss part of my job

application, I am submitting the following documents:

a. Registered application number

 b. Google Registration Form
c. Letter of Application
d. CSC Form 212 (Revised 2017)
e. PRC Professional Identification Card (Photocopy)
f. Ratings obtained from the Licensure Examinations for Teachers
(Photocopy)
g. Transcript of Records (Photocopy)
h. Certificate of General Weighted Average (Photocopy)
i. Certificate of Employment and Performance Rating (Photocopy)
j. Certificates of Seminars (Photocopy)
k. Barangay Clearance (Photocopy)
l. NBI Clearance (Photocopy)
m. Omnibus certification of authenticity and veracity of Documents

5. I am hereby certifying the authenticity and veracity of the foregoing

documents, and am confirming and affirming that these documents are true
and correct to the best of my knowledge;

6. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 12th day of

March 2021 in the City of San Fernando, Pampanga.

Maria Cristina Joven

Affiant
PRC I.D. 1533267

Subscribed and sworn to before me this 12th day of March 2021 in the City of San
Fernando, Pampanga. Affiant personally appeared before me, had exhibited a competent
evidence of identity, and represented to me that the signature on this document was
voluntarily affixed by her for the purpose(s) stated in the document and avow under penalty
of law to the whole truth of the contents of the document.

Doc. No. 21 Atty. Roniel D. Muñoz

Page No. 6 Notary Public
Book No. IX Commission Extended until June 30, 2021
Series of 2020. PTR No. 0551785C, 01/11/2021
IBP No. 155775, 01/29/2021
Roll of Attorney No. 63074
A.C. Benoza Law Office, Ground Floor,
DATA College Bldg., Capitol Blvd., Sto. Niño,
City of San Fernando, Pampanga

Republic of the Philippines )

City of San Fernando ) S.s.
Province of Pampanga )

OMNIBUS CERTIFICATE OF AUTHENTICITY

AND VERACITY OF DOCUMENTS

I, Dolor Pineda-Sarmiento, of legal age, Filipino, and with residence and postal
address at 8 Pineda Street, Farmville, Calibutbut, Bacolor, Pampanga, after having
been duly sworn to in accordance with law, hereby depose and state that:

7. I am an applicant for a job in the government service, and as part of my job

application, I am submitting the following documents:

a. Registered application number

b. Google Registration Form
c. Letter of Application
d. CSC Form 212 (Revised 2017)
 e. PRC Identification Card (Photocopy)
f. Application for Professional Identification Card (PIC) (Photocopy)
g. Certificate of Ratings obtained from the Licensure Examinations for
Teachers (Photocopy)
h. Transcript of Records with GWA (Photocopy)
i. Certificate of Employment or Service Records (Photocopy)
j. Performance Rating (Photocopy)
k. Certificates of Trainings/Seminars (Photocopy)
l. Voter’s I.D. (Photocopy)
m. Barangay Clearance (Photocopy)
n. NBI Clearance (Photocopy)
o. Career Service Sub-Professional Certificate of Eligibility
p. Career Service Professional Certificate of Eligibility
q. Omnibus certification of authenticity and veracity of Documents

8. I am hereby certifying the authenticity and veracity of the foregoing

documents, and am confirming and affirming that these documents are true
and correct to the best of my knowledge;

9. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 12th day of

March 2021 in the City of San Fernando, Pampanga.

Dolor Pineda-Sarmiento
Affiant
PRC I.D. 0608185

Subscribed and sworn to before me this 12th day of March 2021 in the City of San
Fernando, Pampanga. Affiant personally appeared before me, had exhibited a competent
evidence of identity, and represented to me that the signature on this document was
voluntarily affixed by her for the purpose(s) stated in the document and avow under penalty
of law to the whole truth of the contents of the document.

Doc. No. 24 Atty. Roniel D. Muñoz

Page No. 6 Notary Public
Book No. IX Commission Extended until June 30, 2021
Series of 2020. PTR No. 0551785C, 01/11/2021
IBP No. 155775, 01/29/2021
Roll of Attorney No. 63074
A.C. Benoza Law Office, Ground Floor,
DATA College Bldg., Capitol Blvd., Sto. Niño,
City of San Fernando, Pampanga

Republic of the Philippines )

City of San Fernando ) S.s.
Province of Pampanga )

OMNIBUS CERTIFICATE OF AUTHENTICITY

AND VERACITY OF DOCUMENTS

I, Josh Ann M. Bautista, of legal age, Filipino, and with residence and postal
address at 428 Mabini Street, San Nicolas, Angeles City, after having been duly sworn
to in accordance with law, hereby depose and state that:

10. I am an applicant for a job in the government service, and ss part of my job
application, I am submitting the following documents:
 a. Registered application number
b. Google Registration Form
c. Letter of Application
d. CSC Form 212 (Revised 2017)
e. PRC Professional Identification Card (Photocopy)
f. Ratings obtained from the Licensure Examinations for Teachers
(Photocopy)
g. Transcript of Records (Photocopy)
h. Certificate of General Weighted Average (Photocopy)
i. Certificate of Employment and Performance Rating (Photocopy)
j. Certificates of Seminars (Photocopy)
k. Barangay Clearance (Photocopy)
l. NBI Clearance (Photocopy)
m. Omnibus certification of authenticity and veracity of Documents

11. I am hereby certifying the authenticity and veracity of the foregoing

documents, and am confirming and affirming that these documents are true
and correct to the best of my knowledge;

12. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 12th day of

March 2021 in the City of San Fernando, Pampanga.

Josh Ann M. Bautista

Affiant
PRC I.D. 1533266

Subscribed and sworn to before me this 12th day of March 2021 in the City of San
Fernando, Pampanga. Affiant personally appeared before me, had exhibited a competent
evidence of identity, and represented to me that the signature on this document was
voluntarily affixed by her for the purpose(s) stated in the document and avow under penalty
of law to the whole truth of the contents of the document.

Doc. No. 23 Atty. Roniel D. Muñoz

Page No. 6 Notary Public
Book No. IX Commission Extended until June 30, 2021
Series of 2020. PTR No. 0551785C, 01/11/2021
IBP No. 155775, 01/29/2021
Roll of Attorney No. 63074
A.C. Benoza Law Office, Ground Floor,
DATA College Bldg., Capitol Blvd., Sto. Niño,
City of San Fernando, Pampanga

Republic of the Philippines )

City of San Fernando ) S.s.
Province of Pampanga )

OMNIBUS CERTIFICATE OF AUTHENTICITY

AND VERACITY OF DOCUMENTS

I, Maria Cristina Joven, of legal age, Filipino, married, and with residence and
postal address at Block 29 Lot 17, Fiesta Communities, Porac 2B, Manibaug, Paralaya,
Porac, Pampanga, after having been duly sworn to in accordance with law, hereby
depose and state that:

13. I am an applicant for a job in the government service, and ss part of my job
application, I am submitting the following documents:
 a. Registered application number
b. Google Registration Form
c. Letter of Application
d. CSC Form 212 (Revised 2017)
e. PRC Professional Identification Card (Photocopy)
f. Ratings obtained from the Licensure Examinations for Teachers
(Photocopy)
g. Transcript of Records (Photocopy)
h. Certificate of General Weighted Average (Photocopy)
i. Certificate of Employment and Performance Rating (Photocopy)
j. Certificates of Seminars (Photocopy)
k. Barangay Clearance (Photocopy)
l. NBI Clearance (Photocopy)
m. Omnibus certification of authenticity and veracity of Documents

14. I am hereby certifying the authenticity and veracity of the foregoing

documents, and am confirming and affirming that these documents are true
and correct to the best of my knowledge;

15. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 12th day of

March 2021 in the City of San Fernando, Pampanga.

Maria Cristina Joven

Affiant
PRC I.D. 1533267

Subscribed and sworn to before me this 12th day of March 2021 in the City of San
Fernando, Pampanga. Affiant personally appeared before me, had exhibited a competent
evidence of identity, and represented to me that the signature on this document was
voluntarily affixed by her for the purpose(s) stated in the document and avow under penalty
of law to the whole truth of the contents of the document.

Doc. No. 22 Atty. Roniel D. Muñoz

Page No. 6 Notary Public
Book No. IX Commission Extended until June 30, 2021
Series of 2020. PTR No. 0551785C, 01/11/2021
IBP No. 155775, 01/29/2021
Roll of Attorney No. 63074
A.C. Benoza Law Office, Ground Floor,
DATA College Bldg., Capitol Blvd., Sto. Niño,
City of San Fernando, Pampanga

Republic of the Philippines )

City of San Fernando ) S.s.
Province of Pampanga )

OMNIBUS CERTIFICATE OF AUTHENTICITY

AND VERACITY OF DOCUMENTS

I, Maria Cristina Joven, of legal age, Filipino, married, and with residence and
postal address at 3091 Pampang Road Lourdes North West Angeles City, after having
been duly sworn to in accordance with law, hereby depose and state that:

16. I am an applicant for a job in the government service, and ss part of my job
application, I am submitting the following documents:
 a. Registered application number
b. Google Registration Form
c. Letter of Application
d. CSC Form 212 (Revised 2017)
e. PRC Professional Identification Card (Photocopy)
f. Ratings obtained from the Licensure Examinations for Teachers
(Photocopy)
g. Transcript of Records (Photocopy)
h. Certificate of General Weighted Average (Photocopy)
i. Certificate of Employment and Performance Rating (Photocopy)
j. Certificates of Seminars (Photocopy)
k. Barangay Clearance (Photocopy)
l. NBI Clearance (Photocopy)
m. Omnibus certification of authenticity and veracity of Documents

17. I am hereby certifying the authenticity and veracity of the foregoing

documents, and am confirming and affirming that these documents are true
and correct to the best of my knowledge;

18. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 12th day of

March 2021 in the City of San Fernando, Pampanga.

Maria Cristina Joven

Affiant
PRC I.D. 1533267

Subscribed and sworn to before me this 12th day of March 2021 in the City of San
Fernando, Pampanga. Affiant personally appeared before me, had exhibited a competent
evidence of identity, and represented to me that the signature on this document was
voluntarily affixed by her for the purpose(s) stated in the document and avow under penalty
of law to the whole truth of the contents of the document.

Doc. No. 21 Atty. Roniel D. Muñoz

Page No. 6 Notary Public
Book No. IX Commission Extended until June 30, 2021
Series of 2020. PTR No. 0551785C, 01/11/2021
IBP No. 155775, 01/29/2021
Roll of Attorney No. 63074
A.C. Benoza Law Office, Ground Floor,
DATA College Bldg., Capitol Blvd., Sto. Niño,
City of San Fernando, Pampanga
Republic of the Philippines )
City of San Fernando ) S.s.
Province of Pampanga )

Affidavit of Merit

I, Arnold R. Cortez, of legal age, Filipino, and with residence and postal address
at Brgy. Patis, Mabatang, Abucay, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

1. I am the Petitioner in the above-entitled case;

2. In the Criminal Cases Nos. 11818, 11819, and 11820 entitled “People of the
Philippines versus Arnold R. Cortez” for violation of Batas Pambansa 22, a
Writ of Execution was erroneously issued: a) without affording due process to
the Petitioner; b) even when there has been a change in the situation of the
parties making execution of the Compromise Agreement inequitable; and c) in
violation of the 10-day curing period expressly stipulated in the Compromise
Agreement;

3. Petitioner was denied due process as he was denied of his day in court when
the hearing on October 7, 2020 (which was unilaterally set by the Private
Respondent) proceeded even without the Petitioner and counsel; thus,
absolutely depriving them of their right to comment on the Omnibus Motion.
The Petitioner and counsel would like to attend the October 7, 2020 setting
where it not for their previously scheduled urgent commitments, as clearly
manifested in their filed Motion to Reschedule Hearing filed on October 06,
2020;

4. Also, due to the occurrence of the COVID-19 Pandemic, there has been a
substantial and significant change in the situation of the parties making
execution and/or compliance to the Compromise Agreement dated February
19, 2020 (“Compromise Agreement”) inequitable;
 5. Moreover, the “ten (10) day curing period” as mentioned in the Compromise
Agreement, was not complied with as to ripen a valid cause of action. The
Private Respondent did not provide any proof that the Petitioner was notified
of the dishonor and that he was afforded with the said 10-day curing period,
for in fact and in truth there was really none;

6. Despite of these, said Writ of Execution was still issued and is currently
standing; hence, there is a great possibility that the Sheriff will implement the
same;

7. As of the writing of this petition, the Sheriff has already garnished the bank
account of the Petitioner in Metrobank, Balanga, Bataan, and Metrobank has
already put on hold the amount of Eight Hundred Nine Thousand Six Hundred
Forty One Pesos & 51/100 (Php809,641.51);

8. If not restrained, this will definitely cause great and irreparable damages on
the part of the Petitioner as he cannot execute any transaction on said
amount;

9. Under the obtaining circumstances, there is an extreme urgency for the

issuance of the Writ of Preliminary Injunction with Temporary Restraining
Order to – (I) preserve and protect the rights of the Petitioner, (II) to restrain
the Respondents from implementing the erroneously issued Writ of
Execution, and (III) to avoid and stop further grave and irreparable damages
or injury that Petitioner may unnecessarily suffer;

10. Should the Honorable Court so require, Petitioner is willing to post a bond for
the issuance of the Writ of Preliminary Injunction with a seventy-two (72) hour
Temporary Restraining Order to restrain Respondents from the act herein
complained of. Petitioner however prays that the amount be nominal in view
of his difficult financial situation he is currently in;

11. In implementing the erroneously issued Writ of Execution, the Respondents

are clearly doing acts that are in violation of the Petitioner’s rights; hence,
there is a clear and imminent threat of Petitioner being unjustifiably deprived
of his private property, and the whole or part relief consists in restraining the
Respondents of the acts complained of. Undeniably, there stands an urgent
necessity to issue a Temporary Restraining Order to prevent serious and
irreparable damage to him;

12. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

In witness whereof, I have hereunto affixed my signature this _______________ in

the City of San Fernando, Pampanga.

Arnold R. Cortez
Affiant

Subscribed and sworn to before me this _____________ in the City of San

Fernando, Pampanga. Affiant personally appeared before me and had exhibited a
competent evidence of identity. Affiant represented to me that the signature on this
document was voluntarily affixed for the purpose(s) stated herein, and avows under
penalty of law to the whole truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. VIII Commission Expires on 12/31/2020
Series of 2020. PTR No. 6586743B, 01/14/2020
 Paid IBP Dues at IBP (01/14/2020)
Roll of Attorney No. 63074
MCLE Compliance No. VI-0009993, 07/03/2018
A.C. Benoza Law Office, Ground Floor,
DATA College Bldg., Capitol Blvd., Sto. Niño,

Republic of the Philippines )

City of San Fernando ) S.s.
Province of Pampanga )

AFFIDAVIT OF NON-COHABITATION

I, Jhoana B. Pangilinan, of legal age, Filipino, widow and with residence and
postal address at 080 San Vicente, Sto. Tomas, Pampanga, after having been sworn to
in accordance with law, hereby depose and state that:

19. I am the mother of Zafrina B. Pangilinan who was born on September 27,
2014:

20. My husband and the father of the said child is Jefferson Paulo M. Pangilinan.
We got married on May 12, 2014 in Dolores, City of San Fernando,
Pampanga;
 21. My husband died on June 30, 2015, or for almost three (3) years now; hence,
I have since been a solo parent to our child;

22. I am the one taking care and financially supporting our child;

23. I have not re-married, nor have I currently been cohabiting with someone
else, neither do have I have any plans of doing so in the near future;

24. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

In witness whereof, I have hereunto affixed my signature this 13 th day of

February, 2020 in the City of San Fernando, Pampanga.

Jhoana B. Pangilinan
Affiant

Subscribed and sworn to before me this 13 th day of February, 2020 in the City of
San Fernando, Pampanga. Affiant is personally known to me being a co-employee and
personally appeared before me. Affiant represented to the notary public that the
signature on this document was voluntarily affixed for the purpose(s) stated in the
document and avows under penalty of law to the whole truth of the contents of the
document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2020
Series of 2020. PTR No. 6586743B, 01/14/2020
Paid IBP Dues at IBP (01/14/2020)
Roll of Attorney No. 63074
A.C. Benoza Law Office, Ground Floor,
DATA College Bldg., Capitol Blvd., Sto. Niño,
City of San Fernando, Pampanga

Republic of the Philippines )

City of San Fernando ) S.s.
Province of Pampanga )

Affidavit of No Rent

I, Ofelia P. Triumfante, of legal age, Filipino, married, and with residence and
postal address at 6 Zeus St., St. Michael Homes, Lias, Marilao, Bulacan, after having
been sworn to in accordance with law, hereby depose and state that:

1. I am the mother of Jade Triumfante-Cruz, the registered owner of

ANTEADOTE MILKTEA SHOP located at 6 Zeus St., St. Michael Homes,
Lias, Marilao, Bulacan, registered with the Department of Trade and Industry
(DTI) with Certificate No. 05946194, and with Business Permit No. 0003059;

2. Said business is situated within the premises of our residential house;

 3. Consequently, the registered owner being my daughter, I do not require her to
pay any rent for the use of the business space;

4. Instead, she just shoulders the monthly electric and water bills of our
residential house;

5. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 29 th day of

July, 2019 in the City of San Fernando, Pampanga.

Ofelia P. Triumfante
Affiant
OSCA ID No. 0001929

Subscribed and sworn to before me this 29 th day of July, 2019 in the City of San
Fernando, Pampanga. Affiant personally appeared before me and had exhibited a
competent evidence of identity. Affiant represented to me that the signature on this
document was voluntarily affixed for the purpose(s) stated in the document and avows
under penalty of law to the whole truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. III Commission Expires on 12/31/2020
Series of 2019. PTR No. 2495424, 01/04/2019
IBP No. 062154, 01/04/2019
Roll of Attorney No. 63074
MCLE Compliance No. VI-0009993, 07/03/2018
A.C. Benoza Law Office, Ground Floor,
DATA College Bldg., Capitol Blvd., Sto. Niño,
City of San Fernando, Pampanga

Republic of the Philippines )

City of San Fernando ) S.s.
Province of Pampanga )

Affidavit of No Rent

I, Jade Triumfante-Cruz, of legal age, Filipino, married, and with residence and
postal address at 6 Zeus St., St. Michael Homes, Lias, Marilao, Bulacan, after having
been sworn to in accordance with law, hereby depose and state that:

6. I am the registered owner of ANTEADOTE MILKTEA SHOP located at 6 Zeus

St., St. Michael Homes, Lias, Marilao, Bulacan, registered with the
Department of Trade and Industry (DTI) with Certificate No. ___________,
and with Business Permit No. _______________;

7. Said business is situated within the premises of our residential house;

8. Consequently, I am not paying any rent for the use of the business space;

9. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.
 IN WITNESS WHEREOF, I have hereunto affixed my signature this 29 th day of
July, 2019 in the City of San Fernando, Pampanga.

Jade Triumfante-Cruz
Affiant
PRC License No. 0605515

Subscribed and sworn to before me this 29 th day of June, 2019 in the City of San
Fernando, Pampanga. Affiant personally appeared before me and had exhibited a
competent evidence of identity. Affiant represented to me that the signature on this
document was voluntarily affixed for the purpose(s) stated in the document and avows
under penalty of law to the whole truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. III Commission Expires on 12/31/2020
Series of 2019. PTR No. 2495424, 01/04/2019
IBP No. 062154, 01/04/2019
Roll of Attorney No. 63074
MCLE Compliance No. VI-0009993, 07/03/2018
A.C. Benoza Law Office, Ground Floor,
DATA College Bldg., Capitol Blvd., Sto. Niño,
City of San Fernando, Pampanga

Republic of the Philippines )

City of San Fernando ) S.s.
Province of Pampanga )

AFFIDAVIT OF CORRECTION
 I, Rudolf Laxamana Bustos, of legal age, Filipino, married and with residence
and postal address at Purok 9, Sta. Lucia, City of San Fernando, Pampanga, after
having been sworn to in accordance with law, hereby depose and state that:

25. I am one of the co-owners of a house and lot located at Sta. Lucia, City of
San Fernando, Pampanga, and covered by TCT No. 469962-R issued by the
Registry of Deeds of Pampanga:

26. However, there is a mistake in the technical description of the said title;

27. Instead of “THENCE S 40 deg. 43’ W., 1.50 m. to pt.3”, it should be “THENCE
S 49 deg. 43’ W., 1.50 m. to pt.3” ;

28. The above discrepancy was committed without our fault and intention to
mislead the public;

29. To set the records straight, the erroneous technical description should be
replaced with the true and correct one;

30. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

In witness whereof, I have hereunto affixed my signature this 14 th day of June,

2019 in the City of San Fernando, Pampanga.

Rudolf L. Bustos
Affiant

Subscribed and sworn to before me this 14 th day of June, 2019 in the City of San
Fernando, Pampanga. Affiant is personally known to me being a family friend and
personally appeared before me. Affiant represented to me that the signature on this
document was voluntarily affixed for the purpose(s) stated in the document and avows
under penalty of law to the whole truth of the contents of the document.

Republic of the Philippines )

City of San Fernando ) S.s.
Province of Pampanga )

AFFIDAVIT OF SOLO PARENT

I, Jhoana B. Pangilinan, of legal age, Filipino, married and with residence and
postal address at 080 San Vicente, Sto. Tomas, Pampanga, after having been sworn to
in accordance with law, hereby depose and state that:

31. I am the mother of Zafrina B. Pangilinan who was born on September 27,
2014:

32. My husband and the father of the said child is Jefferson Paulo M. Pangilinan.
We got married on May 12, 2014 in Dolores, City of San Fernando,
Pampanga;
 33. My husband died on June 30, 2015, or for almost three (3) years now; hence,
I have since been a solo parent to our child;

34. I am the one taking care and financially supporting our child;

35. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

In witness whereof, I have hereunto affixed my signature this 4 th day of March,

2018 in the City of San Fernando, Pampanga.

Jhoana B. Pangilinan
Affiant

Subscribed and sworn to before me this 4 th day of May, 2018 in the City of San
Fernando, Pampanga. Affiant is personally known to me being a co-employee and
personally appeared before me. Affiant represented to the notary public that the
signature on this document was voluntarily affixed for the purpose(s) stated in the
document and avows under penalty of law to the whole truth of the contents of the
document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2020
Series of 2019. PTR No. 2495424, 01/04/2019
IBP No. 062154, 01/04/2019
Roll of Attorney No. 63074
A.C. Benoza Law Office, Ground Floor,
DATA College Bldg., Capitol Blvd., Sto. Niño,
City of San Fernando, Pampanga

Republic of the Philippines )

City of San Fernando ) S.s.
Province of Pampanga )

AFFIDAVIT OF SOLO PARENT

I, Jhoana B. Pangilinan, of legal age, Filipino, married and with residence and
postal address at 080 San Vicente, Sto. Tomas, Pampanga, after having been sworn to
in accordance with law, hereby depose and state that:

36. I am the mother of Zafrina B. Pangilinan who was born on September 27,
2014:
 37. My husband and the father of the said child is Jefferson Paulo M. Pangilinan.
We got married on May 12, 2014 in Dolores, City of San Fernando,
Pampanga;

38. My husband died on June 30, 2015, or for almost three (3) years now; hence,
I have since been a solo parent to our child;

39. I am the one taking care and financially supporting our child;

40. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

In witness whereof, I have hereunto affixed my signature this 4 th day of March,

2018 in the City of San Fernando, Pampanga.

Jhoana B. Pangilinan
Affiant

Subscribed and sworn to before me this 4 th day of May, 2018 in the City of San
Fernando, Pampanga. Affiant is personally known to me being a co-employee and
personally appeared before me. Affiant represented to the notary public that the
signature on this document was voluntarily affixed for the purpose(s) stated in the
document and avows under penalty of law to the whole truth of the contents of the
document.

Doc. No. 377 Atty. Roniel D. Muñoz

Page No. 77 Notary Public
Book No. I Commission Expires on 12/31/2018
Series of 2018. PTR No. 8967731, 01/04/2018
IBP No. 1086797, 01/04/2018
Roll of Attorney No. 63074
City of San Fernando, Pampanga

Republic of the Philippines )

_____________________ ) S.s.
Province of Pampanga )

AFFIDAVIT OF
DISINTERESTED PERSONS

We, ___________________ and _____________________, both of legal age,

Filipino and with residence and postal address at ____________________________,
after having been duly sworn to in accordance with law, hereby depose and state that:

41. We personally know PABLO ONG and his family who lived in
_________________________________;

42. They have been living in the said property since ______________________;

43. As far as we know, Pablo Ong and his family are the owners of the property
that they are occupying;

44. We do not know of anyone who owns the property other than Pablo Ong and
his family;

45. We know the foregoing because we are neighbors and we have known them
for a long time now;
 46. We are not in anyway related to her, either by consanguinity or by affinity;

47. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

In witness whereof, we have hereunto affixed our signatures this __ day of

March, 2018 at _____________________.

______________________ ________________________

Affiant Affiant
ID No. ________________ ID No. ________________

Subscribed and sworn to before me this __ day of March, 2018 at

_____________________. Affiants personally appeared before me and exhibited a
competent evidence of identity. Affiant represented to me that the signatures on this
document were voluntarily affixed for the purpose(s) stated in the document and avow
under penalty of law to the whole truth of the contents of the document.

Republic of the Philippines )

City of San Fernando ) S.s.
Province of Pampanga )

AFFIDAVIT OF SOLO PARENT

I, Shiela M. Delos Santos, of legal age, Filipino, married and with residence and
postal address at Block 7, Lot 6, Phase III, Wenceslao Village, San Roque Dau 1 st, Dau,
Lubao, Pampanga, after having been sworn to in accordance with law, hereby depose
and state that:

48. I am the mother of three (3) children, namely:

Angelica M. Delos Santos born September 23, 1998

Ian Gabriel M. Delos Santos born on March 19, 2002
Valerie M. Delos Santos born on April 27, 2005

49. My husband and the father of the said children is Engelbert D. Delos Santos.
We got married on April 23, 1998 in Dasmarinas, Cavite. Engelbert and I
were separated since the year 2005, or for almost thirteen (13) years now;
hence, I have since been a solo parent to all of our children;

50. I am the one taking care and financially supporting our children;

51. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

In witness whereof, I have hereunto affixed my signature this 19 th day of March,

2018 in the City of San Fernando, Pampanga.

Shiela M. Delos Santos

Affiant
 Subscribed and sworn to before me this 19th day of March, 2018 in the City of
San Fernando, Pampanga. Affiant personally appeared before me and had exhibited a
competent evidence of identity such as her Driver’s License No. C10-01-173235. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed for the purpose(s) stated in the document and avows under penalty of law to the
whole truth of the contents of the document.

Doc. No. 335 Atty. Roniel D. Muñoz

Page No. 68 Notary Public
Book No. I Commission Expires on 12/31/2018
Series of 2018. PTR No. 8967731, 01/04/2018
IBP No. 1086797, 01/04/2018
Roll of Attorney No. 63074
City of San Fernando, Pampanga
 Subscribed and sworn to before me
this 29th day of January 2018 in the City of
San Fernando, Pampanga.

Doc. No. 279 Atty. Roniel D. Muñoz

Page No. 57 Notary Public
Book No. I Commission Expires on
12/31/2018
Series of 2018. PTR No. 8967731, 01/04/2018
IBP No. 1086797, 01/04/2018
Roll of Attorney No. 63074
City of San Fernando, Pampanga

Republic of the Philippines )

City of San Fernando ) S.s.
Province of Pampanga )

OMNIBUS CERTIFICATE OF AUTHENTICITY

AND VERACITY OF DOCUMENTS

I, Lady Ann I. Sambile, of legal age, Filipino, single and with residence and
postal address at San Nicolas, Mexico, Pampanga, after having been duly sworn to in
accordance with law, hereby depose and state that:

52. I am an applicant for the position Administrative Assistant with the

Department of Education;
 53. As part of my job application, I am submitting the following documents:

a. Diploma issued by the Holy Angel University;

b. Transcript of Records issued by the Holy Angel University;
c. Certificate of Eligibility issued by the Civil Service Commission;
d. Certification issued by the HR Director of ABS-CBN Broadcasting
Corporation;
e. Certification issued by the Store Manager of Jolibee Foods Corporation
of SM City Pampanga;
f. Certification issued by the HR Vice President of Corporate Guarantee
& Insurance Company; and
g. Certification issued by the HR Manager of The SM Store San
Fernando.

54. I am hereby certifying the authenticity and veracity of the foregoing

documents, and am confirming and affirming that these documents are true
and correct to the best of my knowledge;

55. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 11 th day of

January, 2018 in the City of San Fernando, Pampanga.

Lady Ann I. Sambile

Affiant
NBI ID No. S514FLCN58-R3631490

Subscribed and sworn to before me this 11th day of January 2018 in the City of San
Fernando, Pampanga. Affiant personally appeared before me, had exhibited a competent
evidence of identity, and represented to me that the signature on this document was
voluntarily affixed by her for the purpose(s) stated in the document and avow under penalty
of law to the whole truth of the contents of the document.

Doc. No. 264 Atty. Roniel D. Muñoz

Page No. 54 Notary Public
Book No. I Commission Expires on 12/31/2018
Series of 2018. PTR No. 8967731, 01/04/2018
IBP No. 1086797, 01/04/2018
Roll of Attorney No. 63074
City of San Fernando, Pampanga

Republic of the Philippines )

City of San Fernando ) S.s.
Province of Pampanga )

AFFIDAVIT OF SOLO PARENT

I, Michael A. Morales, of legal age, Filipino, married and with residence and
postal address at No. 930, 9th Avenue, Unisite, City of San Fernando, Pampanga, after
having been duly sworn to in accordance with law, hereby depose and state that:

56. I am the father of two (2) children, namely:

Dominic Mykel T. Morales born May 19, 1999

Christian Mykel T. Morales born on December 25, 2000

57. My wife and the mother of the said children is Maridel P. Talavera. We got
married on December 16, 1998 in San Jose, City of San Fernando,
Pampanga. Maridel and I were separated since December 2008, or for almost
nine (9) years; hence, I have since been a solo parent of our two children;

58. I have the one who is taking care and financially supporting our children;
 59. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 14 th day of

June, 2017 in the City of San Fernando, Pampanga.

Michael A. Morales
Affiant

Subscribed and sworn to before me this 14 th day of June, 2017 in the City of San
Fernando, Pampanga. Affiant personally appeared before the undersigned and had
exhibited to the said notary public a competent evidence of identity such as his UM ID
No. CRN 0033-2552098-7. Affiant represented to the notary public that the signature on
this document was voluntarily affixed by him for the purpose(s) stated in the document
and avows under penalty of law to the whole truth of the contents of the document.

Doc. No. 36 Atty. Roniel D. Muñoz

Page No. 9 Notary Public
Book No. I Commission Expires on 12/31/2018
Series of 2017. PTR No. 3652726, 01/24/2017
IBP No. 1030365, 01/24/2017
Roll of Attorney No. 63074
City of San Fernando, Pampanga

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

JOINT AFFIDAVIT OF TWO (2)

DISINTERESTED PERSONS

We, Bryan G. Tigas and Annie Rizza D. Santoyo, both of legal age, Filipino and with
residence and postal address at 27 Balagtas St., Balanga, Bataan and Pilar, Bataan,
respectively, after having been duly sworn to in accordance with law, hereby depose and state
that:

60. We personally know CECILE O. SORIANO-BALTAZAR who was born on

November 11, 1975 in Abucay, Bataan from parents spouses Perfecto T Soriano and
Carmelita D. Olmo;

61. She has three (3) children, namely:

Rolan Charles S., Baltazar, born on September 19, 2001

Reign Charlize S. Baltazar, born on June 1, 2004
Regin Carl S. Baltazar, born on September 8, 2007

62. His husband and father os the 3 children is Rolan M. Baltazar. They are separated
for almost nine (9) years; hence, Cecile has since been a solo parent;

63. She is the one who is taking care and financially supporting her children;
 64. We know the foregoing because we are the close friends ofCecile and we have
known her for a long time now;

65. We are not in anyway related to her, either by consanguinity or by affinity;

66. We are executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 8 th day of November,
2016 at Dinalupihan, Bataan.

Annie Rizza D. Santoyo Bryan G. Tigas

Affiant Affiant
PRC ID No. 0115045 Driver’s License No. C02-00-070928

Subscribed and sworn to before me this 8th day of November, 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiants personally appeared
before the undersigned and had exhibited to the said notary public a competent evidence of
identity such as their PRC and Driver’s License; copies of which are hereto attached and made
an integral part of this document. Affiants represented to the notary public that the signatures
on this document were voluntarily affixed by them for the purpose(s) stated in the document and
avows under penalty of law to the whole truth of the contents of the document.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan )

AFFIDAVIT OF MERIT

I, Engr. Eliseo B. Naguit, of legal, Filipino, and with residence and postal
address at Cadena De Amor, Dona Francisca Subd., Balanga City, Bataan, after having
been sworn to in accordance with law, hereby depose and state that:

1. I am the representative of the plaintiff in the above-entitled case;

2. Sufficient causes of action exist against all the defendants;

3. This action is one of those specifically mentioned in Sec. 1 of Rule 57 of the

Rules of Court, whereby a writ of preliminary attachment may issue; to wit: In an
action for the recovery of a specified amount of money or damages, other than
moral and exemplary, on a cause of action arising from law, contract, quasi
contract, delict or quasi-delict against a party who is about to depart from the
Philippines with intent to defraud his creditors and in an action against a party
who has removed or disposed of his property, or is about to do so, with intent to
defraud his creditors;

4. There is no other sufficient security for the claim sought to be enforced by the
present action;
 5. The amount due to the plaintiff is as much the sum for which an order of
attachment is sought to be granted, above all legal counterclaims on the part of
the defendants.

6. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this __ day of

March, 2017 at Dinalupihan, Bataan.

Eliseo B. Naguit
Affiant

Subscribed and sworn to before me this __ day of March, 2017 at Dinalupihan,

Bataan, affiant exhibiting to me his SSS ID No. 03-3285714-1.

Doc. No. Atty. Richard A. Ariete

Page No. Notary Public
Book No. Commission Expires on 12/31/2018
Series of 2017. PTR No. 3602706, 01/06/2017
IBP No. 1063240, 02/10/2017
Roll of Attorney No. 66549
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan )

AFFIDAVIT
For Preliminary Attachment

I, Engr. Eliseo B. Naguit, of legal, Filipino, and with residence and

postal address at Cadena De Amor, Dona Francisca Subd., Balanga City,
Bataan, after having been sworn to in accordance with law, hereby depose
and state that:

7. I am the representative of the plaintiff in the above-entitled case;

8. Sufficient causes of action exist against all the defendants;

9. This action is one of those specifically mentioned in Sec. 1 of Rule 57

of the Rules of Court, whereby a writ of preliminary attachment may
issue; to wit: In an action for the recovery of a specified amount of
money or damages, other than moral and exemplary, on a cause of
action arising from law, contract, quasi contract, delict or quasi-delict
 against a party who is about to depart from the Philippines with intent
to defraud his creditors and in an action against a party who has
removed or disposed of his property, or is about to do so, with intent
to defraud his creditors;

10. There is no other sufficient security for the claim sought to be

enforced by the present action;

11. The amount due to the plaintiff is as much the sum for which an
order of attachment is sought to be granted, above all legal
counterclaims on the part of the defendants.

12. I am executing this affidavit to attest to the truth of the foregoing

and for whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 17 th

day of February, 2014 at Dinalupihan, Bataan.

Eliseo B. Naguit
Affiant

Subscribed and sworn to before me this 17th day of February, 2014 at

Dinalupihan, Bataan, affiant exhibiting to me his SSS ID No. 03-3285714-1.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF ASSEMBLY/
INSTALLATION

I, Arnel M. Layug, of legal age, Filipino, and with residence and postal address
at Balsic Hermosa, Bataan, after having been sworn to in accordance with law, hereby
depose and state that:

1. I am the owner of a motor vehicle particularly described as follows:

Make : Euro Motors

Model : DH 150
Motor No. : 161FMJH1096363
Chassis No. : LF3PCK501HB800615

2. I intend to modify the aforesaid motorcycle by installing a sidecar for more

convenient purposes;

3. Said motorcycle with sidecar is now roadworthy, in good running condition

and fit for operation in the public highway;

4. I guarantee the legal safety and acquisition of the parts used in the
assembly/installation of the said motorcycle with sidecar and should any
question arise, I shall assume full responsibility for it;
 5. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 24 th day of

March, 2017 at Dinalupihan, Bataan.

Arnel M. Layug
Affiant

Subscribed and sworn to before me this 24 th day of March, 2017 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his VIN 0805-0067A-L0563AML10000; copy of
which is hereto attached and made integral part of this document. Affiant represented
to the notary public that the signature on this document was voluntarily affixed by him
for the purpose(s) stated in the document and avows under penalty of law to the whole
truth of the contents of the document.

Doc. No. 66 Atty. Richard A. Ariete

Page No. 14 Notary Public
Book No. III Commission Expires on 12/31/2018
Series of 2017. PTR No. 3602706, 01/06/2017
IBP No. 1063240, 02/10/2017
Roll of Attorney No. 66549
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Nicetas S. Garcia, of legal age, Filipino, and with residence and postal address at #23
Canda St., East Bajac-Bajac, Olongapo City, after having been duly sworn to in accordance with
law, hereby depose and state that:

1. I am one of the defendants in the case entitled The Golden Shower Properties and
Landholdings, Inc. vs. Florante Reyes, [Link]., pending before the First Municipal
Circuit Trial Court, Dinalupihan, Bataan, docketed as Civil Case No. 1591 for
Ejectment and Damages;

2. I have voluntarily vacated the stall subject matter (with TCT No. 038-2013001838) of
the above mentioned case last March 15, 2017;

3. I acknowledged that the Golden Shower Properties and Landholdings, Inc. is the
sole owner of the property subject matter of the above mentioned case;

4. I do not intend to return to the said stall;

5. I hereby give my consent and approval to the demolition of the stall I used to occupy
to the Golden Shower Properties and Landholdings, Inc. or its duly authorized
representative (S);
 6. I am filing this affidavit to the court as and by way of Manifestation that I am no
longer interested on the stall covered by the title of The Golden Shower Properties
and Landholdings, Inc. located in Dinalupihan, Bataan;

7. No damages will be charged to me on the above case according to Atty Malit;

8. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

In witness whereof, I have hereunto affixed my signature this 21 st day of March, 2017 in
Dinalupihan, Bataan.

Nicetas S. Garcia
Affiant

Conforme: No damages to be collected from Mrs. Garcia

Juvy Mell S. Malit

Counsel for Golden Shower

Subscribed and sworn to before me this 21 st day of March, 2017 at Dinalupihan,

Bataan. Mrs. Nicetas S. Garcia with OSCA ID No. 1759683 personally appeared before
the undersigned Notary Public at his office in Sta. Isabel, Dinalupihan, Bataan.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF

I, Jesusa S. Mendoza, of legal age, Filipino, married and with residence and
postal address at San Pedro St., Hermosa, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

7. I am the registered owner of JESUSA PAWNSHOP located at Plaza Hermosa,

Bataan with employer SSS No. 02-0972515-7;

8. Effective on June 01, 2016, my last employee is Myra Cristobal with SSS 02-
3349272-8 resigned and I have not employed anyone since then;

9. Hence, my business has no employee/s from June 2016 up to present;

10. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 20 th day of

March, 2017 at Dinalupihan, Bataan.

Jesusa S. Mendoza
Affiant

Subscribed and sworn to before me this 20 th day of March, 2017 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her UMID ID No. CRN-0111-0812665-2; a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by her for the purpose(s) stated in the document and avows under penalty of law
to the whole truth of the contents of the document.

Doc. No. Atty. Richard A. Ariete

Page No. Notary Public
Book No. Commission Expires on 12/31/2018
Series of 2017. PTR No. 3602706, 01/06/2017
IBP No. 1063240, 02/10/2017
Roll of Attorney No. 66549
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )
 AFFIDAVIT

I, Lorena N. Cabais, of legal age, Filipino, and with residence and postal
address at Sta. Isabel, Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

1. I am the holder of the following documents:

Certificate of Experience and Release issued by the Faiha Group Co. for
Medical Services
Certification issued by the Crisostomo San Juan Medical Clinic

2. I hereby attest to the authenticity and genuiness of the Certificate of Experience

and Release and Certification, copies of which are hereto attached and made
integral parts hereof;

3. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 16 th day of

March, 2017 at Dinalupihan, Bataan.

Lorena N. Cabais
Affiant

Subscribed and sworn to before me this 16 th day of March, 2017 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her PRC ID No. 0700949; a copy of which is
hereto attached and made an integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by her for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No. Atty. Richard A. Ariete

Page No. Notary Public
Book No. Commission Expires on 12/31/2018
Series of 2017. PTR No. 3602706, 01/06/2017
IBP No. 1063240, 02/10/2017
Roll of Attorney No. 66549
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )
Affidavit

I, Florencio J. Vianzon, of legal age, married, and with residence and postal
address at No. 35 Azuzena St., De Mesa Village, Mandama, Hermosa, Bataan, after
having been duly sworn to in accordance with law, hereby depose and state that:

9. I am one of the defendants in the case entitled The Golden Shower

Properties and Landholdings, Inc. vs. Florante Reyes, [Link]., pending before
 the First Municipal Circuit Trial Court, Dinalupihan, Bataan, docketed as Civil
Case No. 1591 for Ejectment and Damages;

10. I have voluntarily vacated the stall subject matter (with TCT No. 038-
2013001838) of the above mentioned case last February 15, 2017;

11. I acknowledged that the Golden Shower Properties and Landholdings, Inc. is
the sole owner of the property subject matter of the above mentioned case;

12. I do not intend to return to the said stall;

13. I hereby give my consent and approval to the demolition of the stall I used to
occupy to the Golden Shower Properties and Landholdings, Inc. or its duly
authorized representative (S);

14. I am filing this affidavit to the court as and by way of Manifestation that I am
no longer interested on the stall covered by the title of The Golden Shower
Properties and Landholdings, Inc. located in Dinalupihan, Bataan;

15. No damages will be charged to me on the above case according to Atty Malit;

16. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

In witness whereof, I have hereunto affixed my signature this 15 th day of March,

2017 in Dinalupihan, Bataan.

Florencio J. Vianzon
Affiant

Conforme:

Maria Nieves Vianzon

Wife

Conforme: No damages to be collected from Mr. and Mrs Vianzon

Juvy Mell S. Malit

Counsel for Golden Shower

Subscribed and sworn to before me this 15th day of March, 2017 at

Dinalupihan, Bataan. Mr. Florencio Vianzon and Maria Nieves Vianzon with
UMID No. 0111-1893160-4 personally appeared before the undersigned Notary
Public at his office in Sta. Isabel, Dinalupihan, Bataan.

Doc. No.
Page No.
Book No.
Series of 2017.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF ASSEMBLY/
INSTALLATION

I, Albert N. Angeles, of legal age, Filipino, and with residence and postal address at
Happy Valley, after having been sworn to in accordance with law, hereby depose and state that:

6. I am the owner of a motor vehicle particularly described as follows:

Make : Euro Motors

Model : DH 150
Motor No. : 161FMJH1108984
Chassis No. : LF3PCK501HB801136

7. With the help of R.G. Flores Iron Works and Trading, they finished assembling,
installing a sidecar in Dinalupihan, Bataan;

8. Said motorcycle with sidecar is now roadworthy, in good running condition and fit for
operation in the public highway;
 9. I guarantee the legal safety and acquisition of the parts used in the
assembly/installation of the said motorcycle with sidecar and should any question
arise, I shall assume full responsibility for it;

10. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 14 th day of March, 2017
at Dinalupihan, Bataan.

Albert N. Angeles
Affiant

Subscribed and sworn to before me this 14 th day of March, 2017 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally appeared
before the undersigned and had exhibited to the said notary public a competent evidence of
identity such as his VIN 0804-0066A-H2788ANA10000; copy of which is hereto attached and
made integral part of this document. Affiant represented to the notary public that the signature
on this document was voluntarily affixed by him for the purpose(s) stated in the document and
avows under penalty of law to the whole truth of the contents of the document.

Doc. No. 473 Atty. Richard A. Ariete

Page No. 95 Notary Public
Book No. II Commission Expires on 12/31/2018
Series of 2017. PTR No. 3602706, 01/06/2017
IBP No. 1063240, 02/10/2017
Roll of Attorney No. 66549
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Nenita N. Carag, of legal age, Filipino, widow and with residence and postal
address at Happy Valley Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

4. I am the surviving spouse of AURELLANO STO. TOMAS CARAG who died on

December 30, 2014 in Dinalupihan, Bataan as evidenced by his Certificate of
Death;

5. He was the previous owner of AURELLANO’S FOOTWEAR located at One

Stop, Lot 7, Aguinaldo Road, Central Business District, Subic Bay, Freeport
Zone;

6. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 28 th day of

February, 2017 at Dinalupihan, Bataan.

Nenita N. Carag
Affiant
 Subscribed and sworn to before me this 28 th day of February, 2017 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her OSCA ID No. 3206; a copy of which is
hereto attached and made an integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by her for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No. Atty. Richard A. Ariete

Page No. Notary Public
Book No. Commission Expires on 12/31/2018
Series of 2017. PTR No. 3602706, 01/06/2017
IBP No. 1063240, 02/10/2017
Roll of Attorney No. 66549
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Surviving Legal Heirs

I, Angelica R. Magno, of legal age, Filipino, widow and with residence and postal
address at San Ramon Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

1. I am the surviving spouse of Neil F. Magno who died on September 11, 2016 in
Dinalupihan, Bataan as evidenced by his Certificate of Death;

2. We have Two (2) children, namely:

Leonila Mae R. Magno, born on October 22, 2000

Aaron Neil R. Magno, born on October 3, 2007

3. They are still minors;

4. We are the legal heirs of Neil F. Magno;

5. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 23 rd day of

February, 2017 at Dinalupihan, Bataan.

Angelica R. Magno
Affiant

Subscribed and sworn to before me this 23rd day of February, 2017 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her UMID ID No. CRN-006-0094-4282-5; copy
of which is hereto attached and made integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by her for the purpose(s) stated in the document and avows under penalty of law
to the whole truth of the contents of the document.

Doc. No. Atty. Richard A. Ariete

Page No. Notary Public
Book No. Commission Expires on 12/31/2018
Series of 2017. PTR No. 3602706, 01/06/2017
IBP No. 1063240, 02/10/2017
Roll of Attorney No. 66549
Sta. Isabel Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF ASSEMBLY/
INSTALLATION

I, Jerry S. Magallanes, of legal age, Filipino, and with residence and postal address at
Colo Dinalupihan, Bataan, after having been sworn to in accordance with law, hereby depose
and state that:

11. I am the registered owner of a motor vehicle particularly described as follows:

Make : EURO Motors

Model : DH 150
Motor No. : 161FMJG2150431
Chassis No. : LF3PCK501GB820727

12. With the help of Michelle Meryle Side Car Making, they finished assembling,
installing a sidecar in Dinalupihan, Bataan;

13. Said motorcycle with sidecar is now roadworthy, in good running condition and fit for
operation in the public highway;

14. I guarantee the legal safety and acquisition of the parts used in the
assembly/installation of the said motorcycle with sidecar and should any question
arise, I shall assume full responsibility for it;

15. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 22 nd day of February,

2017 at Dinalupihan, Bataan.

Jerry S. Magallanes
Affiant

Subscribed and sworn to before me this 22 nd day of February, 2017 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally appeared
before the undersigned and had exhibited to the said notary public a competent evidence of
identity such as his SSS ID No. 03-8646581-9; copy of which is hereto attached and made
integral part of this document. Affiant represented to the notary public that the signature on this
document was voluntarily affixed by him for the purpose(s) stated in the document and avows
under penalty of law to the whole truth of the contents of the document.

Doc. No. Atty. Richard A. Ariete

Page No. Notary Public
Book No. Commission Expires on 12/31/2018
Series of 2017. PTR No. 3602706, 01/06/2017
IBP No. 1063240, 02/10/2017
Roll of Attorney No. 66549
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF
NO OPERATION

I, Normah B. Salie, of legal age, Filipino, and with residence and postal address
at Kataasan Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

11. I am the registered owner of NORMAH FOOTWEAR and VARIETY STORE

located at Dinalupihan Public Market in Dinalupihan, Bataan with the Department
of Trade and Industry (DTI);

12. It was registered in the year 2014 and it has been operating from March 2014 up
to December 31, 2014. I did not operate from January 2015 to December 31,
2016;

13. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 22 nd day of

February, 2017 at Dinalupihan, Bataan.

Normah B. Salie
Affiant

Subscribed and sworn to before me this 22nd day of February, 2017 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her Postal ID No. 4743126; a copy of which is
hereto attached and made an integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by her for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No. 390 Atty. Richard A. Ariete

Page No. 78 Notary Public
Book No. I Commission Expires on 12/31/2018
Series of 2017. PTR No. 3602706, 01/06/2017
IBP No. 1063240, 02/10/2017
Roll of Attorney No. 66549
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF ASSEMBLY/
INSTALLATION

I, Elizalde L. Lachica, of legal age, Filipino, and with residence and postal address at
Mabiga Hermosa, Bataan, after having been sworn to in accordance with law, hereby depose
and state that:

16. I am the registered owner of a motor vehicle particularly described as follows:

Make : Kawasaki
Model : MC-MC175H-16-BLK/BK1
Motor No. : BC175AELD3159
Chassis No. : BC175H-B09918

17. With the help of R.G. Flores Iron Works and Trading, they finished assembling,
installing a sidecar in Dinalupihan, Bataan;

18. Said motorcycle with sidecar is now roadworthy, in good running condition and fit for
operation in the public highway;

19. I guarantee the legal safety and acquisition of the parts used in the
assembly/installation of the said motorcycle with sidecar and should any question
arise, I shall assume full responsibility for it;

20. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 22 nd day of February,

2017 at Dinalupihan, Bataan.

Elizalde L. Lachica
Affiant

Subscribed and sworn to before me this 22 nd day of February, 2017 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally appeared
before the undersigned and had exhibited to the said notary public a competent evidence of
identity such as his TIN 269-702-949; copy of which is hereto attached and made integral part of
this document. Affiant represented to the notary public that the signature on this document was
voluntarily affixed by him for the purpose(s) stated in the document and avows under penalty of
law to the whole truth of the contents of the document.

Doc. No. Atty. Richard A. Ariete

Page No. Notary Public
Book No. Commission Expires on 12/31/2018
Series of 2017. PTR No. 3602706, 01/06/2017
IBP No. 1063240, 02/10/2017
Roll of Attorney No. 66549
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Ignacio E. Medrano Jr., of legal age, Filipino, and with residence and postal
address at San Ramon, Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

7. I am a holder of Certification issued by the Eagle Star;

 8. I hereby attest to the authenticity and genuiness of the Certification, a copy of
which is hereto attached and made integral parts hereof;

9. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 16 th day of

February, 2017 at Dinalupihan, Bataan.

Ignacio E. Medrano Jr.

Affiant

Subscribed and sworn to before me this 16 th day of February, 2017 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his Driver’s License No. C02-03-002717; a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by him for the purpose(s) stated in the document and avows under penalty of
law to the whole truth of the contents of the document.

Doc. No. 98 Atty. Richard A. Ariete

Page No. 20 Notary Public
Book No. II Commission Expires on 12/31/2018
Series of 2017. PTR No. 3602706, 01/06/2017
IBP No. 1063240, 02/10/2017
Roll of Attorney No. 66549
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Jessica U. Sayao, of legal age, Filipino, married and with residence and postal
address at Luacan Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

1. My maiden name is Jessica Reyes Unlas;

2. I am was born on June 30, 1970 in Dinalupihan, Bataan from parents spouses
Eleuterio De Leon Unals and Rosita Reyes;
3. I am married to Angel Sayao. We got married on July 19, 2004 in Dinalupihan,
Bataan;

4. I am the niece of Dorothy Unlas Rocell Liwanag Sambat. She is the first cousin of
my mother;

5. My mother’s (Marites) father named Roberto M. Sambat and my aunt’s (Rocell)

father named Rolito M. Sambat were siblings;
 6. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 4 th day of

October, 2016 at Dinalupihan, Bataan.

Marie Teresa S. Pielago

Affiant

Subscribed and sworn to before me this 4 th day of October, 2016 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her Passport No. P0223232A; a copy of which is
hereto attached and made an integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by her for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF ASSEMBLY/
INSTALLATION

I, Loida D. Fausto, of legal age, Filipino, married and with residence and postal address
at Saguing Dinalupihan, Bataan, after having been sworn to in accordance with law, hereby
depose and state that:

21. I am the registered owner of a motor vehicle particularly described as follows:

Make : EURO Keeway

Model : Brusco 175
Motor No. : QJ162FMK6363785
Chassis No. : LBBPEL00XGB724465

22. With the help of Jeff Sarili, he finished assembling, installing a sidecar in
Dinalupihan, Bataan;

23. Said motorcycle with sidecar is now roadworthy, in good running condition and fit for
operation in the public highway;

24. I guarantee the legal safety and acquisition of the parts used in the
assembly/installation of the said motorcycle with sidecar and should any question
arise, I shall assume full responsibility for it;
 25. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13 th day of February,

2017 at Dinalupihan, Bataan.

Loida D. Fausto
Affiant

Subscribed and sworn to before me this 13 th day of February, 2017 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally appeared
before the undersigned and had exhibited to the said notary public a competent evidence of
identity such as her PRC ID No. 0498893; copy of which is hereto attached and made integral
part of this document. Affiant represented to the notary public that the signature on this
document was voluntarily affixed by her for the purpose(s) stated in the document and avows
under penalty of law to the whole truth of the contents of the document.

Doc. No. Atty. Richard A. Ariete

Page No. Notary Public
Book No. Commission Expires on 12/31/2018
Series of 2017. PTR No. 3602706, 01/06/2017
IBP No. 1042014, 06/09/2016
Roll of Attorney No. 66549
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Rev. Fr. Domingo B. Batac, Jr., CRS., of legal age, Filipino, and with residence and
postal address at Sto. Niño, Lubao, Pampanga, after having been sworn to in accordance with
law, hereby depose and state that:

1. I am the Director of Casa Miani (Somascan Fathers) Foundation, Inc. situated in St.
Jerome Road, Sto. Niño, Lubao, Pampanga;
2. Said foundation has a residential care facility and it is a home for the needy and
disadvatanged boys ages 6 to 18-19 years old boys. It currently caters 21 residents
who have been orphaned, foundling/homeless/abandoned, and neglected because
of the extreme poverty situation of family. Casa Miani shares its compound with the
Seminary of Somascan Fathers;
3. The foundation is a Non-Government Organization (NGO) which relies on local
donations/mass stipend of the Priest In-Charge, Congregation/Provincial’s
contribution and funding from abroad in order to provide for, and meet the basic
needs of the children and youth we serve. Services provided for the children residing
at the home consist of : Education (Formal and Non Formal/Home Life),
Spiritual/Religious Formation, Health Care/Nutrition, and Social Service;
4. Sarre Cosme Pagong is one of the Home’s residents who was referred by the
Municipal Social Welfare & Development Office (MSWDO) of Castillejos, Zambales
thru the Nuns of Missionaries of Charity (MC) of Olongapo City on 2016 because he
was orphaned with his eldest brother and his immediate relatives can’t provide his
basic needs because of their impoverished situation;
5. He belongs to the Indigenous People/IP or native clan in Castillejos, Zambales;
6. He is 17 years old and presently enrolled as a Grade 10 student at St. Jerome
Emiliani School (SJES), a Secondary School of Somascan Fathers in Roosevelt
DInalupihan, Bataan;
7. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 10 th day of February,

2017 at Dinalupihan, Bataan.

Rev. Fr. Domingo B. Batac, Jr., CRS.

Affiant
 Subscribed and sworn to before me this 10 th day of February, 2017 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally appeared
before the undersigned and had exhibited to the said notary public a competent evidence of
identity such as his Somascan Fathers Seminary ID No. 04; a copy of which is hereto attached
and made integral parts of this document. Affiant represented to the notary public that the
signature on this document was voluntarily affixed by him for the purpose(s) stated in the
document and avow under penalty of law to the whole truth of the contents of the document.

Doc. No. Atty. Richard A. Ariete

Page No. Notary Public
Book No. Commission Expires on 12/31/2018
Series of 2017. PTR No. 3602706, 01/06/2017
IBP No. 1042014, 06/09/2016
Roll of Attorney No. 66549
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Rev. Fr. Domingo B. Batac, Jr., CRS., of legal age, Filipino, and with residence and
postal address at Sto. Niño, Lubao, Pampanga, after having been sworn to in accordance with
law, hereby depose and state that:

1. I am the Director of Casa Miani (Somascan Fathers) Foundation, Inc. situated in St.
Jerome Road, Sto. Niño, Lubao, Pampanga;
2. Said foundation has a residential care facility and it is a home for the needy and
disadvatanged boys ages 6 to 18-19 years old boys. It currently caters 21 residents
who have been orphaned, foundling/homeless/abandoned, and neglected because
of the extreme poverty situation of family. Casa Miani shares its compound with the
Seminary of Somascan Fathers;
3. The foundation is a Non-Government Organization (NGO) which relies its income on
local donations/mass stipend of the Priest In-Charge, Congregation/Provincial’s
contribution and funding from abroad in order to provide for, and meet the basic
needs of the children and youth we serve. Services provided for the children residing
at the home consist of : Education (Formal and Non Formal/Home Life),
Spiritual/Religious Formation, Health Care/Nutrition, and Social Service;
4. Ariel Juliano Balintay is one of the Home’s residents who wasreferred by the
Municipal Social Welfare & Development Office (MSWDO) of Castillejos, Zambales
thru the Nuns of Missionaries of Charity (MC) of Olongapo City on 2010 because of
their impoverished situation. His family & relatives were displaced by the typhoons;
5. He belongs to the Indigenous People/IP or native clan, with large number of family
members totaling to 14;
6. He is 17 years old and presently enrolled as a Grade 10 student at St. Jerome
Emiliani School (SJES), a Secondary School of Somascan Fathers in Roosevelt
DInalupihan, Bataan;
7. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13 th day of February,

2017 at Dinalupihan, Bataan.

Rev. Fr. Domingo B. Batac, Jr., CRS.

Affiant

Subscribed and sworn to before me this 13 th day of February, 2017 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally appeared
before the undersigned and had exhibited to the said notary public a competent evidence of
identity such as his Somascan Fathers Seminary ID No. 04; a copy of which is hereto attached
and made integral parts of this document. Affiant represented to the notary public that the
signature on this document was voluntarily affixed by him for the purpose(s) stated in the
document and avow under penalty of law to the whole truth of the contents of the document.
Doc. No. Atty. Richard A. Ariete
Page No. Notary Public
Book No. Commission Expires on 12/31/2018
Series of 2017. PTR No. 3602706, 01/06/2017
IBP No. 1042014, 06/09/2016
Roll of Attorney No. 66549
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Transfer of Ownership

I, Abegail D. Pacheco, of legal age, Filipino, and with residence and postal
address at Sto. Niño, Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

1. I am the registered owner of GENKI’S ALKALINE WATER REFILLING

STATION located at Sto. Niño Dinalupihan, Bataan registered with Department
of Trade and Industry (DTI) with Certificate No. 03311256;

2. I am transferring all my rights and interests over the said business in favor of my
brother Noel D. Pacheco considering that I could no longer manage the said
business;

3. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13 th day of

February, 2017 at Dinlalupihan, Bataan.

Abegail D. Pacheco
Affiant
Conforme:

Noel D. Pacheco

Subscribed and sworn to before me this 13th day of February, 2017 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her Passport No. EC6985478; a copy of which
is hereto attached and made an integral part of this document. Affiant represented to
the notary public that the signature on this document was voluntarily affixed by her for
the purpose(s) stated in the document and avows under penalty of law to the whole
truth of the contents of the document.

Doc. No. Atty. Richard A. Ariete

Page No. Notary Public
Book No. Commission Expires on 12/31/2018
Series of 2017. PTR No. 3602706, 01/06/2017
IBP No. 1042014, 06/09/2016
Roll of Attorney No. 66549
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)
 AFFIDAVIT

I, Rev. Fr. Domingo B. Batac, Jr., CRS., of legal age, Filipino, and with residence and
postal address at Sto. Niño, Lubao, Pampanga, after having been sworn to in accordance with
law, hereby depose and state that:

8. I am the Director of Casa Miani (Somascan Fathers) Foundation, Inc. situated in St.
Jerome Road, Sto. Niño, Lubao, Pampanga;
9. Said foundation has a residential care facility and it is a home for the needy and
disadvatanged boys ages 6 to 18-19 years old boys. It currently caters 24 residents
who have been orphaned, foundling/homeless/abandoned, and neglected because
of the extreme poverty situation of family. Casa Miani shares its compound with the
Seminary of Somascan Fathers;
10. The foundation is a Non-Government Organization (NGO) which relies on local
donations/mass stipend of the Priest In-Charge, Congregation/Provincial’s
contribution and funding from abroad in order to provide for, and meet the basic
needs of the children and youth we serve. Services provided for the children residing
at the home consist of : Education (Formal and Non Formal/Home Life),
Spiritual/Religious Formation, Health Care/Nutrition, and Social Service;
11. Sarre Cosme Pagong is one of the Home’s residents who was referred by the
Municipal Social Welfare & Development Office (MSWDO) of Castillejos, Zambales
thru the Nuns of Missionaries of Charity (MC) of Olongapo City on 2016 because he
was orphaned with his eldest brother and his immediate relatives can’t provide his
basic needs because of their impoverished situation;
12. He belongs to the Indigenous People/IP or native clan in Castillejos, Zambales;
13. He is 17 years old and presently enrolled as a Grade 10 student at St. Jerome
Emiliani School (SJES), a Secondary School of Somascan Fathers in Roosevelt
DInalupihan, Bataan;
14. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 10 th day of February,

2017 at Dinalupihan, Bataan.

Rev. Fr. Domingo B. Batac, Jr., CRS.

Affiant

Subscribed and sworn to before me this 10 th day of February, 2017 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally appeared
before the undersigned and had exhibited to the said notary public a competent evidence of
identity such as his Somascan Fathers Seminary ID No. 04; a copy of which is hereto attached
and made integral parts of this document. Affiant represented to the notary public that the
signature on this document was voluntarily affixed by him for the purpose(s) stated in the
document and avow under penalty of law to the whole truth of the contents of the document.

Doc. No. Atty. Richard A. Ariete

Page No. Notary Public
Book No. Commission Expires on 12/31/2018
Series of 2017. PTR No. 3602706, 01/06/2017
IBP No. 1042014, 06/09/2016
Roll of Attorney No. 66549
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Rev. Fr. Domingo B. Batac, Jr., CRS., of legal age, Filipino, and with residence and
postal address at Sto. Niño, Lubao, Pampanga, after having been sworn to in accordance with
law, hereby depose and state that:

8. I am the Director of Casa Miani (Somascan Fathers) Foundation, Inc. situated in St.
Jerome Road, Sto. Niño, Lubao, Pampanga;
 9. Said foundation has a residential care facility and it is a home for the needy and
disadvatanged boys ages 6 to 18-19 years old boys. It currently caters 24 residents
who have been orphaned, foundling/homeless/abandoned, and neglected because
of the extreme poverty situation of family. Casa Miani shares its compound with the
Seminary of Somascan Fathers;
10. The foundation is a Non-Government Organization (NGO) which relies its income on
local donations/mass stipend of the Priest In-Charge, Congregation/Provincial’s
contribution and funding from abroad in order to provide for, and meet the basic
needs of the children and youth we serve. Services provided for the children residing
at the home consist of : Education (Formal and Non Formal/Home Life),
Spiritual/Religious Formation, Health Care/Nutrition, and Social Service;
11. Ariel Juliano Balintay is one of the Home’s residents who wasreferred by the
Municipal Social Welfare & Development Office (MSWDO) of Castillejos, Zambales
thru the Nuns of Missionaries of Charity (MC) of Olongapo City on 2010 because of
their impoverished situation. His family & relatives were displaced by the typhoons;
12. He belongs to the Indigenous People/IP or native clan, with large number of family
members totaling to 14;
13. He is 17 years old and presently enrolled as a Grade 10 student at St. Jerome
Emiliani School (SJES), a Secondary School of Somascan Fathers in Roosevelt
DInalupihan, Bataan;
14. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 10 th day of February,

2017 at Dinalupihan, Bataan.

Rev. Fr. Domingo B. Batac, Jr., CRS.

Affiant

Subscribed and sworn to before me this 10 th day of February, 2017 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally appeared
before the undersigned and had exhibited to the said notary public a competent evidence of
identity such as his Somascan Fathers Seminary ID No. 04; a copy of which is hereto attached
and made integral parts of this document. Affiant represented to the notary public that the
signature on this document was voluntarily affixed by him for the purpose(s) stated in the
document and avow under penalty of law to the whole truth of the contents of the document.

Doc. No. Atty. Richard A. Ariete

Page No. Notary Public
Book No. Commission Expires on 12/31/2018
Series of 2017. PTR No. 3602706, 01/06/2017
IBP No. 1042014, 06/09/2016
Roll of Attorney No. 66549
Sta. Isabel, Dinalupihan, Bataan
Republic of the Philippines )
Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Ronnie M. Mesina, of legal age, Filipino, and with residence and postal
address at Tipo Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

1. I am the biological mother of GERAMIE LAYUG MESINA who was born on

November 19, 1999 in Olongapo City;

2. My son is presently enrolled and studying at St. Jerome Emiliani in Tipo

Hermosa, Bataan;

3. I am not employed in any company;

4. I am receiving a monthly allowance of One Thousand Two Hundred Fifty

Pesos (P 1,250.00) from my sister-in-law;

5. I do not have any source of income;

 6. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 10 th day of

February, 2017 at Dinalupihan, Bataan.

Ronnie M. Mesina
Affiant

Subscribed and sworn to before me this 10th day of February, 2017 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his Driver’s License No. C09-12-002779; a copy
of which is hereto attached and made integral parts of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by him for the purpose(s) stated in the document and avow under penalty of law
to the whole truth of the contents of the document.

Doc. No. 37 Atty. Richard A. Ariete

Page No. 8 Notary Public
Book No. II Commission Expires on 12/31/2018
Series of 2017. PTR No. 3602706, 01/06/2017
IBP No. 1042014, 06/09/2016
Roll of Attorney No. 66549
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Alica C. Basco, of legal age, Filipino, and with residence and postal address at
Rizal St., Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

10. I am the biological mother of JOHN CHRISTIAN BASCO IBE who was born
on May 31, 2001 in Dinalupihan, Bataan;

11. My son is presently enrolled and studying at University of Nueva Caceres in

Dinalupihan, Bataan;

12. I am not employed in any company;

13. I am receiving a monthly remittance allowance of Ten Thousand Pesos (P

10,000.00) from my husband;

14. I have a canteen and my monthly income is Five Thousand Pesos (p

5,000.00)

15. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 1 st day of

February, 2017 at Dinalupihan, Bataan.

Alicia C. Basco
Affiant
 Subscribed and sworn to before me this 1 st day of February, 2017 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her Philhealth ID Card; a copy of which is hereto
attached and made integral parts of this document. Affiant represented to the notary
public that the signature on this document was voluntarily affixed by her for the
purpose(s) stated in the document and avow under penalty of law to the whole truth of
the contents of the document.

Doc. No. 412 Atty. Richard A. Ariete

Page No. 83 Notary Public
Book No. I Commission Expires on 12/31/2018
Series of 2017. PTR No. 3602706, 01/06/2017
IBP No. 1042014, 06/09/2016
Roll of Attorney No. 66549
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF
NO OPERATION

I, Joana D. Sioson, of legal age, Filipino, married and with residence and postal
address at Pentor Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

14. I am the registered owner of TRISHA ANGELA’S CHICKEN DRESSER located

at Pentor Dinalupihan, Bataan registered with THE Department of Trade and
Industry (DTI) with Certificate No. 03756396;

15. It was registered in the year October 2015 and it has not been operating since
then for lack of capital to finance;

16. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 31 st day of

January, 2017 at Dinalupihan, Bataan.

Joana D. Sioson
Affiant

Subscribed and sworn to before me this 31st day of January, 2017 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her Driver’s License No. C02-10-002201; a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by her for the purpose(s) stated in the document and avows under penalty of law
to the whole truth of the contents of the document.

Doc. No. 390 Atty. Richard A. Ariete

Page No. 78 Notary Public
Book No. I Commission Expires on 12/31/2018
Series of 2017. PTR No. 3602706, 01/06/2017
IBP No. 1042014, 06/09/2016
Roll of Attorney No. 66549
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Transfer of Ownership

I, Gil R. Salang, of legal age, Filipino, married and with residence and postal
address at #38 Mabini Proper Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

4. I am the registered owner of CARMEN MEAT STAND located at Dinalupihan

Public Market in Dinalupihan, Bataan;

5. I am transferring all my rights and interests over the said business in favor of my
wife Carmelita R. Salang considering that I could no longer manage the said
business;

6. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 30 th day of

January, 2017 at Dinlalupihan, Bataan.

Gil R. Salang
Affiant

Subscribed and sworn to before me this 30th day of January, 2017 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his TIN 935-394-476; a copy of which is hereto
attached and made an integral part of this document. Affiant represented to the notary
public that the signature on this document was voluntarily affixed by him for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No. Atty. Richard A. Ariete

Page No. Notary Public
Book No. Commission Expires on 12/31/2018
Series of 2017. PTR No. 3602706, 01/06/2017
IBP No. 1042014, 06/09/2016
Roll of Attorney No. 66549
Sta. Isabel, Dinalupihan, Bataan
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF COHABITATION

We, Jason B. Abalos and Glaiza B. Martin, both of legal age, Filipino, and with
residence and postal address at San Pablo Dinalupihan, Bataan, after having been
sworn to in accordance with law, hereby depose and state that:

6. We are common law husband and wife;

7. We have been living together without the benefit of marriage since November
2011;

8. We intend to legalize our relationship anytime soon;

9. There are no legal impediments existing between us;

10. We are executing this affidavit to attest to the truth of the foregoing and for
the whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 30 th day of

January, 2017 at Dinalupihan, Bataan.

Jason B. Abalos Glaiza B. Martin

Affiant Affiant
VIN 0804-0227A-E0687JBA10000 VRR No.
0804300001992

Subscribed and sworn to before me this 30th day of January, 2017 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiants personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as their IDs; copies of which are hereto attached
and made an integral part of this document. Affiants represented to the notary public
that the signatures on this document were voluntarily affixed by them for the purpose(s)
stated in the document and avows under penalty of law to the whole truth of the
contents of the document.

Doc. No. Atty. Richard A. Ariete

Page No. Notary Public
Book No. Commission Expires on 12/31/2018
Series of 2017. PTR No. 3602706, 01/06/2017
IBP No. 1042014, 06/09/2016
Roll of Attorney No. 66549
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

AFFIDAVIT
 I, Jeffrey S. Yumol, of legal age, Filipino, and with residence and postal address
at 920-D, I. Trinidad St., Brgy. Vergara, Manadaluyong City, after having been sworn to
in accordance with law, hereby depose and state that:

1. I am the father of CLAY KUHA’O MAYUYO YUMOL who was born on

December 24, 2014 in Orani, Bataan;

2. His mother is Lalaine Jessica Mayuyo;

3. I hereby give the custody and care of my said child to Lalaine Jessica Mayuyo
three (3) days a week starting January 2017 and the rest of the week said child
will be in my custody. This is our temporary agreement;

4. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this

_______________ at _____________________.

Jeffrey S. Yumol
Affiant

Subscribed and sworn to before me this _____________________ at

_________________, affiant exhibiting to me his _________________________.

Doc. No.
Page No.
Book No.
Series of 2017.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF ASSEMBLY/
INSTALLATION

I, Joyce L. Mendoza, of legal age, Filipino, married and with residence and postal
address at Saguing Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

26. I am the registered owner of a motor vehicle particularly described as follows:

Make : EURO Motors

Model : DH 150
Motor No. : 161FMJG2150578
Chassis No. : LF3PCK501GB820723

27. With the help of R.G. Flores Iron Works and Trading, they finished assembling,
installing a sidecar in Dinalupihan, Bataan;

28. Said motorcycle with sidecar is now roadworthy, in good running condition and fit for
operation in the public highway;

29. I guarantee the legal safety and acquisition of the parts used in the
assembly/installation of the said motorcycle with sidecar and should any question
arise, I shall assume full responsibility for it;

30. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 23 rd day of January,

2017 at Dinalupihan, Bataan.

Joyce L. Mendoza
Affiant

Subscribed and sworn to before me this 23 rd day of January, 2017 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally appeared
before the undersigned and had exhibited to the said notary public a competent evidence of
identity such as her PRC ID No. 0324070; copy of which is hereto attached and made integral
part of this document. Affiant represented to the notary public that the signature on this
document was voluntarily affixed by her for the purpose(s) stated in the document and avows
under penalty of law to the whole truth of the contents of the document.

Doc. No. Atty. Richard A. Ariete

Page No. Notary Public
Book No. Commission Expires on 12/31/2018
Series of 2017. PTR No. 3602706, 01/06/2017
IBP No. 1042014, 06/06/2016
Roll of Attorney No. 66549
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )
 AFFIDAVIT OF
NO OPERATION

I, Marilou S. Capalungan, of legal age, Filipino, married and with residence and
postal address at No. 40 Payumo St., San Ramon Dinalupihan, Bataan, after having
been sworn to in accordance with law, hereby depose and state that:

17. I am the registered owner of CLARIL TRADING located at San Ramon

Dinalupihan, Bataan registered with THE Department of Trade and Industry (DTI)
with Certificate No. 03787745;

18. It started its operation sometime in the year November 2015 and it has ceased
operating for the year 2016 and up to present because the same is no longer
earning income;

19. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 19 th day of

January, 2017 at Dinalupihan, Bataan.

Marilou S. Capalungan
Affiant

Subscribed and sworn to before me this 19 th day of January, 2017 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her _____________________________; a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by her for the purpose(s) stated in the document and avows under penalty of law
to the whole truth of the contents of the document.

Doc. No. Atty. Richard A. Ariete

Page No. Notary Public
Book No. Commission Expires on 12/31/2018
Series of 2017. PTR No. 3602706, 01/06/2017
IBP No. 1042014, 06/09/2016
Roll of Attorney No. 66549
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)
 AFFIDAVIT

, Rexy L. Fajardo, of legal age, Filipino, married and with residence and postal
address at Pagalanggang, Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am the grandmother/guardian of LAMA KEITH FAJARDO who was born on

March 6, 2016 in Dinalupihan, Bataan;

2. Her mother is Rhona Kate Luzano Fajardo and her father is unknown;

3. Her mother is my daughter and presently working in Dubai, U.A.E.;

4. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 19 th day of

January, 2017 at Dinalupihan, Bataan.

Rexy L. Fajardo
Affiant

Subscribed and sworn to before me this 19 th day of January, 2017 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her VIN 0804-0143A-H2766RLF20000; a copy
of which is hereto attached and made integral parts of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by her for the purpose(s) stated in the document and avow under penalty of law
to the whole truth of the contents of the document.

Doc. No. 217 Atty. Richard A. Ariete

Page No. 44 Notary Public
Book No. I Commission Expires on 12/31/2018
Series of 2017. PTR No. 3602706, 01/06/2017
IBP No. 1042014, 06/09/2016
Roll of Attorney No. 66549
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Rexy L. Fajardo, of legal age, Filipino, married and with residence and postal
address at Pagalanggang, Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

5. I am the grandmother/guardian of LAMA KEITH FAJARDO who was born on

March 6, 2016 in Dinalupihan, Bataan;

6. Her mother is Rhona Kate Luzano Fajardo and her father is unknown;
 7. Her mother is my daughter and presently working in Dubai, U.A.E.;

8. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 19 th day of

January, 2017 at Dinalupihan, Bataan.

Rexy L. Fajardo
Affiant

Subscribed and sworn to before me this 19 th day of January, 2017 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her VIN 0804-0143A-H2766RLF20000; a copy
of which is hereto attached and made integral parts of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by her for the purpose(s) stated in the document and avow under penalty of law
to the whole truth of the contents of the document.

Doc. No. 217 Atty. Richard A. Ariete

Page No. 44 Notary Public
Book No. I Commission Expires on 12/31/2018
Series of 2017. PTR No. 3602706, 01/06/2017
IBP No. 1042014, 06/09/2016
Roll of Attorney No. 66549
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Ofelia T. Antonio, of legal age, Filipino, married, and with residence and
postal address at Cataning, Hermosa, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

16. I am the biological mother of JEROME TOLENTINO ANTONIO who was born
on November 8, 2000 in Orani, Bataan;

17. My son r is presently enrolled and studying at Jesus Saves Intergrated School
Foundation Inc. in Mabuco Hermosa, Bataan;

18. I am not employed in any company;

19. I am receiving a monthly allowance of Twelve Thousand Pesos (P

12,000.00) from my other children;

20. I have no other source of income;

21. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.
 IN WITNESS WHEREOF, I have hereunto affixed my signature this 18 th day of
January, 2017 at Dinalupihan, Bataan.

Ofelia T. Antonio
Affiant

Subscribed and sworn to before me this 18 th day of January, 2017 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her VIN 0805-0020A-I1463OTA20000; a copy of
which is hereto attached and made integral parts of this document. Affiant represented
to the notary public that the signature on this document was voluntarily affixed by her for
the purpose(s) stated in the document and avow under penalty of law to the whole truth
of the contents of the document.

Doc. No. Atty. Richard A. Ariete

Page No. Notary Public
Book No. Commission Expires on 12/31/2018
Series of 2017. PTR No. 3602706, 01/06/2017
IBP No. 1042014, 06/09/2016
Roll of Attorney No. 66549
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Vinelle D. Reyes, of legal age, Filipino, single and with residence and postal address
at Culis Hermosa, Bataan, after having been sworn to in accordance with law, hereby depose
and state that:

10. I am the holder of the following documents:

Passport issued by the Department of Foreign Affairs (DFA)

Certificate of Live Birth issued by the NBational Statisctics Office (NSO)
Official Transcript of Record issued by the Pamantasan ng Lungsod ng
Maynila (University of the City of Manila)
Certification issued by the CNT Promo & Ads Specialists, Inc.
Certification issued by the AEON Engineered Products & Industrial Services, Inc.
Certification issued by the Primestaff Corporation
Diploma (Tagalog Translation) issued by the Pamantasan ng Lungsod ng
Maynila (University of the City of Manila)
Diploma (English Translation) issued by the Pamantasan ng Lungsod ng
Maynila (University of the City of Manila)

11. I hereby attest to the authenticity and genuiness of the Passport, Certificate of Live Birth,
Official Transcript of Record, Certification, Certification, Certification, Diploma (Tagalog
Translation) and Diploma (English Translation), copies of which are hereto attached and
made integral parts hereof;

12. I am executing this affidavit to attest to the truth of the foregoing and for whatever legal
purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 16 th day of January,

2017 at Dinalupihan, Bataan.

Vinelle D. Reyes
Affiant
 Subscribed and sworn to before me this 16 th day of January, 2017 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally appeared
before the undersigned and had exhibited to the said notary public a competent evidence of
identity such as her Passport No. EC6021298; a copy of which is hereto attached and made an
integral part of this document. Affiant represented to the notary public that the signature on this
document was voluntarily affixed by her for the purpose(s) stated in the document and avows
under penalty of law to the whole truth of the contents of the document.

Doc. No. Atty. Richard A. Ariete

Page No. Notary Public
Book No. Commission Expires on 12/31/2018
Series of 2017. PTR No. 3602706, 01/06/2017
IBP No. 1042014, 06/09/2016
Roll of Attorney No. 66549
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF ASSEMBLY/
INSTALLATION

I, Cornelio N. Cruz, of legal age, Filipino, and with residence and postal address at
Burgos Dinalupihan, Bataan, after having been sworn to in accordance with law, hereby depose
and state that:

31. I am the registered owner of Guiao-Cruz Furniture in San Nicolas 1 st Guagua,

Pampanga Branch;
32. Said business is the registered owner of a motor vehicle particularly described as
follows:

Make : EURO Motor s

Model : DH 150
Motor No. : 161FMJG2002268
Chassis No. : LF3PCK501GB818107

33. With the help of Aron’s Sidecar Welding Shop, they finished assembling, installing
a sidecar in Dinalupihan, Bataan;
34. Said motorcycle with sidecar is now roadworthy, in good running condition and fit for
operation in the public highway;
35. I guarantee the legal safety and acquisition of the parts used in the
assembly/installation of the said motorcycle with sidecar and should any question
arise, I shall assume full responsibility for it;
36. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of January,

2017 at Dinalupihan, Bataan.

Cornelio N. Cruz
Affiant

Subscribed and sworn to before me this 5 th day of January, 2017 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally appeared
before the undersigned and had exhibited to the said notary public a competent evidence of
identity such as his VIN 0804-0005A-E1066CNC10000-1; copy of which is hereto attached and
made integral part of this document. Affiant represented to the notary public that the signature
on this document was voluntarily affixed by him for the purpose(s) stated in the document and
avows under penalty of law to the whole truth of the contents of the document.
Doc. No. 38 Atty. Richard A. Ariete
Page No. 8 Notary Public
Book No. I Commission Expires on 12/31/2018
Series of 2017. PTR No. 3602706, 01/06/2017
IBP No. 1042014, 06/06/2016
Roll of Attorney No. 66549
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Affidavit of Abandonment

I, Rose Ann M. Mercado, of legal age, Filipino, and with residence and postal
address at 18 Roxas St., Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

9. I am the mother of ARHEANNE MERCADO who was born on November 20,

2007 in Balanga City, Bataan;

10. Her father is Arnel Tarcena. We are not legally married;

11. He abandoned us sometime in May 2015, when Arheanne was barely six (6)
months and we do not know his whereabouts;

12. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this

____________________ at_______________________.

Rose Ann M. Mercado

Affiant

Subscribed and sworn to before me this ____________________ at

_______________________.

Doc. No.
Page No.
Book No.
Series of 2017.
Republic of the Philippines )
Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Mario R. Talavera, of legal age, Filipino, widower, and with residence and
postal address at Sumalo, Hermosa, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

22. I am the biological father of JOANA MAE D. TALAVERA who was born on
October 11, 2000 in Hermosa, Bataan;

23. My daughter is presently enrolled and studying at Jesus Saves Intergrated

School Foundation Inc. in Mabuco Hermosa, Bataan;

24. I am not employed in any company;

25. I am a self-employed as a Electrician and Construction Worker with earning

an amount of P 6,000 per month;

26. I am also receiving a monthly allowance of P 6,000.00 from my other children;

27. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 12 th day of

January, 2017 at Dinalupihan, Bataan.

Mario R. Talavera
Affiant

Subscribed and sworn to before me this 12 th day of January, 2017 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his VIN 0805-0197A-B1160MRT10000; a copy
of which is hereto attached and made integral parts of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by him for the purpose(s) stated in the document and avow under penalty of law
to the whole truth of the contents of the document.

Doc. No. Atty. Richard A. Ariete

Page No. Notary Public
Book No. Commission Expires on 12/31/2018
Series of 2017. PTR No. 3602706, 01/06/2017
IBP No. 1042014, 06/09/2016
Roll of Attorney No. 66549
Sta. Isabel, Dinalupihan, Bataan
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of No Transaction

I, Amy M. Reyes, of legal age, Filipino, single and with residence and postal
address at Daang BAgo Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

28. I am the registered owner of A.M REYES ENTEREPRISES located at Daang

Bago Dinalupihan, Bataan registered with the Department of Trade and
Industry (DTI) with Certificate No. 03610206 ;

29. It was registered sometime in the month of June 2015; however, since its
registration up to the present time, no transactions have yet been entered into
by said business;

30. Consequently, to date, no income has been generated by the said business;

31. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 11 th day of

January, 2017 at Dinalupihan, Bataan.

Amy M. Reyes
Affiant

Subscribed and sworn to before me this 11th day of January, 2017 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her TIN 297-468-466-000; a copy of which is
hereto attached and made an integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by her for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No. Atty. Richard A. Ariete

Page No. Notary Public
Book No. Commission Expires on 12/31/2018
Series of 2017. PTR No. 3602706, 01/06/2017
IBP No. 1042014, 06/09/2016
Roll of Attorney No. 66549
Sta. Isabel, Dinalupihan, Bataan

Subscribed and sworn to before me this ______ day of January, 2017 at

____________________________, affiant exhibiting to me his
______________________.

Doc. No.
Page No.
Book No.
Series of 2017.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF COHABITATION

We, Hilario D. Manuyag and Josefa M. Manuyag, both of legal age, Filipino, and
with residence and postal address at Balsic Hermosa, Bataan, after having been sworn
to in accordance with law, hereby depose and state that:

11. We are common law husband and wife;

12. We have been living together without the benefit of marriage since May 1987;

13. We have five (5) children, namely:

Maria Christine, born on January 21, 1988

Mary Joy, born on July 31, 1989
Mary Grace, born on January 12, 1993
Roxanne, born on July 19, 1994
Jolina, born on July 13, 1999

14. We are executing this affidavit to attest to the truth of the foregoing and for
the whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 11 th day of

January, 2017 at Dinalupihan, Bataan.

Hilario D. Manuyag Josefa M.

Manuyag
Affiant Affiant

Subscribed and sworn to before me this 11th day of January, 2017 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiants personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as their VIN 0805-0064a-h0364hdm10000 and VIN
0805-0064A-C1958JMM20000; copies of which are hereto attached and made an
integral part of this document. Affiants represented to the notary public that the
signatures on this document were voluntarily affixed by them for the purpose(s) stated
in the document and avows under penalty of law to the whole truth of the contents of the
document.

Doc. No. Atty. Richard A. Ariete

Page No. Notary Public
Book No. Commission Expires on 12/31/2018
Series of 2017. PTR No. 3602706, 01/06/2017
IBP No. 1042014, 06/09/2016
Roll of Attorney No. 66549
Sta. Isabel, Dinalupihan, Bataan
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Transfer of Ownership

I, Sharlyn G. Palermo, of legal age, Filipino, single and with residence and
postal address at Roosevelt, Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

7. I am the registered owner of OLA’H CAFÉ located at General Luna St.,

registered with the Department of Trade and Industry (DTI) with Certificate No.
04251384;

8. I am transferring all my rights and interests over the said establishment in favor
of my sister Christine G. Danoog considering that I could no longer manage the
said business;

9. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 10 th day of

January, 2017 at Dinlalupihan, Bataan.

Sharlyn G. Palermo
Affiant

Subscribed and sworn to before me this 10th day of January, 2017 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her Passport No. EB6311974; a copy of which is
hereto attached and made an integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by her for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No. Atty. Richard A. Ariete

Page No. Notary Public
Book No. Commission Expires on 12/31/2018
Series of 2017. PTR No. 3602706, 01/06/2017
IBP No. 1042014, 06/06/2016
Roll of Attorney No. 66549
Sta. Isabel, Dinalupihan, Bataan
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF ASSEMBLY/
INSTALLATION

I, Cornelio N. Cruz, of legal age, Filipino, and with residence and postal address at
Burgos Dinalupihan, Bataan, after having been sworn to in accordance with law, hereby depose
and state that:

37. I am the registered owner of Guiao-Cruz Furniture Porac, Pampanga Branch;

38. Said business is the registered owner of a motor vehicle particularly described as
follows:

Make : EURO Motor s

Model : DH 150
Motor No. : 161FMJG2002268
Chassis No. : LF3PCK501GB818107

39. With the help of Aron’s Sidecar Welding Shop, they finished assembling, installing
a sidecar in Dinalupihan, Bataan;
40. Said motorcycle with sidecar is now roadworthy, in good running condition and fit for
operation in the public highway;
41. I guarantee the legal safety and acquisition of the parts used in the
assembly/installation of the said motorcycle with sidecar and should any question
arise, I shall assume full responsibility for it;
42. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of January,

2017 at Dinalupihan, Bataan.

Cornelio N. Cruz
Affiant

Subscribed and sworn to before me this 5 th day of January, 2017 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally appeared
before the undersigned and had exhibited to the said notary public a competent evidence of
identity such as his VIN 0804-0005A-E1066CNC10000-1; copy of which is hereto attached and
made integral part of this document. Affiant represented to the notary public that the signature
on this document was voluntarily affixed by him for the purpose(s) stated in the document and
avows under penalty of law to the whole truth of the contents of the document.

Doc. No. 38 Atty. Richard A. Ariete

Page No. 8 Notary Public
Book No. I Commission Expires on 12/31/2018
Series of 2017. PTR No. 3602706, 01/06/2017
IBP No. 1042014, 06/06/2016
Roll of Attorney No. 66549
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF ASSEMBLY/
INSTALLATION
 I, Eduardo A. Vitug, of legal age, Filipino, and with residence and postal address at
Palihan Hermosa, Bataan, after having been sworn to in accordance with law, hereby depose
and state that:

43. I am the owner of a motor vehicle particularly described as follows:

Make : Barako Electric

Model : BC 175G
Motor No. : BC175AELA7058
Chassis No. : BC175G-B38739

44. With the help of Estal Sidecar, they finished assembling, installing a sidecar in
Porac, Pampanga;

45. Said motorcycle with sidecar is now roadworthy, in good running condition and fit for
operation in the public highway;

46. I guarantee the legal safety and acquisition of the parts used in the
assembly/installation of the said motorcycle with sidecar and should any question
arise, I shall assume full responsibility for it;

47. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 9 th day of January,

2017 at Dinalupihan, Bataan.

Eduardo A. Vitug
Affiant

Subscribed and sworn to before me this 9 th day of January, 2017 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally appeared
before the undersigned and had exhibited to the said notary public a competent evidence of
identity such as his Driver’s License No. C02-96-050699; copy of which is hereto attached and
made integral part of this document. Affiant represented to the notary public that the signature
on this document was voluntarily affixed by him for the purpose(s) stated in the document and
avows under penalty of law to the whole truth of the contents of the document.

Doc. No. Atty. Richard A. Ariete

Page No. Notary Public
Book No. Commission Expires on 12/31/2018
Series of 2017. PTR No. 3602706, 01/06/2017
IBP No. 1042014, 06/06/2016
Roll of Attorney No. 66549
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Eva Marie M. Solomon, of legal age, Filipino, married and with residence and
postal address at Daang Bago, Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

13. I am the holder of the following documents:

Certificate of Live Birth issued by the PSA

Marriage Contract issued by the PSA
Passport issued by the Department of Foreign Affairs (DFA)
 Driver’s License issued by the Land Transportation Office (LTO)
Voter’s ID issued by the Commission on Elections (COMELEC)

14. I hereby attest to the authenticity and genuiness of the Certificate of Live Birth,
Marriage Contract,Passport, Driver’s License and Voter’s ID, copies of which are
hereto attached and made integral parts hereof;

15. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 9 th day of

January, 2017 at Dinalupihan, Bataan.

Eva Marie M. Solomon

Affiant

Subscribed and sworn to before me this 9 th day of January, 2017 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her Driver’s License No. C02-14-005732; a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by her for the purpose(s) stated in the document and avows under penalty of law
to the whole truth of the contents of the document.

Doc. No. Atty. Richard A. Ariete

Page No. Notary Public
Book No. Commission Expires on 12/31/2018
Series of 2017. PTR No. 3602706, 01/06/2017
IBP No. 1042014, 06/06/2016
Roll of Attorney No. 66549
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

) S.s.

Affidavit of No Transaction

I, Vincent A. Torcelino, of legal age, Filipino, single and with residence and
postal address at San Benito, Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

32. I am the registered owner of V. ACHILLE SCRAP METAL TRADING located

at San Benito Dinalupihan, Bataan registered with the Department of Trade
and Industry (DTI);
 33. It was registered sometime in the month of August 2016; however, since its
registration up to the present time, no transactions have yet been entered into
by said business;

34. Consequently, to date, no income has been generated by the said business;

35. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this _____ day of

January, 2017 at ________________________.

Vincent A. Torcelino
Affiant

Subscribed and sworn to before me this ______ day of January, 2017 at

____________________________, affiant exhibiting to me his
______________________.

Doc. No.
Page No.
Book No.
Series of 2017.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF ASSEMBLY/
INSTALLATION

I, Cornelio N. Cruz, of legal age, Filipino, and with residence and postal address at
Burgos Dinalupihan, Bataan, after having been sworn to in accordance with law, hereby depose
and state that:

48. I am the owner of a motor vehicle particularly described as follows:

Make : EURO Motor s

Model : DH 150
Motor No. : 161FMJG2002268
Chassis No. : LF3PCK501GB818107

49. With the help of Aron’s Sidecar Welding Shop, they finished assembling, installing
a sidecar in Dinalupihan, Bataan;

50. Said motorcycle with sidecar is now roadworthy, in good running condition and fit for
operation in the public highway;
 51. I guarantee the legal safety and acquisition of the parts used in the
assembly/installation of the said motorcycle with sidecar and should any question
arise, I shall assume full responsibility for it;

52. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of January,

2017 at Dinalupihan, Bataan.

Cornelio N. Cruz
Affiant

Subscribed and sworn to before me this 5 th day of January, 2017 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally appeared
before the undersigned and had exhibited to the said notary public a competent evidence of
identity such as his VIN 0804-0005A-E1066CNC10000-1; copy of which is hereto attached and
made integral part of this document. Affiant represented to the notary public that the signature
on this document was voluntarily affixed by him for the purpose(s) stated in the document and
avows under penalty of law to the whole truth of the contents of the document.

Doc. No. Atty. Richard A. Ariete

Page No. Notary Public
Book No. Commission Expires on 12/31/2018
Series of 2017. PTR No. 3602706, 01/06/2017
IBP No. 1042014, 06/06/2016
Roll of Attorney No. 66549
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Perlie D. Ligaya, of legal age, Filipino, married and with residence and postal
address at Prado Siongco, Lubao, Pampanga, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am the mother of OSCAR YUAN DELOS REYES LIGAYA III who was born on
January 16, 2001 in Lucena City;

2. He is presently enrolled at Colegio De San Juan De Letran in Abucay, Bataan as

Grade 10;

3. By way of compliance, I hereby declare that I am unemployed and a plain

housewife;

4. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 4 th day of

January, 2017 at Dinalupihan, Bataan.

Perlie D. Ligaya
Affiant
 Subscribed and sworn to before me this 4th day of January, 2017 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her Driver’s License No. D09-04-003981; a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by her for the purpose(s) stated in the document and avows under penalty of law
to the whole truth of the contents of the document.

Doc. No. Atty. Richard A. Ariete

Page No. Notary Public
Book No. Commission Expires on 12/31/2018
Series of 2017. PTR No. 3407281, 08/25/2016
IBP No. 1042014, 06/06/2016
Roll of Attorney No. 66549
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Reynaldo S. Eraña, of legal age, Filipino, and with residence and postal
address at Gen. Luna Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

20. I intend to put up a business to be operated at Palihan Hermosa, Bataan with

an initial capital/investment of P 200,000.00;

21. I shall increase my capital once the business progresses;

22. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 4 th day of

January, 2017 at Dinalupihan, Bataan.

Reynaldo S. Eraña
Affiant

Subscribed and sworn to before me this 4th day of January, 2017 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his VIN 0804-0011A-H3072RSE10000; a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by him for the purpose(s) stated in the document and avows under penalty of
law to the whole truth of the contents of the document.

Doc. No. Atty. Richard A. Ariete

Page No. Notary Public
Book No. Commission Expires on 12/31/2018
Series of 2017. PTR No. 3407281, 08/25/2016
IBP No. 1042014, 06/06/2016
Roll of Attorney No. 66549
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF ASSEMBLY/
INSTALLATION

I, Dexter M. Kalinisan, of legal age, Filipino, and with residence and postal address at
Palihan Hermosa, Bataan, after having been sworn to in accordance with law, hereby depose
and state that:

53. I am the owner of a motor vehicle particularly described as follows:

Make : EURO Motor

Model : Daan HAro 150
Motor No. : 161FMJG21319448
Chassis No. : LF3PCK501GB419515

54. With the help of Marlon E. Garcia, he finished assembling, installing a sidecar in his
Shop Marlon Side Car Assembly in Hermosa, Bataan;

55. Said motorcycle with sidecar is now roadworthy, in good running condition and fit for
operation in the public highway;

56. I guarantee the legal safety and acquisition of the parts used in the
assembly/installation of the said motorcycle with sidecar and should any question
arise, I shall assume full responsibility for it;

57. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 4 th day of January,

2017 at Dinalupihan, Bataan.

Dexter M. Kalinisan
Affiant

Subscribed and sworn to before me this 4 th day of January, 2017 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally appeared
before the undersigned and had exhibited to the said notary public a competent evidence of
identity such as his VIN 0805-0163A-I0892DMK10000; copy of which is hereto attached and
made integral part of this document. Affiant represented to the notary public that the signature
on this document was voluntarily affixed by him for the purpose(s) stated in the document and
avows under penalty of law to the whole truth of the contents of the document.

Doc. No. Atty. Richard A. Ariete

Page No. Notary Public
Book No. Commission Expires on 12/31/2018
Series of 2017. PTR No. 3407281, 08/25/2016
IBP No. 1042014, 06/06/2016
Roll of Attorney No. 66549
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

Affidavit

I, Lorna S. Ramirez, of legal age, Filipino, single and with residence and postal
address at New San Jose Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am the adoptive mother of JOHN RIA I am the live-in partner of Remelyn R.

Ilagan;

2. We have been living together as common law husband and wife since year
November 2015:

3. We have a child named Victoriano I. Parce, Jr. who was born on September
21, 2016;

4. I hereby designate my partner Remelyn R. Ilagan and our child to be my

beneficiaries and dependents in all my insurances and benefits;

5. I authorized Remelyn R. Ilagan to receive my salaries and other emoluments

from my work;

6. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 3 rd day of

January, 2017 at Dinalupihan, Bataan.

Victoriano R. Parce, Sr.

Affiant

Subscribed and sworn to before me this 3 rd day of January, 2017 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the notary public a competent
evidence of identity such as his Passport Number EB7394626 issued on February 15,
2013 (DFA Pampanga), a copy of which is hereto attached and made an integral part of
this document. Affiant represented to the notary public that the signature on this
document was voluntarily affixed by him for the purpose(s) stated in the document and
avows under penalty of law to the whole truth of the contents of the document.
Doc. No. Atty. Richard A. Ariete
Page No. Notary Public
Book No. Commission Expires on 12/31/2018
Series of 2017. PTR No. 3407281, 08/25/2016
IBP No. 1042014, 06/06/2016
Roll of Attorney No. 66549
Sta. Isabel, Dinalupihan, Bataan

Province of Bataan ) S.s.

Municipality of Dinalupihan)

Affidavit

I, Victoriano D. Parce, of legal age, Filipino, and with residence and postal
address at No. 857 Kagitingan St., Tondo, Manila, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am the live-in partner of Remelyn R. Ilagan;

2. We have been living together as common law husband and wife since year
November 2015:

3. We have a child named Victoriano I. Parce, Jr. who was born on September
21, 2016;

4. I hereby designate my partner Remelyn R. Ilagan and our child to be my

beneficiaries and dependents in all my insurances and benefits;

5. I authorized Remelyn R. Ilagan to receive my salaries and other emoluments

from my work;

6. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 3 rd day of

January, 2017 at Dinalupihan, Bataan.

Victoriano R. Parce, Sr.

Affiant

Subscribed and sworn to before me this 3 rd day of January, 2017 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the notary public a competent
evidence of identity such as his Passport Number EB7394626 issued on February 15,
2013 (DFA Pampanga), a copy of which is hereto attached and made an integral part of
this document. Affiant represented to the notary public that the signature on this
document was voluntarily affixed by him for the purpose(s) stated in the document and
avows under penalty of law to the whole truth of the contents of the document.

Doc. No. Atty. Richard A. Ariete

Page No. Notary Public
Book No. Commission Expires on 12/31/2018
Series of 2017. PTR No. 3407281, 08/25/2016
IBP No. 1042014, 06/06/2016
Roll of Attorney No. 66549
Sta. Isabel, Dinalupihan, Bataan
Doc. No.
Page No.
Book No.
Series of 2017.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF ASSEMBLY/
INSTALLATION

I, Edwin R. Gabriel, of legal age, Filipino, and with residence and postal address at
Balsic Hermosa, Bataan, after having been sworn to in accordance with law, hereby depose and
state that:

58. I am the owner of a motor vehicle particularly described as follows:

Make : Ramspeed/Rusi
Plate No. : 1809 HZ
Motor No. : RSPTC125Q08835
Chassis No. : RSPTC125600008835

59. With the help of Luzon Ram Cycles Inc. in San Jose Del Monte, Bulacan, they
finished assembling, installing a sidecar;

60. Said motorcycle with sidecar is now roadworthy, in good running condition and fit for
operation in the public highway;

61. I guarantee the legal safety and acquisition of the parts used in the
assembly/installation of the said motorcycle with sidecar and should any question
arise, I shall assume full responsibility for it;

62. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 27 th day of December,

2016 at Dinalupihan, Bataan.

Edwin R. Gabriel
Affiant

Subscribed and sworn to before me this 27 th day of December, 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally appeared
before the undersigned and had exhibited to the said notary public a competent evidence of
identity such as his Driver’s License No. C02-08-004001; copy of which is hereto attached and
made integral part of this document. Affiant represented to the notary public that the signature
on this document was voluntarily affixed by him for the purpose(s) stated in the document and
avows under penalty of law to the whole truth of the contents of the document.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

STATUTORY DECLARATION
OF SOLE CUSTODY AND CARE OF MINOR CHILD

I, Rodelio D. Salvador, of legal age, Filipino, and with residence and postal
address at Calaylayan, Abucay, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

5. I am the father of LOUIE ANNE MAY BUÑING SALVADOR who was born on
July 31, 2010 in Dinalupihan, Bataan;

6. Her mother is Catherine D. Buñing. We are not legally married;

7. I hereby give the sole custody and care of my said child to Catheriine D. Buñing;

8. I hereby freely allow my said child to travel and live in Dubai, U.A.E with her
mother for I know that the same shall be for her benefits and good interest. I am
certain that she will have a bright future if she will be taken care of by her mother;

9. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 23 rd day of

December, 2016 at Dinalupihan, Bataan.

Rodelio D. Salvador
Affiant

Subscribed and sworn to before me this 23rd day of December, 2016 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his _____________________; a copy of which
is hereto attached and made an integral part of this document. Affiant represented to
the notary public that the signatures on this document were voluntarily affixed by him for
the purpose(s) stated in the document and avows under penalty of law to the whole
truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Non-Acceptance/Lost

I, Avegale M. Callao, of legal age, Filipino, single and with residence and postal
address at Culis Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

1. I was born on October 11, 1982 in Hermosa, Bataan;

2. I have been a member of Government Service Insurance System (GSIS);

3. However to date I have not received my UMID ID. The same could have been
lost;

4. I am requesting GSIS to issue my UMID ID;

5. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 27 th day of

December, 2016 at Dinalupihan, Bataan.

Avegale M. Callao
Affiant

Subscribed and sworn to before me this 27 th day of December, 2016 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her GSIS ID No. 02004396735; a copy of which
is hereto attached and made an integral part of this document. Affiant represented to
the notary public that the signatures on this document were voluntarily affixed by her for
the purpose(s) stated in the document and avows under penalty of law to the whole
truth of the contents of the document.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )
 STATUTORY DECLARATION
OF SOLE CUSTODY AND CARE OF MINOR CHILD

I, Rodelio D. Salvador, of legal age, Filipino, and with residence and postal
address at Calaylayan, Abucay, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

10. I am the father of LOUIE ANNE MAY BUÑING SALVADOR who was born on
July 31, 2010 in Dinalupihan, Bataan;

11. Her mother is Catherine D. Buñing. We are not legally married;

12. I hereby give the sole custody and care of my said child to Catheriine D. Buñing;

13. I hereby freely allow my said child to travel and live in Dubai, U.A.E with her
mother for I know that the same shall be for her benefits and good interest. I am
certain that she will have a bright future if she will be taken care of by her mother;

14. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 23 rd day of

December, 2016 at Dinalupihan, Bataan.

Rodelio D. Salvador
Affiant

Subscribed and sworn to before me this 23rd day of December, 2016 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his _____________________; a copy of which
is hereto attached and made an integral part of this document. Affiant represented to
the notary public that the signatures on this document were voluntarily affixed by him for
the purpose(s) stated in the document and avows under penalty of law to the whole
truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Joint Affidavit of Two (2)

Disinterested Persons

We, Felix S. Avengoza and Nancy S. Escobido, both of legal age, Filipino,
and with residence and postal address at ______ Dinalupihan, Bataan, after having
been sworn to in accordance with law, hereby depose and state that:
 1. We are personally know Spouses Clair John Henry and Rodalyn Mangahas
Quintin who got married on December 9, 2016 in Samal, Bataan as evidenced
by their Certificate of Marriage;

2. We acquired knowledge of their marriage because we attended their said

wedding;

3. Reception was held at ____ in ____ after the marriage ceremony in Samal,
Bataan;

4. We know the foregoing because we are the neighbors and close friends of
Spouses Clair John Henry and Rodalyn M. Quintin;

5. We are not in anyway related to them, either by consanguinity or by affinity;

6. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 21 st day of

December, 2016 at Dinalupihan, Bataan.

Felix S. Avengoza Nancy S. Escobido

Affiant Affiant
__________________________ ________________________
________________________ ________________________

Subscribed and sworn to before me this 21st day of December, 2016 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as their IDs; a copy of which is hereto attached and
made an integral part of this document. Affiant represented to the notary public that the
signature on this document was voluntarily affixed by them for the purpose(s) stated in
the document and avows under penalty of law to the whole truth of the contents of the
document.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Nicanor F. Pacheco, of legal age, Filipino, and with residence and postal
address at Pita Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

1. I am the registered owner of STA. LUCIA RESORT located at Pita

Dinalupihan, Bataan registered with the Department of Trade and Industry
(DTI);
 2. Said business did not earn any income;

3. We closed it in the year 2014;

4. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 20 th day of

December, 2016 at Dinalupihan, Bataan.

Nicanor F. Pacheco
Affiant

Subscribed and sworn to before me this 20 th day of December, 2016 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his VIN 0804-0182A-H1646NFP10000-2; a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by him for the purpose(s) stated in the document and avows under penalty of
law to the whole truth of the contents of the document.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF CLOSURE

I, Nicanor F. Pacheco, of legal age, Filipino, and with residence and postal
address at Pita Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

36. I am the registered owner of JANICO’S COFFEE SHOP located at San

Ramon Dinalupihan, Bataan registered with the Department of Trade and
Industry (DTI);

37. Said business did not earn any income;

38. We closed it in the year 2013;

39. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.
 IN WITNESS WHEREOF, I have hereunto affixed my signature this 20 th day of
December, 2016 at Dinalupihan, Bataan.

Nicanor F. Pacheco
Affiant

Subscribed and sworn to before me this 20 th day of December, 2016 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his VIN 0804-0182A-H1646NFP10000-2; a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by him for the purpose(s) stated in the document and avows under penalty of
law to the whole truth of the contents of the document.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Marilou S. Capalungan, of legal age, Filipino, married and with residence and
postal address at #40 Payumo St., San Ramon I, Dinalupihan, Bataan, after having
been sworn to in accordance with law, hereby depose and state that:

1. I am the employer of YOLLY W. DELA CRUZ;

2. I hired her in the year 1999 up to present as Stay-In Maid in our house and an
Office Staff in my clinic;

3. She received the following monthly salary per year, to wit:

1999 - P 1,500.00
2002 - P 2,000.00
2005 - P 3,000.00
2008 - P 4,000.00
2010 - P 5,000.00
2012 - P 6,000.00
2013 - P 7,000.00
2014 up to
present – P 8,000.00

4. Aside from her monthly salary, I also paid her monthly contributions in Social
Security System (SSS) with SSS No. 02-1888302-2; PAG-IBIG Fund with No.
9161-6212-9853; and Philhealth with No. 07-0254379482;
 5. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13 th day of

December, 2016 at Dinalupihan, Bataan.

Marilou S. Capalungan
Affiant

Subscribed and sworn to before me this 13th day of December, 2016 at the
office of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant
personally appeared before the undersigned and had exhibited to the said notary public
a competent evidence of identity such as her PHIC ID No. 00703004109; a copy of
which is hereto attached and made integral parts of this document. Affiant represented
to the notary public that the signature on this document was voluntarily affixed by her for
the purpose(s) stated in the document and avow under penalty of law to the whole truth
of the contents of the document.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Pilipinas P. Carlos, of legal age, Filipino, single and with residence and postal
address at Sta. Isabel Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

1. I graduated and finished my High School at Hermosa National High School

during the school year 2003-2004;

2. Said school is located at Culis Hermsoa, Bataan;

3. Said school did ot release any year book during our times as our school is a
public school;

4. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 9 th day of

December, 2016 at Dinalupihan, Bataan.

Pilipinas P. Carlos
Affiant
 Subscribed and sworn to before me this 9th day of December, 2016 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her UMID ID No. CRN-0111-3774680-9; a copy
of which is hereto attached and made integral parts of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by her for the purpose(s) stated in the document and avow under penalty of law
to the whole truth of the contents of the document.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Pilipinas P. Carlos, of legal age, Filipino, single and with residence and postal
address at Sta. Isabel Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

40. I graduated and finished my High School at Hermosa National High School
during the school year 2003-2004;

41. Said school is located at Culis Hermsoa, Bataan;

42. Said school did ot release any year book during our times as our school is a
public school;

43. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 9 th day of

December, 2016 at Dinalupihan, Bataan.

Pilipinas P. Carlos
Affiant

Subscribed and sworn to before me this 9th day of December, 2016 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her UMID ID No. CRN-0111-3774680-9; a copy
of which is hereto attached and made integral parts of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by her for the purpose(s) stated in the document and avow under penalty of law
to the whole truth of the contents of the document.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF ASSEMBLY/
INSTALLATION

I, Cenon M. Cajape, of legal age, Filipino, and with residence and postal address at
Naparing Dinalupihan, Bataan, after having been sworn to in accordance with law, hereby
depose and state that:

63. I am the owner of a motor vehicle particularly described as follows:

Make : EURO Keeway

Model : Hyper Brusko 175
Motor No. : Q5162FMK6623747
Chassis No. : LBBPEL009613718494

64. With the help of Atienza Iron Works in Naparing Dinalupihan, Bataan, they finished
assembling, installing a sidecar;

65. Said motorcycle with sidecar is now roadworthy, in good running condition and fit for
operation in the public highway;

66. I guarantee the legal safety and acquisition of the parts used in the
assembly/installation of the said motorcycle with sidecar and should any question
arise, I shall assume full responsibility for it;

67. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 6 th day of December,

2016 at Dinalupihan, Bataan.

Cenon M. Cajape
Affiant

Subscribed and sworn to before me this 6th day of December, 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally appeared
before the undersigned and had exhibited to the said notary public a competent evidence of
identity such as his _______________________________; copy of which is hereto attached
and made integral part of this document. Affiant represented to the notary public that the
signature on this document was voluntarily affixed by him for the purpose(s) stated in the
document and avows under penalty of law to the whole truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

DECLARATION OF ACCESS TO FUNDS

 I, Mildred A. Sonico, of legal age, Filipino, and with residence and postal address at
Palihan, Hermosa, Bataan, after having been sworn to in accordance with law, hereby depose
and state that:

68. I am applying fo Student Visa Subclass 500 with the Australian Embassy;

69. That I have instant, unrestricted and full access to the minimum financial
requirements for my study, travel and living expenses while in Asutralia;

70. That I have access to adequate funds to cover the entire expenses that I will incur for
the whole duration of my stay and study in Australia;

71. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 2 nd day of December,

2016 at Dinalupihan, Bataan.

Mildred A. Sonico
Affiant

Subscribed and sworn to before me this 2 nd day of December, 2016, 2016 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a competent
evidence of identity such as her PRC I.D. 2213773; copy of which is hereto attached and made
integral part of this document. Affiant represented to the notary public that the signature on this
document was voluntarily affixed by her for the purpose(s) stated in the document and avows
under penalty of law to the whole truth of the contents of the document.

Doc. No. 208 Atty. Roniel D. Muñoz

Page No. 42 Notary Public
Book No. XV Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF ASSEMBLY/
INSTALLATION

I, Gilberto G. Aquino, of legal age, Filipino, and with residence and postal address at
Mabiga Hermosa, Bataan, after having been sworn to in accordance with law, hereby depose
and state that:

72. I am the owner of a motor vehicle particularly described as follows:

Make : EURO Keeway

Model : Hyper Brusko 175
Motor No. : QJ162FMK6107309
Chassis No. : LBBPE004GB697859
 73. With the help of RCM Sidecar Shop in Dinalupihan, Bataan, they finished
assembling, installing a sidecar ;

74. Said motorcycle with sidecar is now roadworthy, in good running condition and fit for
operation in the public highway;

75. I guarantee the legal safety and acquisition of the parts used in the
assembly/installation of the said motorcycle with sidecar and should any question
arise, I shall assume full responsibility for it;

76. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 1 st day of December,

2016 at Dinalupihan, Bataan.

Gilberto G. Aquino
Affiant

Subscribed and sworn to before me this 1st day of December, 2016, 2016 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally appeared
before the undersigned and had exhibited to the said notary public a competent evidence of
identity such as his VIN 7107-0027A-J1589GGA10000; copy of which is hereto attached and
made integral part of this document. Affiant represented to the notary public that the signature
on this document was voluntarily affixed by him for the purpose(s) stated in the document and
avows under penalty of law to the whole truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Larry V. Micua, of legal age, Filipino, separated, and with residence and postal
address at Maite, Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

44. I am the biological father of NJ PANGANIBAN MICUA who was born on May
5, 2001 in Dinalupihan, Bataan;

45. My son is presently enrolled and studying at Saint John Academy in

Dinalupihan, Bataan;

46. I am not employed in any company and I am currently working as a tenant-

farmer earning an amount of P5,000 per month;

47. I am also receiving a monthly remittance of US$200 from my other child

named Larry Panganiban Micua, Jr., who is a seaman and with an average
gross monthly income of US$700;

48. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.
 IN WITNESS WHEREOF, I have hereunto affixed my signature this 29 th day of
November, 2016 at Dinalupihan, Bataan.

Larry V. Micua
Affiant

Subscribed and sworn to before me this 29th day of November, 2016 at the
office of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant
personally appeared before the undersigned and had exhibited to the said notary public
a competent evidence of identity such as his Driver’s License No. C02-06-002326; a
copy of which is hereto attached and made integral parts of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by him for the purpose(s) stated in the document and avow under penalty of law
to the whole truth of the contents of the document.

Subscribed and sworn to before me this 30 th day of June, 2011 at Dinaluiphan,

Bataan.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Family Composition

We, Juanito M. Sonico and Leonora A. Sonico, both of legal age, Filipino citizen,
and with residence address at Palihan Hermosa, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. We got married on May 11, 1976 in Manila, Philippines;

2. We have three (3) children, to wit:

Mildred, born on February 20, 1978

Mark Rodney, born on September 22, 1979
Diana Grace, born on December 9, 1984

3. Mildred and Mark Rodney are presently in the Philippiines while Diana Grace is
living in Australia;

4. We are executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 21 st day of

November, 2016 at Dinalupihan, Bataan.

Juanito M. Sonico Leonora A. Sonico

Affiant Affiant
SSS ID No. 03-2356192-5 SSS ID No. 02-1121843-2

Subscribed and sworn to before me this 21 st day of November, 2016 at the

office of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiants
personally appeared before the undersigned and had exhibited to the said notary public
a competent evidence of identity such as their SSS IDs as indicated above; copies of
which are hereto attached and made integral parts of this document. Affiants
represented to the notary public that the signature on this document was voluntarily
affixed by them for the purpose(s) stated in the document and avow under penalty of
law to the whole truth of the contents of the document.

Doc. No. 129 Atty. Roniel D. Muñoz

Page No. 26 Notary Public
Book No. XV Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Debra Shem L. Ronquillo, of legal age, Filipino, single and with residence and postal
address at 046 Balsic Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

1. I graduated at Philippine Rehabilitation Institute at Guagua, Pampanga with course of

Caregiving NCII;
2. I received my Temporary Resident Visa from the Embassy of Canada allowing me to
work as a Live-in Caregiver for Two (2) years with my employer named Raquel
Ronquillo Ramos, 41 years old, married, with Permanent residence at 9412 97 St., Fort
Saskatchewan Alberta, Canada T8L 1T1;
3. Raquel is my older sister;
4. She have Three (3) chilrend, namely:

Russel Kelsey R. Ramos, 12 years old

Richmon David R. Ramos, 5 years old
Rainelle Elisha R. Ramos, 3 years old

5. My main duty is includes child care, such as:

- Supervise and care for children

- Bathe, dress and feed infants and children
- Sterilize bottles, prepare formulas and change diapers for infants
- Prepare and serve nutritious meals
- Perform light housekeeping and cleaning duties
- Laundry
 6. I am executing this affidavit to attest to the truth of the foregoing and for whatever legal
purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 18 th day of November,

2017 at Dinalupihan, Bataan.

Debra Shem L. Ronquillo

Affiant

Subscribed and sworn to before me this 18th day of November, 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally appeared
before the undersigned and had exhibited to the said notary public a competent evidence of
identity such as her VIN 0805-0072A-F1787DLR20000; copy of which is hereto attached and
made integral parts of this document. Affiant represented to the notary public that the signature
on this document was voluntarily affixed by him for the purpose(s) stated in the document and
avows under penalty of law to the whole truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF EXPLANATION

I, Reynante J. Muñoz, of legal age, Filipino, married and with residence and
postal address at No. 75, Purok 4, Brgy. Pag-Asa, Dinalupihan, Bataan, after having
been sworn to in accordance with law, hereby depose and state that:

5. I am married to Cecille G. Manacmul. We got married on March 17, 2010 in

Dinalupihan, Bataan;

6. Our marriage contract was inadvertently not submitted to the concerned agency
because I went out of the country shortly after our marriage;

7. I am applying for the late registration of our said marriage contract with the Local
Civil Registrar Office in Dinalupihan, Bataan;

8. There is a need to have said marriage records registered;

9. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 17 th day of

November, 2017 at Dinalupihan, Bataan.

Reynante J. Muñoz
Affiant
 Subscribed and sworn to before me this 17 th day of November, 2016 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his Passport NO. EC0609401; copy of which is
hereto attached and made integral parts of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by him for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381,
01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Reyland B. Ortiguerra, of legal age, Filipino, and with residence and postal
address at Balsic Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

1. I am the registered owner of MULAWIN BAKERY located at 42 St. Rizal

Dinalupihan, Bataan registered with the Department of Trade and Industry (DTI)
with Certificate NO. 01768222;

2. On the following years, we had the following Gross Sales of the said bakery, to
wit:

2011- P 90,000.00
2012- 95,000.00
2013- 95,000.00
2014- 100,000.00
2015- 100,000.00
Total P 480,000.00

3. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 16 th day of

November, 2016 at Dinalupihan, Bataan.

Reyland B. Ortiguerra
Affiant

Subscribed and sworn to before me this 16th day of November, 2016 at the
office of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant
personally appeared before the undersigned and had exhibited to the said notary public
a competent evidence of identity such as his _________________________; a copy of
which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by him for the purpose(s) stated in the document and avows under penalty of
law to the whole truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )
Affidavit with
Affidavit of Discrepancy

I, Teresa Marie J. Moncupa, of legal age, Filipino, single and with residence and
postal address at Kataasan, Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

16. I am a registered Nurse by Profession;

17. I am the holder of the following documents:
Experience Certificate issued by the Ministry of Health King Fahad Medical City
from September 29, 2013 to September 6, 2015
Experience Certificate issued by the Ministry of Health – TAYMA General
Hospital
from February 28, 2011 to January 9, 2013
Certification issued by the Jose C. Payumo Jr. Memorial Hospital from July 1,
2008
to July 30, 2010
18. I hereby attest to the authenticity and genuiness of the Experience Certificates
and Certification, copies of which are hereto attached and made integral parts
hereof;
19. Likewise, there is discrepancy in my Certificate of Employment, my first name
was entered and recorded as TERESA MARI instead of Teresa Marie, the true
and correct one;
20. The names Teresa Mari Jimenez Moncupa and Teresa Marie Jimenez Moncupa
as explained above belong to one and the same person;
21. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 16 th day of

November, 2016 at Dinalupihan, Bataan.

Teresa Marie J. Moncupa

Affiant

Subscribed and sworn to before me this 16th day of November, 2016 at the
office of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant
personally appeared before the undersigned and had exhibited to the said notary public
a competent evidence of identity such as her PRC ID No. 0464199; a copy of which is
hereto attached and made an integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by her for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No. 58 Atty. Roniel D. Muñoz

Page No. 12 Notary Public
Book No. XV Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Arnel F. Siroma, of legal age, Filipino, married and with residence and postal address
at B1L7 Beverly Heights Subd., Cataning Hermosa, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

4. I am the registered owner of a parcel of land located at Cataning Hermosa, Bataan

measuring One Hundred (100) square meters and covered by TCT No. 038-
2011006075;

5. I am married to Zaidie S. Tuazon. We got married on September 26, 2013 in Olongapo

City, Zambales as evidenced by Certificate of Marriage;

6. However, in the aforesaid title, the name of my spouse Zaidie S. Tuazon was not
included;

7. I am including the name of my wife which is Zaidie S. Tuazon because we are legally
married and said property is now conjugal;

8. I am executing this affidavit to attest to the truth of the foregoing and for whatever legal
purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 15 th day of November,

2016 at Dinalupihan, Bataan.

Arnel F. Siroma
Affiant

Conforme:

Zaidie T. Siroma
Spouse

Subscribed and sworn to before me this 15 th day of November, 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally appeared
before the undersigned and had exhibited to the said notary public a competent evidence of
identity such as his Driver’s License No. C09-09-005034; a copy of which is hereto attached and
made an integral part of this document. Affiant represented to the notary public that the
signature on this document was voluntarily affixed by him for the purpose(s) stated in the
document and avows under penalty of law to the whole truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan
Republic of the Philippines )
Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT OF LOSS

I, Darrell D. Diuco, of legal age, Filipino, and with residence and postal address
at Magsaysay Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

1. I am a holder ofa Philippine Passport with Passport No.EB8216950 issued on

May 27, 2013 at the Philippine Embassy in Singapore;

2. On October 31, 2016 at about 9:00 p.m, while my girlfriend was cleaning our
house in Singapore, she did not notice my passport was among those kept
together with some old documents/files which she threw in the garbage;

3. Despite diligent effort to locate it, the same proves futile and is now
considered lost for all intents and purpsoes;

4. By reason of its loss, I returned to the Philippines by travel document with TD

No. 106372 dated November 9, 2016;

5. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 14 th day of

November, 2016 at Dinalupihan, Bataan.

Darrel D. Diuco
Affiant

Subscribed and sworn to before me this 14th day of November, 2016 at the
office of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant
personally appeared before the undersigned and had exhibited to the said notary public
through a competent evidence of identity such as his Driver’s License
No._____________________, a copy of which is hereto attached and made an integral
part of this document. Affiant represented to the notary public that the signature on this
document was voluntarily affixed by her for the purpose(s) stated in the document and
avows under penalty of law to the whole truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan
Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF ASSEMBLY/
INSTALLATION

I, Rodrigo S. Cunanan Jr., of legal age, Filipino, and with residence and postal address
at Daang Bago Dinalupihan, Bataan, after having been sworn to in accordance with law, hereby
depose and state that:

77. I am the owner of a motor vehicle particularly described as follows:

Make : EURO Keeway

Model : Hypek Brusco 175
Motor No. : QJ162FMK6622515
Chassis No. : LBBPEL008GB711536

78. With the help of Eduardo Pabustan Jr., he finished assembling, installing a sidecar
in his Shop Joana Sibug Paule Iron Works & Trading in Layac Dinalupihan,
Bataan;

79. Said motorcycle with sidecar is now roadworthy, in good running condition and fit for
operation in the public highway;

80. I guarantee the legal safety and acquisition of the parts used in the
assembly/installation of the said motorcycle with sidecar and should any question
arise, I shall assume full responsibility for it;

81. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 11 th day of November,

2016 at Dinalupihan, Bataan.

Rodrigo S. Cunanan Jr.

Affiant

Subscribed and sworn to before me this 11 th day of November, 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally appeared
before the undersigned and had exhibited to the said notary public a competent evidence of
identity such as his VIN SARY-0000A-E3062RSC10001-6; copy of which is hereto attached and
made integral part of this document. Affiant represented to the notary public that the signature
on this document was voluntarily affixed by him for the purpose(s) stated in the document and
avows under penalty of law to the whole truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Transfer of Ownership

I, Marco N. Jimenez, of legal age, Filipino, single and with residence and postal
address at Dungan Balantacan, Lubao, Pampanga, after having been sworn to in
accordance with law, hereby depose and state that:

10. I am one of the owners of C360 Fitness Hub;

11. For and in consideration of the strong request of my mother (Margie N.

Jimenez), and in view of the fact that I will be leaving for U.S.A. and therefore I
could not attend to the needs of the said establishment, I hereby transfer all my
rights/share and interests over the said establishment in favor of my said
mother (subject to the principle of “first refusal”);

12. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 8 th day of

November, 2016 at Dinlalupihan, Bataan.

Marco N. Jimenez
Affiant

Subscribed and sworn to before me this 8 th day of November, 2016 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his PRC ID No. 0738815; a copy of which is
hereto attached and made an integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by him for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on
12/31/2016
Series of 2016. PTR No. 3058381,
01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

JOINT AFFIDAVIT OF TWO (2)

DISINTERESTED PERSONS

We, Bryan G. Tigas and Annie Rizza D. Santoyo, both of legal age, Filipino and with
residence and postal address at 27 Balagtas St., Balanga, Bataan and Pilar, Bataan,
respectively, after having been duly sworn to in accordance with law, hereby depose and state
that:

67. We personally know CECILE O. SORIANO-BALTAZAR who was born on

November 11, 1975 in Abucay, Bataan from parents spouses Perfecto T Soriano and
Carmelita D. Olmo;

68. She has three (3) children, namely:

Rolan Charles S., Baltazar, born on September 19, 2001

Reign Charlize S. Baltazar, born on June 1, 2004
Regin Carl S. Baltazar, born on September 8, 2007

69. His husband and father os the 3 children is Rolan M. Baltazar. They are separated
for almost nine (9) years; hence, Cecile has since been a solo parent;

70. She is the one who is taking care and financially supporting her children;

71. We know the foregoing because we are the close friends ofCecile and we have
known her for a long time now;

72. We are not in anyway related to her, either by consanguinity or by affinity;

73. We are executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 8 th day of November,
2016 at Dinalupihan, Bataan.

Annie Rizza D. Santoyo Bryan G. Tigas

Affiant Affiant
PRC ID No. 0115045 Driver’s License No. C02-00-070928

Subscribed and sworn to before me this 8th day of November, 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiants personally appeared
before the undersigned and had exhibited to the said notary public a competent evidence of
identity such as their PRC and Driver’s License; copies of which are hereto attached and made
an integral part of this document. Affiants represented to the notary public that the signatures
on this document were voluntarily affixed by them for the purpose(s) stated in the document and
avows under penalty of law to the whole truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit
 I, Lolita O. Canlas, of legal age, Filipino, widow and with residence and postal
address at Del Pilar Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

9. I am the sole proprietor;

10. As the owner and sole proprietor, I have full power and authority to upload and
maintain in the Philippine Government Electronic Procurement aSystem
(PhilGEPS) a current and updated file of the following Class “A” eligibility
documents under Sections 23.1 (a) and 24.1(a);

a. Registration Certificate;
b. Mayor’s/Business Permit or its Equivalent Document;
c. Tax Clearance;
d. Philippine Contractors Accreditation Board (PCAB) license and
registration (if applicable); and
e. Audited Financial Statements;

11. I am uploading and mainitining in the PhilGEPS equivalent documents

accompanied by a transaction of the documents in Englisg issued by the relevant
foreign government agency, the foreing government agency authorizrd to
translate documents, or a registered translator in the foreign bidder’s country;
and shall be authenticated by the appropriate Philippine foreign service
establishment/post or the equivalent office having jurisdiction over the foreign
bidder’s affairs in the Philippines;

12. Each of the documents submitted is in ssatisfaction and compliance with the
requirements for PhilGEPS Platinum Membership and for participation in any
Philippine government bidding;

13. Each document is an authentic copy of the original, complete, and all statements
and information provided therein are true and correct;

14. I assume responsibility and full accountability on the validity and authenticity of
the documents submitted;

15. I am authorizing the PS-PhilHEPS abd the authorized representative(s) of the

Procuring Entities to verify all the document submitted, if necessary; and

16. I am aware of an understood the following guidelines for the use of the
Government of the Philippines-Official Merchant Regfistry (GoP-OMR):

a. The PhilGEPS office shall not determine the eligibility of merchants.

The PhilGEPS office’s evauation of the eligibility requirements shall be
for the sole purpose of determining the approval or disapproval of the
me5rdhant’s application for registration;

b. A merchant’s registration and membership in the GOP-OMR is neither

contract-specific nor understood to be tantamount to a finding of
eligibility. Neither shall the merchant’s successful registration in the
GOP-OMR be relied upon to claim eligibility for the purpose of
participation in any public bidding;

c. The determination of the eligibility of merchant’s, whether refgistered

with the GPOP-OMR or not, shall remain with the Bids and Awards
Committee (BAC). The BAC’s determination of validity of the eligibility
 requirements shall be conclusive to enable the merchant to participate
in the public bidding process.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 8 th day of

November, 2016 at Dinalupihan, Bataan.

Lolita O. Canlas
Affiant

Subscribed and sworn to before me this 8 th nday of November, 2016 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as her OSCA ID No. 1605479, a copy of which is
hereto attached and made an integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by her for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on
12/31/2016
Series of 2016. PTR No. 3058381,
01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel Dinalupihan, Bataan

Subscribed and sworn to before me this ____ day of September, 2014 at

___________________. Affiant exhibited to me his Passport No. EB6533214.
Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Atty. Juvy Mell S. Malit, of legal age, Filipino, and with office address at Sta.
Isabel Dinalupihan, Bataan, after having been sworn to in accordance with law, hereby
depose and state that:

1. I am the counsel of the petitioner in the Civil Case No. G-12-4841 entitled
Catherine U. Adriano vs. Jesus L. Franco for Annulment and/or Declaration of
Nullity of Marriage pending before the Regional Trial Court Branch 50,
Guagua, Pampanga;

2. Summons to respondent was unserved;

3. Pursuant to A.M. No. 02-11-10-SC Summons should be effected upon

respondent by publication;

4. I hereby request the Regional Trial Court Branch 50, Guagua, Pampanga to
cause the service of summons by publication upon respondent Jesus L.
Franco so that the court may acquire jurisdiction over his person;

5. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 4 th day of

November, 2016 at Dinalupihan, Bataan.

Atty. Juvy Mell S. Malit

Affiant

Subscribed and sworn to before me this 4 th nday of November, 2016 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as her Roll No. 40601, a copy of which is hereto
attached and made an integral part of this document. Affiant represented to the notary
public that the signature on this document was voluntarily affixed by her for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on
12/31/2016
Series of 2016. PTR No. 3058381,
01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF ASSEMBLY/
INSTALLATION

I, Alexander L. De Leon, of legal age, Filipino, and with residence and postal address at
Mabog Hermosa, Bataan, after having been sworn to in accordance with law, hereby depose
and state that:

82. I am the owner of a motor vehicle particularly described as follows:

Make : EURO Motors

Model : Daan HAro 150
Motor No. : 161FMJG1430218
Chassis No. : LF3PCK501GB813497

83. With the help of Marlon E. Garcia, he finished assembling, installing a sidecar in his
Shop Marlon Side Car Assembly in Hermosa, Bataan;

84. Said motorcycle with sidecar is now roadworthy, in good running condition and fit for
operation in the public highway;

85. I guarantee the legal safety and acquisition of the parts used in the
assembly/installation of the said motorcycle with sidecar and should any question
arise, I shall assume full responsibility for it;

86. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 24 th day of October,

2016 at Dinalupihan, Bataan.

Alexander L. De Leon
Affiant

Subscribed and sworn to before me this 24th day of October, 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally appeared
before the undersigned and had exhibited to the said notary public a competent evidence of
identity such as his SSS ID No. 02-1006728-6; copy of which is hereto attached and made
integral part of this document. Affiant represented to the notary public that the signature on this
document was voluntarily affixed by him for the purpose(s) stated in the document and avows
under penalty of law to the whole truth of the contents of the document.

Doc. No. 402 Atty. Roniel D. Muñoz

Page No. 81 Notary Public
Book No. XIV Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Alberto N. Vitug, of legal age, Filipino, married and with residence and postal
address at Palihan Hermosa, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:
 22. I am the holder of Philippine Passport issued by the Department of Foreign
Affairs on September 28, 2016 with Passport No. P0377190A;

23. I hereby attest to the authenticity and genuiness of the Passport, a copy of which
is hereto attached and made integral parts hereof;

24. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 24 th day of

October, 2016 at Dinalupihan, Bataan.

Alberto N. Vitug
Affiant

Subscribed and sworn to before me this 24th day of October, 2016 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his Passport No. P0377190A; a copy of which is
hereto attached and made an integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by him for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Narciso L. Flores, of legal age, married, Filipino and with residence and
postal address at Maligaya Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

7. I am the owner of a parcel of land Lot 1516, Psd-78000 and Pcs-03-020112 and
Lot 1, Pcs-03-007778 (AR), located at Maligaya, Dinalupihan, Bataan, containing
an area of 6,692 square meters;

8. Howevr, in the said plan Pcs-03-020112 I signed with the conformity on the
approved plan, plan for approval and also in the Affidavit/request for cancellation;
 9. However, in the said signature is different, nonetheless, the signatures are
genuine and authentic signature of mine;

10. I hereby declare that the signatures appearing on the said survey plans are true,
genuine and authentic signatures;

11. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 18 th day of

October, 2016 at Dinalupihan, Bataan.

Narciso L. Flores
Affiant

Subscribed and sworn to before me this 18 th day of October, 2016 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his OSCA ID No. 7643; a copy of which is
hereto attached and made an integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by him for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Marivie B. Sugiyama, of legal age, Filipino, married and with residence and
postal address at Bangal Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

12. My maiden name is Marivie Servillon Bugayong;

13. Iwas born on January 9. 1985 in Olongapo City as evidenced by my Certificate

of Live Birth;

14. I am married to Adrian Sugiyama. We got married on June 4, 2007 in Koror,

Palau;

15. I am the sister of MARIANNE SERVILLON BUGAYONG who was born on

November 18, 1978 in Olongapo City, Zambales as evidenced by her Certificate
of Live Birth;

16. Our parents are Mariano Sera Joseph Bugayong and Ruby Gonzales Servillon;
 17. My sister is presently working in Dubai;

18. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 17 th day of

October, 2016 at Dinalupihan, Bataan.

Marivie B. Sugiyama
Affiant

Subscribed and sworn to before me this 17 th day of October, 2016 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her VIN 0804-0033B-A0985MBS20000; a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by her for the purpose(s) stated in the document and avows under penalty of law
to the whole truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

JOINT AFFIDAVIT OF TWO (2)

DISINTERESTED PERSONS

We, Marcelino C. Ramos and Joseph Ian L. Reyes, both of legal age, Filipino and with
residence and postal address at Tabacuhan, Olongapo City and Roosevelt Dinalupihan,
Bataan, respectively, after having been duly sworn to in accordance with law, hereby depose
and state that:

74. We personally know LOIDA LABUTAP ARGANA who was born on August 16, 1972
in Dinalupihan, Bataan from parents spouses Jose Argana and Oliva Labutap;

75. She has a child named Nick Erwin Argana. He was born on August 31, 1999 in
Infanta, Quezon;

76. His father is unknown;

77. Loida is a solo parent;

78. She is the one who is taking care and financially supporting her child;
 79. We know the foregoing because we are the close friends of Loida and we have
known her for a long time now;

80. We are not in anyway related to her, either by consanguinity or by affinity;

81. We are executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 14 th day of October,
2016 at Dinalupihan, Bataan.

Marcelino C. Ramos Joseph Ian L. Reyes

Affiant Affiant
Driver’s License No. C09-09-001991 Driver’s License No. C02-15-008300

Subscribed and sworn to before me this 14th day of October, 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiants personally appeared
before the undersigned and had exhibited to the said notary public a competent evidence of
identity such as their UMID IDs; copies of which are hereto attached and made an integral part
of this document. Affiants represented to the notary public that the signatures on this document
were voluntarily affixed by them for the purpose(s) stated in the document and avows under
penalty of law to the whole truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF ASSEMBLY/
INSTALLATION

I, Zenaida D. Aquino, of legal age, Filipino, and with residence and postal address at
PAlihan Hermosa, Bataan, after having been sworn to in accordance with law, hereby depose
and state that:

87. I am the owner of a motor vehicle by virtue of the attached Deed of Absolute
particularly described as follows:

Make : Motoposh
Body Type : MC
Motor No. : 153FMH07030502
Chassis No. : LB411P20207030502
Plate No. : 9980NC

88. With the help of Marlon E. Garcia, he finished assembling, installing a sidecar in his
Shop Marlon Side Car Assembly in Hermosa, Bataan;

89. Said motorcycle with sidecar is now roadworthy, in good running condition and fit for
operation in the public highway;

90. I guarantee the legal safety and acquisition of the parts used in the
assembly/installation of the said motorcycle with sidecar and should any question
arise, I shall assume full responsibility for it;

91. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 14 th day of October,

2016 at Dinalupihan, Bataan.
 Zenaida D. Aquino
Affiant

Subscribed and sworn to before me this 14th day of October, 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally appeared
before the undersigned and had exhibited to the said notary public a competent evidence of
identity such as her Driver’s License NO. C09-15-005860; copy of which is hereto attached and
made integral part of this document. Affiant represented to the notary public that the signature
on this document was voluntarily affixed by her for the purpose(s) stated in the document and
avows under penalty of law to the whole truth of the contents of the document.

Doc. No. 350 Atty. Roniel D. Muñoz

Page No. 70 Notary Public
Book No. XIV Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, HUANG YI-CHUNG, of legal age, married, Taiwanese and with residence and
postal address at Palihan Hermosa, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

19. I am the same person indicated as the General Manager of Bioteque Medical
Phil., Inc. at Block 14, Lots 2, 3, 4 Hermosa Ecozone Industrial Park, Brgy.
Palihan Hermosa, Bataan;

20. That, a corresponding Letter of Auhtorization was issued by the Bioteque Medical
Phil. Inc. on September 12, 2016 by the undersigned affiant;

21. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13 th day of

October, 2016 at Dinalupihan, Bataan.

HUANG YI-CHUNG
Affiant

Subscribed and sworn to before me this 13 th day of October, 2016 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his Passport No. 32118990; a copy of which is
hereto attached and made an integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by him for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.
Doc. No. Atty. Roniel D. Muñoz
Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan

AFFIDAVIT

I, ANGELITO D. BERNAL, of legal age, Filipino, married and with residence and
postal address at _______________________________________, after having been
sworn to in accordance with law, hereby depose and state that:

49. I am the husband of AIZA LOPEZ BERNAL. We got married on January 17,
2007 in Dinalupihan, Bataan as evidenced by our Certificate of Marriage;

50. We have two (2) children, namely;

Lebron Allen, born on May 31, 2004 in Dinalupihan, Bataan

James Anthony, born on June 14, 2005 in Dinalupihan, Bataan

51. I am the one financially supporting my wife and my children;

52. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this

______________________ at _______________________.

ANGELITO D. BERNAL
Affiant

Subscribed and sworn to before me this _____________________ at

_____________________.
Doc. No. Atty. Roniel D. Muñoz
Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

AFFIDAVIT OF RELEASE AND QUITCLAIM

I, Jennyfer N. Jusayan, of legal age, Filipino, single and with residence and
postal address at Pentor Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

1. I am the Attorney-in-fact of Alfredo C. Nicdao as per Special Power of

Attorney notarized by Atty. Juvy Mell B. Sanchez-Malit on July 20, 2011 and
entered into her Notarial Book as Doc. No. 179; Page No. 36; Book No. XIV;
Series of 2011;

2. I hereby acknowledge having received the Release/Cancellation of Real

Estate Mortgage from the closed Unified Savings and Loan Association, Inc.,
and in view of which I hereby RELEASE AND DISCHARGE said closed bank,
and/or its Liquidator, its officers, employees, agents or representatives from
any further liability, whatsoever, emanating directly or indirectly from the
aforestated release of Release/Cancellation of Real estate Mortgage, and for
this purpose I hereby hold the said bank, its Liquidator, its officers,
employees, agents or representatives, legally free and harmless from any
further liability arising the foregoing transaction, claim or incident;

3. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 2 nd day of

August, 2011 at Dinalupihan, Bataan.

Jennyfer N. Jusayan
Affiant

Thumb mark:

Subscribed and sworn to before me this 2 nd day of August, 2011 at Dinaluiphan,

Bataan. Affiant exhibiting to me her VIN 0804-0166A-I0484JNJ20000-9.

Doc. No.
Page No.
Book No.
Series of 2011.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Marco S. Bugayong, of legal age, Filipino, single and with residence and
postal address at Bangal Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

22. I am the brother of MARIANNE SERVILLON BUGAYONG who was born on

November 18, 1978 in Olongapo City, Zambales as evidenced by her Certificate
of Live Birth;

23. Our parents are Mariano Sera Joseph Bugayong and Ruby Gonzales Servillon;

24. My sister is presently working in Dubai;

25. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 10 th day of

October, 2016 at Dinalupihan, Bataan.

Marco S. Bugayong
Affiant

Subscribed and sworn to before me this 10 th day of October, 2016 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his Passport No. EC8360462; a copy of which is
hereto attached and made an integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by him for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Eugenia N. Beaty, of legal age, Filipino, widow and with residence and postal
address at Balsik Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

1. I am the wife of MICHAEL BEATY. We were married on October 30, 1975 in

Hermosa, Bataan;

2. My husband has an account in the United States Navy Federal Credit Union;

3. On June 17, 2016 my husband died; hence, as the surviving wife, I am

considered an heir of my late husband, MICHAEL BEATY;

4. I am executing this affidavit to attest to the truth of the foregoing and to

respectfully request that the funds in his account be released in my favor.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 4 th day of

October, 2016 at Dinalupihan, Bataan.

Eugenia N. Beaty
Affiant

Subscribed and sworn to before me this 4 th day of October, 2016 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her Postal ID No. PRN B19160420308; a copy of
which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by her for the purpose(s) stated in the document and avows under penalty of law
to the whole truth of the contents of the document.

Doc. No. 261 Atty. Roniel D. Muñoz

Page No. 53 Notary Public
Book No. XIV Commission Expires on
12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT
 I, Marie Teresa S. Pielago, of legal age, Filipino, single and with residence and
postal address at Daang Bago Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

26. I was born onJune 26, 1995 in Dinalupihan, Bataan from parents spouses Joel
Pielago and Marites Sambat;

27. I am the niece of Rocell Liwanag Sambat. She is the first cousin of my mother;

28. My mother’s (Marites) father named Roberto M. Sambat and my aunt’s (Rocell)
father named Rolito M. Sambat were siblings;

29. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 4 th day of

October, 2016 at Dinalupihan, Bataan.

Marie Teresa S. Pielago

Affiant

Subscribed and sworn to before me this 4 th day of October, 2016 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her Passport No. P0223232A; a copy of which is
hereto attached and made an integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by her for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, April A. Reyes, of legal age, Filipino, and with residence and postal address at
Sta. Isabel Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

1. I was born on April 18, 1982 in Dinalupihan, Bataan from parents spouses Luisito
Vitug Reyes and Milagros Arzadon;

2. I am the nephew of Belinda Sabino Vitug-Manuel. She is the first cousin of my

father;

3. My father’s mother named Leonora Angeles Vitug and Belinda’s father named
Bienvenido Angeles Vitug were siblings;

4. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.
 IN WITNESS WHEREOF, I have hereunto affixed my signature this 4 th day of
October, 2016 at Dinalupihan, Bataan.

April A. Reyes
Affiant

Subscribed and sworn to before me this 4 th day of October, 2016 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his UMID ID NO. CRN-0002-2010673-9; a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by him for the purpose(s) stated in the document and avows under penalty of
law to the whole truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Rafael C. Manalansan, of legal age, Filipino, married and with residence and
postal address at San Isidro, Lubao, Pampanga, after having been sworn to in
accordance with law, hereby depose and state that:

1. I was born on _____ in ___ as evidenced by my Certificate of Live Birth;

2. I am the niece of Rolly Sambat. He was born on ____ in ____;

3. Rolly Sambat and my father named Roberto are siblings. Their parents are
_____ and ____;

4. I have three (3) children, namely: Marie-We are in fact siblings;

5. Jona is married to Carlos Maninang. They got married on January 15, 1995 in
Lubao, Pampanga;

6. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 3 rd day of

August, 2016 at Dinalupihan, Bataan.

Rafael C. Manalansan
Affiant

Subscribed and sworn to before me this 3 rd day of August, 2016 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his Passport No. EC0095741; a copy of which is
hereto attached and made an integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by him for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Danilo L. Manuyag, of legal age, Filipino, married and with residence and
postal address at SDto. Niño, Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

25. I am the brother of ROBERTO LAGMAY MANUYAG who was born on August
22, 1974 in Lubao, Pampanga ;

26. He is married to Criselda Timbol Dizon. They got married on August 27, 2000 in
Guagua, Pampanga;

27. They are presently living in 178 Scotia Ave. San Francisco CA. 94124;

28. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 27 th day of

September, 2016 at Dinalupihan, Bataan.

Danilo L. Manuyag
Affiant

Subscribed and sworn to before me this 27th day of September, 2016 at the
office of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant
personally appeared before the undersigned and had exhibited to the said notary public
a competent evidence of identity such as his Driver’s License No. C09-88-026832; a
copy of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by him for the purpose(s) stated in the document and avows under penalty of
law to the whole truth of the contents of the document.

Doc. No. 177 Atty. Roniel D. Muñoz

Page No. 36 Notary Public
Book No. XIV Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan ) S.s.
Province of Bataan )

AFFIDAVIT

I, Jeffrey R. Genova, of legal age, Filipino, and with residence and postal
address at Balsic Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

1. I am married to Melody S. Genova. We got married on April 28, 2002 in San

Fernando, La Union. We have four (4) children, namely: Dave Joshua S.
Genova, born on October 8, 2001; Jude GianKarlo S. Genova, born on June 25,
2003; Sebastian Jeff S. Genova and Fiona Louise S. Genova, born on August
17, 2011, respectively;

2. We have been separated since September 2011 because of indifference, since

then we have not reconciled and reconciliation at this time is remote. We have no
communication and I do not know her whereabouts;

3. I hereby declare that I am removing Melody S. Genova as one of my

beneficiaries in my OWWA Medicare, Social Security System (SSS), Pag-Ibig
and Philhealth and only my four (4) children aforementioned will remain as my
beneficiaries;

4. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 26 th day of

September, 2016 at Dinalupihan, Bataan.

Jeffrey R. Genova
Affiant

Subscribed and sworn to before me this 26 th day of September, 2015 at the

office of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant
personally appeared before the undersigned and had exhibited to the said notary public
a competent evidence of identity such as his UMID ID No. CRN-0001-1365363-2; a
copy of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by him for the purpose(s) stated in the document and avows under penalty of
law to the whole truth of the contents of the document.

Doc. No. 175 Atty. Roniel D. Muñoz

Page No. 35 Notary Public
Book No. XIV Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Jessah Marie Q. Soriano, of legal age, Filipino, and with residence and postal
address at Balsic Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

29. I am a holder of Certification issued by the Bataan Peninsula Medical Center;

30. I hereby attest to the authenticity and genuiness of the Certification, a copy of
which is hereto attached and made integral parts hereof;

31. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 22 nd day of

September, 2016 at Dinalupihan, Bataan.

Jessah Marie Q. Soriano

Affiant

Subscribed and sworn to before me this 22 nd day of September, 2016 at the

office of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant
personally appeared before the undersigned and had exhibited to the said notary public
a competent evidence of identity such as her PRC ID No. 0065449; a copy of which is
hereto attached and made an integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by her for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No. 149 Atty. Roniel D. Muñoz

Page No. 30 Notary Public
Book No. XIV Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )
 AFFIDAVIT

I, Lolita O. Canlas, of legal age, Filipino, widow and with residence and postal
address at Del Pilar St., Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

1. I am a dealer of fertilizer;

2. I am not blacklisted or barred from bidding by the government or any of its

agencies, offices, corporations or Local Government Unit (LGU);

3. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 20 th day of

September, 2016 at Dinalupihan, Bataan.

Lolita O. Canlas
Affiant

Subscribed and sworn to before me this 20 th day of September, 2016 at the

office of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant
personally appeared before the undersigned and had exhibited to the said notary public
a competent evidence of identity such as her OSCA ID No. 1605479; a copy of which is
hereto attached and made an integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by her for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Lolita O. Canlas, of legal age, Filipino, widow and with residence and postal
address at Del Pilar St., Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:
 32. I am a dealer of fertilizer;

33. I am not related to the Head of Procuring Entity (HOPE) by consanguity or affinity
up to the third civil degree;

34. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 20 th day of

September, 2016 at Dinalupihan, Bataan.

Lolita O. Canlas
Affiant

Subscribed and sworn to before me this 20 th day of September, 2016 at the

office of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant
personally appeared before the undersigned and had exhibited to the said notary public
a competent evidence of identity such as her OSCA ID No. 1605479; a copy of which is
hereto attached and made an integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by her for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Gener A. Militante, of legal age, Filipino, married and with residence and
postal address at Sta. Isabel Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am a School Administrator of Unitech Skills Institute Inc. located ata Sta.

Isabel Dinalupihan, Bataan;

2. I undertake to maintain the standard required for the courses/programs and to

follow faithfully all lwas, rules and regulations, and the requirements of the
Technical Education and Skills Development Authority (TESDA) governing the
operations of authorized technical-vocational institutions and to inform the
TESDA of any plan of action regarding closure or phasing out of the program or
any changes in the prescribed requirements;
 3. I acknowledge that the violations of the laws, rules and regulations, and the
requirements of the TESDA shall be deemed sufficient cause of revocation of the
authority granted;

4. The institution will not conduct classes in the program applied for above until and
unless this application is approved and the TESDA has issued the correcponding
Certificate of Program Registration;

5. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 15 th day of

September, 2016 at Dinalupihan, Bataan.

Gener A. Militante
Affiant

Subscribed and sworn to before me this 15 th day of September, 2016 at the

office of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant
personally appeared before the undersigned and had exhibited to the said notary public
a competent evidence of identity such as his SSS ID No. 09-1575245-6; a copy of which
is hereto attached and made an integral part of this document. Affiant represented to
the notary public that the signature on this document was voluntarily affixed by him for
the purpose(s) stated in the document and avows under penalty of law to the whole
truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2016.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Reyanie R. Roslyn, of legal age, Filipino, married and with residence and
postal address at Saguing Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:
 5. I am the father of CHRISTIAN REI BAMBA ROSLYN who was born on
December 27, 1999 in Dinalupihan, Bataan;

6. Her mother is Leticia Bamba;

7. Christian Rei is now 16 years old;

8. She is exempted from getting NBI Clearance and Police Clearance since she is
still a minor and student. She is not employed in any company because of her
age;

9. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13 th day of

September, 2016 at Dinalupihan, Bataan.

Reyanie R. Roslyn
Affiant

Subscribed and sworn to before me this 13 th day of September, 2016 at the

office of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant
personally appeared before the undersigned and had exhibited to the said notary public
a competent evidence of identity such as his VIN 0804-0208A-K1362RRR10001-6; a
copy of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by him for the purpose(s) stated in the document and avows under penalty of
law to the whole truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Rico S. Santos, of legal age, Filipino, and with residence and postal address
at Tucop, Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

35. I am the holder of the following documents:

Service Record issued by the Dinalupihan Elementary School

Certification issued by the Dinalupihan Elementary School
PRC ID Card issued by the Professional Regulation Commission
DEPED Employee ID Card issued by the Department of Education
Certification of Employment issued by the Department of Education

36. I hereby attest to the authenticity and genuiness of the Service Record,
Certification, PRC ID Card, DEPED Employee ID Card and Certification of
Employment, copies of which are hereto attached and made integral parts
hereof;
 37. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 9 th day of

September, 2016 at Dinalupihan, Bataan.

Rico S. Santos
Affiant

Subscribed and sworn to before me this 9th day of September, 2016 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his PRC ID No. 0784454; a copy of which is
hereto attached and made an integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by him for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Arthem S. Ranska Sr., of legal age, Filipino, married and with residence and
postal address at 08, Tala St., San Ramon, Dinalupihan, Bataan, after having been
sworn to in accordance with law, hereby depose and state that:

1. I am the father of Arthem V. Ranska Jr.;

2. That for and in consideration of the love and affection which I have for my child,
Arthem V. Ranska Jr., by these presents, transfer and convey, unto my child,
the amount of Ten Thousand Dollars ($ 10, 000 USD);

3. Said amount shall be used by my said child to buy his house in the United
States;

4. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of

September, 2016 at Dinalupihan, Bataan.
 Arthem S. Ranska Sr.
Affiant

Subscribed and sworn to before me this 5th day of September, 2016 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his Driver’s License No. C10-72-003062; a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by him for the purpose(s) stated in the document and avows under penalty of
law to the whole truth of the contents of the document.

Doc. No. 3 Atty. Roniel D. Muñoz

Page No. 1 Notary Public
Book No. XIV Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF ASSEMBLY/
INSTALLATION

I, Maricel V. Reyes, of legal age, Filipino, and with residence and postal address at
Bayan-Bayanan 3, Pita, Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

92. I am the owner of a motor vehicle particularly described as follows:

Model : DH-150
Engine No. : 161FMJG1294189
Chassis No. : LF3PCK501GB806337
Color : Blue

93. With the help of Lakay Mañego, we have finished assembling, installing a sidecar in
his Shop in Pita Dinalupihan, Bataan;

94. Said motorcycle with sidecar is now roadworthy, in good running condition and fit for
operation in the public highway;

95. I guarantee the legal safety and acquisition of the parts used in the
assembly/installation of the said motorcycle with sidecar and should any question
arise, I shall assume full responsibility for it;

96. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 2 nd day of September,

2016 at Dinalupihan, Bataan.
 Maricel V. Reyes
Affiant

Subscribed and sworn to before me this 2 nd day of September, 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally appeared
before the undersigned and had exhibited to the said notary public a competent evidence of
identity such as her PENELCO ID No. 134966; copy of which is hereto attached and made
integral part of this document. Affiant represented to the notary public that the signature on this
document was voluntarily affixed by her for the purpose(s) stated in the document and avows
under penalty of law to the whole truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan

1st Crop

Expenses

Binhi = 8 sacks/P 1,200.00 P 9,600.00

Fertilizer ng Binhi 30 cavans/P 1,000.00 (ammonium) 30,000.00
Patanim = 14 tao/P 500.00 kada tao 7,000.00
Fertilizer = UREA 8 sacks/ P 1,000.00 per cavan 8,000.00
= 2x nagsasabog ng abono
= 2 sack 1 ½ buwan ng paglagay
Spray= malathion/karate 1 bottle big
Malathion = P 1,400.00/ bottle 1,400.00
Karate = P 900.00/bottle 900.00
Pagbibilad 2,600.00
Labor 12,000.00
Diesel 6,400.00
__________
Total Expenses P 77,900.00
==========

Harvest = 500 cavan/ P 1,000.00/cavan/tuyo palay P 500,000.00

==========

P 500,000.00 – earning 1st Crop

77,900.00 – Expenses
___________
P 422,100.00 – Total amount for earning in 1st Crop
===========

2nd Crop
Expenses

Binhi = 8 sacks/P 1,200.00 P 9,600.00

Fertilizer ng Binhi 30 cavans/P 1,000.00 (ammonium) 30,000.00
Patanim = 14 tao/P 500.00 kada tao 7,000.00
Fertilizer = UREA 8 sacks/ P 1,000.00 per cavan 8,000.00
= 2x nagsasabog ng abono
= 2 sack 1 ½ buwan ng paglagay
Spray= malathion/karate 1 bottle big
Malathion = P 1,400.00/ bottle 1,400.00
Karate = P 900.00/bottle 900.00
Pagbibilad 2,600.00
Labor 12,000.00
Diesel 6,400.00
__________
Total Expenses P 77,900.00
==========

Harvest = 500 cavan/ P 1,000.00/cavan/tuyo palay P 500,000.00

==========

P 500,000.00 – earning 1st Crop

77,900.00 – Expenses
___________
P 422,100.00 – Total amount for earning in 2nd Crop
===========

Prepared by:

Teodora T. Franco

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Teodora T. Franco, of legal age, Filipino, married and with residence and
postal address at Layac Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

5. I am cultivating a farm land situated at Layac Dinalupihan, Bataan measuring 4

hectares more or less;

6. Attached hereto are the income and expenses for the year 2015 which I
personally prepared;

7. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 31 st day of

August, 2016 at Dinalupihan, Bataan.

Teodora T. Franco
Affiant

Subscribed and sworn to before me this 31 st day of August, 2016 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her FSCAP No. 14-02-285; a copy of which is
hereto attached and made an integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by her for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
 IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Lea Pedrosa, of legal age, Filipino, married, and with residence and postal
address at New San Jose, Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

53. I am the registered owner of PEDROSA PEANUT ROLLING STORE located

at San Ramon Dinalupihan, Bataan registered with the Department of Trade
and Industry (DTI) with Certificate No. 01952325;

54. It was registered sometime in the month of January 2013; however, from
2014 to 2015 said business ceased operations because of the death of my
brother;

55. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 25 th day of

August, 2016 at Dinalupihan, Bataan.

Lea Pedrosa
Affiant

Subscribed and sworn to before me this 25 th day of August, 2016 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her Health Certificate Reg. No. 03021; a copy of
which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by her for the purpose(s) stated in the document and avows under penalty of law
to the whole truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Susan M. Banal, of legal age, Filipino, married and with residence and postal
address at Luacan Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

10. I am the mother of KEARSEY MACKAY BANAL who was born on February
21, 2004 in Dinalupihan, Bataan;

11. His father is Darwin A. Banal;

12. Kearsey is now 12 yers old;

13. He is exempted from getting NBI Clearance and Police Clearance since he is still
a minor and student. He is not employed in any company because of his age;

14. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 25 th day of

August, 2016 at Dinalupihan, Bataan.

Susan M. Banal
Affiant

Subscribed and sworn to before me this 25 th day of August, 2016 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her VIN 0804-0086A-D2488SMB20000; a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by her for the purpose(s) stated in the document and avows under penalty of law
to the whole truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Cancellation of
Adverse Claim

I, Agnes C. Javier, of legal age, Filipino and with residence and postal address
in San Pedro, Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

1. I filed an adverse claim on the property covered by Transfer Certificates of Title

Nos. T-224432 and T-224467 registered under the named of Gaspar R.
Villanueva and Elisa R. Villanueva;

2. Said adverse claim was annotated on both titles as Entry No. 2014005466;

3. Considering that we have already settled our differences and we do not claim
adversely on the subject property, we are requesting that the said adverse claim
annotation be removed and/or cancelled;

4. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 23 rd day of

August, 2016 at Dinalupihan, Bataan.

Agnes C. Javier
Affiant

Subscribed and sworn to before me this 23 rd day of August, 2016 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public competent
evidence of identity such as her OSCA ID No. 03534; copy of which is hereto attached
and made integral parts of this document. Affiants represented to the notary public that
the signature on this document was voluntarily affixed by her for the purpose(s) stated
in the document and avow under penalty of law to the whole truth of the contents of the
document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381,
01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan
Republic of the Philippines )

AFFIDAVIT

I, Marissa Kalalo , of legal age, Filipino, and with residence and postal
address at Orion, Bataan, after having been sworn to in accordance with law, hereby
depose and state that:

1. I am presently detained at the Philippine National Police (PNP) Orion, Bataan;

2. I was arrested on Augst 17, 2016 at about 12:00 noon.;

3. I am waiving my right under Art. 125 of the Revised Penal Code;

4. I am requesting that a preliminary investigation be conducted on the alleged

case filed by PNP Orion, Bataan;

5. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this

_______________________ at Balanga City, Bataan.

Marissa Kalalo
Affiant

Subscribed and sworn to before me this ______________________ at Balanga

City, Bataan.
Republic of the Philippines )

AFFIDAVIT

I, Florante E. Bonifacio Sr., of legal age, Filipino, and with residence and postal
address at Tucop Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

15. I am married to Angelina Manabat Salvador. We got married on October 30,

1972 in ____________________________;

16. We have one (1) child named Florante S. Bonifacio Jr. who was born on
____________________________;

17. My said wife and I have been separated since 1988 and have no
communications since then. I do not know her whereabouts;

18. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this

_______________________ at _________________________.

Florante E. Bonifacio Sr.

Affiant

Subscribed and sworn to before me this ______________________ at

________________________, affiant exhibiting to me his
__________________________.

Doc. No.
Page No.
Book No.
Series of 2016.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit with Waiver of Rights

We, Joyce J. Palmos, Jeny J. Travers and Jean J. Moncupa, all of legal age, and
with residence and postal address at Kataasan, Dinalupihan, Bataan, after having been sworn
to in accordance with law, hereby depose and state that:
 1. We are the siblings/surviving heirs of Rev. Fr. Joel J. Jimenez who died on May 16,
2016 in Dinalupihan, Bataan;

2. Our brother (Fr. Joel) is the registered owner of JJJJ Lot Rental with Certificate Nomber
03179834 issued by the Department of Trade and Industry (DTI);

3. We Joyce and Jeny hereby waive our rights over the said establishment in favor of our
sister Jean J. Moncupa for and in consideration of the love and affection we have for
her, aside from the fact that we could not personally attend to the said business as we
are residing abroad;

4. We hereby request that the name of the owner be changed from Joel Jimenez and
transferred to Jean J. Moncupa for all intents and purposes;

5. We are executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this _____ day of
____________, 2016 at Dinalupihan, Bataan.

Joyce J. Palmos Jeny J. Travers Jean J.

Moncupa

Accepted by:

Jean J. Moncupa

Subscribed and sworn to before me this ____ day of ____________, 2016 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiants Jean J. Moncupa
and Teresa Marie J. Moncupa personally appeared before the undersigned and had exhibited to
the said notary public competent evidence of identity such as their Passport Number
EC6820094 and EC68200003 both issued on February 21, 2016; copies of which are hereto
attached and made integral parts of this document. Affiants represented to the notary public
that the signature on this document was voluntarily affixed by them for the purpose(s) stated in
the document and avow under penalty of law to the whole truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF ASSEMBLY/
INSTALLATION

I, Joel D. Manalang, of legal age, Filipino, and with residence and postal
address at Prado Saba, Lubao, Pampanga, after having been sworn to in accordance
with law, hereby depose and state that:

97. I am the owner of a motor vehicle particularly described as follows:

Make : Honda
Body type : Motorcycle
Engine No. : K3W00C185775
Chassis No. : KSW00185023
Color : Red

98. With the help of Marlon E. Garcia, we have finished assembling, installing a
sidecar in his Shop in Palihan, Hermosa, Bataan;

99. Said motorcycle with sidecar is now roadworthy, in good running condition
and fit for operation in the public highway;

100. I guarantee the legal safety and acquisition of the parts used in the
assembly/installation of the said motorcycle with sidecar and should any
question arise, I shall assume full responsibility for it;

101. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 9 th day of

August, 2016 at Dinalupihan, Bataan.

Joel D. Manalang
Affiant

Subscribed and sworn to before me this 9 th day of August, 2016 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his Passport No. EC5184897; copy of which is
hereto attached and made integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by him for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT
 I, Abraham R. Datu, of legal age, Filipino, married and with residence and postal
address at Sapa, Samal, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

19. I am the Attorney-In-Fact of Atonio Balmas with respect to the land covered by
the Original Certificate of Title No. 2909 as evidenced by the Special Power of
Attorney dated June 29, 2016;

20. By the power vested in me as the Attorney-In-Fact, I hereby certify that the land
is not covered by a Notice of Coverage or an agrarian case under the Section 30
of R.A. No. 9700;

21. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 8 th day of

August, 2016 at Dinalupihan, Bataan.

Abraham R. Datu
Affiant

Subscribed and sworn to before me this 8th day of August, 2016 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his OSCA ID No. 1860; a copy of which is
hereto attached and made an integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by him for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No. 261 Atty. Roniel D. Muñoz

Page No. 53 Notary Public
Book No. XIII Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

JOINT AFFIDAVIT OF TWO (2)

DISINTERESTED PERSONS

We, Michael G. Zuñiga and Nelson P. Bautista, both of legal age, Filipino and with
residence and postal address at Kataasan Dinalupihan, Bataan and New San Jose,
Dinalupihan, Bataan, respectively, after having been duly sworn to in accordance with law,
hereby depose and state that:
 82. We personally know HEIDILYN INTON LAYUG who was born on July 12, 1987 in
Dinalupihan, Bataan fro parents spouses Rolando O. Layug and Susan Inton;

83. She has a child named Kirt Andrew Layug. He was born on February 26, 2010 in
City of Santa Rosa, Laguna as evidenced by his Certificate of Live Birth;

84. His father is unknown;

85. Heidilyn is a solo parent and working as a Technician;

86. She is the one who is taking care and financially supporting her child;

87. We know the foregoing because we are the close friends of Heidilyn and we have
known her for a long time now;

88. We are not in anyway related to her, either by consanguinity or by affinity;

89. We are executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 4 th day of August,
2016 at Dinalupihan, Bataan.

Michael G. Zuñiga Nelson P. Bautista

Affiant Affiant
Driver’s License No. C02-15-007088 VIN 0804-0130A-B0787NPB10000

Subscribed and sworn to before me this 4 th day of August, 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiants personally appeared
before the undersigned and had exhibited to the said notary public a competent evidence of
identity such as their UMID IDs; copies of which are hereto attached and made an integral part
of this document. Affiants represented to the notary public that the signatures on this document
were voluntarily affixed by them for the purpose(s) stated in the document and avows under
penalty of law to the whole truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Chuck O. Angeles, of legal age, Filipino, widower and with residence and
postal address at San Ramon Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

22. I am married to Leticia Diwa Angeles. We got married on December 14, 2011;
 23. We own a house a located at San Ramon Dinalupihan, Bataan;

24. We caused the construction of the house thru our joint efforts;

25. The house should be considered conjugal property;

26. The said house is covered by Tax Declaration No. 04456;

27. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 3 rd day of

August, 2016 at Dinalupihan, Bataan.

Chuck O. Angeles
Affiant

Subscribed and sworn to before me this 3 rd day of August, 2016 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his OSCA ID No. 9193; a copy of which is
hereto attached and made an integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by him for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No. 231 Atty. Roniel D. Muñoz

Page No. 47 Notary Public
Book No. XIII Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Rafael C. Manalansan, of legal age, Filipino, married and with residence and
postal address at San Isidro, Lubao, Pampanga, after having been sworn to in
accordance with law, hereby depose and state that:

7. I was born on December 3, 1974 in Lubao, Pampanga as evidenced by my

Certificate of Live Birth;

8. I am the brother of Jona Cabañog Manalansan-Maninang. She was born on

June 7, 1973 in Lubao, Pampanga as evidenced by her Certificate of Live Birth;

9. Our parents are Renato Manalansan and Paulita Cabañog;

10. We are in fact siblings;

 11. Jona is married to Carlos Maninang. They got married on January 15, 1995 in
Lubao, Pampanga;

12. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 3 rd day of

August, 2016 at Dinalupihan, Bataan.

Rafael C. Manalansan
Affiant

Subscribed and sworn to before me this 3 rd day of August, 2016 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his Passport No. EC0095741; a copy of which is
hereto attached and made an integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by him for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Michelle E. Viray, of legal age, Filipino, and with residence and postal address
at Sta. Isabel, Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

38. I am the holder of the following documents:

Diploma issued by the Bataan Peninsula State University

Diploma issued by the Bataan Peninsula State University
Certification issued by the Jose C. Payumo Jr. Memorial Hospital

39. I hereby attest to the authenticity and genuiness of the Diplomas and
Certification, copies of which are hereto attached and made integral parts
hereof;

40. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 3 rd day of

August, 2016 at Dinalupihan, Bataan.
 Michelle E. Viray
Affiant

Subscribed and sworn to before me this 3 rd day of August, 2016 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her PRC ID No. 0761002; a copy of which is
hereto attached and made an integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by her for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Rosario D. Lanuza, of legal age, Filipino, and with residence and postal
address at Magsaysay Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

28. I am the mother of MAIYUMI IWAKI LANUZA MIRANDA who was born on
August 26, 2012 in Dinalupihan, Bataan;

29. Her father is Ronnie P. Miranda;

30. Maiyumi Iwaki is now 3 yers old

31. She is exempted from getting NBI Clearance and Police Clearance since she is
still a minor and student. She is not employed in any company because of her
age;

32. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 29 th day of July,

2016 at Dinalupihan, Bataan.
 Rosario D. Lanuza
Affiant

Subscribed and sworn to before me this 29 th day of July, 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her VIN 08040106B-J2972RDL20000; a copy of
which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by her for the purpose(s) stated in the document and avows under penalty of law
to the whole truth of the contents of the document.

Doc. No. 181 Atty. Roniel D. Muñoz

Page No. 37 Notary Public
Book No. XIII Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel, Dinalupihan, Bataan

Subscribed and sworn to before me this 3 rd day of September, 2015at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her ______________________________; a
copy of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by her for the purpose(s) stated in the document and avows under penalty of law
to the whole truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Jhunell C. Gonzaga, of legal age, Filipino, single and with residence and postal
address at Cataning Hermosa, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

6. I am presently detained at the Philippine National Police (PNP) Hermosa,

Bataan;

7. I was arrested on July 23, 2016 at about 6:30 in the evening more or less;

8. I am waiving my right under Art. 125 of the Revised Penal Code;

9. I am requesting that a preliminary investigation be conducted on the alleged

case filed by PNP Hermosa, Bataan;
 10. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I am have hereunto affixed my signature this 28 th day of

July, 2016 at Hermosa, Bataan.

Jhunell C. Gonzaga
Affiant

Subscribed and sworn to before me this 28th day of July, 2016 at Hermosa,
Bataan. Affiant personally represented to the notary public that the signature on this
document was voluntarily affixed by him for the purpose(s) stated in the document and
avows under penalty of law to the whole truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381,
01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Recovery
I, Adelaida M. Cory, of legal age, Filipino, married and with residence and postal
address at Sto. Niño Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

1. I am the owner of a property located at Sto. Niño Dinalupihan, Bataan covered by

Transfer Certificate of Title No. T-167517 measuring 199 square meters;

2. The original title of the said property could not be located for a long time;
 3. An Affidavit of Loss was executed and caused to be annotated at the back of the
title kept at the Registry of Deeds, Balanga City, Bataan as Entry No.
2014007027 dated September 13, 2014;

4. Then, I filed a Petition for Issuance of Owner’s New Duplicate Certificate of Title
pending before the Regional Trial Court, Branch 5, Dinalupihan, Bataan docketed
as LRC Case No. 244-14;

5. Recently, I found the original of the said title; hence, this affidavit;

6. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 18 th day of July,

2016 at Dinalupihan, Bataan.

Adelaida M. Cory
Affiant

Subscribed and sworn to before me this 18 th day of July, 2016 at Dinalupihan,

Bataan. Affiant exhibiting to me her Postal ID No. 4839221.

Doc. No.
Page No.
Book No.
Series of 2016.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Princess Joy P. Esconde, of legal age, Filipino, and with residence and postal
address at Layac Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

1. I am the mother of CHRISTIAN JAY ESCONDE DOMINGUEZ who was born

on December 29, 2012 in Dinalupihan, Bataan;

2. His father Jay Jomar Dominguez. We are not legally married;

3. I am a single parent and I have never been employed since I got pregnant;

4. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.
 IN WITNESS WHEREOF, I have hereunto affixed my signature this 15 th day of July,
2016 at Dinalupihan, Bataan.

Princess Joy P. Esconde

Affiant

Subscribed and sworn to before me this 15 th day of July, 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her VIN 0804-0081A-H0493PPE20000; copy of
which is hereto attached and made integral part of this document. Affiant represented
to the notary public that the signature on this document was voluntarily affixed by her for
the purpose(s) stated in the document and avows under penalty of law to the whole
truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381,
01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel Dinalupihan, Bataan

Subscribed and sworn to before me this 13th day of June, 2014 at Dinalupihan,
Bataan, affiant exihibiting to me her VIN 0804-0076A-G2481JDE20001-0.

Doc. No.
Page No.
Book No.
Series of 2014.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF ASSEMBLY/
INSTALLATION

I, Elmer M. Doria, of legal age, Filipino, married and with residence and postal
address at Maite, Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

102. I am the owner of a motor vehicle particularly described as follows:

Make : Euro Motor

Body type : Motorcycle
Engine No. : 156FM12G1226703
Chassis No. : LF3PCJ501GB803143
Model : Daan Hari 125

103. With the help of Marlon E. Garcia, we have finished assembling, installing
a sidecar in his Shop in Palihan, Hermosa, Bataan;

104. Said motorcycle with sidecar is now roadworthy, in good running condition
and fit for operation in the public highway;

105. I guarantee the legal safety and acquisition of the parts used in the
assembly/installation of the said motorcycle with sidecar and should any
question arise, I shall assume full responsibility for it;

106. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 1 st day of July,

2016 at Dinalupihan, Bataan.

Elmer M. Doria
Affiant
st
Subscribed and sworn to before me this 1 day of July, 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his COMELEC ID No. VIN 0805-0144A-
E1983EMD10000; copy of which is hereto attached and made integral part of this
document. Affiant represented to the notary public that the signature on this document
was voluntarily affixed by him for the purpose(s) stated in the document and avows
under penalty of law to the whole truth of the contents of the document.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF ASSEMBLY/
INSTALLATION

I, Romeo S. Ributoc, of legal age, Filipino, and with residence and postal
address at Bangal Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

107. I am the owner of a motor vehicle particularly described as follows:

Make : Euro Motor

Body type : Motorcycle
Engine No. : 161FMJG1334230
Chassis No. : LF3PCK501GB80
Model : Daan Hari 150

108. With the help of Jerry Mendoza, we have finished assembling, installing a
sidecar in his Shop in New Kalalake, Olongapo City;

109. Said motorcycle with sidecar is now roadworthy, in good running condition
and fit for operation in the public highway;

110. I guarantee the legal safety and acquisition of the parts used in the
assembly/installation of the said motorcycle with sidecar and should any
question arise, I shall assume full responsibility for it;

111. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 8 th day of July,

2016 at Dinalupihan, Bataan.

Romeo S. Ributoc
Affiant
Subscribed and sworn to before me this 8th day of July, 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his Driver’s License No. C09-90-034747; copy
of which is hereto attached and made integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by him for the purpose(s) stated in the document and avows under penalty of
law to the whole truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel Dinalupihan, Bataan
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Rosita C. Ocampo, of legal age, Filipino, widow and with residence and
postal address at No. 69 Talimundoc, Orani, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am the mother of NESTOR OCAMPO CASTRO who was born on August 10,
1969 in San Jacinto, Pangasinan;

2. His father is Ernesto Castro (deceased). We are not legally married;

3. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of July,

2016 at Dinalupihan, Bataan.

Rosita C. Ocampo
Affiant

Subscribed and sworn to before me this 5th day of July, 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her OSCA ID No. 12546; copy of which is hereto
attached and made integral parts of this document. Affiant represented to the notary
public that the signature on this document was voluntarily affixed by her for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No. 161 Atty. Roniel D. Muñoz

Page No. 33 Notary Public
Book No. XII Commission Expires on
12/31/2016
Series of 2016. PTR No. 3058381,
01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Eugenia N. Beaty, of legal age, Filipino and with residence and postal address
at Balsic, Hermosa, Bataan, after having been sworn to in accordance with law, hereby
depose and state that:
 10. On July 01, 2016, I went to the Registry of Deeds, Balanga, Bataan and I found
out that a certain property located at Balsic, Hermosa Bataan, was registered
under my maiden name, Naguiat, Eugenia (Single);

11. The property has an area of Four Hundred Seventeen (417) square meters
covered by TCT-117088 and with Tax Declaration no. 02423;

12. To the best of my knowledge, I hereby confirm that I do not own the property as
mentioned above and I hereby waive my rights, if any, to the said property;

13. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 4 th day of June,

2016 at Dinalupihan, Bataan.

Eugenia N. Beaty
Affiant

Subscribed and sworn to before me this 4 th day of June, 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her OSCA ID No. 004509; copy of which is
hereto attached and made integral parts of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by her for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No. 157 Atty. Roniel D. Muñoz

Page No. 32 Notary Public
Book No. XII Commission Expires on
12/31/2016
Series of 2016. PTR No. 3058381,
01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF ASSEMBLY/
INSTALLATION

I, Elmer M. Doria, of legal age, Filipino, married and with residence and postal
address at Maite, Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

112. I am the owner of a motor vehicle particularly described as follows:

Make : Euro Motor

Body type : Motorcycle
Engine No. : 156FM12G1226703
 Chassis No. : LF3PCJ501GB803143
Model : Daan Hari 125

113. With the help of Marlon E. Garcia, we have finished assembling, installing
a sidecar in his Shop in Palihan, Hermosa, Bataan;

114. Said motorcycle with sidecar is now roadworthy, in good running condition
and fit for operation in the public highway;

115. I guarantee the legal safety and acquisition of the parts used in the
assembly/installation of the said motorcycle with sidecar and should any
question arise, I shall assume full responsibility for it;

116. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 1 st day of July,

2016 at Dinalupihan, Bataan.

Elmer M. Doria
Affiant
Subscribed and sworn to before me this 1 st day of July, 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his COMELEC ID No. VIN 0805-0144A-
E1983EMD10000; copy of which is hereto attached and made integral part of this
document. Affiant represented to the notary public that the signature on this document
was voluntarily affixed by him for the purpose(s) stated in the document and avows
under penalty of law to the whole truth of the contents of the document.

Doc. No. 143 Atty. Roniel D. Muñoz

Page No. 29 Notary Public
Book No. XII Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel Dinalupihan, Bataan

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT OF LIVING HEIRS

We, JEAN JIMENEZ-MONICA , JENY JIMENEZ-TRAVERS and JOYCE

JIMENZ-PALMOS, all of legal, Filipinos and residents of Dinalupihan, Bataan, after
being duly sworn to in accordance with law, depose and state THAT.

6. Their parents are Analiza De Leon Lucero and Moises M. Gonzales. They
are not legally married;

7. We know the fact of their births because they are our neighbors;

8. We know the foregoing because the neighbors of the said twins and we have
known them for a long time now;

9. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 29 th day of

June, 2016 at Dinalupihan, Bataan.
Michael P. Manalo Ofelia D. Flores
Affiant Affiant

Subscribed and sworn to before me this 29 th day of June, 2016 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiants personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as their Drivers License No. N04-90-130122 of
Michael Manalo and Comelec Id No. 0804-0066A-J1741ODF20000-5 of Ofelia D.
Flores, copies of which are hereto attached and made an integral part of this document.
Affiant represented to the notary public that the signatures on this document was
voluntarily affixed by their for the purpose(s) stated in the document and avows under
penalty of law to the whole truth of the contents of the document.

Doc. No. 121

Page No. 25
Book No. XII
Series of 2016.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

JOINT AFFIDAVIT

We, Michael P. Manalo and Ofelia D. Flores, both of legal age, Filipino, and
with residence and postal address at Happy Valley, Dinalupihan, Bataan, after having
been sworn to in accordance with law, hereby depose and state that:

10. We personally know Ulyses L. Gonzales and Louieses L. Gonzales who were
born on April 28, 1998 in Dinalupihan, Bataan. They are twins;

11. Their parents are Analiza De Leon Lucero and Moises M. Gonzales. They
are not legally married;

12. We know the fact of their births because they are our neighbors;

13. We know the foregoing because the neighbors of the said twins and we have
known them for a long time now;

14. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 29 th day of

June, 2016 at Dinalupihan, Bataan.

Michael P. Manalo Ofelia D. Flores

Affiant Affiant

Subscribed and sworn to before me this 29 th day of June, 2016 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiants personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as their Drivers License No. N04-90-130122 of
Michael Manalo and Comelec Id No. 0804-0066A-J1741ODF20000-5 of Ofelia D.
Flores, copies of which are hereto attached and made an integral part of this document.
Affiant represented to the notary public that the signatures on this document was
voluntarily affixed by their for the purpose(s) stated in the document and avows under
penalty of law to the whole truth of the contents of the document.

Doc. No. 121

Page No. 25
Book No. XII
Series of 2016.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Roberto N. Agustin, of legal age, Filipino and with residence and postal
address at 288 San Joaquin St., Sto. Domingo, Angeles City, after having been sworn
to in accordance with law, hereby depose and state that:

14. I am a member of Philippine Veterans Affairs Office (PVAO);

15. I am submitting my application for my pension and other benefits with the said
company;

16. Said Application was not immediately submitted to the concerned agency
because I was out of the country;

17. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 21 st day of

June, 2016 at Dinalupihan, Bataan.

Roberto N. Agustin
Affiant

Subscribed and sworn to before me this 21st day of June, 2016 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his OSCA ID No. PSO-10753; copy of which is
hereto attached and made integral parts of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by him for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381,
01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel Dinalupihan, Bataan
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF ASSEMBLY/
INSTALLATION

I, Edwin A. Atolba, of legal age, Filipino, married and with residence and postal
address at Pita Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

117. I am the owner of a motor vehicle particularly described as follows:

Make : Euro Motor

Body type ; Motorcycle
Engine No. : 156FM12G1141286
Chassis No. : LF3PCJ501GB802874
Model : Daan Hari 125

118. With the help of Jose C. Tupaz Sr., we have finished assembling,
installing a sidecar in his Shop in Pagalanggang Dinalupihan, Bataan;

119. Said motorcycle with sidecar is now a roadworthy and good running
condition and fit for operation in the public highway;

120. I guarantee the legal safety and acquisition of the parts used in the
assembly/installation of the said motorcycle with sidecar and should any
question arise, I shall assume full responsibility for it.

121. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 15 th day of June,

2016 at Dinalupihan, Bataan.

Edwin A. Atolba
Affiant

Subscribed and sworn to before me this 15 th day of June, 2016 at the

Dinalupihan, Bataan, affiant exhibiting to me his VIN 0804-0182A-E2063EAA10006-6.

Doc. No. 23 Atty. Roniel D. Muñoz

Page No. 5 Notary Public
Book No. XII Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT
 I, Mercedita S. Panlaqui, of legal age, Filipino,widow and with residence and postal
address at New San Jose Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

13. I am the surviving spouse of Wilfredo E. Panlaqui who died on April 6, 2016;

14. He is an Overseas Filipino Workers (OFW) who left the Philippines on June 19, 2015;

15. He is a holder of Philippine Passport issued by the Department of Foregin Affairs (DFA)
with Passport No. EC3209646;

16. He returned to the Philippines on March 15, 2016 and stayed until his demise on April 6,
2016;

17. On June 2016 I sent the original copy of his passport to his company, Royal Naval Base,
located in Gizan, Kingdom of Saudi Arabia for its cancellation and claiming of death
benefits;

18. This is the reason why I can no longer present the latest original passport of Wilfredo E.
Panlaqui;

19. I am executing this affidavit to attest to the truth of the foregoing and for the whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13 th day of June, 2016
at Dinalupihan, Bataan.

Mercedita S. Panlaqui
Affiant

Subscribed and sworn to before me this 13 th day of June, 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally appeared
before the undersigned and had exhibited to the said notary public a competent evidence of
identity such as her Postal ID No. 518657; a copy of which is hereto attached and made an
integral part of this document. Affiant represented to the notary public that the signature on this
document was voluntarily affixed by her for the purpose(s) stated in the document and avows
under penalty of law to the whole truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Non-Submission
 I, Stella Maries B. Ochavillo, of legal age, and with residence and postal
address at West Lungsodaan, Garcia-Hernandez, Bohol, after having been sworn to in
accordance with law, hereby depose and state that:

18. I am the mother of REJAY BAGUHIN OCHAVILLO who was born on

September 22, 2011 in Winnie Palmer Hospital in Orlando, Orange County;

19. His father is Jove Evangelista Napiñas;

20. His Certification of Birth was issued by the Office of Vital Statistics on October 5.
2011;

21. Said Certification of Birth was not immediately submitted to the concerned
agency for purposes of registration because for personal reason and due to the
fact that I am pre-occupied;

22. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 10 th day of

June, 2016 at Dinalupihan, Bataan.

Stella Maries B. Ochavillo

Affiant

Subscribed and sworn to before me this 10th day of June, 2016 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her USA Permanent Resident ID No. 061-967-
800; copy of which is hereto attached and made integral parts of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by her for the purpose(s) stated in the document and avows under penalty of law
to the whole truth of the contents of the document.

Doc. No. 482 Atty. Roniel D. Muñoz

Page No. 97 Notary Public
Book No. XI Commission Expires on
12/31/2016
Series of 2016. PTR No. 3058381,
01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Non-Submission

I, Stella Maries B. Ochavillo, of legal age, and with residence and postal
address at Beverly Heights Subd., Cataning Hermsoa, Bataan, after having been sworn
to in accordance with law, hereby depose and state that:
 1. I am the mother of REJAY BAGUHIN OCHAVILLO who was born on
September 22, 2011 in Winnie Palmer Hospital in Orlando, Orange County;

2. His father is Jove Evangelista Napiñas;

3. His Certification of Birth was issued by the Office of Vital Statistics on October 5.
2011;

4. Said Certification of Birth was not immediately submitted to the concerned

agency for purposes of registration because for personal reason and due to the
fact that I am pre-occupied;

5. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 10 th day of

June, 2016 at Dinalupihan, Bataan.

Stella Maries B. Ochavillo

Affiant

Subscribed and sworn to before me this 10th day of June, 2016 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her USA Permanent Resident ID No. 061-967-
800; copy of which is hereto attached and made integral parts of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by her for the purpose(s) stated in the document and avows under penalty of law
to the whole truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381,
01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF ASSEMBLY/
INSTALLATION

I, Conrado L. Canoy, of legal age, Filipino and with residence and postal
address at Naparing Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

122. I am the owner of a motor vehicle particularly described as follows:

Make : Mitsukoshi
Body type ; Motorcycle
Engine No. : 161FMJG1077250
Chassis No. : LF3PCK501G8804114
 Model : Daan Hari 150

123. With the help of Gilbert Maga, we have finished assembling, installing a
sidecar in his Shop in Pinulot Dinalupihan, Bataan;

124. Said motorcycle with sidecar is now a roadworthy and good running
condition and fit for operation in the public highway;

125. I guarantee the legal safety and acquisition of the parts used in the
assembly/installation of the said motorcycle with sidecar and should any
question arise, I shall assume full responsibility for it.

126. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 8 th day of June,

2016 at Dinalupihan, Bataan.

Conrado L. Canoy
Affiant

Subscribed and sworn to before me this 8th day of June, 2016 at the
Dinalupihan, Bataan, affiant exhibiting to me his Driver’s License No. C09-C02-15-
010111

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel Dinalupihan, Bataan

Republic of the Philippines )

Province of Bataan ) S.s. IS No. III-03-INV-151-
00476
Municipality of Dinalupihan)

SUPPLEMENTAL COUNTER-AFFIDAVIT

I, Juvy Mell S. Malit, of legal age, Filipino, and with residence and postal
address at Beverly Heights Subd., Cataning Roman Highway, Hermosa, Bataan, after
having been sworn to in accordance with law, hereby depose and state that:

7. I already prepared my counter-affidavit;

8. I added the following statement in paragraph 8 of my counter affidavit, to wit:

“With a meager amount of P 600,000.00 payable on

installment basis, there is doubt that it is respondent’s
obligation to transfer the unit to complainants.”

9. I signed the above portion in my counter-affidavit;

10. In page 1 of Annex “3” of the counter-affidavit, I placed the statement:

 “respondent’s name as co-owner is found at the 2nd page hereof”

11. The purpose is to show that I am one of the owners of the condominium unit
in Makati embraced in Condominium Certificate of Title No. 006-2014012046
but in the first page Daniel B. Sanchez, Jr. appears to be the owner. Mr.
Sanchez is my brother. My name as co-owner is found at the second page
thereof;

12. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 7 th day of June,

2016 at Dinalupihan, Bataan.

Juvy Mell B. Sanchez-Malit

Affiant

Subscribed and sworn to before me this 7th day of June, 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally appeared
before the undersigned and had exhibited to the notary public a competent evidence of identity
such as her Roll ID No. 40601; a copy of which is hereto attached and made an integral part of
this document. Affiant represented to the notary public that the signature on this document was
voluntarily affixed by her for the purpose(s) stated in the document and avows under penalty of
law to the whole truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2016.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF ASSEMBLY/
INSTALLATION

I, Jay R V. Marquez, of legal age, Filipino and with residence and postal address
at155 Purok 1, Balsik Hermosa, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

127. I am the owner of a motor vehicle particularly described as follows:

Make : Mitsukoshi
Body type ; Motorcycle
Engine No. : 161FMJF1266034
Chassis No. : LP3PCK505FB004330
Plate No. : CC38990

128. With the help of Marlono E. Garcia, we have finished assembling,

installing a sidecar in his Shop in Palihan, Hermosa, Bataan.

129. Said motorcycle with sidecar is now a roadworthy and good running
condition and fit for operation in the public highway;

130. I guarantee the legal safety and acquisition of the parts used in the
assembly/installation of the said motorcycle with sidecar and should any
question arise, I shall assume full responsibility for it.
 131. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 6 th day of June,

2016 at Dinalupihan, Bataan.

Jay R V. Marquez
Affiant

Subscribed and sworn to before me this 6th day of June, 2016 at the
Dinalupihan, Bataan, affiant exhibiting to me his Driver’s License No. C02-15-010111

Doc. No. 278 Atty. Roniel D. Muñoz

Page No. 56 Notary Public
Book No. XI Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel Dinalupihan, Bataan
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Rosita J. Dela Cruz, of legal age, Filipino, married, and with residence and
postal address at No.10 Dial St., Purok 4, Roosevelt, Dinalupihan, Bataan, after having
been sworn to in accordance with law, hereby depose and state that:

6. I am the wife of Godofredo V. Dela Cruz;

7. We got married on December 22, 1987 in Olongapo City;

8. We have no children;

9. We have been separated since May 2006 when he admitted that he was already
living with another woman with whom he had four (4) children;

10. We have no communication since then;

 11. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 6 th day of June,

2016 at Dinalupihan, Bataan.

Rosita J. Dela Cruz

Affiant

Subscribed and sworn to before me this 6 th day of June, 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her SSS ID Number 02-0871801-3 and
Comelec ID No. 4619-0102B-B0465RJD200000; copies of which are hereto attached
and made integral parts of this document. Affiant represented to the notary public that
the signature on this document was voluntarily affixed by her for the purpose(s) stated
in the document and avows under penalty of law to the whole truth of the contents of the
document.

Doc. No.
Page No.
Book No.
Series of 2016.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit with Waiver of Rights

We, Joyce J. Palmos, Jeny J. Travers and Jean J. Moncupa, all of legal age,
and with residence and postal address at Kataasan, Dinalupihan, Bataan, after having
been sworn to in accordance with law, hereby depose and state that:

6. We are the siblings/surviving heirs of Rev. Fr. Joel J. Jimenez who died on May
16, 2016 in Dinalupihan, Bataan;

7. Our brother (Fr. Joel) is the registered owner of JJJJ Lot Rental with Certificate
Nomber 03179834 issued by the Department of Trade and Industry (DTI);

8. We Joyce and Jeny hereby waive our rights over the said establishment in favor
of our sister Jean J. Moncupa for and in consideration of the love and affection
we have for her, aside from the fact that we could not personally attend to the
said business as we are residing abroad;

9. We hereby request that the name of the owner be changed from Joel Jimenez
and transferred to Jean J. Moncupa for all intents and purposes;

10. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this _____ day of
____________, 2016 at Dinalupihan, Bataan.

Joyce J. Palmos Jeny J. Travers Jean J. Moncupa

Accepted by:

Jean J. Moncupa

Subscribed and sworn to before me this ____ day of ____________, 2016 at the
office of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiants
Jean J. Moncupa and Teresa Marie J. Moncupa personally appeared before the
undersigned and had exhibited to the said notary public competent evidence of identity
such as their Passport Number EC6820094 and EC68200003 both issued on February
21, 2016; copies of which are hereto attached and made integral parts of this document.
Affiants represented to the notary public that the signature on this document was
voluntarily affixed by them for the purpose(s) stated in the document and avow under
penalty of law to the whole truth of the contents of the document.

Republic of the Philippines )

Municipality of Dinalupihan)S.s.
Province of Bataan

AFFIDAVIT

I, Ma. Cristina V. Tolentino, of legal age, Filipino, and with residence and postal
address at New San Jose, Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

15. I was the former common-law wife of Joel Bermudez. We are cohabiting from
April 2006 up to August 2009;

16. We have child named Jody Tolentino Bermudez who was born on June 5,
2007 in Metro Manila. She has been in my custody since birth and up to the
present;

17. We are no longer cohabiting because he abandoned us and we do not know

his whereabouts;

18. I am now living with Paulo N. Naparate without the benefit of marriage since
April 20, 2012. We have a child named Paulina Joy Tolentino Naparate who
was born on June 10, 2015 in Dinalupihan, Bataan;

19. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 2 nd day of June,

2016 at Dinalupihan, Bataan.

Ma. Cristina V. Tolentino

Affiant
 Subscribed and sworn to before me this 2 nd day of June, 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her UMID ID No. CRN-0111-0301867-1; a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by her for the purpose(s) stated in the document and avows under penalty of law
to the whole truth of the contents of the document.

Doc. No. 416 Atty. Roniel D. Muñoz

Page No. 84 Notary Public
Book No. XI Commission Expires on
12/31/2016
Series of 2016. PTR No. 3058381,
01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Mercedita S. Panlaqui, of legal age, Filipino,widow and with residence and postal
address at New San Jose Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

20. I am the surviving spouse of Wilfredo E. Panlaqui who died on April 6, 2016;

21. I am applying for his Death Claim and attached the Medical Certificate issued by
the Bataan Peninsula Medical Center;

22. I hereby confirm the veracity and authenticity of the above documents;

23. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 1 st day of June,

2016 at Dinalupihan, Bataan.

Mercedita S. Panlaqui
Affiant

Subscribed and sworn to before me this 1st day of June, 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her Postal ID No. 518657; a copy of which is
hereto attached and made an integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by her for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No. 409 Atty. Roniel D. Muñoz

Page No. 82 Notary Public
Book No. XI Commission Expires on
12/31/2016
Series of 2016. PTR No. 3058381,
01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan)S.s.
Provicne of Bataan

AFFIDAVIT

We, Macario L. Gatdula and Edna P. Gatdula, of legal age, Filipino, and with
residence and postal address at Mabiga Hermosa, Bataan, after having been sworn to
in accordance with law, hereby depose and state that:

20. We are husband and wife;

21. We got married on January 26, 1994 at Municipal Circuit Trial Judge in
Dinalupihan, Bataan as evidenced by our Certificate of Marriage;

22. We have four (4) children the eldest of whom was born on September 9,
1994;

23. As Roman Catholics, we intend to have our church wedding on June 8, 2016
at Colo Parish Church in Dinalupihan, Bataan;

24. We are executing this affidavit to attest to the truth of the foregoing and for
the whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 1 st day of

June, 2016 at Dinalupihan, Bataan.

Macario L. Gatdula Edna P. Gatdula

Affiant Affiant
VIN 0805-0128A-D1059MLG10000 VIN 0805-0128A-
H2965EPG20000

Subscribed and sworn to before me this 1st day of June, 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiants personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as their Voter’s IDs; a copies of which are hereto
attached and made an integral part of this document. Affiants represented to the notary
public that the signature on this document were voluntarily affixed by them for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.
Doc. No. 407 Atty. Roniel D. Muñoz
Page No. 82 Notary Public
Book No. XI Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll No. 63074
Sta. Isabel Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Wilsem G. Jover, of legal age, Filipino, and with residence and postal address at
Pinulot Dinalupihan, Bataan, after having been sworn to in accordance with law, hereby
depose and state that:

24. I was born on January 12, 1990 in Olongapo City, Zambales from parents
spouses Wilbert V. Jover and Simeona M. Garcia;

25. I am applying for VISA and attached the following documents to the said
application:

Drug Test Report

Physical Examination Result
Fecalysis Result
Radiographic Result
Hematology and Urinalysis Result

26. I hereby confirm the veracity and authenticity of the above documents;

27. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 26 th day of May,

2016 at Dinalupihan, Bataan.

Wilsem G. Jover
Affiant

Subscribed and sworn to before me this 26 th day of May, 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his VIN 0804-0177A-A1290WGJ10000; a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by her for the purpose(s) stated in the document and avows under penalty of law
to the whole truth of the contents of the document.
Doc. No. 317 Atty. Roniel D. Muñoz
Page No. 64 Notary Public
Book No. XI Commission Expires on
12/31/2016
Series of 2016. PTR No. 3058381,
01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF ASSEMBLY/
INSTALLATION

I, Aram N. Leonsame, of legal age, Filipino and with residence and postal
address at Culis, Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

132. I am the owner of a motor vehicle particularly described as follows:

Make : Euro Motor

Engine No. : 161FMJG1224292
Chassis No. : LF3PCK501GB805187
Model No. : DH 150

133. With the help of Darwin Quinto, we have finished assembling, installing a
sidecar in his Shop in Palihan, Hermosa, Bataan.

134. Said motorcycle with sidecar is now a roadworthy and good running
condition and fit for operation in the public highway;

135. I guarantee the legal safety and acquisition of the parts used in the
assembly/installation of the said motorcycle with sidecar and should any
question arise, I shall assume full responsibility for it.

136. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 23 rd day of May,

2016 at Dinalupihan, Bataan.

Aram N. Leonsame
Affiant
 Thumb mark:

Subscribed and sworn to before me this 23rd day of May, 2016 at the
Dinalupihan, Bataan, affiant exhibiting to me his Driver’s License No. C02-15-000862.

Doc. No. 278 Atty. Roniel D. Muñoz

Page No. 56 Notary Public
Book No. XI Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Arjay Malit Pangan, of legal age, Filipino, and with residence and postal
address at Purok 2, Santiago, Lubao, Pampanga, after having been sworn to in
accordance with law, hereby depose and state that:

137. I have a contract in South Korea since December 07, 2010 and my
contract was duly finished last December 07, 2013;

138. I worked at KOMAN located at Gyeong Sangnam Province, Changwon

City Uichang-Gu Jukjeon-Ro 40Beon-Gil, Korea;

139. That during my work in Korea, I was issued an ARC Card No. 750522-
5240591;

140. I am executing this affidavit to attest to the truth of the foregoing and for
purposes of claiming Lump-sum and whatever legal purpose this may serve
best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 23 rd day of May,

2016 at Dinalupihan, Bataan.

Arjay Malit Pangan

Affiant

Thumb mark:

Subscribed and sworn to before me this 23rd day of May, 2016 at the
Dinalupihan, Bataan, affiant exhibiting to me his Passport No. EC6492073.

Doc. No. 278 Atty. Roniel D. Muñoz

Page No. 56 Notary Public
Book No. XI Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel Dinalupihan, Bataan
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF ASSEMBLY/
INSTALLATION

I, Eduardo G. Ocampo, of legal age, Filipino, married and with residence and
postal address at Torres St., Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

141. I am the owner of a motor vehicle particularly described as follows:

Make : Mitsukoshi
Engine No. : 161FMJG1077729
Chassis No. : LF3PCK501GB804545
Model No. : DH 150

142. With the help of Joe Tupas, a mechanic by profession, we have finished
assembling, installing a sidecar, purchased from Joe Tupas Shop in
Pagalanggang Dinalupihan, Bataan.

143. Said motorcycle with sidecar is now a roadworthy and good running
condition and fit for operation in the public highway;

144. I guarantee the legal safety and acquisition of the parts used in the
assembly/installation of the said motorcycle with sidecar and should any
question arise, I shall assume full responsibility for it.

145. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 20 th day of May,

2016 at Dinalupihan, Bataan.

Eduardo G. Ocampo
Affiant

Thumb mark:

Subscribed and sworn to before me this 20th day of May, 2016 at the
Dinalupihan, Bataan, affiant exhibiting to me his Driver’s License No. C02-10-003340.
Doc. No. 234 Atty. Roniel D. Muñoz
Page No. 47 Notary Public
Book No. XI Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Carmen T. Sarra, of legal age, Filipino, married and with residence and postal
address at Palihan Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

15. I am the mother of PERCY VERANDA T. SARRA-MANUEL who was born on June 8,
1968 in Dinalupihan, Bataan;

16. She is married to Anselmo Manuel. They got married on January 7, 1996 in Hermosa,
Bataan;

17. She is not filing Annual Income Tax Return or any taxes because she do not have
business;

18. She is unemployed since 2014;

19. She is exempted from filing Income Tax or any taxes;

20. I am executing this affidavit to attest to the truth of the foregoing and for whatever legal
purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 17 th day of May, 2016 at
Dinalupihan, Bataan.

Carmen T. Sarra
Affiant

Thumb mark:
 Subscribed and sworn to before me this 17 th day of May, 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally appeared
before the undersigned and had exhibited to the said notary public a competent evidence of
identity such as her OSCA ID NO. 00824; a copy of which is hereto attached and made an
integral part of this document. Affiant represented to the notary public that the signature on this
document was voluntarily affixed by her for the purpose(s) stated in the document and avows
under penalty of law to the whole truth of the contents of the document.

Doc. No. 240 Atty. Roniel D. Muñoz

Page No. 48 Notary Public
Book No. XI Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF ASSEMBLY/
INSTALLATION

I, Analiza L. Aurelio, of legal age, Filipino, married and with residence and postal
address at Culis Hermosa, Bataan, after having been sworn to in accordance with law, hereby
depose and state that:

146. I am the owner of a motor vehicle particularly described as follows:

Make : Euro
Body Type : Motorcycle
Engine No. : 161FMJG1077665
Chassis No. : LF3PCK501GB804617
Model No. : DH 150

147. With the help of Larry C. Estal, a mechanic by profession, we have finished
assembling, installing a sidecar, purchased from My Friend Machine Shop, Porac,
Pampanga.

148. Said motorcycle with sidecar is now a roadworthy and good running condition
and fit for operation in the public highway;

149. I guarantee the legal safety and acquisition of the parts used in the
assembly/installation of the said motorcycle with sidecar and should any question
arise, I shall assume full responsibility for it.

150. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.
 IN WITNESS WHEREOF, I have hereunto affixed my signature this 17 th day of May, 2016
at Dinalupihan, Bataan.

Analiza L. Aurelio
Affiant

Thumb mark:

Subscribed and sworn to before me this 17th day of May, 2016 at the Dinalupihan,
Bataan, affiant exhibiting to me her VIN 0805-0110A-H1483ALA20000.

Doc. No. 234 Atty. Roniel D. Muñoz

Page No. 47 Notary Public
Book No. XI Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel Dinalupihan, Bataan

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I,Nerissa F. Lelis, of legal age, Filipino, married, and with residence and postal address
at Pita Dinalupihan, Bataan, after having been sworn to in accordance with law, hereby depose
and state that:

6. I am the petitioner in the Civil Case No. DH-1437-16 entitled Nerissa D. Flores-Lelis
vs. Luisito Pabico Lelis for Declaration of Nullity of Marriage based on Article 36 of
the Family Code of the Philippines pending before the Regional Trial Court Branch 5,
Dinalupihan, Bataan;

7. Said case was filed on January 13, 2016;

8. Summons to respondent was unserved;

 9. Pursuant to A.M. No. 02-11-10-SC Summons should be effected upon respondent by
publication;

10. I hereby request the Regional Trial Court Branch 5, Dinalupihan, Bataan for leave of
court for me to cause the service of summons by publication upon respondent Luisito
P. Lelis so that the court may acquire jurisdiction over his person;

11. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 16 th day of May, 2016
at Dinalupihan, Bataan.

Nerissa F. Lelis
Affiant

Subscribed and sworn to before me this 16 th day of May, 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally appeared
before the undersigned and had exhibited to the said notary public throug a competent evidence
of identity such as her VIN 0804-0186A-J2676NFL20002-6, a copy of which is hereto attached
and made an integral part of this document. Affiant represented to the notary public that the
signature on this document was voluntarily affixed by her for the purpose(s) stated in the
document and avows under penalty of law to the whole truth of the contents of the document.

Doc. No. 229 Atty. Roniel D. Muñoz

Page No. 46 Notary Public
Book No. XI Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381,
01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Sta. Isabel Dinalupihan, Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF ASSEMBLY/
INSTALLATION

I, Jocelyn G. Mallari, of legal age, Filipino, and with residence and postal
address at Bacong Hermosa, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

I am the owner of a motor vehicle particularly described as follows:

Make : Euro
Body Type : Motorcycle
Engine No. : 161FMJG1075311
Chassis No. : LF3PCK501GB803304
Model No. : DH 150
 With the help of Erline D. Benito, a mechanic by profession, we have finished
assembling, installing a sidecar, purchased from EDB Machine Shop, Saguing
Dinalupihan, Bataan.

Said motorcycle with sidecar is now a roadworthy and good running condition
and fit for operation in the public highway;

I guarantee the legal safety and acquisition of the parts used in the
assembly/installation of the said motorcycle with sidecar and should any question
arise, I shall assume full responsibility for it.

I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of May,

2016 at Dinalupihan, Bataan.

Jocelyn G. Mallari
Affiant

Thumb mark:

Subscribed and sworn to before me this 5 th day of May, 2016 at the Dinalupihan,
Bataan, affiant exhibiting to me her VIN 0805-0051A-J2161JGM20000.

Doc. No. 145 Atty. Roniel D. Muñoz

Page No. 29 Notary Public
Book No. XI Commission Expires on
12/31/2016
Series of 2016. PTR No. 3058381,
01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074

Republic of the Philippines )

Province of Bataan ) S.s.

AFFIDAVIT OF FULL CUSTODY

I, Janine Alexis M. Peñaflor, 17 years old, assisted by my mother Imelda

Mallari and with residence and postal address at San Ramon Dinalupihan, Bataan,
after having been sworn to in accordance with law, hereby depose and state that:

56. I am the mother of CIAN P. GONZALES who was born on July 5, 2011 in
Balanga City, Bataan;

57. His father is Francis Ryan Gonzales;

58. Said Francis Ryan Gonzales will go on training at US Navy, USA;

59. I shall take the full custody and care of our child in the Philippines until such
time that we get married;

60. I will not obligate his father to send or give financial assistance to us during
the said training;

61. His father will not be held liable for whatever untoward incident that may
happen to our child during his training;

62. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.
 IN WITNESS WHEREOF, I have hereunto affixed my signature this 14 th day of
September, 2011 at Dinalupihan, Bataan.

Janine Alexis M. Peñaflor

Affiant

Assited by:

Imelda Mallari
Mother

Subscribed and sworn to before me this 14 th day of September, 2011 at

Dinalupihan, Bataan.

Doc. No. 284

Page No. 57
Book No. XV
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Staturoty Declaration of Support and

to Sponsor Children to Migrate to Australia

I, Paul Lee Thompson, of legal age, Austalian Citizen, residing in 27/254

Beames Avenue Mt. Druitt NSW 2770 and presently residing at Tucop Dinalupihan,
Bataan, after having been sworn to in accordance with law, hereby depose and state
that:

1. I am the husband of Jocelyn Beltran Visda. We got married on September 21,

2014 in Sydney, Australia;

2. Jocelyn has three (3) children from her first marriage and these are;

Harold Visda Biugos, born on August 16, 1997 in Floridablanca, Pampanga,

Philippines
Harvey Visda Biugos, born on August 15, 2001 in Dinalupihan, Bataan,
Philippines
Beverly Visda Biugos, born on June 20, 1999 in Dinalupihan, Bataan, Philippines

3. I am gainfully employed as government bus driver in Australia;

 4. I am willing to fully support said children and to sponsor them to migrate to
Australia;

5. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 3 rd day of May,

2016 at Dinalupihan, Bataan.

Paul Lee Thompson

Affiant

Subscribed and sworn to before me this 3 rd day of May, 2016 at Dinalupihan,

Bataan, affiant exhibiting to me his Driver License No. 2032687906..

Doc. No.
Page No.
Book No.
Series of 2016.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Jocelyn B. Visda, of legal age, Filipino, married and with residence and postal
address at Tucop Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

21. I am the mother of the following children;

Harold Visda Biugos, born on August 16, 1997 in Floridablanca, Pampanga,

Philippines
Harvey Visda Biugos, born on August 15, 2001 in Dinalupihan, Bataan,
Philippines
Beverly Visda Biugos, born on June 20, 1999 in Dinalupihan, Bataan, Philippines

22. I am in custody of the said children;

23. My mother Rustica B. Visda is the one taking care of them when I am out of the
country. However, at the moment she has a heart condition problem as certified
to by the Bataan Peninsula Medical Center (BPMC);

24. She cannot physically look after my children. And this is one of the reasons why I
need to bring them to Australia so I could take care of them;

25. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.
 IN WITNESS WHEREOF, I have hereunto affixed my signature this 3 rd day of May,
2016 at Dinalupihan, Bataan.

Jocelyn B. Visda
Affiant

Subscribed and sworn to before me this 3 rd day of May, 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her Passport No. EB 6750868; a copy of which
is hereto attached and made an integral part of this document. Affiant represented to
the notary public that the signature on this document was voluntarily affixed by her for
the purpose(s) stated in the document and avows under penalty of law to the whole
truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381,
01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074

Subscribed and sworn to before me this ______ day of ____________________

at Dinalupihan, Bataan.

Doc. No.
Page No.
Book No.
Series of 2016.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

JOINT AFFIDAVIT OF TWO (2)

DISINTERESTED PERSONS

We, May M. Sulangi and Regina P. Malit, both of legal age, Filipino and with residence
and postal address at Daang Bago Dinalupihan, Bataan, after having been duly sworn to in
accordance with law, hereby depose and state that:

90. We personally know HAZEL MARIE R. DAVID-DIMACALI who was born on May 8,
1976 in Dinalupihan, Bataan fro parents spouses Fernando David and Estrelita
Rivera as evidenced by her Certficate of Live Birth;

91. She is married to Wilfredo Dimacali. They got married on June 25, 1993 in Abucay,
Bataan as evidenced by their Marriage Contract and they were separated for a long
time now. They do not know his whereabouts;

92. They were blessed with two (2) children, namely: Llyzel May, born on March 23,
1994 and Will Mayrie, born on May 23, 2003, respectively, in Dinalupihan, Bataan;

93. Hazel Marie is a solo parent to her children and working as a Professional Teacher;
 94. She is the one who took care and financially supporting her children;

95. We know the foregoing because we are the close friends of Hazel Marie and we
have known her for a long time now;

96. We are not in anyway related to her, either by consanguinity or by affinity;

97. We are executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 28 th day of April,
2016 at Dinalupihan, Bataan.

May M. Sulangi Regina P. Malit

Affiant Affiant
UMID ID No. CRN-0111-0222383-6 UMID ID No. CRN-0002-1477274-2

Subscribed and sworn to before me this 28 th day of April, 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiants personally appeared
before the undersigned and had exhibited to the said notary public a competent evidence of
identity such as their UMID IDs; copies of which are hereto attached and made an integral part
of this document. Affiants represented to the notary public that the signatures on this document
were voluntarily affixed by them for the purpose(s) stated in the document and avows under
penalty of law to the whole truth of the contents of the document.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

We, Harold V. Biugos, Beverly V. Biugos and Harvey V. Biugos, assisted by

our mother named Jocelyn B. Visda and with residence and postal address at Tucop
Dinalupihan, Bataan, after having been sworn to in accordance with law, hereby depose
and state that:

1. We are the children of Neil M. Biugos and Jocelyn B. Visda;

2. Our parents have been separated a long time ago;

3. We prefer to live with our mother whether in Australia, Philippines or anywhere in

the world because we know that it will be for our best interest and benefit;

4. We love our mother so much and we do not want to be separated from her;

5. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.
 IN WITNESS WHEREOF, we have hereunto affixed our signatures this 27 th day of
April, 2016 at Dinalupihan, Bataan.

Harold V. Biugos Beverly V. Biugos Harvey V. Biugos

Affiant Affiant Affiant

Assisted by:

Jocelyn B. Visda
Mother

Subscribed and sworn to before me this 27th day of April, 2016 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiants personally
appeared before the undersigned and exhibited to the said notary public a competent
evidence of identity such as their mother’s Passport No. EB6750868; a copy of which is
hereto attached and made an integral part of this document. Affiants represented to the
notary public that the signatures on this document were voluntarily affixed by them for
the purpose(s) stated in the document and avow under penalty of law to the whole truth
of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381,
01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074

Republic of the Philippines )

AFFIDAVIT

I, Florentino Platero, of legal age, Filipino, and with residence and postal
address at Orani, Bataan, after having been sworn to in accordance with law, hereby
depose and state that:

1. I am the Geodetic Engineer who conducted survey in the property of Belen P.

Peña. Said property is located at Orani, Bataan measuring 4,185 square meters,
more or less covered by TCT No. T-245187 and described in Subdivision Plan of
Lot 497, Orani Cadastre as surveyed for Belen C. Punzalan married to Alejandro
Reyes Peña;

2. The original SEPIA was lost recently;

3. Despite diligent efforts to locate the above, the same proves futile and are now
considered lost for all intents and purposes;
 4. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this _____ day of

April, 2016 at _________________________.

Florentino Platero
Affiant

Subscribed and sworn to before me this _____ day of April, 2016 in Dinalupihan,
Bataan, affiant exhibiting to me his _____________________________.

Doc. No.
Page No.
Book No.
Series of 2016.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Jerico M. Umali, of legal age, Filipino, and with residence and postal address
at San Ramon Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

23. I am the registered owner of MCUPS GENERAL MERCHANDISE located at San

Ramon, Hi way, Dinalupihan, Bataan registered with Department of Trdae and
Industry (D.T.I.)

24. It was registered in the year November 2015 and it has not been operating since
then for lack of capital to finance;

25. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 21 st day of April,

2016 at Dinalupihan, Bataan.

Jerico M. Umali
Affiant
 Subscribed and sworn to before me this 21 st day of April, 2016 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his Driver’s License No. C09-14-000942; a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by him for the purpose(s) stated in the document and avows under penalty of
law to the whole truth of the contents of the document.

Doc. No. 41 Atty. Roniel D. Muñoz

Page No. 9 Notary Public
Book No. XI Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381,
01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074

Republic of the Philippines )

AFFIDAVIT OF COHABITATION

We, Jason D. Orteza and Jennifer D. Valbuena, of legal age, Filipino, and with
residence and postal address at Rizal Dinalupihan, Bataan, after having been sworn to
in accordance with law, hereby depose and state that:

25. We are common law husband and wife;

26. We are cohabiting since 2001;

27. We have four (4) children the eldest of whom was born on October 3, 2001;

28. We are executing this affidavit to attest to the truth of the foregoing and for
the whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this _____ day
of April, , 2016 at ____________________.

Jason D. Orteza Jennifer D. Valbuena

Affiant Affiant

Subscribed and sworn to before me this _____ day of Appril, 2016 at

_______________________.

Doc. No.
Page No.
Book No.
Series of 2016.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF ASSEMBLY/
INSTALLATION

I, Ysmael B. De Leon, of legal age, Filipino, and with residence and postal
address at Bacong Hermosa, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

I am the owner of a motor vehicle particularly described as follows:

Make : Euro
Body Type : Motorcycle
Engine No. : 161FMJG1072051
Chassis No. : LF3PCK501GB802463
Model No. : DH 150

With the help of Rommel Bolivar, a mechanic by profession, we have finished

assembling, installing a sidecar, purchased from Joana S. Paule Iron Works and
Trading, Layac Dinalupihan, Bataan.

Said motorcycle with sidecar is now a roadworthy and good running condition
and fit for operation in the public highway;

I guarantee the legal safety and acquisition of the parts used in the
assembly/installation of the said motorcycle with sidecar and should any question
arise, I shall assume full responsibility for it.

I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 20 th day of April,

2016 at Dinalupihan, Bataan.

Ysmael B. De Leon
Affiant

Thumb mark:
 Subscribed and sworn to before me this 20 th day of April, 2016 at the
Dinalupihan, Bataan, affiant exhibiting to me his Driver’s License No. C02-86-014957.

Doc. No. 21 Atty. Roniel D. Muñoz

Page No. 5 Notary Public
Book No. XI Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381,
01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF
NO OPERATION

I, Bernard Z. Sioson, of legal age, Filipino, and with residence and postal
address at 211 Fermin Ext. Brgy. Pentor Dinalupihan, Bataan, after having been sworn
to in accordance with law, hereby depose and state that:

26. I am the registered owner of BURNHARDZX BLOGGER INTERNET located at

Pentor Dinalupihan, Bataan registered with Bureau of Internal Revenue (B.I.R);

27. It was registered in the year 2012 and it has not been operating since then for
lack of capital to finance;

28. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 15 th day of April,

2016 at Dinalupihan, Bataan.

Bernard Z. Sioson
Affiant

Subscribed and sworn to before me this 15th day of April, 2016 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his _____________________________; a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by him for the purpose(s) stated in the document and avows under penalty of
law to the whole truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2016.

Subscribed and sworn to before me this 27 th day of ODecember, 2013at

Dinalupihan, Bataan. Affiant exhibited to me his VIN 0804-0019A-J1046CPA10001-8.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of No Operation

I, Bernard Z. Sioson, of legal age, Filipino, married, and with residence and
postal address at 211 Fermon Ext. Brgy. Pentor Dinalupihan, Bataan, after having been
sworn to in accordance with law, hereby depose and state that:

63. I am the registered owner of BURNHARDZX BLOGGER INTERNET located

at Pentor Dinalupihan, Bataan registered with the Department of Trade and
Industry (DTI);

64. It started its operation sometime in the year February 2012 and it has ceased
operating for the month of November and December 2015 and up to present
because the same is no longer earning income;

65. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 15 th day of April,

2016 at Dinalupihan, Bataan.

Bernard Z. Sioson
Affiant

Thumb mark:

Subscribed and sworn to before me this 15th day of April, 2016 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his Driver’s License No.
_______________________________; a copy of which is hereto attached and made
an integral part of this document. Affiant represented to the notary public that the
signature on this document was voluntarily affixed by him for the purpose(s) stated in
the document and avows under penalty of law to the whole truth of the contents of the
document.

Doc. No.
Page No.
Book No.
Series of 2016.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Abandonment

I, Marriel L. De Leon, of legal age, Filipino, and with residence and postal address
at Colo, Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

28. I am the mother of ARIELLA DE LEON VILLAREZ who was born on August 10,
2014 in Dinalupihan, Bataan

29. Her father is Junjun Manuel Villarez. We are not legally married;

30. He abandoned us in 2014, when Ariella was barely one (1) year old and we do
not know his whereabouts;

31. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 14 th day of April,

2016 at Dinlalupihan, Bataan.

Marriel L. De Leon
Affiant

Thumb mark:

Subscribed and sworn to before me this 14 th day of April, 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her VRR No. 0804300031659; a copy of which
is hereto attached and made an integral part of this document. Affiant represented to
the notary public that the signatures on this document were voluntarily affixed by her for
the purpose(s) stated in the document and avows under penalty of law to the whole
truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2016.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF SOLE CUSTODY

I, Criselda C. De Silva, of legal age, Filipino, married, and with residence and
postal address at Pita, Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

26. I am the mother of Cristine Cabael Manzano and Marvin Joseph Cabael
Manzano, Jr. who were born on August 21, 2006 and August 30, 2004,
respectively, both in Dinalupihan, Bataan;

27. Their father is Marvin Joseph S. Manzano, Sr.. We got married on November 30,
2004 in Samal, Bataan. However, said marriage has already been declared void
as per Decision dated February 4, 2011 of the Regional Trial Court, Branch 5,
Dinalupihan, Bataan in Civil Case No. DH-1220-10 entitled Criselda A. Cabael
vs. Marvin Joseph S. Manzano;

28. Said Decision has already become final as per Entry of Final Judment dated July
18, 2011 issued by the said court;

29. I eventually got married to my present husband Lalit De Silva on October 18,
2012 in Angeles City;

30. I have been in sole custody of my two aforesaid children who are both minors;

31. Their father is nowhere to be found;

32. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 11 th day of April,

2016 at Dinalupihan, Bataan.

Criselda C. De Silva
Affiant

Subscribed and sworn to before me this 11 th day of April, 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her Passport Number EB7000886 issued by the
DFA Pampanga on December 21, 2012; a copy of which is hereto attached and made
an integral part of this document. Affiant represented to the notary public that the
signatures on this document were voluntarily affixed by her for the purpose(s) stated in
the document and avows under penalty of law to the whole truth of the contents of the
document.
Doc. No.
Page No.
Book No.
Series of 2016.

Republic of the Philippines )

Affidavit of Cancellation of
Adeverse Claim

I, Carmen De Leon Mallari, of legal age, Filipino and with residence and postal
address in Luacan Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

5. I am one of the heirs of Sps. Manuel De Leon and Fausta Payumo;

6. We filed our adverse claim on the property covered by Transfer Certificate of

Title No. T-210940 registered under the named of Carlos P. de Leon;

7. Said adverse claim was annotated in the said title as Entry No. ____________
on _________________;

8. Considering that we have already settled our differences and we do not claim
adversely on the subject property, we are requesting that the said adverse claim
annotation be removed and/or cancelled;

9. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ____ day of

_________________________ at _________________________.

Carmen De Leon Mallari

Affiant

Subscribed and sworn to before me this _____ day of

______________________ at _______________________.

Doc. No.
Page No.
Book No.
Series of 2016.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

JOINT AFFIDAVIT

We, Imran Akhtar and Jenna M. Akhtar, both of legal age, and with residence and
postal address at Luacan Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

1. We got married on October 28, 2003 in Dinalupihan, Bataan;

2. I, Imran Akhtar, is a Pakistani National with Residence Alien Certificate of Registration
No. 354464;
3. We are engaged in business under the Business Name Imran Enterprises located at
Dinalupihan Public Market in Dinalupihan, Bataan;
4. My parents named Akhtar Hussain Bhatti and Zahida Sultana are intending to come in
the Philippines as tourist;

Akhtar Hussain Bhatti Zahida Sultana

Passport No. CB172181 Passport No.
BT5776512
Date of Birth: November 5, 1948 Date of Birth: January 1,
1956

5. They will be staying with us here in the Philippines for one (1) or three (3) months during
their visits;
6. We hereby undertake to give all the necessary support and assistance to them while in
the Philippines;
7. We, likewise guarantee that they are peaceful citizen and that their purpose in coming
to the Philippines are purely recreation;
8. We declare these facts under threat of perjury;
9. We are executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed my signature this 5 th day of April, 2016
at Dinalupihan, Bataan.

Imran Akhtar Jenna M. Akhtar

Affiant Affiant
Driver’s License No. C02-07002478 Driver’s License No. C02-07002477

Subscribed and sworn to before me this 5 th day of April, 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiants personally appeared
before the undersigned and had exhibited to the said notary public a competent evidence of
identity such as their Driver’s License IDs; a copies of which are hereto attached and made an
integral part of this document. Affiant represented to the notary public that the signature on this
document was voluntarily affixed by them for the purpose(s) stated in the document and avows
under penalty of law to the whole truth of the contents of the document.

Doc. No. 176 Atty. Roniel D. Muñoz

Page No. 36 Notary Public
Book No. X Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
 IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Liezle P. Reyes, of legal age, Filipino, and with residence and postal address
at 42C Old National Road, Lamao, Limay, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

13. I am the surviving spouse of ROSELLER LIM REYES who died on July 15,
2012 Limay, Bataan as evidenced by his Certificate of Death;

14. We got married on October 19, 1995 in Limay, Bataan as evidenced by our
Certificate of Marriage;

15. We had four (4) children: namely, Ezekiel, born on March 15, 1995; Katrina,
born on October 3, 1996, Hazel, born on January 7, 1999 and Emmanuel,
born on May 15, 2006. All of them are surnamed PAEZ as evidenced by their
respective Birth Certificates;

16. After our marriage, our children are deemed to be legitimated; hence, their
surnamed should now be REYES;

17. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of April,

2016 at Dinalupihan, Bataan.

Liezle P. Reyes
Affiant

Thumb mark:

Subscribed and sworn to before me this 5 th day of April, 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her VRR No. 0806020008757; a copy of which
is hereto attached and made an integral part of this document. Affiant represented to
the notary public that the signature on this document was voluntarily affixed by her for
the purpose(s) stated in the document and avows under penalty of law to the whole
truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on
12/31/2016
Series of 2016. PTR No. 3058381,
01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF ASSEMBLY/
INSTALLATION

I, Rolanda L. Bernarte, of legal age, Filipino, and with residence and postal
address at San Rafael, Baruya, Lubao, Pampanga, after having been sworn to in
accordance with law, hereby depose and state that:

I am the owner of a motor vehicle particularly described as follows:

Make : Kawasaki
Body Type : Motorcycle
Engine No. : BC175AEL80455
Chassis No. : BC175F-B95880
Model Code : BC175F New Decal

With the help of Marlon Garcia, a mechanic by profession, we have finished

assembling, installing a sidecar, purchased from Marlon Side Car Assembly,
Palihan Hermosa, Bataan as per Official Receipt No. 000331 dated April 5, 2016.

Said motorcycle with sidecar is now a roadworthy and good running condition
and fit for operation in the public highway;

I guarantee the legal safety and acquisition of the parts used in the
assembly/installation of the said motorcycle with sidecar and should any question
arise, I shall assume full responsibility for it.

I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of April,

2016 at Dinalupihan, Bataan.

Rolanda L. Bernarte
Affiant

Thumb mark:

Subscribed and sworn to before me this 5 th day of April, 2016 at the Dinalupihan,
Bataan, affiant exhibiting to me her PostalID No. 4842183.

Doc. No.
Page No.
Book No.
Series of 2016.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Liezle P. Reyes, of legal age, Filipino, and with residence and postal address
at 42C Old National Road, Lamao, Limay, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

18. I am the surviving spouse of ROSELLER LIM REYES who died on July 15,
2012 Limay, Bataan as evidenced by his Certificate of Death;
 19. We got married on October 19, 1995 in Limay, Bataan as evidenced by our
Certificate of Marriage;

20. We had four (4) children: namely, Ezekiel, born on March 15, 1995; Katrina,
born on October 3, 1996, Hazel, born on January 7, 1999 and Emmanuel,
born on May 15, 2006. All of them are surnamed PAEZ as evidenced by their
respective Birth Certificates;

21. After our marriage, our children are deemed to be legitimated; hence, their
surnamed should now be REYES;

22. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of April,

2016 at Dinalupihan, Bataan.

Liezle P. Reyes
Affiant

Thumb mark:

Subscribed and sworn to before me this 5 th day of April, 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her VRR No. 0806020008757; a copy of which
is hereto attached and made an integral part of this document. Affiant represented to
the notary public that the signature on this document was voluntarily affixed by her for
the purpose(s) stated in the document and avows under penalty of law to the whole
truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on
12/31/2016
Series of 2016. PTR No. 3058381,
01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF ASSEMBLY/
INSTALLATION

I, Rolanda L. Bernarte, of legal age, Filipino, and with residence and postal
address at San Rafael, Baruya, Lubao, Pampanga, after having been sworn to in
accordance with law, hereby depose and state that:

I am the owner of a motor vehicle particularly described as follows:

Make : Kawasaki
Body Type : Motorcycle
Engine No. : BC175AEL04640
Chassis No. : BC175G-B10655
Plate No. : CC14989
 With the help of Marlon Garcia, a mechanic by profession, we have finished
assembling, installing a sidecar, purchased from Marlon Side Car Assembly,
Palihan Hermosa, Bataan as per Official Receipt No. 000331 dated April 5, 2016.

Said motorcycle with sidecar is now a roadworthy and good running condition
and fit for operation in the public highway;

I guarantee the legal safety and acquisition of the parts used in the
assembly/installation of the said motorcycle with sidecar and should any question
arise, I shall assume full responsibility for it.

I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of April,

2016 at Dinalupihan, Bataan.

Rolanda L. Bernarte
Affiant

Thumb mark:

Subscribed and sworn to before me this 5 th day of April, 2016 at the Dinalupihan,
Bataan, affiant exhibiting to me her ___________________________.

Doc. No.
Page No.
Book No.
Series of 2016.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

JOINT AFFIDAVIT

We, Imran Akhtar and Jenna M. Akhtar, both of legal age, and with residence and
postal address at Luacan Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

10. We got married on October 28, 2003 in Dinalupihan, Bataan;

11. I, Imran Akhtar, is a Pakistani National with Residence Alien Certificate of Registration
No. 354464;
12. We are engaged in business under the Business Name Imran Enterprises located at
Dinalupihan Public Market in Dinalupihan, Bataan;
13. My father named Akhtar Hussain Bhatti is intending to come in the Philippines as tourist;

Akhtar Hussain Bhatti

Passport No. CB172181
Date of Birth: November 5, 1948

14. He will be staying with us here in the Philippines for one (1) or three (3) months during
his visit;
15. We hereby undertake to give all the necessary support and assistance to him while in
the Philippines;
16. We, likewise guarantee that he is peaceful citizen and that his purpose in coming to the
Philippines is purely recreation;
17. We declare these facts under threat of perjury;
18. We are executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.
 IN WITNESS WHEREOF, we have hereunto affixed my signature this 4 th day of April, 2016
at Dinalupihan, Bataan.

Imran Akhtar Jenna M. Akhtar

Affiant Affiant
Driver’s License No. C02-07002478 Driver’s License No. C02-07002477

Subscribed and sworn to before me this 4 th day of April, 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiants personally appeared
before the undersigned and had exhibited to the said notary public a competent evidence of
identity such as their Driver’s License IDs; a copies of which are hereto attached and made an
integral part of this document. Affiant represented to the notary public that the signature on this
document was voluntarily affixed by them for the purpose(s) stated in the document and avows
under penalty of law to the whole truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

AFFIDAVIT

I, Florentino Platero, of legal age, Filipino, and with residence and postal
address at Orani, Bataan, after having been sworn to in accordance with law, hereby
depose and state that:

5. I am the Geodetic Engineer who conducted survey in the property of Belen P.

Peña. Said property is located at Orani, Bataan measuring 4,185 square meters,
more or less and covered by TCT No. T-245187;

6. The original SEPIA was lost recently;

7. Despite diligent efforts to locate the above, the same proves futile and are now
considered lost for all intents and purposes;

8. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this _____ day of

March, 2016 at _________________________.
 Florentino Platero
Affiant

Subscribed and sworn to before me this _____ day of March, 2016 in

Dinalupihan, Bataan, affiant exhibiting to me his _____________________________.

Doc. No.
Page No.
Book No.
Series of 2016.

Republic of the Philippines )

Municipality of Dinalupihan)S.s.
Provinceof Bataan)

AFFIDAVIT

I, Lorna S. Ramirez, of legal age, Filipino, and with residence and postal
address at New San Jose Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am the duly elected President of Cashmoto Lending Inc. with office address at
#3 Mabini extension Dinalupihan, Bataan;

2. Said Corporation will not accept or solicit investments and/or incur loans from
more than nineteen (19) lenders including shareholders;

3. In case of unauthorized acceptance or solicitation of investments or borrowings,

it shall immediately indemnify or return the investments of persons upon
presentation of valid claims;

4. In case there are foreign stockholders, the country or state of a foreign

stockholders allows Filipino citizens and or corporations to do lending business
therein;

5. The company shall comply with the Rule 17.1(2) ( C ) of the Amended of Rules
and Regulations of the Securities Regulation Code;

6. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.
 IN WITNESS WHEREOF, I have hereunto affixed my signature this 15 th day of
March, 2016 at Dinalupihan, Bataan.

Lorna S. Ramirez
Affiant

Subscribed and sworn to before me this 15th day of March, 2016, Dinalupihan,
Bataan, affiant exhibiting to me her _____________________________.

Doc. No.
Page No.
Book No.
Series of 2016.

Republic of the Philippines )

AFFIDAVIT OF TRANSFER

I, Raquel J. Meyer, of legal age, Filipino, and with residence and postal address
at Pentor Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

33. I am the plan holder of St. Peter Life Plan, Inc. with Life Plan Agreement No.
L15869678E;

34. As the plan holder, I allowed the transfer of said memorial plan in favor of William
M. Joslyn who died on February 19, 2016 in Dinalupihan, Bataan;

35. I was fully paid said memorial plan amounting to Fifty Nine Thousand Four
Hundred Pesos (P 59, 400.00);

36. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this _____ day of

____________________ at ______________________.

Raquel J. Meyer
Affiant
 Subscribed and sworn to before me this _____ day of ____________________
at ______________________, affiant exhibiting to me her ____________________.

Doc. No.
Page No.
Book No.
Series of 2016.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT OF PAID WAGES AND MATERIALS USED

I, Jayson V. Garcia, of legal age, Filipino, married and with residence and postal
address at #377 P3 J.C. Payumo Jr., DSinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am the Project Manager, sole proprietorship, organized and existing in accordance

with the law of the Republic of the Philippines, with principal office at # 206 2 nd Floor
Midway Court Bldg., Brgy. Wak-Wak, Greenhills East Edsa, Mandaluyong City;
2. As a Project Manager, I have paid or caused to be paid, in accordance with existing
labor laws and regulations, the salaries and wages of our employees and materials
for the month of May 15,, 2015, which are being billed under the following Purchase
Order:

Purchase Order No. Date Amount

4500010428 March 4, 2016 P 998,492.25

3. As a Project Manager, I have paid all materials is used for the above projects;
4. I have likewise deducted or caused to be deducted from the salaries and wages of
our aforementioned employees the correct amount corresponding to their
contributions under the Philippine Medicare Act, and Social Security Act, and
remitted or caused to be remitted to the appropriate agencies said contributions,
together with the corresponding share of M.R. Vargas Construction the employer of
said employees;
5. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 8 th day of March, 2016
at Dinalupihan, Bataan.

Jayson V. Garcia
Affiant

Subscribed and sworn to before me this 8th day of March, 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally appeared
before the undersigned and had exhibited to the said notary public a competent evidence of
identity such as his UMID ID No. CRN-0111-0879794-2; a copy of which is hereto attached and
made an integral part of this document. Affiant represented to the notary public that the
signature on this document was voluntarily affixed by him for the purpose(s) stated in the
document and avows under penalty of law to the whole truth of the contents of the document.
Doc. No. Atty. Roniel D. Muñoz
Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

We, Sps. Lou Erin R. Perez and Mary Ann DL. Perez, both of legal age,
Filipino, and with residence and postal address at San Ramon Dinalupihan, Bataan,
after having been sworn to in accordance with law, hereby depose and state that:

37. We are the owners of LOUBELLE BUILDING located at San Ramon

Dinalupihan, Bataan;

38. Jennifer B. Perez is operating her business in the said building called “ Purple
Comb Salon”;

39. She is not paying rent to us because she is the wife of my brother (Lou Earvin R.
Perez);

40. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signaturea this 8 th day of

March, 2016 at Dinalupihan, Bataan.

Lou Erin R. Perez Mary Ann DL. Perez

Affiant Affiant

Subscribed and sworn to before me this 8 th day of March, 2016 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiants personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as their _____________________________ and
___________________________, IDs, respectively; a copies of which are hereto
attached and made an integral part of this document. Affiants represented to the notary
public that the signatures on this document were voluntarily affixed by them for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2016.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Stephanie G. Lagaria, of legal age, Filipino, married and with residence and
postal address at Balsik Hermosa, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

29. I intend to put up a business to be operated at Balsik Hermosa, Bataan (to be

named Beaugraphe Photography) with an initial capital/investment of P
35,000.00;

30. I shall increase my capital once the business progresses;

31. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 3 rd day of March,

2016 at Dinalupihan, Bataan.

Stephanie G. Lagaria
Affiant

Thumb mark:

Subscribed and sworn to before me this 3rd day of March, 2016 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her Postal 3397989; a copy of which is hereto
attached and made an integral part of this document. Affiant represented to the notary
public that the signature on this document was voluntarily affixed by her for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on
12/31/2016
Series of 2016. PTR No. 3058381,
01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT OF PAID WAGES AND MATERIALS USED

I, Jayson V. Garcia, of legal age, Filipino, married and with residence and postal
address at #377 P3 J.C. Payumo Jr., DSinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

6. I am the Project Manager, sole proprietorship, organized and existing in accordance

with the law of the Republic of the Philippines, with principal office at # 206 2 nd Floor
Midway Court Bldg., Brgy. Wak-Wak, Greenhills East Edsa, Mandaluyong City;
7. As a Project Manager, I have paid or caused to be paid, in accordance with existing
labor laws and regulations, the salaries and wages of our employees and materials
for the period of May 2015 to June 2015, which are being billed under the following
Purchase Order:

Purchase Order No. Date Amount

4500010329 February 19, 2016 P 157,000.00

8. As a Project Manager, I have paid all materials is used for the above projects;
9. I have likewise deducted or caused to be deducted from the salaries and wages of
our aforementioned employees the correct amount corresponding to their
contributions under the Philippine Medicare Act, and Social Security Act, and
remitted or caused to be remitted to the appropriate agencies said contributions,
together with the corresponding share of M.R. Vargas Construction the employer of
said employees;
10. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 26 th day of February,

2016 at Dinalupihan, Bataan.

Jayson V. Garcia
Affiant

Subscribed and sworn to before me this 26 th day of February, 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally appeared
before the undersigned and had exhibited to the said notary public a competent evidence of
identity such as his UMID ID No. CRN-0111-0879794-2; a copy of which is hereto attached and
made an integral part of this document. Affiant represented to the notary public that the
signature on this document was voluntarily affixed by him for the purpose(s) stated in the
document and avows under penalty of law to the whole truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Republic of the Philippines )
Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Ken bryan L. Balucanag, of legal age, Filipino, and with residence and postal
address at Palihan Hermosa, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

1. I am applying for a Tourist Visa in Italy;

2. I am submittinig the pertinent documents required in the said application;
3. I attest that the following documents are certified and true copies of the
original:

Diploma issued by Saint John Academy

Certificate of Live Birth issued by National Statistics Office
National Certificate II issued by TESDA
Certificationissued by Astoria Hotels & Resorts
Certification issued by Marriott Hotel Manila
Certtificate of Attendance issued by Mariana Maritime Center Inc.
Certificate of Actual Shipboard Training issued by Oceanlink
Institute,Inc.
Diploma issued by College of Subic Montessori
Passport issued by Department of Foreign Affairs

4. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 17 th day of

February, 2016 at Dinalupihan, Bataan.

Ken Bryan L. Balucanag

Affiant

Thumb mark:

Subscribed and sworn to before me this 17 th day of February, 2016 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his Driver’s License No. C02-14-009032; a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by him for the purpose(s) stated in the document and avows under penalty of
law to the whole truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381,
01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Republic of the Philippines )
Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Marc Junell P. Lugtu, of legal age, Filipino, and with residence and postal address at
Balsic Hermosa, Bataan, after having been sworn to in accordance with law, hereby depose and
state that:
 1. I am the father of the following children:

Name Date of Birth Place of Birth

Clark Danuya Lugtu October 19, 2011 Mandaluyong City

Chloe Danuya Lugtu August 25, 2014 Sharjah, UAE

2. Their mother is Judee Danuya Lugtu;

3. We got married on September 11, 2010 in Pasig City, Philippines;

4. At present, my said children are staying and residing in Dubai, UAE with my wife and
my sister Marilyn Paule Lugtu;

5. In case, something untoward incidentor accident happened to me and my wife, I

hereby entrust and give the custody and care of my said children to my sister Marilyn
Paule Lugtu;

6. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 16 th day of February,

2016 at Dinalupihan, Bataan.

Marc Junell P. Lugtu

Affiant

Thumb mark:

Subscribed and sworn to before me this 16 th day of February, 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally appeared
before the undersigned and had exhibited to the said notary public a competent evidence of
identity such as his Driver’s License No. C02-02-000830; a copy of which is hereto attached and
made an integral part of this document. Affiant represented to the notary public that the
signature on this document was voluntarily affixed by him for the purpose(s) stated in the
document and avows under penalty of law to the whole truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT
 I, Emil G. Sampang, of legal age, Filipino, and with residence and postal
address at Tucop, Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

5. I am the father/guardian of JASPER KYLE RAMOS SAMPANG who was

born on August 17, 2007 in Dinalupihan, Bataan;

6. His mother is Maricel Ramos and we do not know her whereabouts;

7. He has been in my custody since birth and up to the present;

8. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 16 th day of

February, 2016 at Dinalupihan, Bataan.

Emil G. Sampang
Affiant

Thumb mark:

Subscribed and sworn to before me this 16 th day of February, 2016 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his VRR No. 0804030001448; a copy of which is
hereto attached and made an integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by him for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381,
01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Teresa Marie J. Moncupa, of legal age, Filipino, single and with residence and
postal address at Kataasan Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:
 1. I am the holder of Philippine Passport No. EB7702308 issued on March 21,
2013;

2. Said passport will expire on March 20, 2018;

3. I am requesting the Department of Foreign Affairs (DFA) for early renewal

because my employment contract requires that my passport should be valid
for more than two (2) years;

4. Considering that my contract is about to be released and that it will be

processed for more or less three months, by the time that the said contract is
approved my passport is already less than two years valid;

5. In view thereof, there is a need to renew it earlier that its expiration;

6. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I am have hereunto affixed my signature this 15 th day of

February, 2016 at Dinlalupihan, Bataan.

Teresa Marie J. Moncupa

Affiant

Thumb mark:

Subscribed and sworn to before me this 15 th day of February, 2016 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her Passport No. EB7702308; a copy of which is
hereto attached and made an integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by her for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on
12/31/2016
Series of 2016. PTR No. 3058381,
01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Susana J. Giray, of legal age, Filipino, married, and with residence and postal
address at Roosevelt Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

12. I am the petitioner in the Civil Case No. DH-1398-15 entitled Susana J. Giray
vs. Wilfredo M. Giray for Annulment and/or Declaration of Nullity of Marriage
pending before the Regional Trial Court Branch 5, Dinalupihan, Bataan;
 13. Said case was filed on February 11, 2015;

14. Summons to respondent was unserved;

15. Pursuant to A.M. No. 02-11-10-SC Summons should be effected upon

respondent by publication;

16. I hereby request the Regional Trial Court Branch 5, Dinalupihan, Bataan to
cause the service of summons by publication upon respondent Wilfredo Giray
so that the court may acquire jurisdiction over his person;

17. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 11 th day of

February, 2016 at Dinalupihan, Bataan.

Susana J. Giray
Affiant

Subscribed and sworn to before me this 11th day of February, 2016 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as her VIN 0804-0205B-10163SJG20000, a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by her for the purpose(s) stated in the document and avows under penalty of law
to the whole truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on
12/31/2016
Series of 2016. PTR No. 3058381,
01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Luzviminda C. Mendoza, of legal age, Filipino, married and with residence and
postal address at Lourdes Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

7. I am the wife of Gil Mendoza;

 8. He has recently been invited by his siblings to visit them in Australia for a
homecoming and house warming celebration;

9. My husband will be coming back after such visit considering that he will still
have to manage our crisscross hardware business and farm here in the
Philippines;

10. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I am have hereunto affixed my signature this 9 th day of

February, 2016 at Dinlalupihan, Bataan.

Luzviminda C. Mendoza
Affiant

Thumb mark:

Subscribed and sworn to before me this 9 th day of February, 2016 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her Postal ID No. 1266742; a copy of which is
hereto attached and made an integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by her for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on
12/31/2016
Series of 2016. PTR No. 3058381,
01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Gil M. Mendoza, of legal age, Filipino, married and with residence and postal
address at Lourdes Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

29. I am the brother of Junifer M. Mendoza, Joseph M. Mendoza, Maribelle M.

Savage and Annabelle M. Young;

30. My siblings are residents of Australia;

31. They have recently invited me to visit them in Australia for a homecoming and
house warming celebration;
 32. I have no intention to live in Australia and I have a business here in the
Philippines to manage;

33. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I am have hereunto affixed my signature this 9 th day of

February, 2016 at Dinlalupihan, Bataan.

Gil M. Mendoza
Affiant
Thumb mark:

Subscribed and sworn to before me this 9th day of February, 2016 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his Driver’ s License No. C02-77-006563; a
copy of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by him for the purpose(s) stated in the document and avows under penalty of
law to the whole truth of the contents of the document.

Doc. No. 317 Atty. Roniel D.

Muñoz
Page No. 64 Notary Public
Book No. IX Commission Expires on
12/31/2016
Series of 2016. PTR No. 3058381,
01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Romeo D. Calayag, of legal age, Filipino, and with residence and postal
address at Balsic Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:
 1. I am the brother of ALICE DABU CALAYAG who was born on January 27,
1975 in Hermosa, Bataan;

2. I was born on August 3, 1956 in Hermosa, Bataan;

3. Our parents are Rosendo Miguel Calayag and Adelina Gonzales Dabu;

4. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 9 th day of

February, 2016 at Dinalupihan, Bataan.

Romeo D. Calayag
Affiant

Thumb mark:

Subscribed and sworn to before me this 9th day of February, 2016 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his VIN 0805-0058A-H0359RDC10000, a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by him for the purpose(s) stated in the document and avows under penalty of
law to the whole truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on
12/31/2016
Series of 2016. PTR No. 3058381,
01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Romeo D. Calayag, of legal age, Filipino, and with residence and postal
address at Balsic Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

5. I am the brother of ALICE DABU CALAYAG who was born on January 27,
1975 in Hermosa, Bataan;
 6. I was born on August 3, 1956 in Hermosa, Bataan;

7. Our parents are Rosendo Miguel Calayag and Adelina Gonzales Dabu;

8. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 9 th day of

February, 2016 at Dinalupihan, Bataan.

Romeo D. Calayag
Affiant

Thumb mark:

Subscribed and sworn to before me this 9th day of February, 2016 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his VIN 0805-0058A-H0359RDC10000, a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by him for the purpose(s) stated in the document and avows under penalty of
law to the whole truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on
12/31/2016
Series of 2016. PTR No. 3058381,
01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

JOINT AFFIDAVIT

We, Adnan Akhtar and Joanna Marie G. Akhtar, both of legal age, and with residence
and postal address at Luacan Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

19. We got married on October 18, 2013 in San Ildefonso, Bulacan;

20. I, Adnan Akhtar, is a Pakistani National with Passport No. KH622275;
 21. We are engaged in business under the Business Name Danny Cell Phone Shop located
at Dinalupihan Public Market in Dinalupihan, Bataan;
22. My friends named Arslan Khan and Faheem Bhatti are intending to come in the
Philippines as tourist;

Arslan Khan Faheem Bhatti

Passport No. BN4133241 Passport No. BJ3174482
Date of Birth: July 19, 1988 Date of Birth: July 15, 1983

23. They will be staying with us here in the Philippines for three (3) months during their
visits;
24. We hereby undertake to give all the necessary support and assistance to them while in
the Philippines;
25. We, likewise guarantee that they are peaceful citizens and that their purpose in coming
to the Philippines are purely recreation;
26. We declare these facts under threat of perjury;
27. We are executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed my signature this 2 nd day of February,

2016 at Dinalupihan, Bataan.

Adnan Akhtar Joanna Marie G. Akhtar

Affiant Affiant
Passport No.KH622275 Postal ID No. 4712473

Subscribed and sworn to before me this 2 nd day of February, 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiants personally appeared
before the undersigned and have exhibited to the said notary public a competent evidence of
identity such as their Postal ID and Passport IDs, respectively; a copies of which are hereto
attached and made an integral part of this document. Affiants represented to the notary public
that the signatures on this document were voluntarily affixed by them for the purpose(s) stated
in the document and avows under penalty of law to the whole truth of the contents of the
document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381,
01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

JOINT AFFIDAVIT

I, Joanna Marie G. Akhtar, of legal age, Filipino, married and with residence and
postal address at Luacan Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:
 28. I am the close friend of ADNAN AKHTAR. We got married on October 18, 2013
in San Ildefonso, Bulacan;
29. We are engaged in business under the Business Name Danny Cell Phone Shop
located at Dinalupihan Public Market in Dinalupihan, Bataan;
30. My husband is intending to come the Philippines as tourists;

Adnan Akhtar
Passport No. KH622275
Date of Birth: May 11, 1990

31. He will be staying with me here in the Philippines for one (1) or two (2) months;
32. He will stay with me during her visit;
33. I hereby undertake to give all the necessary support and assistance to the
aforementioned while in the Philippines;
34. I, likewise guarantee that he is peaceful citizen and that his purpose in coming to
the Philippines is purely recreation and business on the side;
35. I declare these facts under threat of perjury;
36. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 17 th day of June,

2015 at Dinalupihan, Bataan.

Joanna Marie G. Akhtar

Affiant

Thumb mark:

Subscribed and sworn to before me this 17 th day of June, 2015 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as her Postal ID No. 4712473, a copy of which is
hereto attached and made an integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by her for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Angelito C. Tungol, of legal age, Filipino, widower, and with residence and postal
address at Layac, Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

12. I am a pensioner of Govt. Service Insurance System (GSIS) and receiving pension
monthly;
 13. I am withdrawing said pension everytime I need money from my Unified Multi-Purpose
ID No. 021-1117-4737-4;
14. Yesterday, January 27, 2016 at about 2:45 pm I tried withdrawing the amount of P
10,000.00 because I know I have a balance of P 12,000.00 at the Land Bank of the
Philippines, Dinalupihan, Bataan Branch;
15. I found out that my bank account has a balance of only P 764.48;
16. I was given a printed report of my account and reflected therein where 2 unauthorized
withdrawals of P 10,000.00 on January 18, 2016 and P 2,000.00 on January 4, 2016;
17. On January 4 and 18 2016 I was in my farm in Hermosa, Bataan the whole day and I
did not authorize anyone to withdraw from my account;
18. I only do my ATM transaction at LBP Dinalupihan for the last four months, and once in
PNB Dinalupihan, Bataan sometime in September 2015;
19. I did not entrust to anyone my card and my PIN and I do not allow anyone to withdraw
for and on my behalf;
20. There was no one assisting me everytime I withdraw nor was anyone approached me
while I was withdrawing;
21. I did not pawn my ATM card to any lending institution nor to any person;
22. My last valid transaction prior to January 4 and 18, 2016 was last December 2015 I
could not recall the exact date;
23. I usually keep my ATM card in my cabinet;
24. I did not use the card for online purchases;
25. I did not use the card on online game;
26. There is no one playing online game at home because my relatives do not know that I
have ATM card;
27. There was no instance that I have photocopied the said card;
28. I did not disclose to anyone my card number and CVV;
29. I am filing this complaint to request the return of the amount of P 12,000.00 since I was
not the one who withdrew it and I need my money.
30. I am executing this affidavit to attest to the truth of the foregoing and for whatever legal
purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 28 th day of Janaury,

2016 at Dinalupihan, Bataan.

Angelito C. Tungol
Affiant

Subscribed and sworn to before me this 28th day of January 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally appeared
before the undersigned and had exhibited to the said notary public a competent evidence of
identity such as his OSCA ID No. 04609; a copy of which is hereto attached and made an
integral part of this document. Affiant represented to the notary public that the signature on this
document was voluntarily affixed by him for the purpose(s) stated in the document and avows
under penalty of law to the whole truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.
Republic of the Philippines)
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Ranel M. Caniza, of legal age, Filipino, and with residence and postal address
at Colo, Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

1. I am the care-taker of a certain parcel of residential lot situated in Barrio Colo,

Dinaluihan, Bataan.

2. The owner of the said lot, Clodualdo Caniza, is my grandfather and he is

currently residing abroad;

3. I have been the care-taker of the lot since 2013 up to the present time;

4. I am executing this affidavit to attest to the truth of the foregoing and for the
purpose of claiming from the insurance company and for whatever legal
purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed our signatures this 28 th day of

January, 2016 at Dinalupihan, Bataan.

Ranel M. Caniza
Affiant

Thumb mark:
 Subscribed and sworn to before me this 28 th day of January 2015 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his Driver’s License No. C09-15-S13609; a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by him for the purpose(s) stated in the document and avows under penalty of
law to the whole truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on
12/31/2016
Series of 2016. PTR No. 3058381,
01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Mary Jane E. Maniangap, of legal age, Filipino, single and with residence and
postal address at Gen. Luna Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

32. I intend to put up a business to be operated at Palihan Hermosa, Bataan (to be

named Josan Enterprises) with an initial capital/investment of P 150,000.00;

33. I shall increase my capital once the business progresses;

34. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.
 IN WITNESS WHEREOF, I have hereunto affixed my signature this 15 th day of
January, 2016 at Dinalupihan, Bataan.

Mary Jane E. Maniangap

Affiant

Thumb mark:

Subscribed and sworn to before me this 15 th day of January, 2016 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her Driver’s License No. C02-10-003014; a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by her for the purpose(s) stated in the document and avows under penalty of law
to the whole truth of the contents of the document.

Doc. No. 121 Atty. Roniel D.

Muñoz
Page No. 25 Notary Public
Book No. IX Commission Expires on
12/31/2016
Series of 2016. PTR No. 3058381,
01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Roberto S. Basco, of legal age, Filipino, and with residence and postal
address at Rizal St., Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

9. I am the father/guardian of SHOBERT RELORCASA BASCO who was born

on August 14, 1983 in Balanga City, Bataan;

10. His mother is Shirley R. Relorcasa and we do not know her whereabouts;

11. He has been in my custody since birth and up to the present;

12. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 20 th day of

January, 2016 at Dinalupihan, Bataan.
 Roberto S. Basco
Affiant

Thumb mark:

Subscribed and sworn to before me this 20th day of January, 2016 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his Postal ID No. 4401765; a copy of which is
hereto attached and made an integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by him for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381,
01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074

Republic of the Philippines )

JOINT AFFIDAVIT

We, Romeo T. Alinco and Adelyn M. Vista, both of legal age, Filipino, and with
residence and postal address at Sta. Isabel Dinalupihan, Bataan, after having been
sworn to in accordance with law, hereby depose and state that:

34. We are husband and wife;

35. We got married on May 28, 2005 in San Jose, Antique;

36. We have two (2) children;

37. We are separated since 2008 and we do not have any communications;
 38. We are executing this affidavit to attest to the truth of the foregoing and for
the whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this _____ day of
January, 2016 at ____________________.

Rmeo T. Alinco Adelyn M. Vista

Affiant Affiant

Subscribed and sworn to before me this _____ day of January, 2016 at

_______________________, affiant exhibiting to me her Postal ID No. 5455251.

Doc. No.
Page No.
Book No.
Series of 2016.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )
Affidavit
of Late Registration

I, Ellen C. Bejosano, of legal age, Filipino and with residence and postal address at No.
52 Espeleta St., Buli, Muntinlupa City, after having been duly sworn to in accordance with law,
hereby depose and state that
1. I am the petitioner in Civil Case No. 99-267 for annulment of marriage entitled Ellen
Bejosano vs. Paulo Paul Brofar filed with the Regional Trial Court, Branch 256, City
of Muntinlupa;

2. My petition for annulment of marriage was granted by the said Court in Its Decision
dated June 23, 2006 and a Certificate of Finality has already been issued by
Presiding Judge Albero L. Lerma;

3. I was not aware that there is a need to register the said Decision and Certificate of
Finality;

4. It was only when I tried obtaining a CENOMAR that I have learned that there is a
need to register the same, hence this Affidavit;

5. There was no intention to delay the registration but only due to the above reasons
only;

6. I or my duly authorized representative will process the registration of the above

documents;
 7. I am executing this affidavit to attest to the truth of the foregoing and for the purpose
of late registering the aforesaid decision, certificate of finality and other related
documents with the concerned Office of the Local Civil Registrar and the National
Statistics Office (NSO).
In witness whereof, I have hereunto affixed my hands this 18 th day of January, 2016 at
Dinalupihan, Bataan.

Ellen C. Bejosano
Affiant

Subscribed and sworn to before me this 18 th day of January, 2016 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiants personally appeared
before the undersigned and had exhibited to the said notary public a competent evidence of
identity such as her Postal ID No. 1243743; copy of which is hereto attached and made an
integral part of this document. Affiants represented to the notary public that the signature on
this document was voluntarily affixed by her for the purpose(s) stated in the document and avow
under penalty of law to the whole truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2016. PTR No. 3058381, 01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074

Republic of the Philippines )

AFFIDAVIT OF NON-COHABITATION

I, Adelyn M. Vista, of legal age, Filipino, and with residence and postal address at
Sta. Isabel Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

39. I was the former common-law wife of Romeo T. Alinco up to 2001;

40. We have two (2) children;

41. I am now living with Raymond J. Macaspac without the benefit of marriage
since April 2014. We have a child named Nica V. Macaspac;

42. We are no longer cohabiting because he was imprisoned on April 2014 up to

the present;

43. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this _____ day of

January, 2016 at ____________________.

Adelyn M. Vista
Affiant
 Subscribed and sworn to before me this _____ day of January, 2016 at
_______________________, affiant exhibiting to me her Postal ID No. 5455251.

Doc. No.
Page No.
Book No.
Series of 2016.

Republic of the Philippines )

JOINT AFFIDAVIT OF COHABITATION

We, Raymond J. Macaspac and Adelyn M. Vista, both of legal age, Filipino, and
with residence and postal address at Sta. Isabel Dinalupihan, Bataan, after having
been sworn to in accordance with law, hereby depose and state that:

44. We have been cohabitating as common-law husband and wife since 2010;

45. Out of wedlock we have child named Nica Vista Macaspac who was born on
July 2, 2011 in Balanga City, Bataan;

46. We are executing this affidavit to attest to the truth of the foregoing and for
the whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed my signature this _____ day of

January, 2016 in ____________________________.

Raymond J. Macaspac Adelyn M. Vista

Affiant Affiant

Subscribed and sworn to before me this ____ day of January, 2016 at

_______________________.
Doc. No.
Page No.
Book No.
Series of 2016.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Mary Jane E. Maniangap, of legal age, Filipino, single and with residence and
postal address at Gen. Luna Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

35. I intend to put up a business to be operated at Palihan Hermosa, Bataan (to be

named Lovely Lumber) with an initial capital/investment of P 150,000.00;

36. I shall increase my capital once the business progresses;

37. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 15 th day of

January, 2016 at Dinalupihan, Bataan.

Mary Jane E. Maniangap

Affiant

Thumb mark:

Subscribed and sworn to before me this 15 th day of January, 2016 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her Driver’s License No. C02-10-003014; a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by her for the purpose(s) stated in the document and avows under penalty of law
to the whole truth of the contents of the document.

Doc. No. 121 Atty. Roniel D.

Muñoz
Page No. 25 Notary Public
Book No. IX Commission Expires on
12/31/2016
Series of 2016. PTR No. 3058381,
01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Leny D. Manga, of legal age, Filipino, and with residence and postal address
at San Pablo Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

23. I am the surviving spouse of FELIX JR. GABAS MANGA who died on
September 22, 2004 in Dinalupihan, Bataan as evidenced by his Certificate of
Death;

24. We got married on June 16, 1997 in Dinalupihan, Bataan as evidenced by our
Certificate of Marriage;

25. We had three (3) children: namely, Jonalyn, born on May 20, 1990; Joanne,
born on December 11, 1991 and Jonie, born on May 15, 1997. All of them are
surnamed DUMLAO as evidenced by their respective Birth Certificates;

26. After our marriage, our children are deemed to be legitimated; hence, their
surnamed should now be MANGA;

27. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13 th day of

January, 2016 at Dinalupihan, Bataan.

Leny D. Manga
Affiant

Thumb mark:
 Subscribed and sworn to before me this 13 th day of January, 2016 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her VIN 0804-0229A-D1372LDM20000; a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by her for the purpose(s) stated in the document and avows under penalty of law
to the whole truth of the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on
12/31/2016
Series of 2016. PTR No. 3058381,
01/06/2016
IBP No. 924131, 01/06/2016
Roll of Attorney No. 63074

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of No Transaction

I, Jayson V. Garcia, of legal age, Filipino, married, and with residence and
postal address at J.C. Payumo Jr., Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

66. I am the registered owner of JSCC BUILDERS located at No. 377 Purok 3,
J.C. Payumo Jr. Dinalupihan, Bataan registered with the Department of Trade
and Industry (DTI);

67. It was registered sometime in the month of November 2015; however, since
its registration up to the present time, no transactions have yet been entered
into by said business;

68. Consequently, to date, no income has been generated by the said business;

69. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 8 th day of

January, 2016 at Dinalupihan, Bataan.

Jayson V. Garcia
Affiant

Thumb mark:
 Subscribed and sworn to before me this 8th day of January, 2016 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his UMID ID No. CRN-0111-0879794-2; a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by him for the purpose(s) stated in the document and avows under penalty of
law to the whole truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2016.

Republic of the Philippines )

AFFIDAVIT

We, Loida A. Mariano and Nenita M. Calanza, both of legal age, Filipino, and
with residence and postal address at Balsic Hermosa, Bataan, after having been sworn
to in accordance with law, hereby depose and state that:

31. We are the legal heirs of ROMAN MARIANO. He is the registered owner of a
parcel of land described as follows:

TCT No.: EP-582

Lot No.: 1
Location: Balsic Hermosa, Bataan
Area: 2,142 square meters

32. He has been using the above data in all his documents and records, they being
the true and correct one;

33. However, in the aforesaid title, his name was registered and recorded as
MARIANO ROMAN instead of ROMAN MARIANO, the true and correct one;

34. The above discrepancy was committed without our fault and intention to mislead
the public;

35. The names Mariano Roman and Roman Mariano as explained above belong to
one and the same person;

36. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, We have hereunto affixed our signatures this _____ day
of January, 2016 at __________________________.
Loida A. Mariano Nenita M. Calanza
Affiant Affiant

Subscribed and sworn to before me this ____day of January, 2016 in

________________________, affiants exhibiting to me their
______________________ and _________________________, respectively.

Doc. No.
Page No.
Book No.
Series of 2016.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Rodolfo S. Solano, of legal age, Filipino, married and with residence and
postal address at Roosevelt Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I execute this affidavit to show my occupation from January 1989 up to present;

2. My occupation pertains to Building Painter;

3. From the period starting January 1989 up to present, I have been engaged as a
means of livelihood in contractual, full time, part time and on call painter;

4. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of

January, 2016 at Dinlalupihan, Bataan.

Rodolfo S. Solano
Affiant

Thumb mark:

Subscribed and sworn to before me this 5 th day of January, 2016 in Dinalupihan,

Bataan, affiant exhibiting to me his Driver’s License No. C09-12-006267.
Doc. No.
Page No.
Book No.
Series of 2016.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF ASSEMBLY/
INSTALLATION

I, Sally M. Dominguez, of legal age, Filipino, and with residence and postal
address at Daang Bago, Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

I am the owner of a motor vehicle particularly described as follows:

Make : Kawasaki
Body Type : Motorcycle
Engine No. : BC175AEL04640
Chassis No. : BC175G-B10655
Plate No. : CC14989

With the help of Dindo Macapagal, a mechanic by profession, we have finished

assembling, installing a sidecar, purchased from Estal Sidecar, Porac,
Pampanga as per Official Receipt No. 1833 dated February 16, 2015.

Said motorcycle with sidecar is now a roadworthy and good running condition
and fit for operation in the public highway;

I guarantee the legal safety and acquisition of the parts used in the
assembly/installation of the said motorcycle with sidecar and should any question
arise, I shall assume full responsibility for it.

I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 29 th day of

December, 2015 at Dinalupihan, Bataan.

Sally M. Dominguez
Affiant

Thumb mark:

Subscribed and sworn to before me this 29 th day of December, 2015 at the

Dinalupihan, Bataan, affiant exhibiting to me her Passport No. EB2370958.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Jaime B. Jiao, of legal age, Filipino, married and with residence and postal
address at Gutad, Floridablanca, Pampanga, after having been sworn to in accordance
with law, hereby depose and state that:

5. I am an Overses Filipino Worker (OFW);

6. I have been working in Saudi Arabia since 2000 as a draftsman;

7. My monthly salary is currently at $500 USD;

8. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 21 st day of

December, 2015 at Dinlalupihan, Bataan.

Jaime B. Jiao
Affiant

Thumb mark:

Subscribed and sworn to before me this 21st day of December, 2015 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his SSS ID No. 03-8268231-1; a copy of which
is hereto attached and made an integral part of this document. Affiant represented to
the notary public that the signature on this document was voluntarily affixed by him for
the purpose(s) stated in the document and avows under penalty of law to the whole
truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.

Subscribed and sworn to before me this 9th day of October, 2014 at Dinalupihan,
Bataan, exhibiting to me his Postal ID No. 1553977.

Doc. No.
Page No.
Book No.
Series of 2014.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF ASSEMBLY/
INSTALLATION

I, Sally Dominguez, of legal age, Filipino, and with residence and postal address
at Daang Bago, Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

I am the owner of a motor vehicle particularly described as follows:

Make : Kawasaki
Engine No. : BC175AEL04640
Chassis No. : BC175G-B10655

With the help of Alexander L. Delos Reyes, a mechanic by profession, we have

finished assembling, installing a sidecar, purchased from Guanzon
Merchandising Corporation Orani Branch, Orani, Bataan as per Official Receipt
No. 0262 dated October 20, 2015.

Said motorcycle with sidecar is now a roadworthy and good running condition
and fit for operation in the public highway;

I guarantee the legal safety and acquisition of the parts used in the
assembly/installation of the said motorcycle with sidecar and should any question
arise, I shall assume full responsibility for it.

I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 30 th day of

October, 2015 at Dinalupihan, Bataan.

Noly M. Alvarez
Affiant

Thumb mark:

Subscribed and sworn to before me this 30 th day of October, 2015 at the

Dinalupihan, Bataan, affiant exhibiting to me his Student Permit No. C09-12-S06863.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Albert Paguio, of legal age, Filipino, and with residence and postal address at
Daang Bago Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:
 1. I am presently detained at the Philippine National Police (PNP) Hermosa,
Bataan;

2. I was arrested on November 10, 2015 at about 3:00 p.m.;

3. I am waiving my right under Art. 125 of the Revised Penal Code;

4. I am requesting that a preliminary investigation be conducted on the alleged

case filed by PNP Hermosa, Bataan;

5. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 12 th day of

November, 2015 at Dinalupihan, Bataan.

Albert Paguio
Affiant

Thumb mark:

Subscribed and sworn to before me this 12th day of November, 2015 at the
office of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant
personally appeared before the undersigned and had exhibited to the said notary public
a competent evidence of identity such as his ______________________; a copy of
which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by him for the purpose(s) stated in the document and avows under penalty of
law to the whole truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Teodora T. Franco, of legal age, Filipino, married and with residence and
postal address at Layac Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

8. I am cultivating a farm land situated at Layac Dinalupihan, Bataan measuring 4

hectares more or less;

9. Attached hereto are the income and expenses for the year 2014 which I
personally prepared;
 10. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 10 th day of

Nove,ber, 2015 at Dinalupihan, Bataan.

Teodora T. Franco
Affiant

Thumb mark:

Subscribed and sworn to before me this 10 th day of November, 2015 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her ______________________; a copy of which
is hereto attached and made an integral part of this document. Affiant represented to
the notary public that the signature on this document was voluntarily affixed by her for
the purpose(s) stated in the document and avows under penalty of law to the whole
truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.

STATEMENT OF INCOME AND EXPENSES

1st Crop

Expenses

Binhi = 8 sacks/P 1,200.00 P 9,600.00

Fertilizer ng Binhi 30 cavans/P 1,000.00 (ammonium) 30,000.00
Patanim = 14 tao/P 500.00 kada tao 7,000.00
Fertilizer = UREA 8 sacks/ P 1,000.00 per cavan 8,000.00
= 2x nagsasabog ng abono
= 2 sack 1 ½ buwan ng paglagay
Spray= malathion/karate 1 bottle big
Malathion = P 1,400.00/ bottle 1,400.00
Karate = P 900.00/bottle 900.00
Pagbibilad 2,600.00
Labor 12,000.00
Diesel 6,400.00
__________
Total Expenses P 77,900.00
==========

Harvest = 500 cavan/ P 1,000.00/cavan/tuyo palay P 500,000.00

==========

P 500,000.00 – earning 1st Crop

77,900.00 – Expenses
___________
P 422,100.00 – Total amount for earning in 1st Crop
===========
2nd Crop
Expenses

Binhi = 8 sacks/P 1,200.00 P 9,600.00

Fertilizer ng Binhi 30 cavans/P 1,000.00 (ammonium) 30,000.00
Patanim = 14 tao/P 500.00 kada tao 7,000.00
Fertilizer = UREA 8 sacks/ P 1,000.00 per cavan 8,000.00
= 2x nagsasabog ng abono
= 2 sack 1 ½ buwan ng paglagay
Spray= malathion/karate 1 bottle big
Malathion = P 1,400.00/ bottle 1,400.00
Karate = P 900.00/bottle 900.00
Pagbibilad 2,600.00
Labor 12,000.00
Diesel 6,400.00
__________
Total Expenses P 77,900.00
==========

Harvest = 500 cavan/ P 1,000.00/cavan/tuyo palay P 500,000.00

==========

P 500,000.00 – earning 1st Crop

77,900.00 – Expenses
___________
P 422,100.00 – Total amount for earning in 2nd Crop
===========

Prepared by:

Teodora T. Franco
 STATEMENT OF INCOME AND EXPENSES
FOR THE YEAR 2014

Expenses

Hog Grower (10 sacks/P 1,250.00) P 12,500.00

Vetracin (10 bottles (Piglets)/P 500.00) 5,000.00
10 Piglets @ P 2,000.00 2,000.00
Purga (10 bottles/P 500.00) 5,000.00
Broth Chow (10 sacks/P 1,250.00) 12,500.00
____________

Total Expenses P 37,000.00

 Piglets = 90/P 2,000.00 P 180,000,00

P 180,000.00 – Piglets
37,000.00- Expenses
___________
P 143,000.00- Total
==========

Prepared by:

Emily T. Culala
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF ASSEMBLY/
INSTALLATION

I, Noly M. Alvarez, of legal age, Filipino, and with residence and postal address
at Tucop, Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

I am the owner of a motor vehicle particularly described as follows:

Make : Honda
Engine No. : KSW00E086555
Chassis No. : KSW00086433

With the help of Alexander L. Delos Reyes, a mechanic by profession, we have

finished assembling, installing a sidecar, purchased from Guanzon
Merchandising Corporation Orani Branch, Orani, Bataan as per Official Receipt
No. 0262 dated October 20, 2015.

Said motorcycle with sidecar is now a roadworthy and good running condition
and fit for operation in the public highway;

I guarantee the legal safety and acquisition of the parts used in the
assembly/installation of the said motorcycle with sidecar and should any question
arise, I shall assume full responsibility for it.

I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 30 th day of

October, 2015 at Dinalupihan, Bataan.

Noly M. Alvarez
Affiant

Thumb mark:

Subscribed and sworn to before me this 30 th day of October, 2015 at the

Dinalupihan, Bataan, affiant exhibiting to me his Student Permit No. C09-12-S06863.

Doc. No.
Page No.
Book No.
Series of 2015.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

COMPLAINT-AFFIDAVIT

I, Vivian C. Carpio, of legal age, Filipino, and with residence and postal address at Culis
Hermosa, Bataan, after having been sworn to in accordance with law, hereby depose and state
that:

41. I am an owner of an ATM card issued by the Metrobank, Dinalupihan Branch;

42. My last transaction using the said card was last August 2015 at Zambales Bank in
Hermosa, Bataan in the total amount of Php 4,500.00; thereby, leaving a balance of Php
23,000.00;

43. On October 23, 2015, I tried to withdraw from Metrobank Dinalupihan Branch but the
machine would not allow me to do so, stating the transaction is “Insufficient Balance”;

44. I went to Metrobank Dinalupihan Branch and reported the incident and I was given a
new card. I surrendered the old one to the said bank;

45. I was given my Savings/Time Statement History and the same revealed that there were
several withdrawals from September 29, 2015 in the aggregate amount of Php
20,000.00. Such withdrawals I did not make and, in fact, I do not even know of;

46. I am attaching as “Annex A” a copy of the Savings/Time Statement History showing the
unauthorized withdrawals from September 29, 2015 in the aggregate amount of Php
20,000.00;

47. I am requesting the Metrobank to conduct a thorough investigation on this and

ultimately, return to me the amount which I lost owing to these an authorized
withdrawals;

48. I am executing this affidavit to attest to the truth of the foregoing and for whatever legal
purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 23 rd day of October,

2015 at Dinalupihan, Bataan.

Vivian C. Carpio
Affiant

Thumb mark:

Subscribed and sworn to before me this 23rd day of October, 2015 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally appeared
before the undersigned and had exhibited to the said notary public a competent evidence of
identity such as her VIN 0805-0105A-B1483VCC20000; a copy of which is hereto attached and
made an integral part of this document. Affiant represented to the notary public that the
signature on this document was voluntarily affixed by her for the purpose(s) stated in the
document and avows under penalty of law to the whole truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

We, Renato V. Bacani Jr., Martin V. Bacani, Arsenio V. Bacani, Jackie Lou
V. Bacani, Nelson V. Bacani and Ronaldo V. Bacani, all of legal age, Filipino, and
with residence and postal address at Pentor, Dinalupihan, Bataan, after having been
sworn to in accordance with law, hereby depose and state that:

49. We are the surviving heirs of Renato Bacani who died on January 27, 2001 in
Dinalupihan, Bataan as evidenced by his Certificate of Death;

50. He died without any will;

51. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this ____ day of
October, 2015 at Dinalupihan, Bataan.

Affiants:

Renato V. Bacani Jr. Martin V. Bacani Arsenio V. Bacani

UMID ID No. CRN006-0088-2438-9 VIN 0804-0169A-
J2481AVB10001-5

Jackie Lou V. Bacani Nelson V. Bacani Ronaldo V. Bacani

St. Peter Employee ID No. SPLPI15071 Driver’s Lic. No. C02-14-006466 VIN 0804-0165A-
J2472RVB10000-1

Subscribed and sworn to before me this _____ day of October, 2015 at the
office of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiants
personally appeared before the undersigned and had exhibited to the said notary public
a competent evidence of identity such as their UMID, Driver’s License, Voter’s and
Company IDs, repesticely; a copy of which is hereto attached and made an integral part
of this document. Affiants represented to the notary public that the signatures on this
document were voluntarily affixed by them for the purpose(s) stated in the document
and avows under penalty of law to the whole truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.
Republic of the Philippines )
Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Evelyn M. Tek-Ing, of legal age, Filipino, and with residence and postal
address at B-8, L-8 Silcas, San Francisco, Biñan, Laguna, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am the owner/lessor of several residential spaces (house and lot) located at

Biñan, Laguna, San Pedro, Laguna, Taguig City, San Pablo Dinalupihan,
Bataan and Brgy. Payangan Dinalupihan, Bataan;

2. My lessees are the following:

a. Lisa Yamasaku – Biñan, Laguna

b. Bingle Genovano – Biñan, Laguna
c. Leo Gueta – San Pedro, Laguna
d. May Dianna Gil – Taguig City
e. Ronald Manga – San Pablo Dinalupihan, Bataan
f. Rowena Daganan – San Pablo, Dinalupihan, Bataan
g. Marilou Sisno – Payangan, Dianlupihan, Bataan

3. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 20 th day of

October, 2015 at Dinalupihan, Bataan.

Evelyn M. Tek-Ing
Affiant

Thumb mark:

Subscribed and sworn to before me this 20th day of October, 2015 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her UMID ID No. CRN-0111-3154663-6; a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by her for the purpose(s) stated in the document and avows under penalty of law
to the whole truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

We, Renato V. Bacani Jr., Martin V. Bacani, Arsenio V. Bacani, Jackie Lou
V. Bacani, Nelson V. Bacani and Ronaldo V. Bacani, all of legal age, Filipino, and
with residence and postal address at Pentor, Dinalupihan, Bataan, after having been
sworn to in accordance with law, hereby depose and state that:

52. We are the surviving heirs of Renato Bacani who died on __________ in
Dinalupihan, Bataan as evidenced by his Certificate of Death;

53. He died without any will;

54. During his lifetime, he was a bondsman in the case entitled People of the
Philippines vs. Renato Bacani docketed as Crim. Case No. DH-916-99 for
Frustrated Murder pending before the Regional Trial Court, Branch 5,
Dinalupihan, Bataan as per Official Receipt (O.R.) No. 0551742 amounting to P
12,000.00;

55. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 19 th day of

October, 2015 at Dinalupihan, Bataan.

Affiants:

Renato V. Bacani Jr. Martin V. Bacani Arsenio V. Bacani

UMID ID No. CRN006-0088-2438-9 VIN 0804-0169A-
J2481AVB10001-5

Jackie Lou V. Bacani Nelson V. Bacani Ronaldo V. Bacani

St. Peter Employee ID No. SPLPI15071 Driver’s Lic. No. C02-14-006466 VIN 0804-0165A-
J2472RVB10000-1
 Subscribed and sworn to before me this 19th day of October, 2015 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiants personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as their UMID, Driver’s License, Voter’s and
Company IDs, repesticely; a copy of which is hereto attached and made an integral part
of this document. Affiants represented to the notary public that the signatures on this
document were voluntarily affixed by them for the purpose(s) stated in the document
and avows under penalty of law to the whole truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

COMPLAINT-AFFIDAVIT

I, Ladislao S. Manuel Jr., of legal age, Filipino, and with residence and postal address
at 238, Mabuco, Hermosa, Bataan, after having been sworn to in accordance with law, hereby
depose and state that:

56. I am an owner of an ATM card issued by the Metrobank, Dinalupihan Branch;

57. My last transaction using the said card was last September 17, 2015 at Metrobank
Balanga Branch in the total amount of Php 24,000.00; thereby, leaving a balance of Php
200,729.00;
58. On October 10, 2015, I tried to withdraw from Metrobank Dinalupihan Branch but the
machine would not allow me to do so, stating the transaction is “Not Processed”;
59. I then went to the EastWest Bank Dinalupihan Branch and tried to withdraw again but
the machine would not again allow me to do so, stating the transaction is “Not
Processed”;
60. On October 11, 2015, I went to Metrobank Dinalupihan Branch and reported the incident
and I was given a new card. I surrendered the old one to the said bank;
61. On October 14, 2015, I withdrew Php 10,000.00 from the Metrobank Dinalupihan Branch
and to my surprise, the remaining balance of my account was only at Php 70,000.00
instead of the supposed amount of Php 190,729.00;
62. I immediately went to the Metrobank Dinalupihan Branch to report the incident. I was
given my Savings/Time Statement History and the same revealed that there were
several withdrawals from September 25, 2015 to September 30, 2015 in the aggregate
amount of Php 120,000.00. Such withdrawals I did not make and, in fact, I do not even
know of;
63. I am attaching as “Annex A” a copy of the Savings/Time Statement History showing the
unauthorized withdrawals from September 25, 2015 to September 30, 2015 in the
aggregate amount of Php 120,000.00;
64. I am requesting the Metrobank to conduct a thorough investigation on this and
ultimately, return to me the amount which I lost owing to these an authorized
withdrawals;
65. I am executing this affidavit to attest to the truth of the foregoing and for whatever legal
purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 14 th day of October,

2015 at Dinalupihan, Bataan.

Ladislao S. Manuel Jr.

Affiant

Thumb mark:

Subscribed and sworn to before me this 14 th day of October, 2015 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally appeared
before the undersigned and had exhibited to the said notary public a competent evidence of
identity such as his VIN 0805-0138A-H0968LSM10000; a copy of which is hereto attached and
made an integral part of this document. Affiant represented to the notary public that the
signature on this document was voluntarily affixed by him for the purpose(s) stated in the
document and avows under penalty of law to the whole truth of the contents of the document.

Doc. No. 153

Page No. 31
Book No. VII
Series of 2015.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Crisanto C. Vergara, of legal age, Filipino, and with residence and postal
address at Sta. Isabel Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

66. I am the owner of a parcel of land located at Prado Saba, Lubao, Pampanga and
covered by Transfer Certificate of Title No. 17705 measuring Six Thousand
Four Hundred Fifty Five (6,455) Square Meters ;

67. I do not have Annual Income Tax Return or filing any taxes because I do not
have business;

68. I am exempted from filing Income Tax or any taxes;

69. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 7 th day of

October, 2015 at Dinalupihan, Bataan.

Crisanto C. Vergara
Affiant

Thumb mark:

Subscribed and sworn to before me this 7th day of October, 2015 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his Driver’s License No. C02-07-004152; a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by him for the purpose(s) stated in the document and avows under penalty of
law to the whole truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF ASSEMBLY/
INSTALLATION

I, Ramon S. Garcia, of legal age, Filipino, and with residence and postal address
at San Simon, Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

I am the owner of a motor vehicle particularly described as follows:

Make : Mitsukoshi
Engine No.: 161FMJF1721778
Chassis No.: 2F3PCK501FB804585
Color : Black

With the help of Bong Garcia, a mechanic by profession, we have finished

assembling, installing a sidecar, purchased from Garcia Side Car Specialist as
per Sales Invoice No. 0486 dated May 30, 2015.

Said motorcycle with sidecar is now a roadworthy and good running condition
and fit for operation in the public highway;

I guarantee the legal safety and acquisition of the parts used in the
assembly/installation of the said motorcycle with sidecar and should any question
arise, I shall assume full responsibility for it.

I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 12 th day of

October, 2015 at Dinalupihan, Bataan.

Ramon S. Garcia
Affiant

Subscribed and sworn to before me this 12 th day of October, 2015 at the

Dinalupihan, Bataan, affiant exhibiting to me his __________________________.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

 AFFIDAVIT OF RELEASE AND QUITCLAIM

I, Jennyfer N. Jusayan, of legal age, Filipino, single and with residence and
postal address at Pentor Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

4. I am the Attorney-in-fact of Alfredo C. Nicdao as per Special Power of

Attorney notarized by Atty. Juvy Mell B. Sanchez-Malit on July 20, 2011 and
entered into her Notarial Book as Doc. No. 179; Page No. 36; Book No. XIV;
Series of 2011;

5. I hereby acknowledge having received the Release/Cancellation of Real

Estate Mortgage from the closed Unified Savings and Loan Association, Inc.,
and in view of which I hereby RELEASE AND DISCHARGE said closed bank,
and/or its Liquidator, its officers, employees, agents or representatives from
any further liability, whatsoever, emanating directly or indirectly from the
aforestated release of Release/Cancellation of Real estate Mortgage, and for
this purpose I hereby hold the said bank, its Liquidator, its officers,
employees, agents or representatives, legally free and harmless from any
further liability arising the foregoing transaction, claim or incident;

6. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 2 nd day of

August, 2011 at Dinalupihan, Bataan.

Jennyfer N. Jusayan
Affiant

Thumb mark:

Subscribed and sworn to before me this 2 nd day of August, 2011 at Dinaluiphan,

Bataan. Affiant exhibiting to me her VIN 0804-0166A-I0484JNJ20000-9.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )
 AFFIDAVIT

I, Crisanto C. Vergara, of legal age, Filipino, and with residence and postal
address at Sta. Isabel Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

70. I am the owner of a parcel of land located at Prado Saba, Lubao, Pampanga and
covered by Transfer Certificate of Title No. 17705 measuring Six Thousand
Four Hundred Fifty Five (6,455) Square Meters ;

71. I do not have Annual Income Tax Return or filing any taxes because I do not
have business;

72. I am exempted from filing Income Tax or any taxes;

73. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 7 th day of

October, 2015 at Dinalupihan, Bataan.

Crisanto C. Vergara
Affiant

Thumb mark:

Subscribed and sworn to before me this 7th day of October, 2015 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his Driver’s License No. C02-07-004152; a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by him for the purpose(s) stated in the document and avows under penalty of
law to the whole truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.

Subscribed and sworn to before me this 10th day of April, 2015 at

_______________________.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Jeffrey G. Bonifacio, of legal age, Filipino, single and with residence and postal
address at A. Rivera Hermosa, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

11. I am presently detained at the Philippine National Police (PNP) Hermosa,

Bataan;

12. I was arrested on September 29, 2015 at about 9:00 in the evening more or
less;

13. I am waiving my right under Art. 125 of the Revised Penal Code;

14. I am requesting that a preliminary investigation be conducted on the alleged

case filed by PNP Hermosa, Bataan;

15. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I am have hereunto affixed my signature this 1 st day of

October, 2015 at Dinlalupihan, Bataan.

Jeffrey G. Bonifacio
Affiant

Subscribed and sworn to before me this 1st day of Octoebr, 2015 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his ________________________; a copy of
which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by him for the purpose(s) stated in the document and avows under penalty of
law to the whole truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.
Subscribed and sworn to before me this 18th day of July, 2013 at Dinalupihan, Bataan.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Romy R. Gonzales, of legal age, Filipino, and with residence and postal address
at San Pablo Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

47. I am the common law husband of EDNA B. PEÑAREDONDO;

48. We have been living together without the benefit of marriage since 2010;

49. We have no children;

50. She died on September 7, 2015 in Tondo, Manila;

51. During her lifertime, she was a member of Kazama Grameen Inc.;

52. Being her beneficiary, I am entitled to the benefits from Kazama Grameen
Inc.;

53. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I am have hereunto affixed my signature this 24 th day of

September, 2015 at Dinlalupihan, Bataan.

Romy R. Gonzales
Affiant

Thumb mark:
Witness:

Analiza Serrano
Dinalupihan, Bataan

Subscribed and sworn to before me this 24 th day of September, 2015 at the

office of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant
personally appeared before the undersigned and had exhibited to the said notary public
a competent evidence of identity such as his VIN 080-0227A-H0767RRG10002-0; a
copy of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by him for the purpose(s) stated in the document and avows under penalty of
law to the whole truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan ) S.s.
Province of Bataan )

Affidavit

I, Hazel Marie R. David, of legal age, Filipino, and with residence and postal
address at Sto. Niño, Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

5. I am married to Wilfredo H. Dimacali. We got married on June 25, 1993 in

Dinalupihan, Bataan. We have two (2) children, namely: Llyzel May, born on
March 23, 1994 and Will Mayrie, born on May 23, 2003, respectively;

6. We have been separated since January 2012 because of indifference, since then
we have not reconciled and reconciliation at this time is remote. We have no
communication and I do not know his whereabouts;

7. I hereby declare that I am removing Wilfredo H. Dimacali as one of my

beneficiaries in my GSIS, Pag-Ibig and Philhealth and only my two children
aforementioned will remain as my beneficiaries;

8. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 21 st day of

September, 2015 at Dinalupihan, Bataan.

Hazel Marie R. David

Affiant

Thumb mark:

Subscribed and sworn to before me this 21 st day of September, 2015 at the

office of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant
personally appeared before the undersigned and had exhibited to the said notary public
a competent evidence of identity such as her PRC ID No. 0759837; a copy of which is
hereto attached and made an integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by her for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.
of the Philippines )
Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Emperia P. Reyes-Poblete, of legal age, Filipino, widow, and with residence

and postal address at 33 Burgos St., Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

28. I am the living spouse of Tomas Lobo Poblete who died on October 30, 2009
in Calamba, Laguna as evidenced by his Certificate of Death;

29. We got married twice, first on November 13, 1957 then later on May 26, 1972
in Dinalupihan, Bataan as evidenced by our Marriage Contract;

30. We had three (3) children: namely, Esmeralda born December 10, 1958;
Cynthia born on November 18, 1963 and Noemi born on August 8, 1967;

31. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 18 th day of

September, 2015 at Dinalupihan, Bataan.

Emperia P. Reyes-Poblete
Affiant

Subscribed and sworn to before me this 18 th day of September, 2015 at

Dinalupihan, Bataan, Philippines, affiant exhibiting to me her OSCA ID No. 6146.

Doc. No.
Page No.
Book No.
Series of 2015.

September 18, 2015

Department of Agrarian Reform
Concepcion, Lopez, Quezon

Sa Kinauukulan:

Ako po ay isa sa mga anak ng yumaong Tomas Lobo Poblete na nagmamayari

ng maraming lupain sa Concepcion, Lopez at Calauag, Quezon.

Nais ko po sanang ipakiusap sa inyong tanggapan na huwag gagalawin ang mga

nasabing lupain hanggang may usapin pa tulad ng pagkuha ng buko at pinagbentahan
ng buko. Na nais ko rin pong ipakiusap na itago ang pinagbentahan ng buko ay idiretso
sa tanggapan ninyo.

Salamat po.

Lubos na gumagalang,

Esmeralda Poblete
Copies furnished:

Hon. Judge Amelita Cruz-Corpuz Hon. Judge Angelito I. Balderama

Executive Judge Executive Judge
Regional Trial Court Regional Trial Court
Dinalupihan, Bataan Balanga City, Bataan

Hon. Judge Jonel S. Mercado Hon. Judge Richard A. Paradeza

Executive Judge Executive Judge
Regional Trial Court Regional Trial Court
Guagua, Pampanga Olongapo City

Hon. Judge Ma. Cristina J. Mendoza-Pizarro Atty. Marilet P. Layug

First Municipal Circuit Trial Court President
Dinalupihan-Hermosa Integrated Bar of the Philippines
Province of Bataan Bataan Chapter

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Juvy Mell S. Malit, of legal age, Filipino, widow, and with residence and postal
address at Beverly Heights Subdivision, Cataning Roman Hi-way, Hermosa, Bataan,
after having been sworn to in accordance with law, hereby depose and state that:
 1. I am the respondent in A.C. No. 6470 entitled Mercedita De Jesus vs. Atty.
Juvy Mell Sanchez-Malit;

2. I have not been practicing as a Notary Public since August 22, 2014 after
receiving the Resolution of the Honorable Supreme Court promulgated on
July 8, 2014 in the above entitled case;

3. I received the said Resolution on August 12, 2014;

4. I am executing this affidavit to attest to the truth of the foregoing and to

support the Motion to Lift Order of Suspension I filed on September 4, 2015
and for whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 7 th day of

September, 2015 at Dinalupihan, Bataan.

Juvy Mell S. Malit

Affiant

Subscribed and sworn to before me this 7th day of September, 2015at Dinalupihan,
Bataan, Philippines, affiant exhibiting to me her Roll ID No. 40601.

Doc. No.
Page No.
Book No.
Series of 2015.

Mercedita De Jesus vs. Atty. Juvy Mell S. Malit

A.C. No. 6470

Motion to Lift Order of Suspension filed by Atty. Malit

Affidavit of Atty. Malit dated September 3, 2015
Affidavit of Atty. Malit dated September 7, 2015
Republic of the Philippines )
Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Juvy Mell S. Malit, of legal age, Filipino, widow, and with residence and postal
address at Beverly Heights Subdivision, Cataning Roman Hi-way, Hermosa, Bataan,
after having been sworn to in accordance with law, hereby depose and state that:

32. I am the respondent in A.C. No. 6470 entitled Mercedita De Jesus vs. Atty.
Juvy Mell Sanchez-Malit;

33. I already served the penalty of one year suspension from the practice of law
by not attending hearing and submitting/filing pleadings to Court since August
19, 2014. The last time I attended hearings was on August 19, 2014 if my
memory serves me right at the Regional Trial Court, Branch 5, DInalupihan,
Bataan. Attached hereto are the certifications from the Executive Judges of
RTC-Dinalupihan, RTC-Olongapo, MCTC-Dinalupihan/Hermosa, RTC-
Balanga City, Bataan, RTC-Guagua, Pampanga and IBP Bataan Chapter;
 34. Having been able to serve the penalty of suspension, I hereby request that
my suspension be lifted and that I will be allowed to return to the practice of
law again;

35. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 3 rd day of

September, 2015 at Dinalupihan, Bataan.

Juvy Mell S. Malit

Affiant

Subscribed and sworn to before me this 3rd day of September, 2015 at Dinalupihan,
Bataan, Philippines, affiant exhibiting to me her Roll ID No. 40601.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Edna B. Romero of legal age, Filipino, married and with residence and postal
address at Balsic Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

33. I am the mother of RUSSEL B. ROMERO who was born on December 2, 1999
in Dinalupihan, Bataan;

34. Her father is Rogelio C. Romero;

35. Russel is now 15 years old;

36. She is exempted from getting NBI Clearance and Police Clearance since she is
still a minor and student. She is not employed in any company because of her
age;

37. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 3 rd day of

September, 2015 at Dinalupihan, Bataan.
 Edna B. Romero
Affiant

Thumb mark:

Subscribed and sworn to before me this 3 rd day of September, 2015at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her ______________________________; a
copy of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by her for the purpose(s) stated in the document and avows under penalty of law
to the whole truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT TO DROP

I, Dinah C. Batin, of legal age, Filipino, and with residence and postal address at
Sta. Isabel, Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

1. I am one of the defendants in a Small Money Claim Case filed by Ama Rural
Bank of Mandaluyong, Inc. against me and Renato M. Bustillos docketed as
Civil Case No. SCC’15-1199 pending before the Metropolitan Trial Court,
Branch 96, Mandaluyong City;

2. I hereby request that the name of Renato M. Bustillos be dropped from the
said case as he has nothing to do with it;

3. He is not my co-maker and the signature appearing on the Authority to

Deduct attached to the complaint is not his signature;

4. He is not at all obligated to Ama Rural Bank of Mandaluyong, Inc.;

5. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signatures this 2 nd day of

September, 2015 at Dinlalupihan, Bataan.
 Dinah C. Batin
Affiant

Thumb mark:

Subscribed and sworn to before me this 2 nd day of September, 2015 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her __________; a copy of which is hereto
attached and made an integral part of this document. Affiant represented to the notary
public that the signature on this document was voluntarily affixed by her for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Renato M. Bustillos, of legal age, Filipino, and with residence and postal
address at Magsaysay, Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

1. I am one of the defendants in a Small Money Claim Case filed by Ama Rural
Bank of Mandaluyong, Inc. against me and Dinah C. Batin docketed as Civil
Case No. SCC’15-1199 pending before the Metropolitan Trial Court, Branch
96, Mandaluyong City;

2. I do not owe Ama Rural Bank of Mandaluyong, Inc. any amount;

3. I did not act as co-maker for Dinah C. Batin;

4. Dinah C. Batin is aware that I have no participation in the said transaction. In

fact, she executed an Affidavit requesting for the dropping of my name on the
above case;

5. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signatures this 2 nd day of

September, 2015 at Dinlalupihan, Bataan.

Renato M. Bustillos
Affiant

Thumb mark:

Subscribed and sworn to before me this 2 nd day of September, 2015 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his Magsaysay National High School ID No.
4273406; a copy of which is hereto attached and made an integral part of this
document. Affiant represented to the notary public that the signature on this document
was voluntarily affixed by him for the purpose(s) stated in the document and avows
under penalty of law to the whole truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Juvy Mell S. Malit, of legal age, Filipino, widow, and with residence and postal
address at Beverly Heights Subdivision, Cataning Roman Hi-way, Hermosa, Bataan,
after having been sworn to in accordance with law, hereby depose and state that:

36. I am the respondent in A.C. No. 6470 entitled Mercedita De Jesus vs. Atty.
Juvy Mell Sanchez-Malit;

37. I already served the penalty of one year suspension from the practice of law
by not attending hearing and submitting/filing pleadings to Court since August
19, 2014. The last time I attended hearings was on August 19, 2014 if my
memory serves me right at the Regional Trial Court, Branch 5, DInalupihan,
Bataan. Attached hereto are the certifications from the Executive Judges of
RTC-Dinalupihan, RTC-Olongapo, MCTC-Dinalupihan/Hermosa, RTC-
Balanga City, Bataan, RTC-Guagua, Pampanga and IBP Bataan Chapter;

38. Having been able to serve the penalty of suspension, I hereby request that
my suspension be lifted and that I will be allowed to return to the practice of
law again;

39. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 3 rd day of

September, 2015 at Dinalupihan, Bataan.

Juvy Mell S. Malit

Affiant

Subscribed and sworn to before me this 3 rd day of September, 2015at Dinalupihan,

Bataan, Philippines, affiant exhibiting to me her Roll ID No. 40601.

Doc. No.
Page No.
Book No.
Series of 2015.
Copies furnished:

Hon. Judge Amelita Cruz-Corpuz Hon. Judge Angelito I.

Balderama
Executive Judge Executive Judge
Regional Trial Court Regional Trial Court
Dinalupihan, Bataan Balanga City, Bataan

Hon. Judge Jonel S. Mercado Hon. Judge Richard A.

Paradeza
Executive Judge Executive Judge
Regional Trial Court Regional Trial Court
Guagua, Pampanga Olongapo City

Hon. Judge Ma. Cristina J. Mendoza-Pizarro Atty. Marilet P. Layug

First Municipal Circuit Trial Court President
Dinalupihan-Hermosa Integrated Bar of the Philippines
Province of Bataan Bataan Chapter
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT TO DROP

I, Dinah C. Batin, of legal age, Filipino, and with residence and postal address at
Sta. Isabel, Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

6. I am one of the defendants in a Small Money Claim Case filed by Ama Rural
Bank of Mandaluyong, Inc. against me and Renato M. Bustillos docketed as
Civil Case No. SCC’15-1199 pending before the Metropolitan Trial Court,
Branch 96, Mandaluyong City;

7. I hereby request that the name of Renato M. Bustillos be dropped from the
said case as he has nothing to do with it;

8. He is not my co-maker and the signature appearing on the Authority to

Deduct attached to the complaint is not his signature;

9. He is not at all obligated to Ama Rural Bank of Mandaluyong, Inc.;

10. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signatures this 2 nd day of

September, 2015 at Dinlalupihan, Bataan.

Dinah C. Batin
Affiant

Thumb mark:

Subscribed and sworn to before me this 2 nd day of September, 2015 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her __________; a copy of which is hereto
attached and made an integral part of this document. Affiant represented to the notary
public that the signature on this document was voluntarily affixed by her for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Renato M. Bustillos, of legal age, Filipino, and with residence and postal
address at Magsaysay, Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

6. I am one of the defendants in a Small Money Claim Case filed by Ama Rural
Bank of Mandaluyong, Inc. against me and Dinah C. Batin docketed as Civil
Case No. SCC’15-1199 pending before the Metropolitan Trial Court, Branch
96, Mandaluyong City;

7. I do not owe Ama Rural Bank of Mandaluyong, Inc. any amount;

8. I did not act as co-maker for Dinah C. Batin;

9. The signature appearing in the Authority to Deduct attached to the complaint

is not my signature;

10. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signatures this 2 nd day of

September, 2015 at Dinlalupihan, Bataan.

Renato M. Bustillos
Affiant

Thumb mark:

Subscribed and sworn to before me this 2 nd day of September, 2015 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his Magsaysay National High School ID No.
4273406; a copy of which is hereto attached and made an integral part of this
document. Affiant represented to the notary public that the signature on this document
was voluntarily affixed by him for the purpose(s) stated in the document and avows
under penalty of law to the whole truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.
Republic of the Philippines )
Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT OF RELEASE AND QUITCLAIM

I, Jennyfer N. Jusayan, of legal age, Filipino, single and with residence and
postal address at Pentor Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

7. I am the Attorney-in-fact of Alfredo C. Nicdao as per Special Power of

Attorney notarized by Atty. Juvy Mell B. Sanchez-Malit on July 20, 2011
and entered into her Notarial Book as Doc. No. 179; Page No. 36; Book
No. XIV; Series of 2011;

8. I hereby acknowledge having received the Release/Cancellation of Real

Estate Mortgage from the closed Unified Savings and Loan Association,
Inc., and in view of which I hereby RELEASE AND DISCHARGE said
closed bank, and/or its Liquidator, its officers, employees, agents or
representatives from any further liability, whatsoever, emanating directly or
indirectly from the aforestated release of Release/Cancellation of Real
estate Mortgage, and for this purpose I hereby hold the said bank, its
Liquidator, its officers, employees, agents or representatives, legally free
and harmless from any further liability arising the foregoing transaction,
claim or incident;

9. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 2 nd day of

August, 2011 at Dinalupihan, Bataan.

Jennyfer N. Jusayan
Affiant

Thumb mark:

Subscribed and sworn to before me this 2 nd day of August, 2011 at Dinaluiphan,

Bataan. Affiant exhibiting to me her VIN 0804-0166A-I0484JNJ20000-9.

Doc. No.
Page No.
Book No.
Series of 2011.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Vilma Dolores L. Varias, of legal age, Filipino, and with residence and postal
address at 82 Purok 2A, Roosevelt Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I personally know JENNIFER APOSTOL CLEARY who is resident of 98

Purok 2, Roosevelt Dinalupihan, Bataan;

2. She was born on January 9, 1980 in Dinalupihan, Bataan. Her mother is

Teresita Apostol Cleary and she is presently residing at 346 Rock St. Apt 2
Marquette, Michigan;

3. Teresita is my childhood friend;

4. I knew the fact of birth of Jennifer because I saw her grew up;

5. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signatures this 20 th day of

July, 2015 at Dinlalupihan, Bataan.

Vilma Dolores L. Varias

Affiant

Thumb mark:

Subscribed and sworn to before me this 20 th day of July, 2015 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as her VIN 0804-0205A-C2274VLV20000, a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by them for the purpose(s) stated in the document and avows under penalty of
law to the whole truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Joint Affidavit of Relatives

 We, Violeta U. Umali and Berlinda A. Anzale, both of legal age, Filipino, and
with residence and postal address at Roosevelt Dinalupihan, Bataan, after having been
sworn to in accordance with law, hereby depose and state that:

1. We personally know JENNIFER APOSTOL CLEARY who is resident of 98

Purok 2, Roosevelt Dinalupihan, Bataan;

2. She was born on January 9, 1980 in Dinalupihan, Bataan. Her mother is

Teresita Apostol Cleary and she is presently residing at 346 Rock St. Apt 2
Marquette, Michigan;

3. I, Berlinda, am the sister of Teresita who is the mother of Jennifer. While, I

Violeta, am the first (1st) cousin of Teresita since our parents are siblings;

4. We knew the fact of birth of Jennifer because we were there when her mother
delivered and we saw Jennifer grew up;

5. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 20 th day

of July, 2015 at Dinlalupihan, Bataan.

Violeta U. Umali Berlinda A. Anzale

Affiant Affiant
VIN 0804-0194A-F2559VUU20001-5 VIN 0804-0201A-
B1867BAA20006-2

Subscribed and sworn to before me this 20 th day of July, 2015 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiants personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as their Voter’s IDs, a copies of which are hereto
attached and made an integral part of this document. Affiants represented to the notary
public that the signatures on this document were voluntarily affixed by them for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No. 426

Page No. 86
Book No. V
Series of 2015.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Joint Affidavit of Friends

We, Nhice P. Lima and Maria Angelica P. Cuenco, both of legal age, and with
residence and postal address at San Isidro, Dinalupihan, Bataan, after having been
sworn to in accordance with law, hereby depose and state that:
 7. We are the friends of Spouses Oneal C. Payumo and Ivy D. Guanzon who got
married on November 18, 2010 in Office of the Municipal Mayor Dinalupihan,
Bataan as evidenced by their Certificate of Marriage;

8. We acquired knowledge of their marriage because we attended their said

wedding;

9. Reception was held at Farmlandia Resort in Hermosa, Bataan after the marriage
ceremony in Dinalupihan, Bataan;

10. We know the foregoing because we are the friends of Spouses Oneal C. Payumo
and Ivy D. Guanzon;

11. We are not in anyway related to them, either by consanguinity or by affinity;

12. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 6 th day of

December 2010 at Dinalupihan, Bataan.

Nhice P. Lima Maria Angelica P. Cuenca

Affiant Affiant
Postal ID No. 10284411 Police Clearance Control no. 1001-2010-
3126

Subscribed and sworn to before me this 6 th day of December, 2010 at Dinalupihan,

Bataan.

Doc. No.
Page No.
Book No.
Series of 2010.

Republic of the Philippines )

Affidavit of Recovery
I, Semina Y. Cruz, of legal age, Filipino, and with residence and postal address
at Sta. Mabuco Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

7. I am the attorney-in-fact of Sps. Belen Y. Jaring and Rodelgio C. Jaring.

Concerning their property located at San Pedro Hermosa, Bataan covered by
Transfer Certificate of Title No. T-96571 measuring 260 square meters;

8. The original title of the said property could not be located for a long time;

9. An Affidavit of Loss was executed and caused to be annotated at the back of the
title kept at the Registry of Deeds, Balanga City, Bataan as Entry No.
2014009680 dated December 8, 2014;

10. The, I filed a Petition for Issuance of Owner’s New Duplicate Certificate of Title
pending before the Regional Trial Court, Branch 5, Dinalupihan, Bataan docketed
as LRC Case No. 253-15;

11. Recently, spouses Belen and Rodelgio found the original of the said title; hence,
this affidavit;

12. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.
 IN WITNESS WHEREOF, I have hereunto affixed my signature this ____ day of
July, 2015 at _____________________.

Semina Y. Cruz
Affiant

Subscribed and sworn to before me this ____ day of July, 2015 at

_______________________. Affiant exhibiting to me her VIN 0805-0138A-
L2938STC20000.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Late Registration of

Marriage Certificate

I, Marry Ann G. Paparon, of legal age, Filipino, married and with residence and
postal address at Pita Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

1. I am married to Ronelo P. Paparon. We got married on December 13, 2011 in

Dinalupihan, Bataan;

2. Our marriage records are not yet duly registered with the concerned Office of the Civil
Registrar of Dinalupihan, Bataan;

3. There is a need to have said marriage records registered; hence, this affidavit;

4. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13 th day of July,

2015 at Dinalupihan, Bataan.
 Marry Ann G. Paparon
Affiant

Thumb mark:

Subscribed and sworn to before me this 13 th day of July, 2015 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as her Voter’s ID No. 0804-0184A-
L2090MAG20000, a copy of which is hereto attached and made an integral part of this
document. Affiant represented to the notary public that the signature on this document
was voluntarily affixed by her for the purpose(s) stated in the document and avows
under penalty of law to the whole truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Recovery

I, Semina Y. Cruz, of legal age, Filipino, and with residence and postal address
at Sta. Mabuco Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

13. I am the attorney-in-fact of Sps. Belen Y. Jaring and Rodelgio C. Jaring. They are
the absolute owners of property located at San Pedro Hermosa, Bataan
covered by Transfer Certificate of Title No. T-96571 measuring 260 square
meters;

14. The original title of the said property could not be found;

15. I filed a Petition for Issuance of Owner’s New Duplicate Certificate of Title
pending before the Regional Trial Court, Branch 5, Dianlupihan, Bataan docketed
as LRC Case No. 253-15. In fact, an Affidavit of Lost was executed and caused it
to be annotated at the back of the title kept of Registry of Deeds, Bataan as Entry
No. 2014009680 dated December 8, 2014;

16. Recently, said spouses Belen and Rodelgio found the original of the said title,
hence this affidavit;

17. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13 th day of July,

2015 at Dinalupihan, Bataan.

Semina Y. Cruz
Affiant

Thumb mark:
 Subscribed and sworn to before me this 13 th day of July, 2015 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as her ________________________, a copy of
which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by her for the purpose(s) stated in the document and avows under penalty of law
to the whole truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Ownership

I, Amelia N. Manalili, of legal age, Filipino, married, and with residence and
postal address at Balsic Hermosa, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

1. I am the owner of a parcel of land located at Sta. Rita, Olongapo City, measuring
398 square meters and covered by Sales Application No. (111-4) 8705;

2. My ownership is evidenced by the attached Deed of Absolute Sale of a

Residential Land notarized by Atty. Alberto Roxas on December 1, 1977, entered
into his Notary Reg. Book as Doc. No. 329; Page No. 40; Book No. X; Series of
1977;

3. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 8 th day of July,

2015 at Dinalupihan, Bataan.

Amelia N. Manalili
Affiant

Thumb mark:

Subscribed and sworn to before me this 8th day of July, 2015 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as her Postal ID No. 5165635, a copy of which is
hereto attached and made an integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by her for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Cleotilde C. Ronquillo, of legal age, Filipino, married and with residence and
postal address at Balsic Hermosa, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

38. I intend to put up a business to be operated at Balsic Hermosa, Bataan (to be

named SCCR Building) with an initial capital/investment of P 800,000.00;

39. I shall increase my capital once the business progresses;

40. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 7 th day of July,

2015 at Dinalupihan, Bataan.

Cleotilde C. Ronquillo
Affiant

Thumb mark:

Subscribed and sworn to before me this 7th day of July, 2015 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as her Postal ID No. 3281303, a copy of which is
hereto attached and made an integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by her for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Terencio L. Bagongon, of legal age, Filipino, and with residence and postal
address at Balsik Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

1. I had stopped/ceased from my self-employed activity as a Tuba Maker

since September 1996;

2. I have no earnings from my self-employed business;

3. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 22 nd day of

June, 2015 at Dinalupihan, Bataan.

Terencio L. Bagongon
Affiant

Thumb mark:
 Subscribed and sworn to before me this 22nd day of June, 2015 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as his SSS ID No. 08-1011148-0, a copy of which
is hereto attached and made an integral part of this document. Affiant represented to
the notary public that the signature on this document was voluntarily affixed by him for
the purpose(s) stated in the document and avows under penalty of law to the whole
truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Joanna Marie G. Akhtar, of legal age, Filipino, married and with residence and
postal address at Luacan Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

37. I am the wife of ADNAN AKHTAR. We got married on October 18, 2013 in San
Ildefonso, Bulacan;
38. We are engaged in business under the Business Name Danny Cell Phone Shop
located at Dinalupihan Public Market in Dinalupihan, Bataan;
39. My husband is intending to come the Philippines as tourists;

Adnan Akhtar
Passport No. KH622275
Date of Birth: May 11, 1990

40. He will be staying with me here in the Philippines for one (1) or two (2) months;
41. He will stay with me during her visit;
42. I hereby undertake to give all the necessary support and assistance to the
aforementioned while in the Philippines;
43. I, likewise guarantee that he is peaceful citizen and that his purpose in coming to
the Philippines is purely recreation and business on the side;
44. I declare these facts under threat of perjury;
45. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.
 IN WITNESS WHEREOF, I have hereunto affixed my signature this 17 th day of June,
2015 at Dinalupihan, Bataan.

Joanna Marie G. Akhtar

Affiant

Thumb mark:

Subscribed and sworn to before me this 17 th day of June, 2015 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as her Postal ID No. 4712473, a copy of which is
hereto attached and made an integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by her for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Roberto S. Basco, of legal age, Filipino, and with residence and postal
address at Rizal St., Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

13. I am the father/guardian of RELOBERT RELORCASA BASCO who was born

on May 5, 1989 in Dinalupihan, Bataan;

14. His mother is Shirley R. Relorcasa and we do not know her whereabouts;

15. He has been in my custody since birth and up to the present;

16. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 2 nd day of June,

2015 at Dinalupihan, Bataan.

Roberto S. Basco
Affiant

Thumb mark:

Subscribed and sworn to before me this 2 nd day of June, 2015 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as his Philhealth ID No. 07-025605822-5, a copy of
which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by him for the purpose(s) stated in the document and avows under penalty of
law to the whole truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Transfer of Ownership

I, Floserfina T. Vital, of legal age, Filipino, married and with residence and
postal address at Burgos St., Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

13. I am the registered owner of ERJ ARCADE located at Burgos Dinalupihan,

Bataan registered with the Department of Trade and Industry (DTI) with
Certificate No. 03566182;

14. I am transferring all my rights and interests over the said establishment in favor
of my daughter Ruby Anna V. Mallari because of my advanced age;

15. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 1 st day of June,

2015 at Dinlalupihan, Bataan.

Floserfina T. Vital
Affiant

Subscribed and sworn to before me this 1st day of June, 2015 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as her OSCA ID No. 0804 , a copy of which is
hereto attached and made an integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by her for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Rosalinda O. Divinagracia, of legal age, Filipino, and with residence and

postal address at Sacrifice Valley, Hermosa, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am the registered owner of Viking Laundry located at Bonifacio Street,

Dinalupihan, Bataan;

2. I have been the owner thereof since the year 2004;

3. I have not employed anybody since 2004 up to the month of April 2015;

4. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 28 th day of May,

2015 at Dinalupihan, Bataan.

Rosalinda O. Divinagracia
Affiant

Thumb mark:

Subscribed and sworn to before me this 28 th day of May, 2015 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as her SSS ID no. 33-0125652-1, a copy of which
is hereto attached and made an integral part of this document. Affiant represented to
the notary public that the signature on this document was voluntarily affixed by her for
the purpose(s) stated in the document and avows under penalty of law to the whole
truth of the contents of the document.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Alvin Kaye M. Bacani, of legal age, Filipino, and with residence and postal
address at Balsic Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

41. I intend to put up a small business to be operated at Sitio Tama, Culis,

Hermosa, Bataan (to be named KAYE’S FARM) with an initial capital/investment
of P 100,000.00;

42. I shall increase my capital once the business progresses;

43. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 26 th day of May,

2015 at Dinalupihan, Bataan.

Alvin Kaye M. Bacani

Affiant

Thumb mark:

Subscribed and sworn to before me this 26 th day of May, 2015 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as his Barangay Clearance issued by the Office of
the Sangguniang Barangay of Culis Hermosa, Bataan, a copy of which is hereto
attached and made an integral part of this document. Affiant represented to the notary
public that the signature on this document was voluntarily affixed by him for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.
Republic of the Philippines ) S.s.
Municipality of Dinalupihan)S.s.
Province of Bataan

Affidavit

I, Alvin Kaye M. Bacani, of legal age, Filipino, married, and with residence and
postal address at Balsic Hermosa, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

44. I intend to put up a business under the name KAYE’S FARM to operate along
Sitio Tama Culis, Hermosa, Bataan;

45. I have not opened any other business in Dinalupihan, Bataan;

46. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 12 th day of

February, 2015 at Dinalupihan, Bataan.

Ignatius Kim P. Llauder

Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 12th day of February, 2015 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as his Driver’s License No. K03-96-033408, a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by his for the purpose(s) stated in the document and avows under penalty of law
to the whole truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT
 I, Efren N. David, of legal age, Filipino, and with residence and postal address at
Saguing Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

38. I am the father of ANDREY BAUTISTA DAVID who was born on June 28, 2000
in Dinalupihan, Bataan;

39. Her mother is Analyn Mercado Bautista;

40. Andrey is now 14 years old;

41. She is exempted from getting NBI Clearance and Police Clearance since she is
still a minor and student. She is not employed in any company because of her
age;

42. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 25 th day of May,

2015 at Dinalupihan, Bataan.

Efren N. David
Affiant

Thumb mark:

Subscribed and sworn to before me this 25 th day of May, 2015 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as his Driver’s License No. C09-11-001070, a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by him for the purpose(s) stated in the document and avows under penalty of
law to the whole truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Anita S. De Leon, of legal age, Filipino, married and with residence and postal
address at New San Jose Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:
 17. I am the grandmother/guardian of MOHAMMAD DE LEON, KHALID DE
LEON and MARK ANTHONY DE LEON who were born on March 28, 2006,
November 15, 2007 and March 29, 2010, respectively in Floridablanca,
Pampanga;

18. Their mother is Maria Rosa Soriano De Leon and we do not know her
whereabouts;

19. They have been in my custody since birth and up to the present;

20. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13 th day of May,

2015 at Dinalupihan, Bataan.

Anita S. De Leon
Affiant

Thumb mark:

Subscribed and sworn to before me this 13 th day of May, 2015 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as her OSCA ID NO. 5683, a copy of which is
hereto attached and made an integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by her for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Anita S. De Leon, of legal age, Filipino, married and with residence and postal
address at New San Jose Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am the grandmother/guardian of MOHAMMAD DE LEON, KHALID DE

LEON and MARK ANTHONY DE LEON who were born on March 28, 2006,
November 15, 2007 and March 29, 2010, respectively in Floridablanca,
Pampanga;

2. Their mother is Maria Rosa Soriano De Leon and we do not know her
whereabouts;
 3. They have been in my custody since birth and up to the present;

4. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13 th day of May,

2015 at Dinalupihan, Bataan.

Anita S. De Leon
Affiant

Thumb mark:

Subscribed and sworn to before me this 13 th day of May, 2015 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as her OSCA ID NO. 5683, a copy of which is
hereto attached and made an integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by her for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of No Operation

I, Jayson V. Garcia, of legal age, Filipino, married, and with residence and
postal address at J.C. Payumo Jr., Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

70. I am the registered owner of JSCC BUILDERS located at No. 377 Purok 3,
J.C. Payumo Jr. Dinalupihan, Bataan registered with the Department of Trade
and Industry (DTI);
 71. It started its operation sometime in the year November 2015 and it has
ceased operating for the month of November and December 2015 and up to
present because the same is no longer earning income;

72. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 8 th day of

January, 2016 at Dinalupihan, Bataan.

Jayson V. Garcia
Affiant

Thumb mark:

Subscribed and sworn to before me this 8th day of January, 2016 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as his Driver’s License No.
_______________________________; a copy of which is hereto attached and made
an integral part of this document. Affiant represented to the notary public that the
signature on this document was voluntarily affixed by him for the purpose(s) stated in
the document and avows under penalty of law to the whole truth of the contents of the
document.

Doc. No.
Page No.
Book No.
Series of 2016.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

We, Denrick James M. Dela Cruz and Crystal Joy M. Dela Cruz, both of legal
age, Filipino, and with residence and postal address at Sto Niño, Dinalupihan, Bataan,
after having been sworn to in accordance with law, hereby depose and state that:

5. We are the buyers of the real property located at Sto. Niño, Dinalupihan,
Bataan, measuring Ten Thousand Eight Hundred Twenty One (10, 821)
square meters, covered by Transfer Certificate of Title No. T-259503 as
evidenced by an Extrajudicial Settlement Among Heirs With Deed of Sale
dated March 01, 2015;
 6. The said parcel of land has no improvements thereon as evidenced by the
Certification from the Office of the Municipal Assessor dated May 08, 2015;

7. However, in the Certification from the Office of the Provincial Assessor, it was
stated that there is a property holding/improvement declared on the said
parcel of land;

8. I am executing this affidavit to correct the above-mentioned error; thereby

declaring that there is indeed no improvements on the said lot;

9. I hereby attest to the truth of the foregoing and for whatever legal purpose this
may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 8 th day of

May, 2015 at Dinalupihan, Bataan.

Denrick James M. Dela Cruz Crystal Joy M. Dela Cruz

Affiant Affiant
_______________________
______________________
_______________________
______________________

Subscribed and sworn to before me this 8 th day of May, 2015 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as their ______________ IDs, a copies of which
are hereto attached and made an integral part of this document. Affiants represented to
the notary public that the signatures on this document were voluntarily affixed by their
for the purpose(s) stated in the document and avows under penalty of law to the whole
truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Ma. Luisa Delos Reyes, of legal age, Filipino, and with residence and postal
address at Brgy. General Luna, Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:
 10. I am the user/holder of a Sun Cellular Account No. 160056452 with Phone
Number 0932-845-5942 which is under the name of Mr. Rennel Salvador
Victorino;

11. Mr. Victorino gave me the permission to use the said account and so I
assumed the usage and the payment responsibility starting November 24,
2011;

12. I have been religiously paying the said account as evidenced by the letter
from Sun Cellular dated May 05, 2015;

13. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 8 th day of May,

2015 at Dinalupihan, Bataan.

Ma. Luisa Delos Reyes

Affiant

Thumb mark:

Subscribed and sworn to before me this 8 th day of May, 2015 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public a
competent evidence of identity such as her TIN No. 233-306-352-000, a copy of which
is hereto attached and made an integral part of this document. Affiant represented to
the notary public that the signature on this document was voluntarily affixed by her for
the purpose(s) stated in the document and avows under penalty of law to the whole
truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Alma U. Naguiat, of legal age, Filipino, and with residence and postal address
at Pag-Asa Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

14. I am the aunt/guardian of CZAIRYLLE LENNOXE NAGUIAT who was born

on April 1, 2015 in Dinalupihan, Bataan;

15. Her mother is Marissa F. Naguiat and we do not know her whereabouts;

16. She has been in my custody since birth and up to the present;
 17. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 8 th day of May,

2015 at Dinalupihan, Bataan.

Alma U. Naguiat
Affiant

Thumb mark:

Subscribed and sworn to before me this 8 th day of May, 2015 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as her VIN 0804-0149A-I1070AUN20001-7, a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by her for the purpose(s) stated in the document and avows under penalty of law
to the whole truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Esmeralda Cabato, of legal age, Filipino, and with residence and postal
address at 346 San Valentine St. Jose C. Payumo, Jr., Dinalupihan, Bataan, after
having been sworn to in accordance with law, hereby depose and state that:

9. I am the sister Esperanza C. Meier, who is currently a resident and citizen of

the United States of America;

10. She has recently petitioned me to the United States, as evidenced by the
petition letter by the National Visa Center dated February 20, 2015;

11. In the said letter, I was addressed as Esmeralda Cabato, without a middle
name;

12. The said name is the true and correct one as this is the name stated in my
certificate of live birth;
 13. However, in my passport application form to the Department of Foreign
Affairs (DFA), the DFA officer placed “Balagtas” as my middle name despite
the fact that I actually have no middle name;

14. The above error was committed without my fault and intention to mislead the
public;

15. I am executing this affidavit to correct the above-mentioned error; thereby

using Esmeralda N.M.N. Cabato as my true and correct name instead of
Esmeralda Balagtas Cabato;

16. I hereby attest to the truth of the foregoing and for whatever legal purpose this
may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 7 th day of May,

2015 at Dinalupihan, Bataan.

Esmeralda Cabato
Affiant

Thumb mark:

Subscribed and sworn to before me this 7th day of May, 2015 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as her VRR No. 0000000019066252, a copy of
which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by her for the purpose(s) stated in the document and avows under penalty of law
to the whole truth of the contents of the document.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Transfer of Ownership

I, Jaime G. Montemayor, of legal age, Filipino, married and with residence and
postal address at Daang Bago Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

16. I am the registered owner of REDD DRUGSTORE located at VM Center Mall

Bonifacio St., Dinalupihan, Bataan registered with the Department of Trade and
Industry (DTI) under Certificate No. 01910278;

17. I am transferring all my rights and interests over the said establishment in favor
of my brother-in-law Robledo I. David, considering that I could no longer
manage the said business as I have to leave the country to earn or living;

18. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of May,

2015 at Dinlalupihan, Bataan.
 Jaime G. Montemayor
Affiant

Thumb mark:

Witness:

Micaela I. David
Dinalupihan, Bataan

Subscribed and sworn to before me this 5 th day of May, 2015 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as his Postal ID No. 4717328, a copy of which is
hereto attached and made an integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by him for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Psalm V. Marasigan, of legal age, Filipino, and with residence and postal
address at Bamban, Hermosa, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

17. I am currently a site engineer of Reinhard Jeresano Jr., a sub-contractor of

P.C. Panopio Construction;

18. I am also currently handling a private project of Ms. Didra Sanchez;

19. I intend to visit Singapore for a 14-day vacation starting May 7, 2015;

20. Thereafter, I will return to the Philippines and continue my above-mentioned

occupation;

21. My trip to Singapore is not for the purpose of seeking employment therein;

22. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.
 IN WITNESS WHEREOF, I have hereunto affixed my signature this 4 th day of May,
2015 at Dinalupihan, Bataan.

Psalm V. Marasigan
Affiant

Thumb mark:

Subscribed and sworn to before me this 4th day of May, 2015 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as his PRC ID No. 0135678, a copy of which is
hereto attached and made an integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by him for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No. 364

Page No. 73
Book No. III
Series of 2015.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

JOINT AFFIDAVIT

We, Ryan M. Torno and Nelia E. Sumala, both of legal age, Filipino, and with
residence and postal address at Saguing Dinalupihan, Bataan, after having been sworn
to in accordance with law, hereby depose and state that:

1. We personally know Spouses John Gilbert Viray Edquilan and Michel

Reyes Menes;

2. John Gilbert was born on May 26, 1968 in Dinalupihan, Bataan; while, Michel
was born on June 29, 1979 in Pangasinan;

3. They got married on September 10, 2014 at the Office of the Municipal Mayor
in Dinalupihan, Bataan as evidenced by their Certificate of Marriage;

4. We know the foregoing because we are the godparents of Sps. John Gilbert and
Michel and we have known them for a long time now;

5. We are not in anyway related to them, either by consanguinity or by affinity;

6. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 29 th day of

April, 2015 at Dinalupihan, Bataan.

Ryan M. Torno Nelia E. Sumala

Affiant Affiant
PRC ID No. 1212224 FSCAP ID No. 0714

Subscribed and sworn to before me this 29 th day of April, 2015 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as their PRC and FSCAP IDs, a copies of which
are hereto attached and made an integral part of this document. Affiants represented to
the notary public that the signatures on this document were voluntarily affixed by them
for the purpose(s) stated in the document and avows under penalty of law to the whole
truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Mary Jane E. Maniangap, of legal age, Filipino, and with residence and postal
address at 23 General Luna, Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

23. I am the registered owner of JOSAN II LUMBER, a lumber business located

at General Luna St., Dinalupihan, Bataan;

24. I am currently engaging the services of four employees in the said business;

25. Out of the four employees above-mentioned, two of them, Reynaldo S. Eraña
and Raymond S. Eraña, are my brothers;

26. The other two employees, Joey A. Gutierrez and Ronnel M. Salangsang, are
my nephews;

27. Therefore, the said business is deemed a family-runned business;

28. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.
 IN WITNESS WHEREOF, I have hereunto affixed my signature this 24 th day of April,
2015 at Dinalupihan, Bataan.

Mary Jane E. Maniangap

Affiant

Thumb mark:

Subscribed and sworn to before me this 24 th day of April, 2015 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as her UMID ID CRN 0111-0270426-1, a copy of
which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by her for the purpose(s) stated in the document and avows under penalty of law
to the whole truth of the contents of the document.

Doc. No. 296

Page No. 60
Book No. III
Series of 2015.
Republic of the Philippines )
Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Rustica B. Visda, of legal age, Filipino, widow and with residence and postal address
at Tucop Dinalupihan, Bataan, after having been sworn to in accordance with law, hereby
depose and state that:

18. I am the attorney-in-fact of the petitioner in the Civil Case No. DH-1396-15 entitled
Jocelyn B. Visda, represented by her mother/Attorney-in-fact, Rustica Visda v. Neil
Biugos for Sole Custody and Control on the persons of minors Harold, Beverly and
Harvey (all surnamed Biugos) pending before the Regional Trial Court Branch 5,
Dinalupihan, Bataan;

19. The amended petition was filed on February 18, 2015;

20. Summons to respondent was unserved;

21. The whereabouts of the respondent proves to be unknown and cannot be

ascertained by diligent inquiry;

22. Pursuant to Section 14, Rule 14 of the 1997 Rules of Court, As Amended, service of
summons to respondent may now, with leave of court, be effected by publication;

23. I hereby request the Regional Trial Court Branch 5, Dinalupihan, Bataan to allow the
service of summons by publication upon respondent Meil Biugos so that the court
may acquire jurisdiction over his person;

24. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 10 th day of April, 2015
at Dinalupihan, Bataan.

Rustica B. Visda
Affiant

Subscribed and sworn to before me this 10th day of April, 2015 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally appeared
before the undersigned and had exhibited to the said notary public through a competent
evidence of identity such as her OSCA I.D. No. 0467, a copy of which is hereto attached and
made an integral part of this document. Affiant represented to the notary public that the
signature on this document was voluntarily affixed by her for the purpose(s) stated in the
document and avows under penalty of law to the whole truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines ) S.s.

AFFIDAVIT

I, Elsa T. Garcia, of legal age, Filipino, married, and with residence and postal
address at Sto. Niño, Lubao, Pampanga, after having been sworn to in accordance with
law, hereby depose and state that:

74. I am the wife of Danilo Garcia. He is the registered owner of a parcel of land
situated at Sto. Niño, Lubao, Pampanga, measuring 10,000 square meters, more
or less and covered by Transfer Certificate of Title No. CLOA-17700 of the
Registry of Deeds in the Province of Pampanga;

75. We do not have Annual Income Tax Return or filing any taxes because we do
not have business;

76. We are exempted from filing Income Tax or any taxes;

77. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 10 th day of April,

2015 at __________________________.

Elsa T. Garcia
Affiant

Subscribed and sworn to before me this 10th day of April, 2015 at

_______________________.

Doc. No.
Page No.
Book No.
Series of 2015.
Republic of the Philippines ) S.s.

AFFIDAVIT

I, Romeo D. Sta. Ana, of legal age, Filipino, married, and with residence and
postal address at Sto. Niño, Lubao, Pampanga, after having been sworn to in
accordance with law, hereby depose and state that:

47. I am the registered owner of a parcel of land situated at Sto. Niño, Lubao,
Pampanga, measuring 5,000 square meters, more or less and covered by
Transfer Certificate of Title No. CLOA-17698 of the Registry of Deeds in the
Province of Pampanga;

48. I do not have Annual Income Tax Return or filing any taxes because I do not
have business;

49. I am exempted from filing Income Tax or any taxes;

50. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 10 th day of April,

2015 at __________________________.

Romeo D. Sta. Ana

Affiant

Subscribed and sworn to before me this 10th day of April, 2015 at

____________________.

Doc. No.
Page No.
Book No.
Series of 2015.
 the office of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan.
Affiant personally appeared before the undersigned and had exhibited to the said notary
public through a competent evidence of identity such as his Driver’s License No. K03-
96-033408, a copy of which is hereto attached and made an integral part of this
document. Affiant represented to the notary public that the signature on this document
was voluntarily affixed by his for the purpose(s) stated in the document and avows
under penalty of law to the whole truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Mary Jane A. Eugenio, of legal age, Filipino, married and with residence and
postal address at Luacan Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

7. I was born on May 18, 1987 in Hermosa, Bataan;

8. My father is Jesus Dela Cruz Kabiling(deceased) and my mother is Marilou

Pigollio Dula and we do not know her whereabouts;

9. I have been using the surname Kabiling in all my documenst and records;

10. And therefore, I decided to continue using my father’s surname which is

“KABILING”;

11. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 8 th day of April,

2015 at Dinalupihan, Bataan.

Christian D. Kabiling
Affiant

Thumb mark:

Subscribed and sworn to before me this 8 th day of April, 2015 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as his VIN 0805-0108A-E1887CDK10000, a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by him for the purpose(s) stated in the document and avows under penalty of
law to the whole truth of the contents of the document.
Doc. No. 154
Page No. 31
Book No. III
Series of 2015.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Christian D. Kabiling, of legal age, Filipino, and with residence and postal
address at Culis Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

29. I was born on May 18, 1987 in Hermosa, Bataan;

30. My father is Jesus Dela Cruz Kabiling(deceased) and my mother is Marilou

Pigollio Dula and we do not know her whereabouts;

31. I have been using the surname Kabiling in all my documenst and records;

32. And therefore, I decided to continue using my father’s surname which is

“KABILING”;

33. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 8 th day of April,

2015 at Dinalupihan, Bataan.

Christian D. Kabiling
Affiant

Thumb mark:

Subscribed and sworn to before me this 8 th day of April, 2015 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as his VIN 0805-0108A-E1887CDK10000, a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by him for the purpose(s) stated in the document and avows under penalty of
law to the whole truth of the contents of the document.

Doc. No. 154

Page No. 31
Book No. III
Series of 2015.
Republic of the Philippines )
Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Rodolfo F. Miranda, of legal age, Filipino, and with residence and postal
address at Magsaysay Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

18. I am the grandfather of JADE MIRANDA who was born on July 3, 2001 in
Dinalupihan, Bataan;

19. Her mother is Irene C. Miranda and we do not know is whereabouts;

20. She has been in my custody since birth and up to the present;

21. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 8 th day of April,

2015 at Dinalupihan, Bataan.

Rodolfo F. Miranda
Affiant

Thumb mark:

Subscribed and sworn to before me this 8 th day of April, 2015 at the office of the
undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as his VIN 0804-0104A-I0944RFM10000-2, a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by him for the purpose(s) stated in the document and avows under penalty of
law to the whole truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Erminda T. De Guzman, of legal age, Filipino, and with residence and postal
address at Mataas na Lupa, Culis Hermosa, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:
 15. I am a holder of Passport No. UU0336454 issued on December 19, 2006 and
expired on December 19, 2011;

16. I travel to Japan on May 24, 2010;

17. While in Japan, said passport expired;

18. By reason thereof, I returned to the Philippines by travel document with TD

No. 0184-2013 dated November 12, 2013;

19. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 26 th day of

March, 2015 at Dinalupihan, Bataan.

Erminda T. De Guzman
Affiant

Thumb mark:

Subscribed and sworn to before me this 26 th day of March, 2015 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as her SSS ID No. 02-2190129-2, a copy of which
is hereto attached and made an integral part of this document. Affiant represented to
the notary public that the signature on this document was voluntarily affixed by her for
the purpose(s) stated in the document and avows under penalty of law to the whole
truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Susana J. Giray, of legal age, Filipino, married, and with residence and postal
address at Roosevelt Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

25. I am the petitioner in the Civil Case No. DH-1398-15 entitled Susana J. Giray
vs. Wilfredo M. Giray for Annulment and/or Declaration of Nullity of Marriage
pending before the Regional Trial Court Branch 5, Dinalupihan, Bataan;

26. Said case was filed on February 11, 2015;

27. Summons to respondent was unserved;

28. Pursuant to A.M. No. 02-11-10-SC Summons should be effected upon

respondent by publication;
 29. I hereby request the Regional Trial Court Branch 5, Dinalupihan, Bataan to
cause the service of summons by publication upon respondent Wilfredo Giray
so that the court may acquire jurisdiction over his person;

30. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 18 th day of

March, 2015 at Dinalupihan, Bataan.

Susana J. Giray
Affiant

Subscribed and sworn to before me this 18 th day of March, 2015 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as her VIN 0804-0205B-10163SJG20000, a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by him for the purpose(s) stated in the document and avows under penalty of
law to the whole truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Mary Grace B. Laureta, of legal age, Filipino, and with residence and postal
address at Sta. Isabel Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

43. I am the mother of CLARENZE ILY LAURETA DELA CRUZ who was born on
September 8, 2007 in Dinalupihan, Bataan;

44. Her father is Danilo Jr. Baluyot Dela Cruz. We are not legally married;

45. Clarenze Ily is now 7 ½ years old;

46. She is exempted from getting NBI Clearance and Police Clearance since she is
still a minor and student. She is not employed in any company because of her
age;

47. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 9 th day of March,

2015 at Dinalupihan, Bataan.

Mary Grace B. Laureta

Affiant
 Thumb mark:

Witness:

Iven Henry Tan

Dinalupihan, Bataan

Subscribed and sworn to before me this 9th day of March, 2015 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as her CTC No. 34697308 issued on March 9,
2015 at Dinalupihan, Bataan, a copy of which is hereto attached and made an integral
part of this document. Affiant represented to the notary public that the signature on this
document was voluntarily affixed by her for the purpose(s) stated in the document and
avows under penalty of law to the whole truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Municipality of Dinalupihan ) S.s.
Province of Bataan )

Affidavit

I, Maria Kristina R. Medina, of legal age, Filipino, married and with residence
and postal address at Pentor Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

9. I am the mother of JORIZ RUBIANO MEDINA who was born on June 19, 2002
in Dinalupihan, Bataan;

10. His father is Revor H. Medina;

11. He is exempted from getting NBI Clearance and Police Clearance since he is still
a minor and student;

12. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 15 th day of

August, 2014 at Dinalupihan, Bataan.

Maria Kristina R. Medina

Affiant

Thumb mark:

Witness:
Revor H. Medina
Dinalupihan, Bataan

Subscribed and sworn to before me this 15 th day of August, 2014 at Dinalupihan,

[Link] exhibited to me her VIN 0805-0105B-A1682MRM20000.

DECLARATION OF PENDENCY/NON PENDENCY OF CASE

I, GUILLERMO G. PUSONG, of legal age, Filipino, married, and with permanent

address at STO. NIÑO PALIHAN HERMOSA 2111, BATAAN, and holder of the position
WATER/SEWERAGE MAINTENANCE FOREMAN at the HERMOSA WATER DISTRICT,
after being sworn in accordance with law, hereby depose and state that:

51. I am applying for my OPTIONAL/COMPULSARY retirement from the government

service effective FEBRUARY 27, 2015:

52. I have:

52.1 no pending case1 x

52.2 a pending case
 administrative discipliniary case
 criminal case

53. The NATURE/SPECIFIC OFFENSE CHARGED in the pending criminal/administrative

disciplinary case is:
_____________________________N/A__________________________________
______________________________________________________________________
__

54. The venue of investigation/trial: ___________N/A________

YES NO
55. On appeal:

56. The appeal is pending before: __________N/A__________

57. I am executing this Declaration of Pendency/Non-Pendency of Case to attest to the truth

of the foregoing facts and to enable me to process and secure the release of my
retirement benefits.

58. I am executing this Declaration of Pendency/Non-Pendency of Case, I hereby

authorize the GSIS to verify the status of any case(s) filed against me in any
forum.

59. Further, I am executing this Declaration of [Link]-Pendency of case under pain

of criminal and/or administrative liability under existing laws.

GUILLERMO G. PUSONG
Signature over printed name

1
A pending case shall refer to both criminal and administrative disciplinary case. Adminsitrative discipliniary case
is considered when the disciplining authority has issued a formal charge or a notice of charge to the respondent,
while a criminal case shall be considered pending from the time an Information or Complaint is filed in Court.
 SUBSCRIBED AND SWORN to before me this 9th day of March, 2015 , affiant exhibiting
to me his Residence Certificate No.:CCI2013-26621554. Issued at HERMOSA, BATAAN on
JANUARY 23, 2015.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

JOINT AFFIDAVIT

We, Spouses Faustino C. Olivar Jr. and Carolina L. Olivar, both of legal age,
Filipino, and with residence and postal address at C-9 Rosas St., Kapasigan, Pasig
City, after having been sworn to in accordance with law, hereby depose and state that:

1. Our personal data as should have been indicated in our Marriage Contract
are as follows:

Name of Husband: Faustino C. Olivar Jr. Name of Wife: Carolina C. Leal

Date of Birth: October 22, 1953 Date of Birth: September 5, 1972
Place of Birth: Orani, Bataan Place of Birth: Dinalupihan, Bataan
Residence: Silahis, Orani, Bataan Residence: Saguing Din.,
Bataan
Civil Status: Single Civil Status: Single
Religion: Catholic Religion: Catholic
Citizenship: Filipino Citizenship: Filipino

Name of Husband Parents: Name of Wife Parents:

Name of Father: Faustino Olivar Name of Father: Raymundo Leal
Citizenship: Filipino Citizenship: Filipino
Name of Mother: Alejandra Cruz Name of Mother: Gloria Callo

Name of Solemnizing Officer/Designation: Mayor Lucila P. Payumo

Date of Marriage: January 4, 1995
Place of Birth: Dinalupihan, Bataan
Time of Marriage: 10:00 a.m.

Name of Sponsors: Rufino Garcia and Lourdes Lingad

2. We are executing this affidavit to the truth of the foregoing and for whatever
legal purposes this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed my signature this 4 th day of

March, 2015 at Dinalupihan, Bataan.

Faustino C. Olivar Jr. Carolina L. Olivar

Affiant Affiant
OSCA ID No. 78576 TIN 248-899-619-000

Subscribed and sworn to before me this 4th day of March, 2015 at Dinalupihan,
Bataan.
Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Municipality of Dinalupihan ) S.s.
Province of Bataan )

Affidavit

I, Zenaida C. Antonio, of legal age, Filipino, and with residence and postal
address at Saguing Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

1. I am a bonafide member of Social security System with SSS No. 03-0477239-3;

2. I am married to Vicente Dela Cruz Antonio. We got married in the year 1967;

3. We have been separated for almost twenty five (25) years;

4. My said husband was the original beneficiary in my SSS. Considering that we

have been separated for 25 years, I am requesting the SSS to substitute my
daughter Vida C. Antonio to be my beneficiary and cancel the name of my
husband;

5. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 3 rd day of

March, 2015 at Dinalupihan, Bataan.

Zenaida C. Antonio
Affiant

Witness:

Vida C. Antonio
Dinalupihan, Bataan

Subscribed and sworn to before me this 3 rd day of March, 2015 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as her SSS ID No. 03-0477239-3, a copy of which
is hereto attached and made an integral part of this document. Affiant represented to
the notary public that the signature on this document was voluntarily affixed by her for
the purpose(s) stated in the document and avows under penalty of law to the whole
truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.
Republic of the Philippines )
Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Joel M. Danan, of legal age, Filipino, married, and with residence and postal
address at Novotel St. Family Ville Subd., San Isidro Lubao, Pampanga, after having
been sworn to in accordance with law, hereby depose and state that:

31. I am the petitioner in the Civil Case No. DH-1365-14 entitled Joel M. Danan
vs. Lericar F. Gorospe-Danan for Declaration of Nullity of Marriage pending
before the Regional Trial Court Branch 5, Dinalupihan, Bataan;

32. Said case was filed on August 29, 2014;

33. Summons to respondent was unserved;

34. Pursuant to A.M. No. 02-11-10-SC Summons should be effected upon

respondent by publication;

35. I hereby request the Regional Trial Court Branch 5, Dinalupihan, Bataan to
cause the service of summons by publication upon respondent Lericar F.
Gorospe-Danan so that the court may acquire jurisdiction over his person;

36. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 2 nd day of

March, 2015 at Dinalupihan, Bataan.

Joel M. Danan
Affiant

Subscribed and sworn to before me this 2 nd day of March, 2015 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as his Driver’s License No. C09-94-051034, a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by him for the purpose(s) stated in the document and avows under penalty of
law to the whole truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Joan D. Ramos, of legal age, Filipino, married and with residence and postal
address at No. 85 New San Jose Dinalupihan, Bataan , after having been sworn to in
accordance with law, hereby depose and state that:

32. I am presently employed at Mother Margherita de Brincat Catholic School in

Tucop Dinalupihan, Bataan as English Teacher for Grades V and VI;
33. I am applying for ranking and attached the following documents to the said
application:

Personal Data Sheet

Application Letter
Certificate of Employment issued by Mother Margherita de Brincat
Catholic
School
Official Transcript of Records from Pamantasan Lungsod ng Maynila
Official Transcript of Records from Adamson University
Certificate of Live Birth issued by National Statistics Office
Certificate of Marriage issued by National Statistics Office
Diploma given by Adamson University
Certification of Employment and Compensation issued by Dongggerami
MIT
Language School
Certificate of Employment issued by the Center for Positive Futures
Certificate issued by the PRC; Board for Professional Teachers
Ratings obtained in the Secondary Level of the Teachers Licensure
Examination

34. I hereby confirm the veracity and authenticity of the above documents;

35. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 26 th day of

February, 2015 t Dinalupihan, Bataan.

Joan D. Ramos
Affiant

Subscribed and sworn to before me this 26 th day of February 2015 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as her PRC ID No. 1339691, a copy of which is
hereto attached and made an integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by her for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Municipality of Dinalupihan)S.s
Province of Bataan

AFFIDAVIT

I, Richard O. Del Rosario, of legal age, Filipino, single and with residence and
postal address at Layac Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

36. I was born on September 20, 1980 in Dinalupihan, Bataan from parents spouses
Danilo Tolentino Del Rosario and Mercedita Ordijon;

37. My parents died a long time ago;

38. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 18 th day of

February, 2015 at Dinalupihan, Bataan.

Richard O. Del Rosario

Affiant

Thumb mark:

Witness:

Janice M. Cawigan
Daang Bago Dinalupihan, Bataan

Subscribed and sworn to before me this 18 th day of February 2015 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as his CTC No. 26601336 issued on February 17,
2015 at Dianlupihan, Bataan, a copy of which is hereto attached and made an integral
part of this document. Affiant represented to the notary public that the signature on this
document was voluntarily affixed by him for the purpose(s) stated in the document and
avows under penalty of law to the whole truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.
Republic of the Philippines )
Municipality of Dinalupihan)S.s
Province of Bataan

AFFIDAVIT

I, Norberto M. Pula, of legal age, Filipino, married and with residence and postal
address at Brgy. Bayan, Orani, Bataan , after having been sworn to in accordance with
law, hereby depose and state that:

39. I am married to Lolita S. Pula. We got married on April 12, 1984 in Pangasinan;

40. My wife and I are both pastors;

41. I have a daughter named Ana Grace now married to Michael John Mutuc. She
just gave birth to our first grand daughter named Latisha Gianna who was born
on February 5, 2015;

42. My said daughter and her family are all under my care and provides all their
needs since both of them are jobless;

43. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 17 th day of

February, 2015 at Dinalupihan, Bataan.

Norberto M. Pula
Affiant

Subscribed and sworn to before me this 17th day of February 2015 at

Dinalupihan, Bataan, affiant exhibiting to me his Driver’s License No. C02-99-064747.

Doc. No.
Page No.
Book No.
Series of 2015.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Joan D. Ramos, of legal age, Filipino, married and with residence and postal
address at No. 85 New San Jose Dinalupihan, Bataan , after having been sworn to in
accordance with law, hereby depose and state that:

44. I am presently employed at Mother Margherita de Brincat Catholic School in

Tucop Dinalupihan, Bataan as English Teacher for Grades V and VI;
45. I am applying for ranking and attached the following documents to the said
application:

Personal Data Sheet

Application Letter addressed to Ludivina S. Omania
Official Transcript of Records from Pamantasan Lungsod ng Maynila
Official Transcript of Records from Adamson University
Certificate of Live Birth issued by National Statistics Office
Certificate of Marriage issued by National Statistics Office
Diploma given by Adamson University
Certification of Employment and Compensation issued by Dongggerami
MIT
Language School
Certificate of Employment issued by the Center for Positive Futures
Certificate issued by the PRC; Board for Professional Teachers
Ratings obtained in the Secondary Level of the Teachers Licensure
Examination

46. I hereby confirm the veracity and authenticity of the above documents;

47. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 16 th day of

February, 2015 t Dinalupihan, Bataan.

Joan D. Ramos
Affiant

Subscribed and sworn to before me this 16 th day of February 2015 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as her PRC ID No. 1339691, a copy of which is
hereto attached and made an integral part of this document. Affiant represented to the
notary public that the signature on this document was voluntarily affixed by her for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No. 219

Page No. 44
Book No. II
Series of 2015.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

We, Bailey T. Dabu and Rosalia L. David, both of legal age, Filipino, and with
residence and postal address at Gen. Luna Dinalupihan, Bataan , after having been
sworn to in accordance with law, hereby depose and state that:

48. We are living as common-law husband and wife in the year 2009;

49. We intend to legalize our marriage anytime soon;

50. We are executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 13 th day of

February, 2015 t Dinalupihan, Bataan.

Bailey T. Dabu Rosalia L. David

Affiant Affiant
____________________________ VIN 0804-0182A-
A2760RLD20000-2
____________________________

Subscribed and sworn to before me this 13 th day of February 2015 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as their Voter’s IDs, a copies of which are hereto
attached and made an integral part of this document. Affiants represented to the notary
public that the signatures on this document was voluntarily affixed by them for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF ADVERSE
CLAIM

I, Domingo V. Malit, of legal age, Filipino, married and with residence and postal
address at Purok 1 Daang Bago Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am one of the children/surviving heirs of ANDRES DELA ROSA MALIT

who died on June 23, 1988 in Manila;

2. During his lifetime, he acquired property together with his wife Victoriana R.
Valencia and covered by TCT No. T-9591 and with Tax Declaration No.
000414 registered under his name;

3. As such surviving heirs, I am entitled to the said property and hereby register
my adverse claim over the said property;

4. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this _____ day of

_______________________ at Dinalupihan, Bataan.

Domingo V. Malit
Affiant

Subscribed and sworn to before me this ____ day of ___________________ at

Dinalupihan, Bataan, affiant exihibiting to me his Driver’s License No. C02-12-000205.

Doc. No.
Page No.
Book No.
Series of 2015.
Republic of the Philippines ) S.s.
Municipality of Dinalupihan)S.s.
Province of Bataan

Affidavit

I, Ignatius Kim P. Llauder, of legal age, Filipino, married, and with residence
and postal address at Calle Dos Xevera Subd., Bacolor, Pampanga, after having been
sworn to in accordance with law, hereby depose and state that:

60. I intend to put up a Trading Business under the name KCL Trading to operate
along Magsaysay Highway, Dinalupihan, Bataan;

61. I have not opened any other business in Dinalupihan, Bataan;

62. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 12 th day of

February, 2015 at Dinalupihan, Bataan.

Ignatius Kim P. Llauder

Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 12th day of February, 2015 at the office
of the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as his Driver’s License No. K03-96-033408, a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by his for the purpose(s) stated in the document and avows under penalty of law
to the whole truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.
 Subscribed and sworn to before me this ____ day of January, 2011 at
___________________.Affiant exhibited to me her
_____________________________.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Danilo B. Andro Jr., of legal age, Filipino, and with residence and postal
address at Culis Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

63. I intend to put up a small business to be operated at Culis, Hermosa, Bataan

(to be named ANDRO’S TRADING) with an initial capital/investment of P
500,000.00;

64. I shall increase my capital once the business progresses;

65. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of

February, 2015 at Dinalupihan, Bataan.
 Danilo B. Andro Jr.
Affiant

Thumb mark:

Subscribed and sworn to before me this 5th day of February, 2015 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as his Driver’s Lic. No. C02-08-006931, a copy of
which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by him for the purpose(s) stated in the document and avows under penalty of
law to the whole truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Municipality of Dinalupihan)s.s.
Province of Bataan )

STATUTORY DECLARATION

I, Rellie M. Capulong, of legal age, Filipino, married, and with residence and
postal address at 801 Luacan Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

66. I worked with Mohammad Al-Mojil Group in Kingdom of Saudi Arabia (K.S.A.)
from 2002 to 2009 as Welder;

67. I was not able to secure Police Clearance in K.S.A because I was not required to
get one;

68. As of now, I could no longer get such clearance since I am already in the
Philippines;
 69. I vouch and affirm that I did not commit any crime or offense while in K.S.A.;

70. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 2 nd day of

February, 2015 at Dinalupihan, Bataan.

Rellie M. Capulong
Affiant

Thumb mark:

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 2 nd day of February, 2015 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as his Driver’s License No. C10-09-017285, a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by him for the purpose(s) stated in the document and avows under penalty of
law to the whole truth of the contents of the document.

Doc. No. 78
Page No. 16
Book No. II
Series of 2015.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Luzinda T. Macalino, of legal age, Filipino, and with residence and postal
address at Palihan, Hermosa, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:
 71. I intend to put up a small business to be operated at Palihan, Hermosa, Bataan
(to be named JAMBOY AUTO ELECTRICAL REPAIR SHOP) with an initial
capital/investment of P 10,000.00;

72. I shall increase my capital once the business progresses;

73. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 2 nd day of

February, 2015 at Dinalupihan, Bataan.

Luzinda T. Macalino
Affiant

Thumb mark:

Subscribed and sworn to before me this 2 nd day of February, 2015 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as her VIN: 0805-0162A-D2671LTM20000, a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by her for the purpose(s) stated in the document and avows under penalty of law
to the whole truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Municipality of Dinalupihan)s.s.
Province of Bataan )

STATUTORY DECLARATION
 I, Rellie M. Capulong, of legal age, Filipino, married, and with residence and
postal address at Purok 4 Lanang Candaba, Pampanga, after having been sworn to in
accordance with law, hereby depose and state that:

74. I worked with Mohammad Al-Mojil Group in Kingdom of Saudi Arabia (K.S.A.)
from 2002 to 2006 as Welder;

75. I was not able to secure Police Clearance in K.S.A because I was not required to
get one;

76. As of now, I could no longer get such clearance since I am already in the
Philippines;

77. I vouched and affirmed that I did not commit any crime or offense while in K.S.A.;

78. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 2 nd day of

February, 2015 at Dinalupihan, Bataan.

Rellie M. Capulong
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 2 nd day of February, 2015 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as his Driver’s License No. C10-09-017285, a copy
of which is hereto attached and made an integral part of this document. Affiant
represented to the notary public that the signature on this document was voluntarily
affixed by him for the purpose(s) stated in the document and avows under penalty of
law to the whole truth of the contents of the document.

Doc. No.
Page No.
Book No.
Series of 2015.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT
 I, Jayson Edward E. Pineda, of legal age, Filipino, and with residence and postal
address at Pentor Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

1. vI used to be employed with Kentz Engineers and Constructors holding the

position of Electrician from March 15, 2010 up to March 15, 2012;

2. I hereby avow under penalty of law to the whole truth of the contents of the
instrument or document.

3. Attached as Annex “A” hereof is a Certificate of Appreciation issued by Kentz

Engineers and Constructors on February 10, 2010;

4. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of

January, 2015 at Dinlalupihan, Bataan.

Jayson Edward E. Pineda

Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 5 th day of January 2015 at the office of
the undersigned notary public in Sta. Isabel, Dinalupihan, Bataan. Affiant personally
appeared before the undersigned and had exhibited to the said notary public through a
competent evidence of identity such as his SSS ID No. 02-2071988-3, a copy of which
is hereto attached and made an integral part of this document. Affiant represent to the
notary public that the signature on this document was voluntarily affixed by him for the
purpose(s) stated in the document and avows under penalty of law to the whole truth of
the contents of the document.

Doc. No. Atty. Roniel D. Muñoz

Page No. Notary Public
Book No. Commission Expires on 12/31/2016
Series of 2015. PTR No. 2328773, 09/08/2014
IBP No. 969003, 04/23/2014
Roll of Attorney No. 63074
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Glady V. Salinas, of legal age, Filipino, and with residence and postal address
at Sta. Catalina, Tucop Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

48. I am presently studying at Columban College in Olongapo City taking up B.S.

Information Technology;

49. I am not yet working at present because I am still studying;

50. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13 th day of

November, 2014 at Dinalupihan, Bataan.

Glady V. Salinas
Affiant

Subscribed and sworn to before me this 13th day of November, 2014 at

Dinalupihan, Bataan. Affiant exhibited to me her Columban College ID No. 14310514.

Doc. No.
Page No.
Book No.
Series of 2014.
Republic of the Philippines )

AFFIDAVIT OF TRANSFER

I, Jhonny V. Dumlao, of legal age, Filipino, widower, and with residence and postal
address at San Pablo Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

37. I am a plan holder at St. Peter Life Plan, Inc. with Life Plan Agreement No.
L12421796P;

38. As a plan holder, I allowed the transfer of said memorial plan in favor of Danilo R.
Dumlao who died on September 30, 2013 in Dinalupihan, Bataan as evidenced by
his Certificate of Death;

39. Said memorial plan was fully paid by Danniel Jee E. Dumlao amounting to P 23,
265.00;

40. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ____ day of November,
2014 at _______________________.

Jhonny V. Dumlao
Affiant

Subscribed and sworn to before me this _____ day of November, 2014 at

_____________________, affiant exhibiting to me his OSCA ID No. 5771.
Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

We, ______________ and ________________, both of legal age, Filipino, and with
residence and postal address at San Ramon Dinalupihan, Bataan and Old Cabalan,
Olongapo, City, after having been sworn to in accordance with law, hereby depose and
state that:

51. We are living as common-law husband and wife in the year ____;

52. We intend to legalize our marriage anytime soon;

53. We are executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 30 th day of

April, 2014 at Dinlalupihan, Bataan.

John G. Simsuangco Jingle M. Rosete

Affiant Affiant
Driver’s License No. C02-88-024109 Passport No. EB9661615

Subscribed and sworn to before me this 30 th day of April, 2014 at Dinalupihan,

Bataan.
Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I,Eliseo B. Naguit, of legal age, Filipino, married, and with residence and postal address
at Balanga City, Bataan, after having been sworn to in accordance with law, hereby depose and
state that:

41. I am the plaintiff in the Civil Case No. 10253 entitled Cherrielyne Murielzeus (CMZ)
Builders Corporation, represented by its President Engr. Eliseo B. Naguit vs.
Benjamin Alonzo, Kyoryo Inc., and Sps. Ryoichi and Nonabelle Tomasada pending
before the Regional Trial Court Branch , Balanga City, Bataan;

42. Said case was filed on February 19, 2014;

43. Summons and Alias Summons to defendants were unserved as per Sheriff’s Return
of Service;

44. I hereby request the Regional Trial Court Branch 1, Balanga City, Bataan to cause
the service of summons by publication upon all defendants so that the court may
acquire jurisdiction over their persons;

45. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ____ day of October,
2014 at Dinalupihan, Bataan.

Eliseo B. Naguit
Affiant

Subscribed and sworn to before me this ____ day of October, 2014 at Dinaluiphan,
Bataan, affiant exhibiting to me his SSS ID No. 03-3285714-1.

Doc. No.
Page No.
Book No.
Series of 2014.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

JOINT AFFIDAVIT

We, Nadeem Sial and Norminah R. Sial, both of legal age, and with residence
and postal address at Tala St., San Ramon Dinalupihan, Bataan, after having been
sworn to in accordance with law, hereby depose and state that:

46. We got married on January 18, 2013 in Dinalupihan, Bataan;

47. I, Nadeem Sial, is a Pakistani National;

48. We are engaged in business under the Business Name Norminah R. Sial
Enterprises located at Dinalupihan Public Market in Dinalupihan, Bataan;

49. My cousin named Arshad Ali Shah is intending to come in the Philippines as
tourist;

Arshad Ali Shah

Passport No. JH5143162
Date of Birth: August 14, 1977

50. He will be staying with us here in the Philippines for one (1) or three (3) months
during his visit;

51. We hereby undertake to give all the necessary support and assistance to him
while in the Philippines;

52. We, likewise guarantee that he is peaceful citizen and that his purpose in
coming to the Philippines is purely recreation;

53. We declare these facts under threat of perjury;

54. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed my signature this 14 th day of

October, 2014 at Dinalupihan, Bataan.

Nadeem Sial Norminah R. Sial

Affiant Affiant
Postal ID No. 4237738 Postal ID No. 4237737

Subscribed and sworn to before me this 14th day of October, 2014 at Dinalupihan,
Bataan.
Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Leonardo A. Bacani, of legal age, Filipino, and with residence and postal
address at Saguing Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

9. I am the brother of Alfredo Angeles Bacani who is presently in Kingdom of

Saudi Arabia as an Overseas Flipino Worker (OFW);

10. He has been working in Saudi Arabia since 1977;

11. Because of his work, he has not been able to vote in any election conducted in
the Philippines. Thus he is considered an absentee votee;

12. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 9 th day of

October, 2014 at Dinlalupihan, Bataan.

Leonardo A. Bacani
Affiant

Subscribed and sworn to before me this 9 th day of October, 2014 at Dinalupihan,

Bataan, exhibiting to me his Postal ID No. 1553977.

Doc. No.
Page No.
Book No.
Series of 2014.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Transfer of Ownership

I, Manuel P. Manalansan, of legal age, Filipino, married and with residence and
postal address at Culis Hermosa, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

19. I am the registered owner of Shan Bernadette Construction located at Culis

Hermosa, Bataan registered with the Department of Trade and Industry (DTI);

20. I am transferring all my rights and interests over the said establishment in favor
of my son Darrel B. Manalansan because I am physically unfit to attend to the
operation thereof;

21. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 29 th day of

September, 2014 at Dinlalupihan, Bataan.

Manuel P. Manalansan
Affiant

Subscribed and sworn to before me this 29 th day of September, 2014 at

Dinalupihan, Bataan, exhibiting to me his ___________________________.

Doc. No.
Page No.
Book No.
Series of 2014.
Republic of the Philippines )
Province of Bataan ) S.s.
Municipality of Dinalupihan)

JOINT AFFIDAVIT

We, Spouses Fumiro Takatsuka and Rowena B. Takatsuka, both of legal age,
and with residence and postal address at Layac Dinalupihan, Bataan, after having been
sworn to in accordance with law, hereby depose and state that:

40. We got married on December 26, 2000 in Hermosa, Bataan;

41. We have been continuously living as husband and wife since we got married
in 2000;

42. We stayed in the Philippines since June 2013 and we intend to spend the rest
of our lives in the Philippines because we like it here. We like the people, we
like weather and there is no stress;

43. We thus request for the permanent resident visa for my husband Fumiro
Takatsuka;

44. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 29 th day of

Septmeber, 2014 at Dinalupihan, Bataan.

Fumiro Takatsuka Rowena B. Takatsuka

Passport Number TH4304765 Passport Number EB 2120765
Issued on Septmber 12, 2007 Issued on March 19, 2011
Issued in Japan Issued in PE Tokyo, Japan

Subscribed and sworn to before me this 29 th day of September, 2014 at

Dinalupihan, Bataan, Philippines.

Doc. No.
Page No.
Book No.
Series of 2014.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Juan F. Evangelista Jr., of legal age, Filipino, married and with residence and
postal address at Torres St., Dianlupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

17. I am the vendee in the attached Deed of Absolute Sale of Real Property;

18. As pursuant document, I purchased the properties from Redrick M. Muli as

mentioned therein;

19. However, the name of my spouse Marie Cris T. Evangelista was not included;

20. I am including the name of my wife which is Marie Cris T. Evangelista because
we are legally married and said properties are now conjugal;

21. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ____ day of

September, 2014 at ________________.

Juan F. Evangelista Jr.

Affiant

Subscribed and sworn to before me this ____ day of September, 2014 at

___________________. Affiant exhibited to me his Passport No. EB6533214.
Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Joseph D. Manlapat, of legal age, Filipino, and with residence and postal
address at Saba Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

79. I intend to put up a small business to be operated at Saba Hermosa, Bataan (to
be named Manlapat Cargo Movers) with an initial capital/investment of P
250,000.00;

80. I shall increase my capital once the business progresses;

81. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ____ day of

September, 2014 at Dinalupihan, Bataan.

Joseph D. Manlapat
Affiant

Subscribed and sworn to before me this ____ day of September, 2014 at

Dinalupihan, Bataan. Affiant exhibited to me his PRC ID No. 0027228.
Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Noel M. Layug, of legal age, Filipino, married, and with residence and postal address
at Dalao, Dinalupihan, Bataan, after having been sworn to in accordance with law, hereby
depose and state that:

45. I am the first cousin of Jenalyn M. Layug who is presently in Dubai;

46. Jenalyn’s father named Esteban Regala Layug, Jr. and my father named Gaudencio
Regala Layug are brothers;

47. Their parents are Esteban Aguas Layug, Sr. and Pilar Manalansan Regala (both
deceased);

48. Gaudencio died on March 17,2003;

49. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 9 th day of September,

2014 at Dinalupihan, Bataan.

Noel M. Layug
Affiant

Subscribed and sworn to before me this 9th day of September, 2014 at Dinaluiphan,
Bataan, affiant exhibiting to me his Driver’s :License No. B04-13-005810.

Doc. No.
Page No.
Book No.
Series of 2014.
Republic of the Philippines )
Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Nelson P. Manlapat, of legal age, Filipino, married, and with residence and postal
address at Roosevelt Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

1. I am the previous owner of a lot located at Tipo Hermosa, Bataan measuring 9,753
square meters;

2. The following planted trees on the lot were damaged by fire in the year 2013:

Coconut Trees
Avocado Trees
Small Mango Trees

3. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 2 nd day of September,

2014 at Dinalupihan, Bataan.

Nelson P. Manlapat
Affiant

Subscribed and sworn to before me this 2nd day of September, 2014 at Dinaluiphan,
Bataan, affiant exhibiting to me his SSS ID No. SSS ID No. 03-3829920-8.

Doc. No.
Page No.
Book No.
Series of 2014.
Republic of the Philippines )
Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Elaine Grace E. Santiano, of legal age, Filipino, married, and with residence and
postal address at Burgos-Soliman Hermosa, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

46. I am the petitioner in the Civil Case No. DH-1352-14 entitled Elaine Grace E.
Santiano vs. Raul Michael J. Santiano pending before the Regional Trial Court
Branch 5, Dinalupihan, Bataan;

47. Said case was filed on May 7, 2014;

48. Summons tor espondent was served to his son by substituted service on July 14,
2014;

49. Pursuant to A.M. No. 02-11-10-SC Summons should be effected upon respondent by
publication;

50. I hereby request the Regional Trial Court Branch 5, Dinalupihan, Bataan to cause the
service of summons by publication upon respondent Raul Michael J. Santiano so
that the court may acquire jurisdiction over his person;

51. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 1 st day of September,

2014 at Dinalupihan, Bataan.

Elaine Grace E. Santiano

Affiant

Subscribed and sworn to before me this 1st day of September, 2014 at Dinaluiphan,
Bataan, affiant exhibiting to me her VIN 0805-0001A-A1358EES20000.

Doc. No.
Page No.
Book No.
Series of 2014.

PRC ID Card No. 0011454.

Republic of the Philippines )
Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Maruja Trine, of legal age, Filipino, married, and with residence and postal address at
Naparing Dinalupihan, Bataan, after having been sworn to in accordance with law, hereby
depose and state that:

1. I am the School Principal of J.C. Payumo Jr. memorial High School in Naparing
Dinalupihan, Bataan since June 2, 2013 up to the present;
2. On August 21, 2014 (Holiday) at about 9:30 in the morning, Mr. Danilo Caysido
(property custodian of our school) called me up in my cell phone and informed me
that our administrative office was robbed;
3. I called up Anita C. Duquez to report the matter immediately to the PNP but she told
me that an investigation is being conducted already;
4. I urgently went to the school and arrived at about 11:00 a.m. since I came from
Abucay, Bataan;
5. When I arrived, the following persons were already in school, to wit;

_________________
_________________
________________

6. We identified the following items to be missing:

__________________
___________________

7. We did not find out who the culprits were;

8. We then went to PNP for investigation;
9. After I was investigated, I went back to school and called the PTA President and Vice
President, and faculty President ( _______________ ) and informed them what
happened;
10. I asked further help from the PTA President and the Baranagay Tanod who
responded;
11. I was not able to report the matter to the Division Office immediately because August
21, 2014 was a holiday and the next day were Saturday and Sunday. August 25,
2014 which is a Monday was also declared a holiday. The next day, August 26,
2014 I attended a meeting at the Pagalanggang HighSchool. However, I instructed
our Accountants to report the matter to the Division and so I told the accounting staff
to report the incident to the Division. They went to the Division on the same day but
did not reach on time;
12. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 28 th day of August, 2014
at Dinalupihan, Bataan.

Maruja Trine
Affiant

Subscribed and sworn to before me this 28 th day of August, 2014 at Dinaluiphan, Bataan,
affiant exhibiting to me her ___________________.

Doc. No.
Page No.
Book No.
Series of 2014.
Republic of the Philippines )
Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Danilo Caysido, of legal age, Filipino, married, and with residence and postal address
at Naparing Dinalupihan, Bataan, after having been sworn to in accordance with law, hereby
depose and state that:

1. I am the property custodian of J.C. Payumo Jr. Memorial High School in Naparing
Dinalupihan, Bataan since June 20, 2014 up to the present;

2. On August 21, 2014 (Holiday) at around 8:00 a.m. I was in school to print a letter in
our library. Our utility man named Freddie Zapata reported to me that there was
robbery which took place early in the morning of the same day at our administrative
office;

3. I accompanied him and went at the back of administrative office and there we saw
that the jalosies were taken off from the windows. We then went inside the principal’s
office and there we saw that the jalosies were likewise removed. We took pictures;

4. Then we went to the accounting office and there we found out that the DVD Player
was missing;

5. I returned to the Library to get my documents and then I locked the same;

6. I went directly to the house of Barangay Captain of Naparing Dinalupihan, Bataan to

report the incident. After that, the wife of the barangay captain called up the tanods
and instructed them to go to the school and investigate the matter;

7. I also called up Anita C. Duquez and our principal Maruja D. Trine thru phone to
inform them also;

8. I told Mrs. Duquez that I will attend our choir practice at the Iglesia Ni Kristo,
Dinalupihan Chapel;

9. I returned to the school at about 2:00 pm and it was then that I found our that it was
not only the DVD Player that was missing but there were more;

10. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 29 th day of August, 2014
at Dinalupihan, Bataan.

Danilo Caysido
Affiant

Subscribed and sworn to before me this 29 th day of August, 2014 at Dinaluiphan,

Bataan, affiant exhibiting to me his PRC ID No. 0524551.

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)
 AFFIDAVIT

I, Anita C. Duquez, of legal age, Filipino, married, and with residence and postal
address at Hermosa Heights Culis Hermosa, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

7. I am the Head Teacher III of J.C. Payumo Jr. Memorial High School in Naparing
Dinalupihan, Bataan since January 3, 2012 to date;
8. On August 21, 2014 at about 8:03 a.m., the Property Custodian named Danilo
Caysido of our school called me up thru my cellphone informing me that our
administrative office school was robbed by still unidentified individuals;
9. At that time, he mentioned that so far the DVD player was found missing. He
requested me to go to school immediatedly;
10. I told him that I will go to the school immediately but in the meantime I told him to
repport the matter to the barangay office or police station;
11. I arrived in school at about 8:30 a.m. and upon arrival, I got inside the administrative
office and our watchman and utility man were already inside, They told me where the
thieves entered;
12. We were able to identify the missing items, as follows:

DVD Player
One (1) Unit Desktop Computer
One (1) Monitor, keyboard and Mouse

13. I then contacted the staff of our accounting office which is adjacent to our
administrative office and reported the matter thru text since my calls were not
answered;
14. I also reported the matter to our Math Head Teacher named Odielon Gamboa
because I saw a red laptop case on his table but the same was empty;
15. Thereafter, Odielon Gamboa and Maria Mimosa Mesina came and each of them
identified what were missing. And in addition to the above, the following were
likewise missing:

One (1) Modem

One (1) Laptop
One (1) External Hardisk
One (1) Installer

16. Soon after, the following came:

Barangay Tanod
Barangay Officials

17. I was informed by the barangay officials that they already responded because Danilo
Caysido had already reported the matter. Then later, two (2) Dinalupihan Marshalls
came, followed by the PNP personnel;
18. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 28 th day of August, 2014
at Dinalupihan, Bataan.

Anita C. Duquez
Affiant

Subscribed and sworn to before me this 28 th day of August, 2014 at Dinaluiphan, Bataan,
affiant exhibiting to me her PRC ID Card No. 0011454.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT
 I, Maruja Trine, of legal age, Filipino, married, and with residence and postal address at
Naparing Dinalupihan, Bataan, after having been sworn to in accordance with law, hereby
depose and state that:

13. I am the School Principal of J.C. Payumo Jr. memorial High School in Naparing
Dinalupihan, Bataan since June 2, 2013 up to the present;
14. On August 21, 2014 (Holiday) at about 9:30 in the morning, Mr. Danilo Caysido
(property custodian of our school) called me up in my cell phone and informed me
that our administrative office was robbed;
15. I called up Anita C. Duquez to report the matter immediately to the PNP but she told
me that an investigation is being conducted already;
16. I urgently went to the school and arrived at about 11:00 a.m. since I came from
Abucay, Bataan;
17. When I arrived, the following persons were already in school, to wit;

_________________
_________________
________________

18. We identified the following items to be missing:

__________________
___________________

19. We did not find out who the culprits were;

20. We then went to PNP for investigation;
21. After I was investigated, I went back to school and called the PTA President and Vice
President, and faculty President ( _______________ ) and informed them what
happened;
22. I asked further help from the PTA President and the Baranagay Tanod who
responded;
23. I was not able to report the matter to the Division Office immediately because August
21, 2014 was a holiday and the next day were Saturday and Sunday. August 25,
2014 which is a Monday was also declared a holiday. The next day, August 26,
2014 I attended a meeting at the Pagalanggang HighSchool. However, I instructed
our Accountants to report the matter to the Division and so I told the accounting staff
to report the incident to the Division. They went to the Division on the same day but
did not reach on time;
24. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 28 th day of August, 2014
at Dinalupihan, Bataan.

Maruja Trine
Affiant

Subscribed and sworn to before me this 28 th day of August, 2014 at Dinaluiphan, Bataan,
affiant exhibiting to me her ___________________.

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT
 I, Danilo Caysido, of legal age, Filipino, married, and with residence and postal address
at Naparing Dinalupihan, Bataan, after having been sworn to in accordance with law, hereby
depose and state that:

11. I am the property custodian of J.C. Payumo Jr. memorial High School in Naparing
Dinalupihan, Bataan since June 20, 2014 up to the present;

12. On August 21, 2014 (Holiday) at around 8:00 a.m. I was in school to print a letter in
our library. Our utility man named ____ reported to me that there was robbery which
took place early in the morning of the same day at our administrative office;

13. I accompanied him and went at the back of administrative office and there we saw
that the jalosies were taken off from the windows. We then went inside the principal’s
office and there we saw that the jalosies were likewise removed. We took pictures;

14. We then went to the accounting office and there we found out that the DVD Player
was missing;

15. I returned to the Library to get my documents and then I locked the same;

16. I went directly to the house of Barangay Captain of Naparing Dinalupihan, Bataan to
report the incident. After that, the wife of the barangay captain called up the tanods
and instructed them to go to the school and investigate the matter;

17. I also called up Anita C. Duquez and our principal thru phone to inform them also;

18. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 28 th day of August, 2014
at Dinalupihan, Bataan.

Danilo Caysido
Affiant

Subscribed and sworn to before me this 28 th day of August, 2014 at Dinaluiphan, Bataan,
affiant exhibiting to me his ___________________.

Doc. No.
Page No.
Book No.
Series of 2014.
Republic of the Philippines )
Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Andres P. Canlas Jr., of legal age, Filipino, married, and with residence and
postal address at Purok 8, New San Jose, Dinalupihan, Bataan, after having been
sworn to in accordance with law, hereby depose and state that:

1. I am the duly authorized representative and brother of Girlie M. Canlas-

Soriano who is the respondent in Sp. Proc. No. DH-286-11 entitled Rey M.
Soriano vs. Girlie M. Canlas-Soriano for Declaration of Nullity of Marriage
filed with Regional Trial Court, Branch 5, Dianlupihan, Bataan;

2. A Decision was issued by the said Court on October 30, 2013;

3. Said Decision has become final dated June 25, 2014 issued by the RTC
Branch 5 Dinalupihan, Bataan;

4. An Entry of Final Judgment was issued by the same court on June 25, 2014;

5. Said Decision has not yet been duly registered with the concerned agency
because I became pre occupied with similar important tasks;

6. It was not intended to mislead or prejudice the public;

7. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ____ day of

August, 2014 at Dinalupihan, Bataan.

Andres P. Canlas Jr.

Affiant

Subscribed and sworn to before me this ___ day of August, 2014 at Dinaluiphan,
Bataan, affiant exhibiting to me his Driver’s License No. C10-93-091493.

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Municipality of Dinalupihan ) S.s.
Province of Bataan )

Affidavit

I, Maria Kristina R. Medina, of legal age, Filipino, married and with residence
and postal address at Pentor Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am the mother of JORIZ RUBIANO MEDINA who was born on June 19, 2002
in Dinalupihan, Bataan;

2. His father is Revor H. Medina;

3. He is exempted from getting NBI Clearance and Police Clearance since he is still
a minor and student;

4. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 15 th day of

August, 2014 at Dinalupihan, Bataan.

Maria Kristina R. Medina

Affiant

Thumb mark:

Witness:

Revor H. Medina
Dinalupihan, Bataan

Subscribed and sworn to before me this 15 th day of August, 2014 at Dinalupihan,

[Link] exhibited to me her VIN 0805-0105B-A1682MRM20000.

Doc. No.
Page No.
Book No.
Series of 2014.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Abandonment

I, Teresita S. Yuson, of legal age, married, and with residence and postal address
at Magsaysay, Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

54. I am the grandmother of ALDREEN YUSON who was born on November 8, 2006
in Olongapo City as evidenced by his Certificate of Live Birth;

55. His mother is Laarni Yuson and his father is Crisanto Reyes Anunciacion. They
are not legally married. Laarni is my daughter;

56. Aldreen has been in my custody since birth. His mother is presently working and
staying in Cyprus and already married to Mr. Ilie Cosmin Firan;

57. Aldreen’s father abandoned him and his mother after Laarni gave birth to him.
Before he finally disappeared, Crisanto told us that Laarni can do whatever she
wants with their child since they are not married to each other and has no plans
of marrying Laarni during that time;

58. We do not know his whereabouts;

59. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13 th day of

August, 2014 at Dinlalupihan, Bataan.

Teresita S. Yuson
Affiant

Thumb mark:
 Subscribed and sworn to before me this 13 th day of August, 2014 at Dinalupihan,
Bataan, affiant exhibited to me her VIN 0804-0104A-D0857TSY20000-6.

Doc. No. 112

Page No. 23
Book No. VIII
Series of 2014.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF UNDERTAKING

I, Rowena D. Sioson, of legal age, Filipino, and with residence and postal
address at 40 Culis Hermosa, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

1. I am the mother of MARK JOSEPH D. SIOSON who died on July 4, 2014 in

Hermosa, Bataan as evidenced by his Certificate of Death;

2. He died unmarried and has no siblings;

3. During his lifetime, he was a policy holder of Philippine Prudential Life Insurance
Co. with policy no. 553634;

4. Considering that he died unmarried and had no siblings, being the mother, I am
entitled to the benefits under the said policy;

5. I undertake to free the Philippine Prudential Life InsuranceCo. And Faith in God-
Sumi Wirng Phils. and all their employees, officers and Board of Directors for
whatever liability that may arise by virtue of my claim and receipt of said benefits
from Philippine Prudential Life Insurance Co.;

6. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13 th day of

August, 2014 at Dinalupihan, Bataan.

Rowena D. Sioson
Affiant

Thumb mark:
Witnesses:

Julieta Tamoria Marites Concepcion

Culis Hermosa, Bataan Culis Hermosa, Bataan

Subscribed and sworn to before me this 13 th day of August, 2014 at Dinalupihan,

Bataan. Affiant exhibited to me her Postal ID No. 1537718.

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Godofredo Aquino, of legal age, Filipino, and with residence and postal
address at 40 Saba Hermosa, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

1. I was born on April 17, 1987 in Lubao, Pampanga as evidenced by my

Certificate of Live Birth;

2. My mother is Lota V. Aquino and my father is unknown;

3. An illegitimate child like me follows the maiden surname of the mother and has
no middle name. This is the reason why in my passport with number EB5066406
issued on April 2, 2012 my name was stated as Godofredo Aquino;

4. In the same vein, my name in my Certificate of Live Birth and all my documents
reflect the name Godofredo Aquino;

5. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 11 th day of

August, 2014 at Dinalupihan, Bataan.

Godofredo Aquino
Affiant
 Thumb mark:

Witness:

Lota V. Aquino
Hermosa, Bataan

Subscribed and sworn to before me this 11 th day of August, 2014 at Dinalupihan,

Bataan. Affiant exhibited to me his Passport No. EB 5066406.

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF ADVERSE
CLAIM

I, Eloisa A. Tagle, of legal age, Filipino, widow and with residence and postal
address at Talimundoc Orani, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

5. I am the surviving spouse of Edwin C. Tagle who died on May 22, 2014 in
Medical City;

6. During his lifetime, he acquired property covered by TCT No. 263362

registered under his name and single as his civil status;

7. When we got married on August 27, 1996, said property formed part of our
conjugal property;

8. We have a child named Natalia A. Tagle who was born on May 26, 1997;
 9. As such surviving spouse, I am entitled to the sair property and hereby
register my adverse claim over the said property;

10. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 9 th day of june,

2014 at Dinalupihan, Bataan.

Eloisa A. Tagle
Affiant

Subscribed and sworn to before me this 9th day of June, 2014 at Dinalupihan,
Bataan, affiant exihibiting to me her Driver’s License No. C02-93-038860.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Marife C. Malit, of legal age, Filipino, married and with residence

and postal address at 40 Del Pilar Dinalupihan, Bataan, after having been
sworn to in accordance with law, hereby depose and state that:

6. I am the estranged wife of Reynaldo Sabino Malit. We got married

on June 12, 1993 at Saint John Parish Church in Dinalupihan, Bataan
;
 7. We have four (4) children, namely:

Reymark C. Malit- born on January 25, 1994

Sharmela Inah Bianca C. Malit- born on July 2, 1995
Danielle Kalyl C. Malit- born on June 5, 2000
Micah Angela C. Malit- born on April 19, 2002

8. Due to differences, we have been living separately since 2006 and

there is no possibility of reconciliation;

9. I am executing this affidavit to attest to the truth of the foregoing and

for whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 6 th

day of August, 2014 at Dinalupihan, Bataan.

Marife C. Malit
Affiant

Subscribed and sworn to before me this 6th day of August, 2014 at

Dinalupihan, Bataan. Affiant exhibited to me her VIN 08040007A-
C0168MCM20004-7.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Oscar P. Ferrer, of legal age, Filipino, married and with residence and postal
address at General Luna St., Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am the owner of Marifer School of Divine Light and operating as school in

General Luna St., Dinalupihan, Bataan;

2. The title covering the lot where said school is erected was mortgaged to Imelda
V. Malit on July 30, 2014 in the amount of P 100,000.00 payable after one (1)
year;

3. Today, August 5, 2014, I requested for additional P 50,000.00 loan from Mrs.
Malit and received the same in front of my grandson named Leonard Ferrer, 24
years old, under the said terms and conditions as the first loan of P 100,000.00;

4. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of

August, 2014 at Dinalupihan, Bataan.

Oscar P. Ferrer
Affiant

Thumb mark:

Conforme:

Imelda V. Malit

Witnesses:

Leonard Ferrer Jeaverlynn Amac

Dinalupihan, Bataan Hermosa, Bataan

Subscribed and sworn to before me this 5th day of August, 2014 at Dinalupihan,
Bataan. Affiant exhibited to me his OSCA ID No. 0341.

Doc. No.
Page No.
Book No.
Series of 2014.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Mylynn P. Malig, of legal age, Filipino, married and with residence and postal
address at #68 First St., New Banicain, Olongapo City, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am the owner of Dennis Malig Gas Haus located at #68 First St., New
Banicain, Olongapo City as evidenced by Department of Trade and Industry
(DTI) Certificate of Business Name Registration No. 01270294 valid until January
18, 2016;

2. On July 17, 2014 at about 4:00 p.m., an ocular inspection was conducted by
Department of Energy (DOE) and Department of Trade and Industry (DTI) and
found out that there was one cylinder which appears to be tampered as stated in
their Occular Inspection Report;

3. On July 17, 2014 in the morning at about 11:00 a.m., several cylinders were
delivered to us. We were not able to finish the inspection that there was
tampered cylinder prior to the said ocular inspection by the DOE and DTI at
about 4:00 p/m/ of the same day, because typhoon Glenda just hit Region 3 and
we were closed on July 16, 2014. Before the inspection was conducted, we were
not through with the checking of the cylinders;

4. We undertake to make a thorough checking as we always do in our

establishment;

5. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 25 th day of July,

2014 at Dinalupihan, Bataan.

Mylynn P. Malig
Affiant

Thumb mark:
 Subscribed and sworn to before me this 25 th day of July, 2014 at Dinalupihan,
Bataan. Affiant exhibited to me her SSS ID No. 02-1751382-7.

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Leandro R. Hocson, of legal age, Filipino, and with residence and postal
address at Roosevelt Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

51. I am the father of ELEISHA JAN GULA HOCSON who was born on January 5,
2012 in Subic Bay, Zambales;

52. Eleisha Jan is now 2 ½ years old;

53. She is not enrolled in any school because of her age. She is still very young to go
to school;

54. At age 3, we will send her to school;

55. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 15 th day of July,

2014 at Dinalupihan, Bataan.

Leandro R. Hocson
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 15 th day of July, 2014 at Dinalupihan,

Bataan. Affiant exhibited to me his Driver’s License No. C09-11-001203.

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Municipality of Dinalupihan ) S.s.
Province of Bataan )

Affidavit

I, Maria Kristina R. Medina, of legal age, Filipino, married and with residence
and postal address at Pentor Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

13. I am the mother of JORIZ RUBIANO MEDINA who was born on June 19, 2002
in Dinalupihan, Bataan;

14. His father is Revor H. Medina;

15. He is exempted from getting NBI Clearance and Police Clearance since he is still
a minor and student;

16. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 15 th day of

August, 2014 at Dinalupihan, Bataan.

Maria Kristina R. Medina

Affiant

Thumb mark:

Witness:

Revor H. Medina
Dinalupihan, Bataan

Subscribed and sworn to before me this 15 th day of August, 2014 at Dinalupihan,

[Link] exhibited to me her VIN 0805-0105B-A1682MRM20000.

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Juanita C. Naguiat, of legal age, Filipino, widow and with residence and
postal address at San Isidro, Lubao, Pampanga, after having been sworn to in
accordance with law, hereby depose and state that:

56. I used to be self-employed engaged in buying and selling of different

merchandise;

57. I stopped said business since April 1, 2000;

58. I have no earnings since then;

59. I have not been employed after stopping said business;

60. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 7 th day of July,

2014 at Dinalupihan, Bataan.

Juanita C. Naguiat
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 7 th day of July, 2014 at Dinalupihan,

Bataan. Affiant exhibited to me her OSCA Control No. 0005124-02.

Doc. No.
Page No.
Book No.
Series of 2014.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Non-Acceptance/Lost

I, Perlita T. Balbin, of legal age, Filipino, and with residence and postal address
at Happy Valley Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

6. I was born on July 17, 1959 in Olongapo City, Zambales;

7. I have been a member of Social Security System (SSS) since July 1, 2013;

8. However to date I have not received my SSS ID with no. 02-30690837. The
same could have been lost;

9. I am requesting SSS to issue my ID;

10. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 2 nd day of July,

2014 at Dinalupihan, Bataan.

Perlita T. Balbin
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan
 Subscribed and sworn to before me this 2 nd day of July, 2014 at Dinalupihan,
Bataan. Affiant exhibiting to me her TIN 926-340-256.

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Cancellation

I, Faustino A. Perez Jr., of legal age, Filipino, and with residence and postal
address at 24 Zamora St., Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am the registered owner of MARCO LOT RENTAL located at Sta. Isabel

(Tabacan) Dinalupihan, Bataan registered with the Department of Trade and
Industry (DTI) with Certificate No. 03170086;

2. Said business did not push through since I changed my mind, hence this Affidavit
of Cancellation;

3. In view of the above, I am requesting that my said registration with the

Department of Trade and Industry (DTI), Bureau of Internal Revenue (B.I.R.) and
Office of Municipality of Dinalupihan be cancelled or revoked;

4. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 2 nd day of July,

2014 at Dinalupihan, Bataan.
 Faustino A. Perez Jr.
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 2 nd day of July, 2014 at Dinalupihan,

Bataan. Affiant exhibiting to me his Driver’s License No. N06-72-037254.

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Lamberto C. Magat, of legal age, Filipino, and with residence and postal
address at Sta. Isabel, Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

61. I am self-employed doing watch repairs and sell different merchandise at

Dinalupihan Public Market in Dinalupihan, Bataan;

62. I stopped said business five (5) years ago;

 63. I have no earnings since then;

64. I have not been employed after stopping said business;

65. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 25 th day of June,

2014 at Dinalupihan, Bataan.

Lamberto C. Magat
Affiant

Thumb mark:

Subscribed and sworn to before me this 25 th day of June, 2014 at Dinalupihan,

Bataan. Affiant exhibited to me his Driver’s License No. C02-99-066223.

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Quitclam

I, Julie Ann Marie J. Faudan, of legal age, Filipino, single, and with residence
and postal address at Pentor, Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I used to be employed with The Elite Club Company located in Mandaluyong City
as Promo Merchandiser from October 23, 2013 up to January 31, 2014;

2. I resigned from the said company on January 31, 2014;

 3. Having received all my claims from the said company, I hereby release the said
company and all its employees and officers from whatever liability that may arise
by virtue of my employment with them;

4. I undertake not to file any case against The Elite Club Company;

5. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 23 rd day of June,

2014 at Dinalupihan, Bataan.

Julie Ann Marie J. Faudan

Affiant

Thumb mark:

Subscribed and sworn to before me this 23rd day of June, 2014 at Dinalupihan,
Bataan. Affiant exhibited to me her Philhealth ID No. 01-051688856-9.

Doc. No.
Page No.
Book No.
Series of 2014.

STATEMENT OF INCOME AND EXPENSES

FOR THE YEAR 2013

Expenses

Hog Grower (10 sacks/P 1,250.00) P 12,500.00

Vetracin (10 bottles (Piglets)/P 500.00) 5,000.00
10 Piglets @ P 2,000.00 2,000.00
Purga (10 bottles/P 500.00) 5,000.00
Broth Chow (10 sacks/P 1,250.00) 12,500.00
____________

Total Expenses P 37,000.00

 Piglets = 90/P 2,000.00 P 180,000,00

P 180,000.00 – Piglets
37,000.00- Expenses
___________
P 143,000.00- Total
==========
Prepared by:

Emily T. Culala

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Dalisay B. Paras, of legal age, Filipino, and with residence and postal address
at San Pablo Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

1. I am the surviving common-law wife of Cristititto Dimacali Paras;

 2. We started living together without the benefit of marriage from 1983 until his
dathe on August 28, 2013;

3. We have three (3) children;

4. Cristitito was single and remained single during his lifetime;

5. Cristitito and I did not get married;

6. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 18 th day of June,

2014 at Dinalupihan, Bataan.

Dalisay B. Paras
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 18 th day of June, 2014 at Dinalupihan,

Bataan. Affiant exhibited to me her Postal ID No. 0942499 and VIN 0804-0228B-
K2053DBP20000.

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit
 I, Ligaya T. Tungol, of legal age, Filipino, and with residence and postal address
at Palihan Hermosa, Bataan, after having been sworn to in accordance with law, hereby
depose and state that:

82. I intend to put up a small business to be operated at Palihan Hermosa, Bataan

(to be named Guy Botique) with an initial capital/investment of P 10,000.00;

83. I shall increase my capital once the business progresses;

84. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 17 th day of June,

2014 at Dinalupihan, Bataan.

Ligaya T. Tungol
Affiant

Thumb mark:

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 17 th day of June, 2014 at Dinalupihan,

Bataan. Affiant exhibited to me her VIN 0805-0159A-A0156LTT20000.

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Julie Anne D. Espinola, of legal age, Filipino, and with residence and postal
address at Pentor Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

5. I am the mother of Claire Shelly Espinola and Clarish E. Bayra who were
born on September 2, 2006 and April 18, 2011, respectively;
 6. I am a single parent and and I have never been employed since I got
pregnant;

7. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13 th day of

June, 2014 at Dinalupihan, Bataan.

Julie Anne D. Espinola

Affiant

Thumb mark:

Subscribed and sworn to before me this 13th day of June, 2014 at Dinalupihan,
Bataan, affiant exihibiting to me her VIN 0804-0076A-G2481JDE20001-0.

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF ADVERSE
CLAIM
 I, Eloisa A. Tagle, of legal age, Filipino, widow and with residence and postal
address at Talimundoc Orani, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

11. I am the surviving spouse of Edwin C. Tagle who died on May 22, 2014 in
Medical City;

12. During his lifetime, he acquired property covered by TCT No. 263362
registered under his name and single as his civil status;

13. When we got married on August 27, 1996, said property formed part of our
conjugal property;

14. We have a child named Natalia A. Tagle who was born on May 26, 1997;

15. As such surviving spouse, I am entitled to the sair property and hereby
register my adverse claim over the said property;

16. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 9 th day of june,

2014 at Dinalupihan, Bataan.

Eloisa A. Tagle
Affiant

Subscribed and sworn to before me this 9th day of June, 2014 at Dinalupihan,
Bataan, affiant exihibiting to me her Driver’s License No. C02-93-038860.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Dominga B. Peralta, of legal age, Filipino, and with residence and postal
address at Culis Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

8. I am the common-law wife of George P. Alicastre. We cohabited in the year

1974;

9. We have seven (7) children out of wedlock, namely:

Geoperson, born on November 5, 1976

Geoharris, born on July 12, 1978
Geoanne, born on March 15, 1980
Geomark, born on February 15, 1981
Geordan, born on September 16, 1983
Geolieza, born on October, 6, 1987
Geographer, born on August 26, 1989

10. George died on November 14, 2010 in Hermosa, Bataan;

11. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 9 th day of june,

2014 at Dinalupihan, Bataan.

Dominga B. Peralta
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 9th day of June, 2014 at Dinalupihan,
Bataan, affiant exihibiting to me her Postal ID No. 4091022.

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I Rosalinda L. Gamban, of legal age, Filipino, married and with residence and
postal address at J.C. Payumo Jr. Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

8. I am one of the children of Tranquilino LEgaspi and Claudia Valencia who

died on November 23, 2005 and January 10, 1999, respectively;

9. During their lifetime, they acquired a property located in Saguing Dinalupihan,

Bataan, measuring 2,152 square meters and covered by TCT No. CLOA-
2375 which was issued on December 15, 1991;

10. When they died, as their heirs, we sold the same to Elsa Valencia Eck on
April 21, 2014 as evidenced by the attached Extrajudicail Settlement of Estate
with Deed of Absolute Sale notarized by Atty. Edmundo S. Cari-an, eneterd
into his Notarial Reg. Book as Doc. No. 281; Page No. 57; Book No. IV;
Series of 2014;

11. We already paid the estate tax due our parents;

12. By vitue of the sale, we hereby request for the cancellation of TCT No. CLOA-
2375 in favor of the new owner;

13. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 9 th day of June,

2014 at Dinalupihan, Bataan.

Rosalinda L. Gamban
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 9th day of June, 2014 at Dinaluiphan,
Bataan, affiant exhibiting to me her VIN 0804-0157A-L2853RLG20000-9.
Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I Remedios C. Mallari, of legal age, Filipino, widow and with residence and
postal address at Pita Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

1. I am the surviving spouse of Bernaldo Mendoza Mallari who died on

February 18, 2007 in Dinalupihan, Bataan;

2. During his lifetime, he was a veteran;

3. As a veteran, he is entitled to some benefits from the government;

4. Three (3) years ago, I already submitted and completed the requirements
necessary for the Application of Old Age Pension (Surviving Spouse);

5. However, to date, my documents were not processed. Hence, the submission

of my documents anew;

6. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 6 th day of June,

2014 at Dinalupihan, Bataan.

Remedios C. Mallari
Affiant

Thumb mark:

Subscribed and sworn to before me this 6th day of June, 2014 at Dinaluiphan,
Bataan, affiant exhibiting to me her OSCA ID No. 4202.
Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I Emelina B. Pastolero, of legal age, Filipino, widow, and with residence and
postal address at Pinulot, Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am married to Jose J. Pastolero. We got married on March 5, 1999 in Our

Lady of Lourdes Parish in Colo, Dinalupihan, Bataan as evidenced by our
Certificate of Marriage. We have no children;

2. Jose was previously married to Leony Lansangan. They got married on

September 28, 1974 in Dinalupihan, Bataan as evidenced by their Marriage
Contract. Leony died on August 2, 1997 as evidenced by her Death
Certificate;

3. So that when Jose and I got married in 1999 there was no legal impediments
existing since he has been a widower since August 2, 1997 when his first wife
died;

4. Jose died on January 7, 2013 in Dinalupihan, Bataan as evidenced by his

Certificate of Death;

5. View from the foregoing, I remain to be the legal and surviving spouse of
Jose;

6. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of June,

2014 at Dinalupihan, Bataan.

Emelina B. Pastolero
Affiant

Thumb mark:
 Subscribed and sworn to before me this 5th day of June, 2014 at Dinaluiphan,
Bataan, affiant exhibiting to me her Comelec \ID No. 0804-0172A-L1153EBP-20000-6.

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I Gemma S. Lizardo, of legal age, Filipino, and with residence and postal
address at Saba Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

1. I am a Babysitter for almost one (1) year now;

2. As such Babysitter, I earned an average of Three Thousand Pesos (P

3,000.00) a month as salary;

3. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 2 nd day of June,

2014 at Dinalupihan, Bataan.

Gemma S. Lizardo
Affiant

Thumb mark:

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 2 nd day of June, 2014 at Dinaluiphan,

Bataan, affiant exhibiting to me her VIN 0805-0184J1376SGL20000.

Doc. No. 273

Page No. 55
Book No. VI
Series of 2014.
Republic of the Philippines )
Municipality of Dinalupihan)s.s.
Province of Bataan )

AFFIDAVIT

I, Lilibeth F. Perez, of legal age, Filipino, married and with residence and postal
address at Pagalanggang Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am the aunt of ENRIQUE BALUYOT SUSI who was born on May 22, 1970 in
Dinalupihan, Bataan from parents spouses Romeo Macaspac Susi and Adelaida
Ramos Baluyot as evidenced by his Certificate of Live Birth;

2. His father is my cousin;

3. He is married to Marite G. Flores. They got married on May 4, 1995 in

Dinalupihan, Bataan as evidenced by their Marriage Contract issued by the Local
Civil Registrar in Dinalupihan, Bataan;

4. His family lives next to our house in Pagalanggang Dinalupihan, Bataan;

5. Enrique has no identification cards because he only finished primary school and
did not enter secondary school. His only available documents are Police
Clearance, Birth Certificate and Marriage Contract;

6. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 29 th day of May,

2014 at Dinalupihan, Bataan..

Lilibeth F. Perez
Affiant

Thumb mark:

Witness:

Rosana L. Tolentino
Dinalupihan, Bataan

Subscribed and sworn to before me this 29th day of May, 2014 at Dinalupihan,
Bataan, affiant exhibiting to me her Municpality of Dinalupihan ID No. PE-00058.
Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

JOINT AFFIDAVIT

We, Imran Akhtar and Jenna M. Akhtar, both of legal age, and with residence
and postal address at Luacan Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

55. We got married on October 28, 2003 in Dinalupihan, Bataan;

56. I, Imran Akhtar, is a Pakistani National with Residence Alien Certificate of

Registration No. 354464;

57. We are engaged in business under the Business Name Imran Enterprises
located at Dinalupihan Public Market in Dinalupihan, Bataan;

58. My father named Akhtar Hussain Bhatti is intending to come in the Philippines as
tourist;

Akhtar Hussain Bhatti

Passport No. CB172181
Date of Birth: November 5, 1948

59. He will be staying with us here in the Philippines for one (1) or three (3) months
during his visit;

60. We hereby undertake to give all the necessary support and assistance to him
while in the Philippines;

61. We, likewise guarantee that he is peaceful citizen and that his purpose in
coming to the Philippines is purely recreation;

62. We declare these facts under threat of perjury;

63. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed my signature this 13 th day of

May, 2014 at Dinalupihan, Bataan.

Imran Akhtar Jenna M. Akhtar

Affiant Affiant
Driver’s License No. C02-07002478 Driver’s Licesen No. C02-
07002477

Subscribed and sworn to before me this 13 th day of May, 2014 at Dinalupihan,

Bataan.
Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Municipality of Dinalupihan)s.s.
Province of Bataan )

AFFIDAVIT

I, Michael G. Castilar, of legal age, Filipino, and with residence and postal
address at Tucop Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

7. I am the common-law husband of Mary Grace G. Galang;

8. We have been living together without the benefit of marriage since April 13,
2011;

9. We were blessed with three (3) children, namely:

Jay-bie, born on July 29, 2012

Jar Bie, born on August 6, 2013
Jenny Bie, born on May 17, 2014

10. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 27 th day of May,

2014 at Dinalupihan, Bataan..

Michael G. Castilar
Affiant

Thumb mark:

Witness:

Rosana L. Tolentino
Dinalupihan, Bataan

Subscribed and sworn to before me this 27th day of May, 2014 at Dinalupihan,
Bataan, affiant exhibiting to me his CTC No. 03937885 issued oon May 19, 2014 at
Dinalupihan, abtaan.

Doc. No.
Page No.
Book No.
Series of 2014.
Republic of the Philippines )
Municipality of Dinalupihan)s.s.
Province of Bataan )

Affidavit

I, Marisol C. Gambol, of legal age, Filipino, married, and with residence and
postal address at San Ramon, Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

85. I am a dentist (General Dentistry) by profession;

86. My dental clinic is located in San Ramon, Dinalupihan, Bataan;

87. I perform the following treatment to paties and collect the following fees:

 Restoration, P 200.00 to P 500.00

 Oral Prophylaxis, P 300.00 to P 500.00
 Extraction, P 200.00 to P 300.00
 Others, P 500.00 to P 1,000.00

88. Fees may vary depending on the circumstances or dental condition of the
patient;

89. Fees are being collected upon completion of treatment and the issuance of
receipt follows next;

90. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 21 st day of May,

2014 at Dinalupihan, Bataan..

Marisol C. Gambol
Affiant

Thumb mark:

Witness:
Rosana L. Tolentino
Dinalupihan, Bataan

Subscribed and sworn to before me this 21st day of May, 2014 at Dinalupihan,
Bataan, affiant exhibiting to me her Philhealth ID No. 07-025161790-0.

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Municipality of Dinalupihan)s.s.
Province of Bataan )

AFFIDAVIT

I, Lilibeth F. Perez, of legal age, Filipino, and with residence and postal address
at Pagalanggang Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:
 11. I am the sister of Marciano M. Francisco Jr.;

12. Our father Marciano M. Francisco died on May 11, 2014 and was brought to rest
on May 17, 2014 at Municipal Cemetery in Dinalupihan, Bataan;

13. My said brother was with us mourning for the death of our father and will leave
for Italy to work on May 28, 2014;

14. He arrived last May 16, 2014 only to pay his last respect to our father;

15. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 19 th day of May,

2014 at Dinalupihan, Bataan..

Lilibeth F. Perez
Affiant

Thumb mark:

Witness:

Rosana L. Tolentino
Dinalupihan, Bataan

Subscribed and sworn to before me this 19th day of May, 2014 at Dinalupihan,
Bataan, affiant exhibiting to me her Municipality of Dinalupihan ID No. PE-00058.

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Municipality of Dinalupihan)s.s.
Province of Bataan )

Affidavit To Use Maiden Name

 I, Joan M. Miranda, of legal age, Filipino, and with residence and postal address
at Layac Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

91. I was born on June 26, 1982 in Dinalupihan, Bataan from parents spouses
Villamor C. Miranda and Cristina Mendoza;

92. I am married to Eugene R. Serrano. We got married on May 13, 2000 in

Dinalupihan, Bataan;

93. We have been separated for more than five (5) years now and I do not know his
whereabouts. We have no communication;

94. Considering the above, I intend to use my maiden name which is Miranda in all
my documents and records;

95. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 14 th day of May,

2014 at Dinalupihan, Bataan..

Joan M. Miranda
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 14th day of May, 2014 at Dinalupihan,
Bataan, affiant exhibiting to me her Passport No. EB3028415.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

JOINT AFFIDAVIT

We, Imran Akhtar and Jenna M. Akhtar, both of legal age, and with residence
and postal address at Luacan Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:
 64. We got married on October 28, 2003 in Dinalupihan, Bataan;

65. I, Imran Akhtar, is a Pakistani National with Residence Alien Certificate of

Registration No. 354464;

66. We are engaged in business under the Business Name Imran Enterprises
located at Dinalupihan Public Market in Dinalupihan, Bataan;

67. My father named Akhtar Hussain Bhatti is intending to come in the Philippines as
tourist;

Akhtar Hussain Bhatti

Passport No. CB172181
Date of Birth: November 5, 1948

68. He will be staying with us here in the Philippines for one (1) or three (3) months
during his visit;

69. We hereby undertake to give all the necessary support and assistance to him
while in the Philippines;

70. We, likewise guarantee that he is peaceful citizen and that his purpose in
coming to the Philippines is purely recreation;

71. We declare these facts under threat of perjury;

72. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed my signature this 13 th day of

May, 2014 at Dinalupihan, Bataan.

Imran Akhtar Jenna M. Akhtar

Affiant Affiant
Driver’s License No. C02-07002478 Driver’s Licesen No. C02-
07002477

Subscribed and sworn to before me this 13 th day of May, 2014 at Dinalupihan,

Bataan.

Doc. No.
Page No.
Book No.
Series of 2014.
Republic of the Philippines )
Municipality of Dinalupihan ) S.s.
Province of Bataan )

Affidavit

I, Joselito D. Capulong, of legal age, Filipino, married and with residence and
postal address at New San Jose Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

6. I am a bonafide member of Social security System with SSS No. 02-0614686-5;

7. I was never employed in any company;

8. I stopped being a self-employed person as Aircon and Reirigeration Technician

since March 26, 2013;

9. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 9 th day of May,

2014 at Dinalupihan, Bataan.

Joselito D. Capulong
Affiant

Witness:

Reymalin Capulong
Dinalupihan, Bataan

Subscribed and sworn to before me this 9th day of May, 2014 at Dinalupihan,
[Link] exhibited to me his SSS ID No. 02-0614686-5.

Doc. No.
Page No.
Book No.
Series of 2014.
Republic of the Philippines )
Municipality of Dinalupihan ) S.s.
Province of Bataan )

Affidavit

I, Annivere M. Paeta, of legal age, Filipino, married and with residence and
postal address at San Pedro Hermosa, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

17. I am the mother of ARVIE MANGILIMAN PAETA who was born on May 6, 1998
in Dinalupihan, Bataan;

18. Her father is Armando Toledo Paeta;

19. She is exempted from getting NBI Clearance and Police Clearance since she is
still a minor and student;

20. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 9 th day of May,

2014 at Dinalupihan, Bataan.

Annivere M. Paeta
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 9th day of May, 2014 at Dinalupihan,
[Link] exhibited to me her MMC ID No. 09-00733-D.

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Municipality of Dinalupihan ) S.s.
Province of Bataan )

Affidavit

I, Nollie P. Paule, of legal age, Filipino, married and with residence and postal
address at Balsic Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

1. I am the owner of Nolvie Money Changer and Nolvie Dry Goods operating under
the same location in Dinalupihan Public Market in Dinalupihan, Bataan;

2. Official Receipts (O.R.) were issued for Nolvie Money Changer under TIN 933-
474-558-001 by the Bureau of Internal Revenue (B.I.R.);

3. On the other hand, Cash Sales Invoices were issued by the B.I.R to Nolvie Dry
Goods;

4. On both transactions of Nolvie Money Changer and Nolvie Dry Goods, we use
the O.R. of Nolvie Money Changer considering that the proprietor and owner is
one and the same;

5. We have no separate O.R. for Nolvie Dry Goods and we use O.R. of Nolvie
Money Changer for the transaction of Nolvie Dry Goods;

6. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 8 th day of May,

2014 at Dinalupihan, Bataan.

Nollie P. Paule
Affiant

Thumb mark:

Witness:

Renante Saplala
Dinalupihan, Bataan

Subscribed and sworn to before me this 8th day of May, 2014 at Dinalupihan,
[Link] exhibiting to me his _____________________________.

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Municipality of Dinalupihan ) S.s.
Province of Bataan )

Affidavit

I, Ma. Carmencita S. Mangiliman, of legal age, Filipino, and with residence and
postal address at 23 Tala St., San Ramon Dinalupihan, Bataan, after having been
sworn to in accordance with law, hereby depose and state that:

21. I am married to Michael Mangiliman. We got married on October 5, 2002 in

Dinalupihan, Bataan. We have two (2) children, namely: Chris Mikhail, born on
June 30, 2005 and Mary Cyril, born on April 4, 2003, respectively;

22. We have been separated since June 30, 2006 because of indifference, since
then we have not reconciled and reconciliation at this time is remote. We have no
communication and I do not know his whereabouts;

23. I hereby declare that I am removing Michael Mangiliman as one of my

beneficiaries in my Startek Medicard under employee 20117788 and only my two
children aforementioned will remain as my beneficiaries;

24. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 7 th day of May,

2014 at Dinalupihan, Bataan.

Ma. Carmencita S. Mangiliiman

Affiant

Thumb mark:

Witness:

Regina P. Malit
Dinalupihan, Bataan
 Subscribed and sworn to before me this 7th day of May, 2014 at Dinalupihan,
[Link] has no IDs to present.

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

We, John G. Simsunagco and Jingle M. Rosete, both of legal age, Filipino, and
with residence and postal address at San Ramon Dinalupihan, Bataan and Old
Cabalan, Olongapo, City, after having been sworn to in accordance with law, hereby
depose and state that:

60. We lived as common-law husband and wife in the year 1996;

61. We separated after a while and never reconciled and cohabited;

62. We did not legalize our marriage and will never legalize it since we are already
having our own separate lives;

63. We are executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 30 th day of

April, 2014 at Dinlalupihan, Bataan.

John G. Simsuangco Jingle M. Rosete

Affiant Affiant
Driver’s License No. C02-88-024109 Passport No. EB9661615

Subscribed and sworn to before me this 30 th day of April, 2014 at Dinalupihan,

Bataan.

Doc. No.
Page No.
Book No.
Series of 2014.
Republic of the Philippines )
Municipality of Dinalupihan ) S.s.
Province of Bataan )

Affidavit

I, Jonathan M. Miranda, of legal age, Filipino, and with residence and postal
address at New San Jose Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

25. I am the father of JASSER KRAVEN NABOR MIRANDA who was born on
May 19, 2005 in Dinalupihan, Bataan as evidenced by his Certificate of Live
Birth;

26. His mother is Evangelina Razon Nabor. We are not legally married;

27. He is exempted from getting NBI Clearance and Police Clearance since he is still
a minor and student;

28. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 7 th day of May,

2014 at Dinalupihan, Bataan.

Jonathan M. Miranda
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 7th day of May, 2014 at Dinalupihan,
[Link] exhibited to me his Driver’s License No. C02-08-005116.

Doc. No.
Page No.
Book No.
Series of 2014.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Jessamin B. Ocampo, of legal age, Filipino, single, and with residence and
postal address at Hermosa Heights, Culis, Hermosa, Bataan, after having been sworn
to in accordance with law, hereby depose and state that:

96. I intend to put up a small business to be operated at Palihan Public Market in

Palihan, Hermosa, Bataan (to be named J & J Collections and Gift Shop) with an
initial capital/investment of P 50,000.00;

97. I shall increase my capital once the business progresses;

98. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 7 th day of May,

2014 at Dinalupihan, Bataan.

Jessamin B. Ocampo
Affiant

Thumb mark:

Witness:

Regina Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 7th day of May, 2014 at Dinalupihan,
Bataan. Affiant exhibited to me her Driver’s License No. C10-12-013627.

Doc. No.
Page No.
Book No.
Series of 2014.
Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

We, John G. Simsunagco and Jingle M. Rosete, both of legal age, Filipino, and
with residence and postal address at San Ramon Dinalupihan, Bataan and Old
Cabalan, Olongapo, City, after having been sworn to in accordance with law, hereby
depose and state that:

64. We lived as common-law husband and wife in the year 1996;

65. We separated after a while and never reconciled and cohabited;

66. We did not legalize our marriage and will never legalize it since we are already
having our own separate lives;

67. We are executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 5 th day of

May, 2014 at Dinlalupihan, Bataan.

John G. Simsuangco Jingle M. Rosete

Affiant Affiant
Driver’s License No. C02-88-024109 Passport No. EB9661615
 Subscribed and sworn to before me this 5 th day of May, 2014 at Dinalupihan,
Bataan.

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Non-Acceptance

I, Raquel S. Lalic, of legal age, single, Filipino, and with residence and postal
address at Prado Saba, Lubao, Pampanga, after having been sworn to in accordance
with law, hereby depose and state that:

11. I was born on May 22, 1983 in Lubao, Pampanga;

12. I have been a Social Security System (SSS) Member since 2008;

13. However to date I have not received my SSS ID neither do I know my SSS
number;

14. I am requesting SSS to issue my ID;

 15. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of May,

2014 at Dinalupihan, Bataan.

Raquel S. Lalic
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 5th day of May, 2014 at Dinalupihan,
Bataan. Affiant exhibiting to me her Passport No. EB9612463.

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Karen N. Aquino, of legal age, Filipino, married, and with residence and postal
address at Pentor Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:
 99. I intend to put up a small business to be operated at Hermosa Public Market in
Palihan, Hermosa, Bataan with an initial capital/investment of P 100,000.00;

100. I shall increase my capital once the business progresses;

101. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 30 th day of April,

2014 at Dinalupihan, Bataan.

Karen N. Aquino
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 30 th day of April, 2014 at Dinalupihan,

Bataan. Affiant exhibited to me her VIN 0804-0217A-I1482KNA20000-5.

Doc. No.
Page No.
Book No.
Series of 2014.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

We, John G. Simsunagco and Jingle M. Rosete, both of legal age, Filipino, and
with residence and postal address at San Ramon Dinalupihan, Bataan and Old
Cabalan, Olongapo, City, after having been sworn to in accordance with law, hereby
depose and state that:

68. We lived as common-law husband and wife in the year 1996;

69. We separated after a while and never reconciled and cohabited;

70. We did not legalize our marriage and will never legalize it since we are already
having our own separate lives;

71. We are executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 30 th day of

April, 2014 at Dinlalupihan, Bataan.

John G. Simsuangco Jingle M. Rosete

Affiant Affiant
Driver’s License No. C02-88-024109 Passport No. EB9661615

Subscribed and sworn to before me this 30 th day of April, 2014 at Dinalupihan,

Bataan.

Doc. No.
Page No.
Book No.
Series of 2014.
Republic of the Philippines )
Municipality of Dinalupihan ) S.s.
Province of Bataan )

Affidavit

I, Librido R. Malaluan, of legal age, Filipino, married and with residence and
postal address at Maite Hermosa, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

29. I am the father of HYA MANGUBAT MALALUAN who was born on September
2, 1997 in Dinalupihan, Bataan as evidenced by her Certificate of Live Birth;

30. Her mother is Evengeline Mangubat;

31. She is exempted from getting NBI Clearance and Police Clearance since she is
still a minor and student;

32. She is a female;

33. However, in her Certificate of Live Birth, her gender was registered as Male
instead of Female the true and correct one;

34. I am requesting the change of gender of my said daughter from Male to Female,
the true and correct one;

35. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 24 th day of April,

2014 at Dinalupihan, Bataan.

Librido R. Malaluan
Affiant

Thumb mark:

Witness:
Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 24 th day of April, 2014 at Dinalupihan,

[Link] exhibited to me his TIN 442-339-692-000.

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Municipality of Dinalupihan ) S.s.
Province of Bataan )

Affidavit

I, Sonia L. Salalila, of legal age, Filipino, married and with residence and postal
address at Blk. 48 Lot 32, Resettlement Floridablanca, Pampanga, after having been
sworn to in accordance with law, hereby depose and state that:

1. I am the mother of NORLIE LALUNA SALALILA who was born on July 1, 2000
in Dinalupihan, Bataan as evidenced by his Certificate of Live Birth;

2. His father is Rene R. Salalila;

3. He is exempt from getting NBI Clearance since he is still a minor;

4. He is a male;

5. However, in his Certificate of Live Birth, his gender was registered as Female
instead of Male the true and correct one;

6. I am requesting the change of gender of my said son from Female to Male, the
true and correct one;

7. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 12 th day of

February, 2014 at Dinalupihan, Bataan.

Sonia L. Salalila
Affiant

Thumb mark:
Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 12th day of February, 2014 at Dinalupihan,
[Link] exhibited to me her AFP ID No. DA13-E-032033.

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Betty B. Cadiang, of legal age, Filipino, widow and with residence and postal
address at Kataasan, Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

72. I am 61 years old. I was born on October 24, 1953;

73. I have not been self-employed or employed in any company for the last forty (40)
years, more or less;

74. I have no earnings from self-employed;

75. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 24 th day of April,

2014 at Dinlalupihan, Bataan.

Betty B. Cadiang
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 24 th day of April, 2014 at Dinalupihan,

Bataan, affiant exhibiting to me her SSS ID No. 03-4208519-4.
Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Abandonment

I, Rose Ann M. Mercado, of legal age, Filipino, and with residence and postal
address at Roxas St., Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

76. I am the mother of ARHEANNE MERCADO who was born on November 20,
2007 in Balanga City, Bataan;

77. Her father is Arnel G. Tarcena. We are not legally married;

78. He abandoned us in 2008, when Arheanne was barely one (1) year old and we
do not know his whereabouts;

79. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 14 th day of April,

2014 at Dinlalupihan, Bataan.

Rose Ann M. Mercado

Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan
 Subscribed and sworn to before me this 14 th day of April, 2014 at Dinalupihan,
Bataan, affiant exhibiting to me her Driver’s License No. C02-11-000763.

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I Elsa V. Eck, of legal age, Filipino, married and with residence and postal
address at J.C. Payumo Jr. Dinaluphan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am an Overseas Filipino Worker (OFW) in the U.S.A. since 1984 as

Dressmaker and I am receiving US$1,300 as monthly salary;

2. My husband is a retired US Navy since 1978 and receives US$1,000 as

pension every month;

3. My husband, is, at the same time, working as pipefitter in U.S.A. and earns
US$1,500 monthly;

4. With all the earings as provided above, I could say that my financial status is
more than stable;

5. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 14 th day of April,

2014 at Dinalupihan, Bataan.

Elsa V. Eck
Affiant

Thumb mark:
Witness:

Guadalupe V. Knuth
Dinalupihan, Bataan

Subscribed and sworn to before me this 14th day of April, 2014 at Dinaluiphan,
Bataan, affiant exhibiting to me her CTC No. 03894448 issued on April 14, 2014 at
Dinalupihan, Bataan.

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I Rufino T. Torio Jr., of legal age, Filipino, and with residence and postal
address at Payumo St., San Ramon Dianluphan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I applied for the position of Electrician at JOS Corporation with address at

P.O. Box 505460, Saipan, MO 96950;

2. The Employment Contract for the said position has already been sent to me
for signature;

3. Today, April 3, 2014, I affixed my signature in the said Employment Contract,

a copy of which is hereto attached;

4. I am sending the signed Employment Contract to my employer;

5. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 3 rd day of April,

2014 at Dinalupihan, Bataan.

Rufino T. Torio Jr.

 Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 3 rd day of April, 2014 at Dinaluiphan,

Bataan, affiant exhibiting to me his Driver’s License No. C09-11-002765.

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I Analyn M. Cabe, of legal age, Filipino, and with residence and postal address
at Imus, Cavite, after having been sworn to in accordance with law, hereby depose and
state that:

4. I was born on December 11, 1970 in Dinalupihan, Bataan as evidenced by

my Certificate of Live Birth;

5. I have been using the above data in all my documents and records they being
the true and correct one;

6. However, in the aforesaid Certificate of Live Birth, my gender/sex was

entered and recorded as MALE instead of FEMALE the true and correct one;

7. I am the same person mentioned in the said Certificate of Live Birth;

8. The above discrepancy was committed without our fault;

 9. I finished my elementary at Dinalupihan Elementary School in Dinalupihan,
Bataan in 1984;

10. I finished my secondary school at Northern Bataan Insitute (NBI) in

Dinalupihan, Bataan in 1998;

11. Said school closed a long time ago and its officers, employees and teachers
are no longer holding office because the building has already been
demolished;

12. Because of this I could no longer get scholastic records from the said school;

13. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 1 st day of April,

2014 at Dinalupihan, Bataan.

Analyn M. Cabe
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 1 st day of April, 2014 at Dinaluiphan,

Bataan, affiant exhibiting to me her Philhealth ID No. 08-025592852-3.

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I Jimmy N. Santos, of legal age, Filipino, and with residence and postal address
at Almacen Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:
 14. I am a tricycle driver for almost three (3) years now;

15. As such tricycle driver, I earned average of Six Thousand Pesos (P 6,000.00)
a month as net income;

16. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 24 th day of

March, 2014 at Dinalupihan, Bataan.

Ramil M. Santos
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 24th day of March, 2014 at Dinaluiphan,
Bataan, affiant exhibiting to me his VIN 0805-0185A-K2476RMS10000.

Doc. No.
Page No.
Book No.
Series of 2014.

STATEMENT OF INCOME AND EXPENSES

FOR THE YEAR 2013

Expenses

Salary (P 48,000.00 @ 12 mos.) P 576,000.00

Commission ( P 12,000.00 @ @ 12 mos.) P 144,000.00
Other Income (P 20,000.00 @ 12 mos.) P 240,000.00
Tricycle Service ( P 3,000.00 @12 mos.) P 36,000.00
______________
Total P 996,000.00
Less:
Electricity, Water & Food Allowances (P 7,500.00 @ 12 mos.) 90,000.00
____________
Grand Total P 906,000.00
============

Salary/Commissions, Other Income & Tricycle

Service Income P 906,000.00
Total Amount for earning 1st Crop, 2nd Crop and 3rd Crop- 354,000.00
____________
Total Income For the Year 2013 P 1,260,000.00
 ===========

Prepared by:

Glaiza S. Pineda

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Glaiza S. Pineda, of legal age, Filipino, married and with residence and postal
address at Sta. Isabel Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

11. I am cultivating a farm land situated at San Benito Dinalupihan, Bataan

measuring 9,426 square meters more or less;

12. Aside from the said cultivation, I also earned income from my salary and
commission as HR Manager. I also operate one (1) tricycle for service with net
income of P 3,000.00 monthly;
 13. Attached hereto are the income and expenses for the year 2013 which I
personally prepared;

14. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 25 th day of

March, 2014 at Dinalupihan, Bataan.

Glaiza S. Pineda
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 25th day of March, 2014 at Dinalupihan,
Bataan, affiant exihibiting to me her Passport No. EB4092874.

Doc. No.
Page No.
Book No.
Series of 2014.

STATEMENT OF INCOME AND EXPENSES

FOR THE YEAR 2013

Expenses

Salary (P 48,000.00 @ 12 mos.) P 576,000.00

Commission ( P 12,000.00 @ @ 12 mos.) P 144,000.00
Tricycle Service ( P 3,000.00 @12 mos.) P 36,000.00
______________
Total P 756,000.00
Less:
Electricity, Water & Food Allowances (P 7,500.00 @ 12 mos.) 90,000.00
____________
Grand Total P 666,000.00
============
Prepared by:

Glaiza S. Pineda

STATEMENT OF INCOME AND EXPENSES

1st Crop

Expenses

Binhi = 2 sacks/P 900.00 P 1,800.00

Fertilizer ng Binhi ½ cavan (ammonium) 500.00
Patanim = 14 tao/P 200.00 kada tao 2,800.00
Fertilizer = UREA 4 sacks/ P 900.00 per cavan 3,600.00
= 2x nagsasabog ng abono
= 2 sack 1 ½ buwan ng paglagay
Spray= malathion/karate 1 bottle big
Malathion = P 1,400.00/ bottle 1,400.00
Karate = P 900.00/bottle 900.00
Pagbibilad 2,600.00
Labor 12,000.00
Diesel 6,400.00
 __________
Total Expenses P 32,000.00
==========

Harvest = 150 cavan/ P 1,000.00/cavan/tuyo palay P 150,000.00

==========
P 150,000.00 – earning 1st Crop
32,000.00 – Expenses
___________
P 118,000.00 – Total amount for earning in 1st Crop
===========

2nd Crop
Expenses

Binhi = 2 sacks/P 900.00 P 1,800.00

Fertilizer ng Binhi ½ cavan (ammonium) 500.00
Patanim = 14 tao/P 200.00 kada tao 2,800.00
Fertilizer = UREA 4 sacks/ P 900.00 per cavan 3,600.00
= 2x nagsasabog ng abono
= 2 sack 1 ½ buwan ng paglagay
Spray= malathion/karate 1 bottle big
Malathion = P 1,400.00/ bottle 1,400.00
Karate = P 900.00/bottle 900.00
Pagbibilad 2,600.00
Labor 12,000.00
Diesel 6,400.00
__________
Total Expenses P 32,000.00
==========

Harvest = 150 cavan/ P 1,000.00/cavan/tuyo palay P 150,000.00

==========

P 150,000.00 – earning 2nd Crop

32,000.00 – Expenses
___________
P 118,000.00 – Total amount for earning in 2nd Crop
===========

3rd Crop
Expenses

Binhi = 2 sacks/P 900.00 P 1,800.00

Fertilizer ng Binhi ½ cavan (ammonium) 500.00
Patanim = 14 tao/P 200.00 kada tao 2,800.00
Fertilizer = UREA 4 sacks/ P 900.00 per cavan 3,600.00
= 2x nagsasabog ng abono
= 2 sack 1 ½ buwan ng paglagay
Spray= malathion/karate 1 bottle big
Malathion = P 1,400.00/ bottle 1,400.00
Karate = P 900.00/bottle 900.00
Pagbibilad 2,600.00
Labor 12,000.00
Diesel 6,400.00
__________
Total Expenses P 32,000.00
 ==========

Harvest = 150 cavan/ P 1,000.00/cavan/tuyo palay P 150,000.00

==========
P 150,000.00 – earning 2nd Crop
32,000.00 – Expenses
___________
P 118,000.00 – Total amount for earning in 3rd Crop

Prepared by:

Glaiza S. Pineda

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT
 I Jimmy N. Santos, of legal age, Filipino, and with residence and postal address
at Almacen Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

12. I am a tricycle driver for almost three (3) years now;

17. As such tricycle driver, I earned average of Six Thousand Pesos (P 6,000.00)
a month as net income;

18. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 24 th day of

March, 2014 at Dinalupihan, Bataan.

Ramil M. Santos
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 24th day of March, 2014 at Dinaluiphan,
Bataan, affiant exhibiting to me his VIN 0805-0185A-K2476RMS10000.

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT
 I, Jimmy N. Santos, of legal age, Filipino, and with residence and postal
address at Almacen Hermosa, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

73. I work as a farmer for a ling time now;

74. As such farmer, I earned average of Six Thousand Pesos (P 6,000.00) a

month as net income;

75. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 31 st day of

March, 2014 at Dinalupihan, Bataan.

Jimmy N. Santos
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 31st day of March, 2014 at Dinaluiphan,
Bataan, affiant exhibiting to me his Penelco Membership Card No. 122219.

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Discrepancy

I, Maria Concepcion M. Noceda, of legal age, Filipino, single and with residence
and postal address at New San Jose Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I was born on November 17, 1986 in Olongapo City, Zambales from parents
spouses Conrado Noceda and Ceferina Mendoza as evidenced by my Certificate
of Live Birth;

2. I have been using the above data in all my documents they being the true and
correct one;

3. Howeve, in some of my documents particularly in my scholastic records, my

place of birth was entered and recorded as Dinalupihan, Bataan instead of
Olongapo City, Zambales the true and correct one;

4. The above discrepancy was committed without our fault and intention to mislead
the public;

5. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 21 st h

day of
March, 2014 at Dinalupihan, Bataan.

Maria Concepcion M. Noceda

Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 21st day of March, 2014 at Dinalupihan,
Bataan, affiant exhibiting to me her PRC ID No. 0448061.

Doc. No.
Page No.
Book No.
Series of 2014.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Cancellation

We, Floserfina T. Vital and Rodrigo David, both of legal age, Filipino, and with
residence and postal address at Bonifacio St., Dinalpihan, Bataan and Pentor
Dinalupihan, Bataan, respectively, after having been sworn to in accordance with law,
hereby depose and state that:

1. On April 15, 2013, we executed a Contract of Lease notarized by Atty. Renato

Bagay and entered into his notarial register book as doc. No. 62; Page No. 12;
Book No. VI; Series of 2013;

2. We hereby cancel the said document voluntarily;

3. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signature this 21 st day of

March, 2014 at Dinalupihan, Bataan.

Floserfina T. Vital Rodrigo David

Affiant Affiant
OSCA ID No. 0804 SSS ID No. 02-1355662-6

Subscribed and sworn to before me this 21 st day of March, 2014 at Dinalupihan,

Bataan.

Doc. No.
Page No.
Book No.
Series of 2014.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Ownership

I, Guadalupe V. Knuth, of legal age, Filipino, married and with residence and
postal address at Luacan Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

6. I am the owner of a property located at Barangay Sto. Niño, San Felipe

Zambales measuring 2,037 square meters purchased from Gilbert U. Alvez,
Robert Renolo, Benjamin Alvez, Allan Aninag, Emmanuel Dumlao, Mirasol G.
Alvez and James U. Alvez on December 27, 2006;

7. Said ownership is evidenced by four (4) documents entitled Deed of Transfer of

Rights executed on December 27, 2006;

8. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 19 th day of

March, 2014 at Dinalupihan, Bataan.

Guadalupe V. Knuth
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 19 th day of March, 2014 at Dinalupihan,

Bataan, affiant exhibiting to me her OSCA ID No. 6011.

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Learnie Leanne C. Akhtar, of legal age, Filipino, married and with residence
and postal address at Culis Hermosa, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

73. I am the wife of Irfan Akhtar. We got married on March 6, 2012 in Dinalupihan,
Bataan;

74. We are engaged in business under the Business Name Akhtar Store located at
Dinalupihan Public Market in Dinalupihan, Bataan;

75. My said husband is intending to come the Philippines as tourist;

Irfan Aktar
Passport No. KH622063
Date of Birth: January 4, 1985

76. He will be staying with me here in the Philippines for a short while;

77. I hereby undertake to give all the necessary support and assistance to the
aforementioned while he is in the Philippines;

78. I, likewise guarantee that he is peaceful citizen and that his purpose in coming to
the Philippines is to be with me and purely recreation and business on the side;

79. I declare these facts under threat of perjury;

80. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13 th day of

March, 2014 at Dinalupihan, Bataan.
 Learnie Leanne C. Akhtar
Affiant

Thumb mark:

Subscribed and sworn to before me this 13 th day of March, 2014 at Dinalupihan,

Bataan, affiant exhibiting to me her Postal ID No. 1816675.

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Arcadio A. Navale Jr., of legal age, Filipino, married and with residence and
postal address at Sto. Niño, Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

41. I am a firearm holder which firearm I acquired from my father Arcadio Navale Sr.
in 1983. Said firearm is described as follows:

Kind/Make : RVLVR/SWSN
Control No. : I-A0394001
Model/Caliber : 38
Serial No. : 5767

42. I I have not used said firearm since I acquired it in 1983 but it remains a
remembrance from my deceased father;

43. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 10 th day of

March, 2014 at Dinalupihan, Bataan.

Arcadio A. Navale Jr.

 Affiant

Thumb mark:

Subscribed and sworn to before me this 10th day of March, 2014 at Dinalupihan,
Bataan. Affiant exhibited to me his PRC ID No. 0001290.

Doc. No. 81
Page No. 17
Book No. III
Series of 2014.

Republic of the Philippines )

) S.s.

AFFIDAVIT

We, Rustico A. Eugenio, Rosario E. Del Rosario, Remedios E. Tolentino,

Roman A. Eugenio Jr., Romualdo A. Eugenio, Romalyn E. Pamintuan, Ruby E.
Paguio, Rosalyn E. Paguio, Raymond A. Eugenio and Raymark A. Eugenio, all of
legal age, Filipino, and with residence and postal address at Mandama Hermosa,
Bataan, after having been sworn to in accordance with law, hereby depose and state
that:

1. We are the children/heirs of the late Roman A. Eugenio who died on February
26, 2013 in Hermosa, Bataan;

2. He obtained a real estate from the closed Rural Bank, Dinalupihan, presently
under Liquidation by the Philippine Deposit Insuraqnce Corporation (PDIC) on
June 1977 from the sum of One Thousand Five Hundred Pesos (P 1,500.00);

3. As security to the aforesaid loan, he executed a real estate mortgage in favor of

the closed Rural Bank Dinalupihan covering our property located at Bataan which
is more particularly described under TCT No. T-67464 of the Registry of Deeds
for the Province of Bataan;

4. By virtue of the encumbrance, the same was annotated an TCT No. T-67464 as
entry No. 104131 with an inscription date of June 15, 1977;
 5. That the aforementioned loan was fully paid on 1978 but unfortunately, all
receipts/evidneces of payment were missing due to flood;

6. That if these lost receipts of payments are found later on, We undertake to
deliver the same to closed Rural Bank of Dinalupihan or to PDIC for verification
and we hereby further agree to hold the closed Rural Bank Dinalupihan and
PDIC free from harmless from any claim, loss or damage that may arise from the
loss or unauthorized use of the said receipts. Should be the closed Rural Bank
Dinalupihan and/or PDIC incur any loss or damage from our representations
hereof, we hereby agree to indemnify them from the same, in addition, to our
other liabilities, civil or criminal, that may arise herefrom;

7. We were not able to immediately work on the cancellation of the aforesaid real
estate mortgage because we were not aware of the procedure;

8. We have no outstanding obligation with closed Rural Bank of Dinalupihan and if it

should have been discovered that we have unpaid obligations with the bank, we
undertake to pay the same to the closed Rural Bank of Dnalupihan;

9. We are executing this affidavit to secure a release/cancellation of real estate

mortgage from the Liquidator of the closed Rural bank of Dinalupihan and to
atteast to the truth and veracity of the above allegations.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this ____ day of
________________ at ______________________.

Affiants:

Rustico A. Eugenio Rosario e. Del Rosario Remedios E.

Tolentino

Roman A. Eugenio Jr. Romualdo A. Eugenio Romalyn E.

Pamintuan

Ruby E. Paguio Rosalyn E. Paguio Raymond A.

Eugenio

Raymark A. Eugenio

Subscribed and sworn to before me this _____ th day of ________________ at

_____________________.

Doc. No.
Page No.
Book No.
Series of 2014.
 INDEMNITY AGREEMENT with SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENT:

We, Rustico A. Eugenio, Rosario e. Del Rosario, Remedios E. Tolentino,

Roman A. Eugenio, Romalyn E. Pamintuan, Ruby E. Paguio, Rosalyn E. Paguio,
Raymond A. Eugenio and Raymark A. Eugenio, all of legal age, Filipino, with
residence at Mandama Hermosa, Bataan, after having been duly sworn in accordance
with law, depose and say:

1. That, we are the owners of a parcel of land and covered by TCT No. T-67464
located at Balag-na-Baging, Hermosa, Bataan which was used as collateral to
our previous obligation with the closed Rural Bank of Dinalupihan, Inc.;

2. That we are authorizing Romualdo A. Eugenio to repsent us, sign and receive
the Release and Cancellatioon of Mortgage and whatever documents that
may be necessary for the cancellation of the mortgage annotated on said title;

3. That, we hereby RELEASE AND DISCHARGE said Rural Bank of

Dinalupihan, Inc. or its Liquidator, its officers, employees, agents or
representatives from any further liability, whatsoever, emanating directly or
indirectly from the Realse of the motgage on our property, and for this
purpose we hereby hold the said banki, its Liquidator, its officers, employees,
agents or representatives, legally free and harmless from any further liability
arising from the foregoing transaction, claim or incident.
 IN WITNESS WHEREOF, we have signed these presents on this ____ day of
________________ at ____________________.

Principals:

Rustico A. Eugenio Rosario E. Del Rosario Remedios E.

Tolentino

Roman A. Eugenio Jr. Romalyn E. Pamintuan Ruby E. Paguio

Rosalyn E. Paguio Raymond A. Eugenio Raymark A. Eugenio

Conforme:

Romualdo A. Eugenio
Attorney-in-fact

Signed in the presence of:

______________________ __________________________

Acknowledgment

Republic of the Philippines )

BEFORE ME, this ___ day of ________________ at _____________________,

personally appeared as follows:

Names ID No.

Rustico A. Eugenio
Rosario E. Del Rosario
Remedios E. Tolentino
Roman A. Eugenio Jr.
Romalyn E. Pamintuan
Ruby E. Paguio
Rosalyn E. Paguio
Raymond A. Eugenio
Raymark A. Eugenio
Romualdo A. Eugenio

known to me and to me known to be the same persons who executed the foregoing
instrument, and they acknowledged to me that the same is their act and deed.

IN WITNESS WHEREOF, I have hereunto set my hand, the day, year and place
above written.
Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Christopher T. Galang, of legal age, Filipino, and with residence and postal
address at Zamora St., Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

44. I am the holder of the following documents:

Certificate of Training issued by the PAGASA

Certification issued by the PAGASA
Diploma issued by the Guzman College of Science & Technology
Certificate of Training issued by the PAGASA

45. I hereby attest to the authenticity and genuiness of the Certifications and
Diploma, copies of which are hereto attached and made integral parts hereof;

46. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 19 th day

ofFebruary, 2014 at Dinalupihan, Bataan.

Christopher T. Galang
Affiant

Thumb mark:

Subscribed and sworn to before me this 19th day of February, 2014 at Dinalupihan,
Bataan. Affiant exhibited to me his ID No. 8050.

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Municipality of Dinalupihan ) S.s.
Province of Bataan )

Affidavit of Justification of Surety

(Criminal Case No. DH-3184-14,
People of the Philippines vs. Julius Reyes y Pruna)

We, Sps. Reynaldo V. Manalang and Ivy R. Manalang, both of legal age,
Filipino, and with residence and postal address at San Ramon Dinalupihan, Bataan,
after having been sworn to in accordance with law, hereby depose and state that:
 8. We are the registered owners of parcels of land and described as follows:

a. Lot located at San Ramon Dinalupihan, Bataan,

measuring 155 square meters, described as Lot 19, Blk.
1 of the subdivision plan, Psd-03-117516 and covered
by Transfer Certificate of Title No. T-243264 issued on
August 17, 2004 by the Registry of Deeds for the
Province of Bataan;
b. Lot located at Tucop Dinalupihan, Bataan, measuring
210 square meters, described as Lot 109-B-9 of the
subd. plan Psd-03-193027 and covered by Transfer
Certificate of Title No. 038-2012009226;

9. The amount specified in the foregoing Bail Bond is over and above all just debts,
obligations and properties exempt from execution;

10. The entire sum justified to us is more that the whole amount of bail
recommended.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 14 th day of

February, 2014 at Dinalupihan, Bataan.

Reynaldo V. Manalang Ivy R. Manalang

Affiant Affiant
Driver’s License No. B03-92-008856 SSS ID No. 02-1255448-3

Subscribed and sworn to before me this 14th day of February, 2014 at Dinalupihan,
Bataan.

Doc. No. 217

Page No. 44
Book No. II
Series of 2014.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan )

AFFIDAVIT
For Preliminary Attachment

I, Engr. Eliseo B. Naguit, of legal, Filipino, and with residence and

postal address at Cadena De Amor, Dona Francisca Subd., Balanga City,
Bataan, after having been sworn to in accordance with law, hereby depose
and state that:
 13. I am the representative of the plaintiff in the above-entitled
case;

14. Sufficient causes of action exist against all the defendants;

15. This action is one of those specifically mentioned in Sec. 1 of

Rule 57 of the Rules of Court, whereby a writ of preliminary
attachment may issue; to wit: In an action for the recovery of a
specified amount of money or damages, other than moral and
exemplary, on a cause of action arising from law, contract, quasi
contract, delict or quasi-delict against a party who is about to depart
from the Philippines with intent to defraud his creditors and in an
action against a party who has removed or disposed of his property,
or is about to do so, with intent to defraud his creditors;

16. There is no other sufficient security for the claim sought to be

enforced by the present action;

17. The amount due to the plaintiff is as much the sum for which an
order of attachment is sought to be granted, above all legal
counterclaims on the part of the defendants.

18. I am executing this affidavit to attest to the truth of the foregoing

and for whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 17 th

day of February, 2014 at Dinalupihan, Bataan.

Eliseo B. Naguit
Affiant

Subscribed and sworn to before me this 17th day of February, 2014 at

Dinalupihan, Bataan, affiant exhibiting to me his SSS ID No. 03-3285714-1.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Rodel L. Gabon, of legal age, Filipino,married and with residence and postal
address at Daang Bago Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

47. I was employed with the following companies:

FCAW/SMAW Welder
Bumjin Philippines Construction Inc. (Tank Team)
February 19, 2013 to February 17, 2014

Welder/General Worker
Dae Chang Metal Co. Ltd.
June 12, 2007 to April 11, 2012

48. I hereby attest to the authenticity and genuiness of the Certifications issued by
the said companies, copies of which are hereto attached and made integral
parts hereof;

49. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 17 th day

ofFebruary, 2014 at Dinalupihan, Bataan.

Rodel L. Gabon
Affiant

Thumb mark:

Subscribed and sworn to before me this 17th day of February, 2014 at Dinalupihan,
Bataan. Affiant exhibited to me his SSS ID No. 33-5464508-2.

Doc. No. 244

Page No. 49
Book No. II
Series of 2014.
Republic of the Philippines )
Municipality of Dinalupihan ) S.s.
Province of Bataan )

Affidavit of Justification of Surety

(Criminal Case No. DH-3184-14,
People of the Philippines vs. Julius Reyes y Pruna)

We, Sps. Reynaldo V. Manalang and Ivy R. Manalang, both of legal age,
Filipino, and with residence and postal address at San Ramon Dinalupihan, Bataan,
after having been sworn to in accordance with law, hereby depose and state that:

11. We are the registered owners of a lot located at San Ramon Dinalupihan,
Bataan, measuring 155 square meters, described as Lot 19, Blk. 1 of the
subdivision plan, Psd-03-117516 and covered by Transfer Certificate of Title No.
T-243264 issued on August 17, 2004 by the Registry of Deeds for the Province
of Bataan;

12. The amount specified in the foregoing Bail Bond is over and above all just debts,
obligations and property exempt from execution;

13. The entire sum justified to us is more that the whole amount of bail
recommended.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 14 th day of

February, 2014 at Dinalupihan, Bataan.

Reynaldo V. Manalang Ivy R. Manalang

Affiant Affiant
Driver’s License No. B03-92-008856 SSS ID No. 02-1255448-3

Subscribed and sworn to before me this 14th day of February, 2014 at Dinalupihan,
Bataan.

Doc. No.
Page No.
Book No.
Series of 2014.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

We, Bienvenido M. Bautista, Raymond O. Bautista, Lucila B. Luno, and the

Heirs of Rustico M. Bautista, namely: Annaliza B. Quinto and Adelaida M. Bautista,
all of lega age, and with residence and postal address in Saguing, Dinalupihan, Bataan,
after having been sworn to in accordance with law, hereby depose and state that:

10. We filed our adverse claim on the property covered by Transfer Certificate of
Title No. CLOA-7142 registered under the names of Gervacio Bautista and
Edgardo Bautista (now both deceased);

11. Said adverse claim was annotated in the said title as Entry No. 537164 on March
2, 2009;

12. Considering that we have already settled our differences and we do not claim
adversely on the subject property, we are requesting that the said adverse claim
annotation be removed and/or cancelled;

13. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 14 th day of

February, 2014 at Dinalupihan, Bataan.

Affiants:

Bienvenido M. Bautista Raymond O. Bautista Lucila B. Luno

OSCA ID No. 5709 Philhealth ID No. 0720-1431-9531 Postal ID No.
4237774

Heirs of Rustico M. Bautista:

Annaliza B. Quinto Adelaida M. Bautista

Driver’s License No. C02-09-001118 OSCA ID No. 4539
 Subscribed and sworn to before me this 14th day of February, 2014 at Dinalupihan,
Bataan.

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Municipality of Dinalupihan ) S.s.
Province of Bataan )

Affidavit

I, Sonia L. Salalila, of legal age, Filipino, married and with residence and postal
address at Blk. 48 Lot 32, Resettlement Floridablanca, Pampanga, after having been
sworn to in accordance with law, hereby depose and state that:

14. I am the mother of NORLIE LALUNA SALALILA who was born on July 1, 2000
in Dinalupihan, Bataan as evidenced by his Certificate of Live Birth;

15. His father is Rene R. Salalila;

16. He is exempt from getting NBI Clearance since he is still a minor;

17. He is a male;

18. However, in his Certificate of Live Birth, his gender was registered as Female
instead of Male the true and correct one;

19. I am requesting the change of gender of my said son from Female to Male, the
true and correct one;

20. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 12 th day of

February, 2014 at Dinalupihan, Bataan.
 Sonia L. Salalila
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 12th day of February, 2014 at Dinalupihan,
[Link] exhibited to me her AFP ID No. DA13-E-032033.

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

JOINT AFFIDAVIT

We, Ralph Vincent Sarmiento and Jenicah Flores, both of legal age, Filipino,
and with residence and postal address at Bonifacio St., Dinalupihan, Bataan, after
having been sworn to in accordance with law, hereby depose and state that:

1. We are the contracting parties in a marriage to be held on February 15, 2014;

2. We request that said wedding be celebrated at The Lighthouse Marina Resort in

Subic Bay Olongapo City, Zambales;

3. We execute this affidavit pursuant to the provision of the Family Code of the
Philippines;
 4. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 11 th day of

February, 2014 at Dinalupihan, Bataan.

Ralph Vincent Sarmiento Jenicah Flores

Affiant Affiant
Driver’s License South Australia No. BT0098 Proof of Age Card Southn
Australia
ID No. BX4767

Subscribed and sworn to before me this 11th day of February, 2014 at Dinalupihan,
Bataan.

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT
 I, Cristina S. Beltran, of legal age, Filipino, married and with residence and
postal address at Saguing Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

13. I am the mother of MARK ANTHONY SARREAL who was born on August 7,
1990 in Dinalupihan, Bataan;

14. His father is Menandro Edquilan. We are not legally married;

15. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 10 th day of

February, 2014 at Dinalupihan, Bataan.

Cristina S. Beltran
Affiant

Thumb mark:

Subscribed and sworn to before me this 10th day of February, 2014 at Dinalupihan,
Bataan, affiant exihibiting to me her VIN 0804-0212A-B2372CSB20000-4.

Doc. No. 128

Page No. 26
Book No. II
Series of 2014.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Divina S. Manlapat, of legal age, Filipino, married and with residence and
postal address at Roosevelt Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

16. I am the mother of RHEA SANTOS MANLAPAT and RYAN SANTOS

MANLAPAT who were born on November 13, 1997 in Dinalupihan, Bataan
and Balanga City, Bataan;

17. Their father is Nelson Perez Manlapat;

18. They were born twins. Rhea was first delivered followed by Ryan by about
three (3) hours;

19. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 11 th day of

February, 2014 at Dinalupihan, Bataan.

Divina S. Manlapat
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 11th day of February, 2014 at Dinalupihan,
Bataan, affiant exihibiting to me her VIN 0804-0188A-B0469DSM20001-2.

Doc. No.
Page No.
Book No.
Series of 2014.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF
CANCELLATION

I, Carmeluz R. Castro, of legal age, Filipino, and with residence and postal
address at Balsic Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

4. I am the owner of KAMARA FARM located at Balsic Hermosa, Bataan. Said

business is registered with Department of Trade and Industry (DTI);

5. I am closing said business because for lack of capital to finance said business as
it does not earn profits;

6. In view of the above, I am requesting that my registration with the Department of

Trade and Industry (DTI), Bureau of Internal Revenue (BIR) and Office of
Municipality of Hermosa be cancelled or revoked;

7. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 11 th day of

February, 2014 at Dinalupihan, Bataan.

Carmeluz R. Castro
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 11th day of February, 2014 at Dinalupihan,
Bataan, affiant exhibiting to me her Driver’s License No. C02-90-028566.

Doc. No.
Page No.
BookNo.
Series of 2014.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Christian C. Ansale, of legal age, Filipino, and with residence and postal
address at Balsic Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

50. I was employed at Subic Bay Travelers Hotel located at Subic Bay Freeport Zone
for the following positions:

General Cleaner from March 25, 2010 to June 18, 2010

Room Attendant from June 19, 2010 to September 1, 2013
Linen Attendant from September 2, 2013 to November 2, 2013
Room Atendant from November 3, 2013 to December 23, 2013

51. I hereby attest to the authenticity and genuiness of the Certification issued by the
Subic Bay Travelers Hotel on January 2, 2014, copy of which is hereto attached
and made an integral part ghereof;

52. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13 th day of

January, 2014 at Dinalupihan, Bataan.

Christian C. Ansale
Affiant

Thumb mark:

Witness:
 May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 13 th day of January, 2014 at Dinalupihan,

Bataan. Affiant exhibited to me his SSS ID No. 02-2225032-4.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Cristina S. Beltran, of legal age, Filipino, married and with residence and
postal address at Saguing Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

20. I am the mother of MARK ANTHONY SARREAL BELTRAN who was born
on August 7, 1990 in Dinalupihan, Bataan;

21. His father is Menandro Edquilan. We are not legally married;

22. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 10 th day of

February, 2014 at Dinalupihan, Bataan.

Cristina S. Beltran
Affiant

Thumb mark:

Subscribed and sworn to before me this 10th day of February, 2014 at Dinalupihan,
Bataan, affiant exihibiting to me her VIN 0804-0212A-B2372CSB20000-4.

Doc. No.
Page No.
Book No.
Series of 2014.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

JOINT AFFIDAVIT

We, Glen E. Aunzo and Mona P. Palencia, both of legal age, Filipino, and with
residence and postal address at Old San Jose Dinalupihan, Bataan, after having been
sworn to in accordance with law, hereby depose and state that:

5. We are the contracting parties in a marriage to be held on February 8, 2014;

6. We request that said wedding be celebrated at Acuña Resort in Old San Jose
Dinalupihan, Bataan;

7. We execute this affidavit pursuant to the provision of the Family Code of the
Philippines;

8. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 3 rd day of

February, 2014 at Dinalupihan, Bataan.

Glen E. Aunzo Mona P. Palencia

Affiant Affiant
VIN 7501-2012A-K1188GEA10000 SSS ID No. 34-1095477-2

Subscribed and sworn to before me this 3rd day of February, 2014 at Dinalupihan,
Bataan.

Doc. No. 32
Page No. 7
Book No. II
Series of 2014.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Singleness

I, Lenjie P. Marantal, of legal age, Filipino, married, and with residence and
postal address at Culis Hermosa, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

1. I am the mother of John Harly Panaguiton Marantal who was born on

November 2, 1994 in Quezon, Quezon;

2. His father is Braulio Marantal;

3. John Harly has never entered into any marriage contract and has stayed single
or unmarried up to this time;

4. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 6 th day of

February, 2014 at Dinlalupihan, Bataan.

Lenjie P. Marantal
Affiant

Witness:
Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 6 th day of February, 2014 at Dinalupihan,

Bataan, affiant exhibiting to me her VIN 0805-0106A-D2870LPM20000.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Estelita L. Martinez, of legal age, Filipino, and with residence and postal
address at Colo Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

23. I am cultivating a farm land situated at San Benito Dinalupihan, Bataan

measuring 9,426 square meters more or less;

24. Aside from the said cultivation, I also earned income from PUJ operation and
remittances from my children who are working abroad;

25. Attached hereto is the income and expenses for the year 2013 which I
personally prepared;

26. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 4 th day of

February, 2014 at Dinalupihan, Bataan.

Estelita L. Martinez
Affiant
 Thumb mark:

Witness:

Glaiza S. Pineda
Dinalupihan, Bataan

Subscribed and sworn to before me this 4 th day of February, 2014 at Dinalupihan,

Bataan, affiant exihibiting to me her VIN 0804-0044A-F2451ELM20001-4.

STATEMENT OF INCOME AND EXPENSES

FOR THE YEAR 2013

Expenses

PUJ Operations –Income (P 9,350 @ 12 mos.) P 112,200.00

Remittances (P 30,000.00 @ 12 mos.) 360,000.00
______________
Total P 472,200.00
Less: Expenses (Maintenance-PUJ)(P 1,500.00 @ 12 mos.) 18,000.00
Electricity, Water & Food Allowances (P 6,000.00 @ 12 mos.) 72,000.00
____________
Grand Total P 382,200.00
============

PUJ- Income & Remittances P 382,200.00

Total Amount for earning 1st Crop, 2nd Crop and 3rd Crop- 309,000.00
____________
Total Income For the Year 2013 P 691,200.00
===========
Prepared by:

Estelita L. Martinez

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

JOINT AFFIDAVIT

We, Glen E. Aunzo and Mona P. Palenica, both of legal age, Filipino, and with
residence and postal address at Old San Jose Dinalupihan, Bataan, after having been
sworn to in accordance with law, hereby depose and state that:

9. We are the contracting parties in a marriage to be held on February 8, 2014;

 10. We request that said wedding be celebrated at Acuña Resort in Old San Jose
Dinalupihan, Bataan;

11. We execute this affidavit pursuant to the provision of the Family Code of the
Philippines;

12. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 3 rd day of

February, 2014 at Dinalupihan, Bataan.

Glen E. Aunzo Mona P. Palencia

Affiant Affiant
____________________ SSS ID No. 34-1095477-2
____________________

Subscribed and sworn to before me this 3rd day of February, 2014 at Dinalupihan,
Bataan.

Doc. No.
Page No.
Book No.
Series of 2014.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Rosario R. Jimenez, of legal age, Filipino, widow and with residence and
postal address at Balsic Hermosa, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

1. I am the legal wife of Domingo Antonio Jimenez who died on January 18,
2013 in Hermosa, Bataan as evidenced by his Certificate of Death;

2. During his lifetime, he was a member of Armed Forces and Police Savings &
Loan Association, Inc. (AFSLAI);

3. We are terminating his membership to AFSLAI by reason of his death;

4. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 3 rd day of

February, 2014 at Dinalupihan, Bataan.

Rosario R. Jimenez
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 3rd day of February, 2014 at Dinalupihan,
Bataan, affiant exihibiting to me her SSS ID No. 03-1990686-6.

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Estelita L. Martinez, of legal age, Filipino, and with residence and postal
address at Colo Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

27. I am cultivating a farm land situated at San Benito Dinalupihan, Bataan

measuring 9,426 square meters more or less;

28. I earned income out of cultivation, attached hereto is the income and
expenses for the year 2013 which I personally prepared;

29. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 29 th day of

January, 2014 at Dinalupihan, Bataan.

Estelita L. Martinez
Affiant

Thumb mark:

Witness:

Glaiza S. Pineda
Dinalupihan, Bataan

Subscribed and sworn to before me this 29 th day of January, 2014 at Dinalupihan,

Bataan, affiant exihibiting to me her VIN 0804-0044A-F2451ELM20001-4.

Doc. No.
Page No.
Book No.
Series of 2014.

STATEMENT OF INCOME AND EXPENSES

1st Crop

Expenses

Binhi = 2 sacks/P 900.00 P 1,800.00

Fertilizer ng Binhi ½ cavan (ammonium) 500.00
Patanim = 14 tao/P 200.00 kada tao 2,800.00
Fertilizer = UREA 4 sacks/ P 900.00 per cavan 3,600.00
= 2x nagsasabog ng abono
= 2 sack 1 ½ buwan ng paglagay
Spray= malathion/karate 1 bottle big
Malathion = P 1,400.00/ bottle 1,400.00
Karate = P 900.00/bottle 900.00
Pagbibilad 2,600.00
Labor 12,000.00
Diesel 6,400.00
__________
Total Expenses P 32,000.00
==========

Harvest = 150 cavan/ P 900.00/cavan/tuyo palay P 135,000.00

==========
P 135,000.00 – earning 1st Crop
32,000.00 – Expenses
___________
P 103,000.00 – Total amount for earning in 1st Crop
=========

2nd Crop
Expenses

Binhi = 2 sacks/P 900.00 P 1,800.00

Fertilizer ng Binhi ½ cavan (ammonium) 500.00
Patanim = 14 tao/P 200.00 kada tao 2,800.00
Fertilizer = UREA 4 sacks/ P 900.00 per cavan 3,600.00
= 2x nagsasabog ng abono
= 2 sack 1 ½ buwan ng paglagay
Spray= malathion/karate 1 bottle big
Malathion = P 1,400.00/ bottle 1,400.00
Karate = P 900.00/bottle 900.00
Pagbibilad 2,600.00
Labor 12,000.00
Diesel 6,400.00
__________
Total Expenses P 32,000.00
==========

Harvest = 150 cavan/ P 900.00/cavan/tuyo palay P 135,000.00

==========

P 135,000.00 – earning 2nd Crop

32,000.00 – Expenses
___________
P 103,000.00 – Total amount for earning in 2nd Crop
=========

3rd Crop
Expenses

Binhi = 2 sacks/P 900.00 P 1,800.00

Fertilizer ng Binhi ½ cavan (ammonium) 500.00
Patanim = 14 tao/P 200.00 kada tao 2,800.00
Fertilizer = UREA 4 sacks/ P 900.00 per cavan 3,600.00
= 2x nagsasabog ng abono
= 2 sack 1 ½ buwan ng paglagay
Spray= malathion/karate 1 bottle big
Malathion = P 1,400.00/ bottle 1,400.00
 Karate = P 900.00/bottle 900.00
Pagbibilad 2,600.00
Labor 12,000.00
Diesel 6,400.00
__________
Total Expenses P 32,000.00
==========

Harvest = 150 cavan/ P 900.00/cavan/tuyo palay P 135,000.00

==========
P 135,000.00 – earning 2nd Crop
32,000.00 – Expenses
___________
P 103,000.00 – Total amount for earning in 3rd Crop

Prepared by:

Estelita L. Martinez
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Lorenzo E. Torres, of legal age, Filipino, and with residence and postal
address at Magsaysay Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

30. I am cultivating a farm land situated at San Benito Dinalupihan, Bataan

measuring 8,000 hectares more or less;

31. I earned income out of cultivation, attached hereto is the income and
expenses for the year 2012 which I personally prepared;

32. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 29 th day of

October, 2013 at Dinalupihan, Bataan.

Lorenzo E. Torres
Affiant

Thumb mark:

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 29 th day of October, 2103 at Dinalupihan,

Bataan, affiant exihibiting to me his SSS ID No. 02-0276107-9.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Analiza D. Lucero, of legal age, Filipino, and with residence and postal
address at Happy Valley Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

4. I owned a poultry located at Happy Valley Dinaluiphan, Bataan;

 5. I earned income from the said poultry. Attached hereto is the Income and
Expenses for the year 2010 which I personally prepared;

6. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 11 th day of July,

2011 at Dinalupihan, Bataan.

Analiza D. Lucero
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 11 th day of July, 2011 at Dinaluiphan,

Bataan. Affiant exhibiting to me her Postal ID No. 0513997.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines)

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF CLOSURE

I, Raquel P. Salvador, of legal age, Filipino, and with residence and postal
address at Luacan Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

22. I am the registered owner of ARE-5 INTERNET CAFÉ located at Luacan

Dinalupihan, Bataan registered with the Department of Trade and Industry (DTI)
with Certificate No. 041404859;

23. Said business is closed effective on October 31, 2013 for lack of capital to
finance said business as it does not earn profits;

24. In view of the above, I am requesting that my registration with the Department of
Trade and Industry (DTI), Bureau of Internal Revenue (B.I.R.) and Office of
Municipality of Dinalupihan be cancelled or revoked;

25. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 23 rd day of

January, 2014 at Dinalupihan, Bataan.

Raquel P. Salvador
Affiant
 Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 23 rd day of January, 2014, at Dinalupihan,

Bataan, affiant exhibiting to me her PRC ID No. 0093085.

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines)

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF CANCELLATION

I, Eugenia A. Garcia, of legal age, Filipino, widow and with residence and
postal address at Daang Bago Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am the surviving spouse of Alfredo Garcia who died on December 16, 1988;

2. He is the owner of a parcel of land located in Daang Bago Dinalupihan, Bataan

described as Lot 19 measuring 631 square meters and covered by TCT No. T-
79058;

3. There was a previous subdivision plan approved on October 27, 2004, a copy of
which is hereto attached and made an integral part hereof with Psd-03-139343;

4. I am requesting that the said subdivision plan be cancelled considering the

attached documents (Regional Trial Court Branch 5, Dinalupihan, Bataan
Decision dated July 1, 2013 and Extrajudicial Settlement Among Heirs with Deed
of Donation dated December 27, 2013);
 5. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 17 th day of

January, 2014 at Dinalupihan, Bataan.

Eugenia A. Garcia
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 17th day of January, 2014, at Dinalupihan,
Bataan, affiant exhibiting to me her OSCA ID No. 2931123.

Doc. No. 311

Page No. 63
Book No. I
Series of 2014.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Rebecca B. Medina, of legal age, Filipino, widow, and with residence and
postal address at Colo, Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

1. I am the surviving spouse of Manuel de Lara Medina who died on December 23,
2013 in Dinalupihan, Bataan as evidenced by his Certificate of Death;

2. During his lifetime, he was a member of Philippine National Police (PNP);

 3. To claim benefits, I am submitting the following documents to Philippine Veterans
Affairs Office (PVAO) and PNP, to wit:

Service Record (issued on February 5, 2004)

Breakdown of Leave Credits
Retirement
Certificate of Death
Computation Sheet
Service Record (issued on January 15, 2004)
Disbursement Vochers

4. The above documents are true, genuine and authentic and were obtained from
government agencies in the Philippines;

5. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 22 nd day of

January, 2014 at Dinlalupihan, Bataan.

Rebecca B. Medina
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 22 nd day of January, 2014 at

Dinalupihan, Bataan, affiant exhibiting to me her Postal ID No. 4401846.

Doc. No.
Page No.
Book No.
Series of 2014.

Republci of the Philippines)

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF CLOSURE

I, Doris D. Barlongay, of legal age, Filipino, and with residence and postal
address at Roosevelt DInalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

26. I am the registered owner of ROOSEVELT RESTAURANT AND MUSIC

LOUNGE located at Roosevelt Dinalupihan, Bataan registered with the
Department of Trade and Industry (DTI) with Certificate No. 01207824;
 27. Said business is closed effective on December 31, 2013 for lack of capital to
finance said business as it does not earn profits;

28. In view of the above, I am requesting that my registration with the Department of
Trade and Industry (DTI), Bureau of Internal Revenue (B.I.R.) and Office of
Municipality of Dinalupihan be cancelled or revoked;

29. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 20 th day of

January, 2014 at Dinalupihan, Bataan.

Doris D. Barlongay
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 20th day of January, 2014, at Dinalupihan,
Bataan, affiant exhibiting to me her Penelco Membership Card No. 109106.

Doc. No. 349

Page No. 70
Book No. I
Series of 2014.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT
 I, Ramon J. Requerme, of legal age, Filipino, married, and with residence and
postal address at Colo, Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

6. I am the father of Leonardo J. Requerme who was born on August 21, 1989 in
Makati City;

7. His mother is Jumora J. Requerme;

8. Being his father, I am his beneficiary;

9. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 17 th day of

January, 2014 at Dinlalupihan, Bataan.

Ramon J. Requerme
Affiant

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 17 th day of January, 2014 at

Dinalupihan, Bataan, affiant exhibiting to me his Municipality of Dinalupihan ID No. RC-
00241.

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )
 Affidavit of Singleness

I, Ramon J. Requerme, of legal age, Filipino, married, and with residence and
postal address at Colo, Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

5. I am the father of Leonardo J. Requerme who was born on August 21, 1989 in
Makati City;

6. His mother is Jumora J. Requerme;

7. Leonardo has never entered into any marriage contract and has stayed single or
unmarried up to this time;

8. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 17 th day of

January, 2014 at Dinlalupihan, Bataan.

Ramon J. Requerme
Affiant

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 17 th day of January, 2014 at

Dinalupihan, Bataan, affiant exhibiting to me his Municipality of Dinalupihan ID No. RC-
00241.

Doc. No.
Page No.
Book No.
Series of 2014.

Republic of the Philippines)

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF CANCELLATION

I, Eugenia A. Garcia, of legal age, Filipino, widow and with residence and
postal address at Daang Bago Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:
 6. I am the owner of a parcel of land located in Daang Bago Dinalupihan, Bataan
described as Lot 19 measuring 631 square meters and covered by TCT No. T-
79058;

7. There was a previous subdivision plan approved on October 27, 2004, a copy of
which is hereto attached and made an integral part hereof with Psd-03-139343;

8. I am requesting that the said subdivision plan be cancelled considering the

attached documents (Regional Trial Court Branch 5, Dinalupihan, Bataan
Decision dated July 1, 2013 and Extrajudicial Settlement Among Heirs with Deed
of Donation dated December 27, 2013);

9. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 17 th day of

January, 2014 at Dinalupihan, Bataan.

Eugenia A. Garcia
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 17th day of January, 2014, at Dinalupihan,
Bataan, affiant exhibiting to me her ________________________________.

Doc. No.
Page No.
Book No.
Series of 2014.
Republci of the Philippines)
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF CLOSURE

I, Aurea T. San Diego, of legal age, Filipino, and with residence and postal
address at Pentor Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

30. I am the registered owner of AUREA’S FASTFOOD located at Dinalupihan

Public Market in Dinalupihan, Bataan registered with the Department of Trade
and Industry (DTI);

31. Said business is closed effective on January 15, 2014 for lack of capital to
finance said business as it does not earn profits;

32. In view of the above, I am requesting that my registration with the Department of
Trade and Industry (DTI), Bureau of Internal Revenue (B.I.R.) and Office of
Municipality of Dinalupihan be cancelled or revoked;

33. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 16 th day of

January, 2014 at Dinalupihan, Bataan.

Aurea T. San Diego

Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 16th day of January, 2014, at Dinalupihan,
Bataan, affiant exhibiting to me her VIN 0804-0162A-J1557ATS20004-4.

Doc. No. Atty. Juvy Mell B. Sanchez- Malit

Page No. Notary Public
Book No. Commission Expires on 12/31/2015
Series of 2014. PTR No. 1453598. 01/02/2014
IBP No. 924014. 01/02/2014
Roll of Attorney No. 40601
Bataan
Republci of the Philippines)
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF CLOSURE

I, Marites S. Dimaculangan, of legal age, Filipino, and with residence and

postal address at Sto. Niño Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am the registered owner of KAPUSO MEAT SHOP located at Gen Luna (Pob.)
Dinalupihan, Bataan registered with the Department of Trade and Industry (DTI)
with Certificate No. 01518573;

2. Said business is closed effective on January 2, 2014 for lack of capital to finance
said business as it does not earn profits;

3. In view of the above, I am requesting that my registration with the Department of

Trade and Industry (DTI), Bureau of Internal Revenue (B.I.R.) and Office of
Municipality of Dinalupihan be cancelled or revoked;

4. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 16 th day of

January, 2014 at Dinalupihan, Bataan.

Marites S. Dimaculangan
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 16th day of January, 2014, at Dinalupihan,
Bataan, affiant exhibiting to me her VIN 0804-0256A-K0565MSD20005-2.

Doc. No. Atty. Juvy Mell B. Sanchez- Malit

Page No. Notary Public
Book No. Commission Expires on 12/31/2015
Series of 2014. PTR No. 1453598. 01/02/2014
IBP No. 924014. 01/02/2014
Roll of Attorney No. 40601
Bataan
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Ownership and

Rebuilt of Motor Vehicle

I, Eduardo B. Caling, of legal age, married, and with residence and postal
address at Balsic Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

4. I am the owner of a motor vehicle particularly described as follows:

Make : Hyundai
Body Type : Van
Chassis No. : AAS 2013 1242 C
Engine No. : D4BAR785705

5. I purchased the engine and some parts from Jovic Automotive Services;

6. I had it rebuilt or re-assembled by Romeo S. Galvez;

7. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 15th day of

January, 2014 at Dinlalupihan, Bataan.

Eduardo B. Caling
Affiant

Witness:

Arnaldo V. Sulangi
Dinaluiphan, Bataan

Subscribed and sworn to before me this 15 th day of January, 2014 at

Dinalupihan, Bataan, affiant exhibiting to me his VIN 0805-0060A-G2050EBC10000.

Doc. No. Atty. Juvy Mell B. Sanchez- Malit

Page No. Notary Public
Book No. Commission Expires on 12/31/2015
Series of 2014. PTR No. 1453598. 01/02/2014
IBP No. 924014. 01/02/2014
Roll of Attorney No. 40601
Bataan
Republci of the Philippines)
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF CLOSURE

I, Bernadeth D. Bamba, of legal age, Filipino, d and with residence and postal
address at Sta. Isabel Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

5. I am the registered owner of BERLHAN WATER STATION located at Brgy.

Daang Bago Dinalupihan, Bataan registered with the Department of Trade and
Industry (DTI);

6. Said business is closed effective on October 10, 2013 for lack of capital to
finance said business as it does not earn profits;

7. In view of the above, I am requesting that my registration with the Department of

Trade and Industry (DTI), Bureau of Internal Revenue (B.I.R.) and Office of
Municipality of Dinalupihan be cancelled or revoked;

8. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 14 th day of

January, 2014 at Dinalupihan, Bataan.

Bernadeth D. Bamba
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 14th day of January, 2014, at Dinalupihan,
Bataan, affiant exhibiting to me her __________________________.

Doc. No. Atty. Juvy Mell B. Sanchez- Malit

Page No. Notary Public
Book No. Commission Expires on 12/31/2015
Series of 2014. PTR No. 1453598. 01/02/2014
IBP No. 924014. 01/02/2014
Roll of Attorney No. 40601
Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Christian C. Ansale, of legal age, Filipino, and with residence and postal
address at Balsic Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

53. I was employed at Subic Bay Travelers Hotel located at Subic Bay Freeport Zone
for the following positions:

General Cleaner from March 25, 2010 to June 18, 2010

Room Attendant from June 19, 2010 to September 1, 2013
Linen Attendant from September 2, 2013 to November 2, 2013
Room Atendant from November 3, 2013 to December 23, 2013

54. I hereby attest to the authenticity and genuiness of the Certification issued by the
Subic Bay Travelers Hotel on January 2, 2014, copy of which is hereto attached
and made an integral part ghereof;

55. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13 th day of

January, 2014 at Dinalupihan, Bataan.

Christian C. Ansale
Affiant

Thumb mark:

Witness:
 May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 13 th day of January, 2014 at Dinalupihan,

Bataan. Affiant exhibited to me his SSS ID No. 02-2225032-4.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Diosa D. Sioson, of legal age, Filipino, married and with residence and postal
address at San Ramon Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

76. I am the registered owner of JBC DRY GOODS located at Dinalupihan

Public Market in Dinalupihan, Bataan registered with the Department of Trade
and Industry (DTI) with Certificate No. 00247432;

77. Said establisment had ceased operation from August 31, 2009 up to
November 30, 2013;

78. It will resume operation anytime this year;

79. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13 th day of

January, 2014 at Dinlalupihan, Bataan.

Diosa D. Sioson
Affiant
 Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 13 th day of January, 2014 at Dinalupihan,

Bataan. Affiant exhibited to me her VIN 0804-0231A-D1779DDS20000-0.

Doc. No. Atty. Juvy Mell B. Sanchez-Malit

Page No. Notary Public
Book No. Commission Expires on 12/31/2015
Series of 2014. PTR NO. 1453598. 01/02/2014
IBP No. 924014. 01/02/2014
Roll of Attorney No. 40601
Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Ofelia Z. Sioson, of legal age, Filipino, and with residence and postal address
at Pentor Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

4. I had stopped/ceased from my self-employed activity as a mechanis since

first quarter of 1997 because of health condition of my wife renal failure
{Chronic}, and since then I have no earnings from my self-employed business;

a. I am executing this affidavit to attest to the truth of the foregoing

and for the whatever legal purpose this may serve best.
 IN WITNESS WHEREOF, I have hereunto affixed my signature this 9 th day of
October, 2012 at Dinalupihan, Bataan.

Rodrigo P. Izon
Affiant

Thumb mark:

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 9th day of October, 2012 at Dinalupihan,
Bataan, affiant exhibiting to me his VIN 0804-0103A-I2252RPI10000-5.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of No Operation

I, Rodolfo M. Collado, of legal age, Filipino, married, and with residence and
postal address at Lot 20 Blk. 4, Guanga Lane, Gordon Heights, Olongapo City,
Zambales, after having been sworn to in accordance with law, hereby depose and state
that:

80. I am the registered owner of DOLPHIN LPG RETAILER located at San Pablo
(Bulate), Dinalupihan, Bataan registered with the Department of Trade and
Industry (DTI) with Certificate No. 02188286;

81. It was opened on October 8, 2013 and it has not operated since it was
registered because until now the construction of the building where the said
business will operate has not yet been completed;

82. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13 th day of

January, 2014 at Dinlalupihan, Bataan.

Rodolfo M. Collado
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan
 Subscribed and sworn to before me this 13 th day of January, 2014 at Dinalupihan,
Bataan. Affiant exhibited to me his SSS ID no. 02-0835675-0.

Doc. No. 195 Atty. Juvy Mell B. Sanchez-Malit

Page No. 39 Notary Public
Book No. I Commission Expires on 12/31/2015
Series of 2014. PTR NO. 1453598. 01/02/2014
IBP No. 924014. 01/02/2014
Roll of Attorney No. 40601
Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Joint Affidavit

We, Arsenio T. Cabilangan and Jenilyn C. Gigante, both of legal age, Filipino,
and with residence and postal address at San Benito Dinalupihan, Bataan, after having
been sworn to in accordance with law, hereby depose and state that:

102. We intend to get married on January 19, 2014 at Arca-Vista Resort,

Palihan Hermosa, Bataan. We already have marriage license no. 0015904;

103. Thus, we hereby request Rev. Ernie Dela Cruz to solemnize our marriage
on the said date and place pursuant to the Family Code of the Philippines;

104. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 10 th day of

January, 2014 at Dinalupihan, Bataan.
Arsenio T. Cabilangan Jenilyn C. Gigante
Affiant Affiant
Driver’s License No. C02-02-003200 VRR No. 0804300025785

Subscribed and sworn to before me this 10 th day of January, 2014 at Dinalupihan,

Bataan.

Doc. No. 178 Atty. Juvy Mell B. Sanchez-Malit

Page No. 36 Notary Public
Book No. I Commission Expires on 12/31/2015
Series of 2014. PTR NO. 1453598. 01/02/2014
IBP No. 924014. 01/02/2014
Roll of Attorney No. 40601
Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Reynaldo Panlaqui, of legal age, Filipino, and with residence and postal
address at Bodega Floridablanca, Pampanga, after having been sworn to in accordance
with law, hereby depose and state that:

105. I am the owner of a parcel of land located in Bodega Floridabalnca,

Pampanga measuring 1 hectare more or less;

106. Adjoining the said lot are the following:

North : Lazaro Bognot

South : Robert Manuel
 East : Oscar Valencia
West : Noel Lagman

107. The names of the above named persons as reported to Philippine Crop
Insurance Corporation (PCIC) were incorrect;

108. The true names are those stated in paragraph 2 hereof;

109. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 10 th day of

January, 2014 at Dinalupihan, Bataan.

Reynaldo Panlaqui
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 10 th day of January, 2014 at Dinalupihan,

Bataan. Affiant exhibited to me his TSPI ID No. 0045.

Doc. No. Atty. Juvy Mell B. Sanchez- Malit

Page No. Notary Public
Book No. Commission Expires on 12/31/2015
Series of 2014. PTR NO. 1453598. 01/02/2014
IBP No. 924014. 01/02/2014
Roll of Attorney No. 40601
Bataan

Republci of the Philippines)

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF CLOSURE

I, Revecca A. Dominguez, of legal age, Filipino, d and with residence and postal
address at Bonifacio St., Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

9. I am the registered owner of RYCA’S FASHION WEAR located at Bonifacio St.,

Dinalupihan, Bataan registered with the Department of Trade and Industry (DTI)
with Certificate No. 01942733;

10. Said business is closed effective on March 15, 2013 for lack of capital to finance
said business as it does not earn profits;

11. In view of the above, I am requesting that my registration with the Department of
Trade and Industry (DTI), Bureau of Internal Revenue (B.I.R.) and Office of
Municipality of Dinalupihan be cancelled or revoked;

12. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 9 th day of

January, 2014 at Dinalupihan, Bataan.

Revecca A. Dominguez
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 9 th day of January, 2014, at Dinalupihan,

Bataan, affiant exhibiting to me her Postal ID No. 1821419.

Doc. No. Atty. Juvy Mell B. Sanchez- Malit

Page No. Notary Public
Book No. Commission Expires on 12/31/2015
Series of 2014. PTR No. 1453598. 01/02/2014
IBP No. 924014. 01/02/2014
Roll of Attorney No. 40601
Bataan
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Reanne K. Asuncion, of legal age, Filipino, married, and with residence and
postal address at Culis Hermosa, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

110. I intend to put up a small business (ART Events Studio and Printing
Services) to be operated at Hermosa Public Market in Palihan, Hermosa, Bataan
with an initial capital/investment of P 150,000.00;

111. I shall increase my capital once the business progresses;

112. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 8 th day of

January, 2014 at Dinalupihan, Bataan.

Reanne K. Asuncion
Affiant

Thumb mark:

Witness:

Rowena Kalambakal
Hermosa, Bataan

Subscribed and sworn to before me this 8 th day of January, 2014 at Dinalupihan,

Bataan. Affiant exhibited to me her Driver’s License No. C02-10-003129.

Doc. No. Atty. Juvy Mell S. Malit

Page No. Notary Public
Book No. Commission Expires on 12/31/2015
Series of 2014. PTR NO. 1453598. 01/02/2014
IBP No. 924014. 01/02/2014
Roll of Attorney No. 40601
Bataan
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Vienisa D. Mayor, of legal age, Filipino, married, and with residence and
postal address at Dalao Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

14. I am the mother of Angeline De Leon Mayor who was born on August 7, 1990 in
Dinalupihan, Bataan;

15. She got married to Mark Manalili. They got married on November 2013 in apalit,
Pampanga;

16. Her father Michael R. Mayor has been working in Suadi Arabia since we
separated 2006 and since then we have no more communication. We do not
know his whereabouts;

17. The signature of Michael could not be had in the Affidavit of Consent to Marry
when Angeline got married because of the above predicament. That is the
reason why it was only me who signed said document;

18. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 8 th day of

January, 2014 at Dinalupihan, Bataan.

Vienisa D. Mayor
Affiant

Subscribed and sworn to before me this 8 th day of January, 2014 at Dinalupihan,

Bataan. Affiant exhibited to me her VRR No. 0804030004411.

Doc. No. Atty. Juvy Mell S. Malit

Page No. Notary Public
Book No. Commission Expires on 12/31/2015
Series of 2014. PTR NO. 1453598. 01/02/2014
IBP No. 924014. 01/02/2014
Roll of Attorney No. 40601
Bataan
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Dempna T. Bunsoy, of legal age, Filipino, married, and with residence and
postal address at No. 495 J.P. Rizal St., Palihan, Hermosa, Bataan, after having been
sworn to in accordance with law, hereby depose and state that:

113. I intend to put up a small business (rice retailing and general

merchandise) to be operated at Hermosa Public Market in Palihan, Hermosa,
Bataan with an initial capital/investment of P 30,000.00;

114. I shall increase my capital once the business progresses;

115. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 8 th day of

January, 2014 at Dinalupihan, Bataan.

Dempna T. Bunsoy
Affiant

Subscribed and sworn to before me this 8 th day of January, 2014 at Dinalupihan,

Bataan. Affiant exhibited to me her Unified Multi Purpose ID No. CRN 0004-3349752-3.

Doc. No. Atty. Juvy Mell S. Malit

Page No. Notary Public
Book No. Commission Expires on 12/31/2015
Series of 2014. PTR NO. 1453598. 01/02/2014
IBP No. 924014. 01/02/2014
Roll of Attorney No. 40601
 Bataan

Republci of the Philippines)

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF CLOSURE

I, Josephine B. Roberto, of legal age, Filipino, married and with residence and
postal address at Yakal St., Sam Niguel II Silang, Cavite, after having been sworn to in
accordance with law, hereby depose and state that:

13. I am the registered owner of P-J-A-J Bakery & Sari-Sari Store (Branch) located
at Bonifacio St., Dinalupihan, Bataan registered with the Department of Trade
and Industry (DTI);

14. Said business is closed effective today, January 6, 2014 for lack of capital to
finance said business as it does not earn profits;

15. In view of the above, I am requesting that my registration with the Department of
Trade and Industry (DTI), Bureau of Internal Revenue (B.I.R.) and Office of
Municipality of Dinalupihan be cancelled or revoked;

16. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 6 th day of

January, 2014 at Dinalupihan, Bataan.

Josephine B. Roberto
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 6 th day of January, 2014, at Dinalupihan,

Bataan, affiant exhibiting to me her Postal ID No. 10104313.

Doc. No. Atty. Juvy Mell S. Malit

Page No. Notary Public
Book No. Commission Expires on 12/31/2015
Series of 2014. PTR NO. 1453598. 01/02/2014
IBP No. 924014. 01/02/2014
Roll of Attorney No. 40601
Bataan

Republci of the Philippines)

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF CLOSURE

I, Juvielyn R. Akhtar, of legal age, Filipino, married and with residence and
postal address at Luacan, Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am the registered owner of JHORIZ ENTERPRISES located at Dinalupihan

Public Market in Dinalupihan, Bataan registered with the Department of Trade
and Industry (DTI) ;

2. Said business is closed effective on March 10, 2011, for lack of capital to finance
said business as it does not earn profits;

3. In view of the above, I am requesting that my registration with the Department of

Trade and Industry (DTI), Bureau of Internal Revenue (B.I.R.) and Office of
Municipality of Dinalupihan be cancelled or revoked;

4. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 8 th day of

January, 2014 at Dinalupihan, Bataan.

Juvielyn R. Akhtar
Affiant

Thumb mark:

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 8 th day of January, 2014, at Dinalupihan,

Bataan, affiant exhibiting to me her Postal ID No. 3012367.

Doc. No. Atty. Juvy Mell S. Malit

Page No. Notary Public
Book No. Commission Expires on 12/31/2015
Series of 2014. PTR NO. 1453598. 01/02/2014
IBP No. 924014. 01/02/2014
Roll of Attorney No. 40601
Bataan
Republci of the Philippines)
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF CLOSURE

I, Nilo M. Vergara, of legal age, Filipino, married and with residence and postal
address at San Ramon, Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

1. I am the registered owner of DINALUPIHAN ENTERPRISES located at Brgy.

San Ramon Dinalupihan, Bataan registered with the Department of Trade and
Industry (DTI) with Certificate No. 00478645;

2. Said business is closed effective on December 31, 2013 for lack of capital to
finance said business as it does not earn profits;

3. In view of the above, I am requesting that my registration with the Department of

Trade and Industry (DTI), Bureau of Internal Revenue (B.I.R.) and Office of
Municipality of Dinalupihan be cancelled or revoked;

4. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 7 th day of

January, 2014 at Dinalupihan, Bataan.

Nilo M. Vergara
Affiant

Thumb mark:

Witness:

Arnaldo M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 7 th day of January, 2014, at Dinalupihan,

Bataan, affiant exhibiting to me his Driver’s License No. C02-82-008904.

Doc. No. Atty. Juvy Mell S. Malit

Page No. Notary Public
Book No. Commission Expires on 12/31/2015
Series of 2014. PTR NO. 1453598. 01/02/2014
IBP No. 924014. 01/02/2014
Roll of Attorney No. 40601
Bataan
Republci of the Philippines)
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF CLOSURE

I, Josephine B. Roberto, of legal age, Filipino, married and with residence and
postal address at Yakal St., Sam Niguel II Silang, Cavite, after having been sworn to in
accordance with law, hereby depose and state that:

17. I am the registered owner of P-J-A-J Bakery & Sari-Sari Store (Branch) located
at Bonifacio St., Dinalupihan, Bataan registered with the Department of Trade
and Industry (DTI);

18. Said business is closed effective today, January 6, 2014 for lack of capital to
finance said business as it does not earn profits;

19. In view of the above, I am requesting that my registration with the Department of
Trade and Industry (DTI), Bureau of Internal Revenue (B.I.R.) and Office of
Municipality of Dinalupihan be cancelled or revoked;

20. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 6 th day of

January, 2014 at Dinalupihan, Bataan.

Josephine B. Roberto
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 6 th day of January, 2014, at Dinalupihan,

Bataan, affiant exhibiting to me her Postal ID No. 10104313.

Doc. No. Atty. Juvy Mell S. Malit

Page No. Notary Public
Book No. Commission Expires on 12/31/2015
Series of 2014. PTR NO. 1453598. 01/02/2014
IBP No. 924014. 01/02/2014
Roll of Attorney No. 40601
Bataan
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF LOSS

I, Conrado P. Arnas, of legal age, Filipino, single and with residence and postal
address at Padre Dandan Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

116. I am the brother of Soledad P. Arnas who died on September 1, 2013 in

Dinaluphan, Bataan;

117. She is the registered owner of Soleng Dry Goods registered with the
Department of Trade and Industry (DTI);

118. It was open in the year 2002 with stall no. 054 at Dinalupihan Public
Market in Dinalupihan, Bataan. It has not been operating since August 10, 2013
because it is no longer earning income;

119. The original Certificate of Registration, Receipts, Inventory List of unused

invoices and receipts had been missing for a long time now;

120. Despite diligent efforts to locate them, the same proves futile and are now
considered lost for all intents and purposes;

121. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 2 nd day of

January, 2014, at Dinalupihan, Bataan.

Conrado P. Arnas
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 2 nd day of January, 2014 at Dinalupihan,

Bataan. Affiant exhibited to me his VIN 0804-0019A-J1046CPA10001-8.

Doc. No. Atty. Juvy Mell B. Sanchez-Malit

Page No. Notary Public
Book No. Commission Expires on 12/31/2015
Series of 2014. PTR NO. 1450932. 01/03/2013
IBP No. 837850. 01/02/2013
Roll of Attorney No. 40601
Republci of the Philippines)
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF CLOSURE

I, Asmadid C. Biston, of legal age, Filipino, married and with residence and
postal address at Tala St., San Ramon Dinalupihan, Bataan, after having been sworn to
in accordance with law, hereby depose and state that:

21. I am the brother-in-law of Nafisah Tungcaling Macabinta;

22. She is registered owner of HAYAH FOOTWARE AND GENERAL

MERCHANDISE located at Dinalupihan Public Market Dinalupihan, Bataan
registered with the Department of Trade and Industry (DTI);

23. Said Nafisah went to Mindanao because her husband died and will not come
back to Bataan anymore;

24. Said business is closed effective today, January 2, 2014 for lack of capital to
finance said business as it does not earn profits;

25. In view of the above, I am requesting that my registration with the Department of
Trade and Industry (DTI), Bureau of Internal Revenue (B.I.R.) and Office of
Municipality of Dinalupihan be cancelled or revoked;

26. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 2 nd day of

January, 2014 at Dinalupihan, Bataan.

Asmadid C. Biston
Affiant

Thumb mark:

Witness:

Regina P. Malit
Dinalupihan, Bataan
 Subscribed and sworn to before me this 2 nd day of January, 2014, at Dinalupihan,
Bataan, affiant exhibiting to me his Driver’s License No. M05-97-008444.

Doc. No. Atty. Juvy Mell S. Malit

Page No. Notary Public
Book No. Commission Expires on 12/31/2015
Series of 2014. PTR NO. 1450932. 01/03/2013
IBP No. 837850. 01/02/2013
Roll of Attorney No. 40601
Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF NO OPERATION

I, Conrado P. Arnas, of legal age, Filipino, single and with residence and postal
address at Padre Dandan Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

122. I am the brother of Soledad P. Arnas who died on September 1, 2013 in

Dinaluphan, Bataan;

123. She is the owner of Soleng Dry Goods registered with the Department of
Trade and Industry (DTI);

124. It was open in the year 2002 with stall no. 054 at Dinalupihan Public
Market in Dinalupihan, Bataan;

125. It has not been operating since August 10, 2013 because it is no longer
earning income;

126. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 27 th day of

December 2013, at Dinalupihan, Bataan.

Conrado P. Arnas
Affiant
 Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 27 th day of ODecember, 2013at

Dinalupihan, Bataan. Affiant exhibited to me his VIN 0804-0019A-J1046CPA10001-8.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Employment

I, Jerry J. Cruz, of legal age, Filipino, and with residence and postal address
at San Ramon Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

1. I used to be employed with Mohammad Al-Mojil Group holding the position

of Accounting Consultant from April 1, 2012 to March 10, 2013;

2. I am executing this affidavit to attest to the truth of the foregoing and for
the whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 27 th day of

December, 2013 at Dinlalupihan, Bataan.
 Jerry J. Cruz
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 27 th day of December, 2013 at

Dinalupihan, Bataan, affiant exhibited to me his SSS ID No. 02-1247015-6.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Disability

I, Lucila M. Carreon, of legal age, Filipino, and with residence and postal
address at Gomez St., Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

127. I was born on April 10, 1933;

 128. I am now 80 years old;

129. By reason of my advanced age. I could no longer write and read. I could
no longer sign my signature and instead affix my thumb mark in my documents;

130. The notary public read and explained to me the contents of this affidavit
before affixing my thumb mark;

131. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 26 th day of

December 2013, at Dinalupihan, Bataan.

Lucila M. Carreon
Affiant

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 26 th day of ODecember, 2013at

Dinalupihan, Bataan. Affiant exhibited to me her PVAO ID No. W-09-017862.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Michelle G. Okamura, of legal age, Filipino, married and with residence and
postal address at New San Jose Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:
 132. I am a holder of a Philippine Passport with Passport No. EB 1034260
issued on September 27, 2010 and expiring on September 26, 2015 by the
Department of Foreign Affairs in Japan;

133. Said passport was found missing last December 1, 2013 while in Japan;

134. Despite diligent efforts to locate the above, the same proves futile and is
now considered lost for all intents and purposes;

135. When I left Japan going to the Philippines, I used a travel document with
no. 0197-2013 issued on December 10, 2013 by the Philippine Consulate
General, Osaka Japan;

136. I arrived in the Philippines last December 17, 2013;

137. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 23 rd day of

December 2013, at Dinalupihan, Bataan.

Michelle G. Okamura
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 23rd day of ODecember, 2013at

Dinalupihan, Bataan. Affiant exhibited to me her Postal ID No. 0005492 expiring on April
5, 2014.

Doc. No.
Page No.
Book No.
Series of 2013.
Republic of the Philippines )
Municipality of Dinalupihan ) S.s.
Province of Bataan )

Affidavit

I, Marciano P. Magalong, of legal age, Filipino, widower, and with residence and
postal address at Sacrifice Valley Hermosa, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I was born on October 7, 1921 and I am 92 years old now;

2. I personally know Melicio P. Macalindong and he is already 88 years old now

because we were together during the World Ward II;

3. Melicio he is still alive up to now;

4. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 27 th day of

November, 2013 at Dinalupihan, Bataan.

Marciano P. Magalong
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 27th day of November, 2013 at Dinalupihan,
[Link] exhibited to me his PVAO ID No. V-09-007253..

Doc. No. 382

Page No. 77
Book No. XV
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit
 I, Raymunda M. David, of legal age, Filipino, and with residence and postal
address at Bodega, Floridablanca, Pampanga, after having been sworn to in
accordance with law, hereby depose and state that:

138. I was born on June 21, 1921;

139. I am now 92 years old;

140. By reason of my advanced age. I could no longer write and read. I could
no longer sign my signature and instead affix my thumb mark in my documents;

141. The notary public read and explained to me the contents of this affidavit
before affixing my thumb mark;

142. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 20 th day of

December 2013, at Dinalupihan, Bataan.

Raymunda M. David
Affiant

Witness:

Yolanda M. Vitug
Floridablanca, Pampanga

Subscribed and sworn to before me this 20 th day of ODecember, 2013at

Dinalupihan, Bataan. Affiant exhibited to me her OSCA ID No. 1460.

Doc. No.
Page No.
Book No.
Series of 2013.

Republci of the Philippines)

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF CLOSURE

I, Divina M. Lopez, of legal age, Filipino, and with residence and postal address
at San Benito Dinaluiphan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

27. I am the registered owner of ALING CLAIRE STORE located at San Ramon
Dinalupihan, Bataan registered with the Department of Trade and Industry (DTI)
with Certificate No. 01903859;

28. Said business was closed effective on December 15, 2015 for lack of capital to
finance said business as it does not earn profits;
 29. In view of the above, I am requesting that my registration with the Department of
Trade and Industry (DTI), Bureau of Internal Revenue (B.I.R.) and Office of
Municipality of Dinalupihan be cancelled or revoked;

30. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 20 th day of

December, 2013 at Dinalupihan, Bataan.

Divina M. Lopez
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 20 th day of December, 2013, 2103 at

Dinalupihan, Bataan, affiant exhibiting to me her Postal ID No. 2406510.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Disability

I, Raymunda M. David, of legal age, Filipino, and with residence and postal
address at Bodega, Floridablanca, Pampanga, after having been sworn to in
accordance with law, hereby depose and state that:

143. I was born on June 21, 1921;

144. I am now 92 years old;

145. By reason of my advanced age. I could no longer write and read. I could
no longer sign my signature and instead affix my thumb mark in my documents;

146. The notary public read and explained to me the contents of this affidavit
before affixing my thumb mark;
 147. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 20 th day of

December 2013, at Dinalupihan, Bataan.

Raymunda M. David
Affiant

Witness:

Yolanda M. Vitug
Floridablanca, Pampanga

Subscribed and sworn to before me this 20 th day of ODecember, 2013at

Dinalupihan, Bataan. Affiant exhibited to me her OSCA ID No. 1460.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )
 AFFIDAVIT

I, Merilyn V. De Silva, of legal age, Filipino, and with residence and postal
address at 687 Purok 8, Bolbok, 42174 Lipa City, Batangas, after having been sworn to
in accordance with law, hereby depose and state that:

1. I am the sister of Celerina De Silva-Era;

2. Celerina is the Respondent/Defendant in the case entitled Danilo M. Era vs.

Celerina De Silva-Era docketed as Civil Case No. DH-740-02, filed before the
Regional Trial Court, Branch V, Dinalupihan, Bataan;

3. Said case was granted in a Decision promulgated on May 16, 2003;

4. Said Decision has become final and executory as evidenced by a Certification

issued by the same court dated June 11, 2003. However, to date the same is not
yet registered or recorded with the Local Civil Registrar of Lipa City. Batangas
and the National Statistics Office (NSO);

5. She was not able to cause the immediate registration of the said Decision
because she did not know the process;

6. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 20 th day of

December, 2013 at Dinalupihan, Bataan.

Merilyn V. De Silva
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 20th day of December, 2013 at Dinalupihan,
Bataan, affiant exhibiting to me her Postal ID No. 3170797.

Doc. No.
Page No.
Book No.
Series of 2013.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Non-Acceptance

I, Ailine A. Quinto, of legal age, Filipino, and with residence and postal address
at San Ramon Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

16. I was born on July 29, 1982;

17. I have been a Social Security System (SSS) Member since 2005 with SSS
No. 02-2078066-3;

18. However, to date I have not received my SSS ID Card;

19. I am requesting SSS to issue my ID;

20. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 11 th day of

December, 2013 at Dinalupihan, Bataan.

Ailine A. Quinto
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 11 th day of December, 2013 at Dinalupihan,

Bataan. Affiant exhibiting to me her Driver’s License No. C02-13-006872.

Doc. No.
Page No.
Book No.
Series of 2013.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Disability

I, Nemesio P. Lete, of legal age, Filipino, married, and with residence and postal
address at #47 Orchid St., San Nicolas Ext., Floridablanca, Pampanga, after having
been sworn to in accordance with law, hereby depose and state that:

148. I was born on December 13, 1933;

149. I am now 79 years old;

150. By reason of my advanced age. I could no longer write and read. I could
no longer sign my signature and instead affix my thumb mark in my documents;

151. The notary public read and explained to me the contents of this affidavit
before affixing my thumb mark;

152. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 9 th day of

December 2013, at Dinalupihan, Bataan.

Nemesio P. Lete
Affiant

Witnesses:

Thelma V. Lete Maricel L. Villegas

Floridablanca, Pampanga Floridablanca, Pampanga

Subscribed and sworn to before me this 9 th day of ODecember, 2013at Dinalupihan,

Bataan. Affiant exhibited to me his AFP ID No. R11-E-23628.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan ) S.s.
Province of Bataan )

Joint Affidavit

We, Salome C. Mones and Liberty C. Mones, both of legal age, Filipino, and
with residence and postal address at Tucop Dinalupihan, Bataan, after having been
sworn to in accordance with law, hereby depose and state that:

1. We personally know Bienvenido F. Mones who is the account holder of ATM

No. 2636-0717-84 Land Bank of the Philippnes, Dinalupihan, Bataan Branch;

2. Said ATM account of Bienvnido F. Mones has been closed a long time ago;

3. He is requesting for the change of his said ATM account with LBP Dinalupihan,
Bataan;

4. We know the foregoing because we are relatives of Bienvenido;

5. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 6 th day of

December, 2013 at Dinalupihan, Bataan.

Salome C. Mones Liberty C. Mones

Affiant Affiant
VIN 0804-0266A-G2066SCM20002-5 VIN 0804-0267B-
I0190LCM20000
 Subscribed and sworn to before me this 6 th day of December, 2013 at Dinalupihan,
Bataan.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan ) S.s.
Province of Bataan )

Affidavit

I, Jonathan C. Nuñez, of legal age, Filipino, and with residence and postal
address at Purok 3, Luacan Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

21. I am the father of Josh Andrew Intal Nuñez who was born November 23, 2001
in Dinalupihan, Bataan as evidenced by his Certificate of Live Birth;

22. His mother is Sheryll Q. Intal;

23. He is exempt from getting NBI Clearance since he is still a minor;

24. His true name is Josh Andrew Intal Nuñez. However, in his Certificate of Live
Birth, his name was registered as Heinz Andrew Q. Intal following the surname of
his mother since we were not yet legally married when he was born;

25. We got married on October 18, 2005 in Minalin, Pampanga as evidenced by our
Certificate of Marriage;

26. We are requesting the change of name of my said son from Heinz Andrew Q.
Intal to Josh Andrew I. Nuñez, the true and correct one;
 27. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 6 th day of

December, 2013 at Dinalupihan, Bataan.

Jonathan C. Nuñez
Affiant

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 6 th day of December, 2013 at Dinalupihan,

[Link] exhibited to me his BIR ID No. 00006966.

Republic of the Philippines )

Municipality of Dinalupihan ) S.s.
Province of Bataan )

Affidavit

I, Jonathan C. Nuñez, of legal age, Filipino, and with residence and postal
address at Purok 3, Luacan Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

28. I am the father of Josh Andrew Intal Nuñez who was born November 23, 2001
in Dinalupihan, Bataan as evidenced by his Certificate of Live Birth;

29. His mother is Sheryll Q. Intal;

30. He is exempt from getting NBI Clearance since he is still a minor;

31. His true name is Josh Andrew Intal Nuñez. However, in his Certificate of Live
Birth, his name was registered as Heinz Andrew Q. Intal following the surname of
his mother since we were not yet legally married when he was born;

32. We got married on October 18, 2005 in Minalin, Pampanga as evidenced by our
Certificate of Marriage;
 33. We are requesting the change of name of my said son from Heinz Andrew Q.
Intal to Josh Andrew I. Nuñez, the true and correct one;

34. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 6 th day of

December, 2013 at Dinalupihan, Bataan.

Jonathan C. Nuñez
Affiant

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 6 th day of December, 2013 at Dinalupihan,

[Link] exhibited to me his BIR ID No. 00006966.

Republic of the Philippines )

Municipality of Dinalupihan ) S.s.
Province of Bataan )

Affidavit

I, Kaycelin D. Santos, of legal age, Filipino, married and with residence and
postal address at San Pablo Magalang, Pampanga, after having been sworn to in
accordance with law, hereby depose and state that:

5. My husband Jover R. Santos and I got married on May 28, 2013 in Dinalupihan,
Bataan;
 6. Our Certificate of Marriage was not immediately registered because after the
wedding, we went to my hometown in Magalang, Pampanga;

7. I now intend to register said Certificate of Marriage;

8. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 6 th day of

December, 2013 at Dinalupihan, Bataan.

Kaycelin D. Santos
Affiant

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 6 th day of December, 2013 at Dinalupihan,

[Link] exhibited to me her VIN 5411-0162B-I0292KMD20000.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Disability

I, Antonio S. Santias, of legal age, Filipino, widower, and with residence and
postal address at 30 Gumamela St., San Nicolas, Floridablanca, Pampanga, after
having been sworn to in accordance with law, hereby depose and state that:

153. I was born on November 17, 1934;

154. I am now 80 years old;

155. By reason of my advanced age. I could no longer write and read. I could
no longer sign my signature and instead affix my thumb mark in my documents;

156. The notary public read and explained to me the contents of this affidavit
before affixing my thumb mark;

157. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 2 nd day of

December 2013, at Dinalupihan, Bataan.
 Antonio S. Santias
Affiant

Witness:

Oliver S. Santias
Floridablanca, Pampanga

Subscribed and sworn to before me this 2 nd day of ODecember, 2013at Dinalupihan,

Bataan. Affiant exhibited to me his AFP ID no. R09-E-61039.

Doc. No. 418

Page No. 84
Book No. XV
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Disability

I, Marciano P. Magalong, of legal age, Filipino, widower and with residence and
postal address at Sacrifice Valley Hermosa, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

158. I was born on October 7, 1921;

159. I am now 92 years old;

160. By reason of my advanced age. I could no longer write and read. I could
no longer sign my signature and instead affix my thumb mark in my documents;
 161. The notary public read and explained to me the contents of this affidavit
before affixing my thumb mark;

162. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 27 th day of

November, 2013 at Dinalupihan, Bataan.

Marciano P. Magalong
Affiant

Witnesses:

Matilde Macalindong Fideliza M. Salles

Hermosa, Bataan Hermosa, Bataan

Subscribed and sworn to before me this 27th day of November, 2013 at Dinalupihan,
Bataan. Affiant exhibited to me his PVAO ID No. V-09-007253.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan ) S.s.
Province of Bataan )
 Affidavit

I, Marciano P. Magalong, of legal age, Filipino, widower, and with residence and
postal address at Sacrifice Valley Hermosa, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

9. I was born on October 7, 1921 and I am 92 years old now;

10. I personally know Melicio P. Macalindong and he is already 88 years old now
because we were together during the World Ward II;

11. Melicio he is still alive up to now;

12. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 27 th day of

November, 2013 at Dinalupihan, Bataan.

Marciano P. Magalong
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 27th day of November, 2013 at Dinalupihan,
[Link] exhibited to me his PVAO ID No. V-09-007253..

Doc. No. 382

Page No. 77
Book No. XV
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan ) S.s.
Province of Bataan )
 Affidavit To Use Maiden Name

I, Maribel S. Sarmiento, of legal age, Filipino, and with residence and postal
address at Pinulot Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

163. I was born on ____________ in ___________ from parents

______________;

164. I am married to Dennis O. Ocampo. We got married on May 22, 2000 in

Dinalupihan, Bataan;

165. We have been separated for more than thirteen (13) years now and I do
not know his whereabouts. We have no communication;

166. Considering the above, I intend to use my maiden name which is

Sarmiento in all my documents and records;

167. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ___ day of

__________ at Dinalupihan, Bataan.

Maribel S. Sarmiento
Affiant

Thumb mark:

Witness:

Arnbaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this ___ day of _____________ at Dinalupihan,

[Link] exhibited to me her __________________.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan ) S.s.
Province of Bataan

Affidavit To Use Maiden Name

 I, Willet S. Vitug, of legal age, Filipino, married and with residence and postal
address at Gutad Floridablanca, Pampanga, after having been sworn to in accordance
with law, hereby depose and state that:

168. I was born on November 28, 1985;

169. I am married to John Paul Garcia Sangalang. We got married on March

17, 2013 in Floridablanca, Pampanga;

170. I cannot use the surname of my husband under Islamic laws;

171. Considering the above, I intend to use my maiden name which is Vitug in
all my documents and records;

172. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 21 st day of

October, 2013 at Dinalupaihan, Bataan.

Willet S. Vitug
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 21st day of Octoebr, 2013 at Dinalupihan,
Bataan, affiant exhibiting to me her VIN 5406-0109B-K2885WSV20001-4.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Gloria L. Peña, of legal age, Filipino, married and with residence and postal
address at Pentor Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

1. I am bonafide member of the Social Security System with SSS No. 02-0219323-
6;

2. I am separated from my last employer Shakey’s Green Leaves Food Corp. with
address at Olongapo City on September 1978;

3. I was never re-employed in any company since then;

 4. I stopped being self-employed person as Vendor since 1997 and continue paying
as voluntary member up to 2013;

5. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose it may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 18 th day of

November, 2013 at Dinalupihan, Bataan.

Gloria L. Peña
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 18th day of November, 2103 at Dinalupihan,
Bataan, affiant exhibiting to me her OSCA ID No. 6468.

Doc. No.
Page No.
Book No.
Series of 2013.

‘
inalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF CLOSURE

I, Nenita C. Javier, of legal age, Filipino, and with residence and postal address
at Naparing Dinaluiphan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:
 31. I am the registered owner of MONETH STORE located at Naparing Dinalupihan,
Bataan registered with the Department of Trade and Industry (DTI);

32. Said business was closed effective on December 31, 2006 for lack of capital to
finance said business as it does not earn profits;

33. In view of the above, I am requesting that my registration with the Department of
Trade and Industry (DTI), Bureau of Internal Revenue (B.I.R.) and Office of
Municipality of Dinalupihan be cancelled or revoked;

34. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 18 th day of

November, 2013 at Dinalupihan, Bataan.

Nenita C. Javier
Affiant

Thumb mark:

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 18th day of November, 2103 at Dinalupihan,
Bataan, affiant exhibiting to me her Postal ID No. 1266566.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT
 I, Rolando A. Bacani, of legal age, Filipino, married and with residence and
postal address at Pinulot Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

6. I was born on February 15, 1964 in Dinalupihan, Bataan from parents Spouses
Honorato D. and Felicita R. Angeles as evidenced by my Certificate of Live Birth;

7. I have been using all the above data in my records, they being the true and
correc one except that which is mentioned below;

8. In my previous passports, I have used the date of birth February 10, 1957
because when I applied jobs abroad, I was very young then and it was the
recruiting agency who processed my passport changing my date of birth from
February 15, 1964 to February 10, 1957 to make it appear that I was already fit
for the jobs applied for;

9. I could not do anything during that time because I needed the job;

10. It is now high time that the said date of birth in my passport be corrected, hence
this affidavit;

11. The above discrepancy was committed without our fault and intention to mislead
the public;

12. The names Rolando A. Bacani who was born on February 10, 1957 and Rolando
A. Bacani who was born on February 15, 1964 as explained above belong to one
and the same person;

13. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose it may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 18 th day of

November, 2013 at Dinalupihan, Bataan.

Rolando A. Bacani
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 18th day of November, 2103 at Dinalupihan,
Bataan, affiant exhibiting to me his Driver’s License No. C09-91-039507.

Doc. No. 218

Page No. 44
Book No. XV
Series of 2013.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF CLOSURE

I, Ruel L. Cabangbang, of legal age, Filipino, and with residence and postal
address at Villa Cuana III, Pinagbuhatan, Pasig City, after having been sworn to in
accordance with law, hereby depose and state that:

35. I am the Liaison Staff of PR Gaz 2 Marketing, Inc located at San Ramon
Dinalupihan, Bataan with TIN 222-902-135-018;

36. Said business was closed effective on October 31, 2013 for lack of capital to
finance said business as it does not earn profits;

37. In view of the above, I am requesting that my registration with the Department of
Trade and Industry (DTI), Bureau of Internal Revenue (B.I.R.) and Office of
Municipality of Dinalupihan be cancelled or revoked;

38. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 8 th day of

November, 2013 at Dinalupihan, Bataan.

Ruel L. Cabangbang
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 8 th day of November, 2103 at Dinalupihan,

Bataan, affiant exhibiting to me his PR Gaz ID No. GH1213.

Doc. No.
Page No.
Book No.
Series of 2013.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF CLOSURE

I, Augusto M. Nacu, of legal age, Filipino, and with residence and postal
address at Luacan Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

39. I am the owner of SAB Marketing located at Cristobal St., Luacan Dinalupihan,
Bataan;

40. Said business was closed effective on March 20, 2009 for lack of capital to
finance said business as it does not earn profits;

41. In view of the above, I am requesting that my registration with the Department of
Trade and Industry (DTI), Bureau of Internal Revenue (B.I.R.) and Office of
Municipality of Dinalupihan be cancelled or revoked;

42. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 11 th day of

October, 2013 at Dinalupihan, Bataan.

Augusto M. Nacu
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 11 th day of October, 2013 at Dinalupihan,

Bataan, affiant exhibiting to me his Driver’s License No. C02-98-061339.

Doc. No.
Page No.
Book No.
Series of 2013.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF SEPARATION FROM EMPLOYMENT

I, Felipe N. Vinuya, of legal age, Filipino, and with residence and postal address at
Magsaysay Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

1. I am bonafide member of the Social Security System with SSS No. 03-
3646116-4;

2. I was separated from my last employer, MAM Engineering Services, with

address at #62 11th St., West Tapinac, Olongapo City in the year 2006
thereafter, I was never again re-employed;

3. I cannot secure a certification of separation from my last employer because I

did not ask for the certificate. I do not know whether this company is still
existing;

4. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 7 th day of

November, 2013 at Dinlalupihan, Bataan.

Felipe N. Vinuya
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 7 th day of November, 2013 at

Dinalupihan, Bataan, affiant exhibited to me his OSCA ID No. 6412.
Doc. No. 80
Page No. 16
Book No. XV
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Employment

I, Dominador L. Ronquillo, of legal age, Filipino, and with residence and postal
address at Balsic Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

5. I am bonafide member of the Social Security System with SSS No. 02-
0121159-1;

6. I am separated from my last employer in the year 1993;

7. I was never re-employed in any company;

8. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 6 th day of

November, 2013 at Dinlalupihan, Bataan.
 Dominador L. Ronquillo
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 6 th day of November, 2013 at

Dinalupihan, Bataan, affiant exhibited to me his SSS ID No. 02-0121159-1.

Doc. No. 80
Page No. 16
Book No. XV
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Disability

I, Adelaida M. Pimentel, of legal age, Filipino, and with residence and postal
address at San Benito, Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

1. I was born on May 20, 1950 in Dinalupihan, Bataan;

 2. I am now 63 years old;

3. I am suffering from several illnesses. As a result, I could no longer be able to

write and sign my name, and could only affix my thumb mark in all my
documents;

4. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 31 st day of

October, 2013 at Dinalupihan, Bataan.

Adelaida M. Pimentel
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 31 st day of October, 2013 at Dinalupihan,

Bataan. Affiant exhibited to me her OSCA ID No. 2808.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Disability
 I, Adelaida M. Pimentel, of legal age, Filipino, and with residence and postal
address at San Benito, Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

173. I was born on May 20, 1950 in Dinalupihan, Bataan;

174. I am now 63 years old;

175. I am suffering from several illnesses. As a result, I could no longer be able

to write and sign my name, and could only affix my thumb mark in all my
documents;

176. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 31 st day of

October, 2013 at Dinalupihan, Bataan.

Adelaida M. Pimentel
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 31 st day of October, 2013 at Dinalupihan,

Bataan. Affiant exhibited to me her OSCA ID No. 2808.

Doc. No.
Page No.
Book No.
Series of 2013.

STATEMENT OF INCOME AND EXPENSES

1st Crop

Expenses

Binhi = 2 sacks/P 900.00 P 1,800.00

Fertilizer ng Binhi ½ cavan (ammonium) 500.00
Patanim = 14 tao/P 200.00 kada tao 2,800.00
Fertilizer = UREA 4 sacks/ P 900.00 per cavan 3,600.00
= 2x nagsasabog ng abono
= 2 sack 1 ½ buwan ng paglagay
Spray= malathion/karate 1 bottle big
Malathion = P 1,400.00/ bottle 1,400.00
Karate = P 900.00/bottle 900.00
Pagbibilad 2,600.00
Labor 12,000.00
Diesel 6,400.00
__________
Total Expenses P 32,000.00
==========

Harvest = 300 cavan/ P 800.00/cavan/tuyo palay P 240,000.00

==========
P 240,000.00 – earning 1st Crop
32,000.00 – Expenses
___________
P 208,000.00 – Total amount for earning in 1st Crop
=========

2nd Crop
Expenses

Binhi = 2 sacks/P 900.00 P 1,800.00

Fertilizer ng Binhi ½ cavan (ammonium) 500.00
Patanim = 14 tao/P 200.00 kada tao 2,800.00
Fertilizer = UREA 4 sacks/ P 900.00 per cavan 3,600.00
= 2x nagsasabog ng abono
= 2 sack 1 ½ buwan ng paglagay
Spray= malathion/karate 1 bottle big
Malathion = P 1,400.00/ bottle 1,400.00
Karate = P 900.00/bottle 900.00
Pagbibilad 2,600.00
Labor 12,000.00
Diesel 6,400.00
__________
Total Expenses P 32,000.00
==========

Harvest = 300 cavan/ P 800.00/cavan/tuyo palay P 240,000.00

==========
P 240,000.00 – earning 2nd Crop
32,000.00 – Expenses
___________
P 208,000.00 – Total amount for earning in 2nd Crop
=========

Prepared by:

Lorenzo E. Torres
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Lorenzo E. Torres, of legal age, Filipino, and with residence and postal
address at Magsaysay Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

33. I am cultivating a farm land situated at San Benito Dinalupihan, Bataan

measuring 8,000 hectares more or less;

34. I earned income out of cultivation, attached hereto is the income and
expenses for the year 2012 which I personally prepared;

35. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 29 th day of

October, 2013 at Dinalupihan, Bataan.

Lorenzo E. Torres
Affiant

Thumb mark:

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 29 th day of October, 2103 at Dinalupihan,

Bataan, affiant exihibiting to me his SSS ID No. 02-0276107-9.

Doc. No.
Page No.
Book No.
Series of 2013.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Jojit B. Santillan, of legal age, Filipino, and with residence and postal address
at Kataasan Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

3. I am married to Mary Jane M. Ronquillo. We got married on May 19, 2003 in

Dinalupihan, Bataan;

4. Our personal data as should have been indicated in our Marriage Contract
are as follows:

Name of Husband: Jojit B. Santillan Name of Wife: Mary Jane M.

Ronquillo
Date of Birth: November 24, 1974 Date of Birth: October 5, 1979
Age: 28 & 4 mos. Age: 23 & 5 mos.
Place of Birth: Dinalupihan, Bataan Place of Birth: Dinalupihan,
Bataan
Sex: Male Sex: Female
Residence: Kataasan, Din., Bataan Residence: New San Jose Din.,
Bataan
Civil Status: Single Civil Status: Single
Religion: Catholic Religion: Catholic
Citizenship: Filipino Citizenship: Filipino

Name of Husband Parents: Name of Wife Parents:

Name of Father: Jaime Santillan (D) Name of Father: Roberto Jr. S.
Ronquillo
Citizenship: Filipino Citizenship: Filipino
Name of Mother: Norma N. Baluyot Name of Mother: Luzviminda L.
Manalansan

Name of Solemnizing Officer/Designation: Hon. Erasto D. Taciongco

Place of Marriage: 1st Municipal Circuit Trial Court
Date of Marriage: May 19, 2003
Time of Marriage: 1:00 p.m.

Name of Sponsors: Arnold Clemente, Mylene Clemente, Jesus Malonzo, Clen Bacli,
Ederlinda Dionisio and Jennifer Manuel

5. I am executing this affidavit to the truth of the foregoing and for whatever legal
purposes this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 29 th day of

October, 2013 at Dinalupihan, Bataan.

Jojit B. Santillan
Affiant

Thumb mark:
 Subscribed and sworn to before me this 29 th day of October, 2013 at
Dinalupihan, Bataan, affiant exbiting to me his UMID ID No. CRN-0111-0835922-5.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Affidavit of Abandonment

I, Csherlene V. Ranska, of legal age, Filipino, and with residence and postal
address at 08 Tala St., San Ramon Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am the mother of Jan Marky Alphonce Ranska Almendras who was born on
July 21, 2003;

2. His father is Alejandro King Almendras III;

3. His father abandoned us since 2005;

4. Sicne then, he has not come back and I have no contact with him. I do not know
his whereabouts;

5. Despite efforts, I could no longer locate him;

6. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this _____ day of

________________ at ________________________.

Csherlene V. Ranska
Affiant

Subscribed and sworn to before me this ____ day of __________________ at

____________________.Affiant exhibited to me her ____________________.

Doc. No.
Page No.
Book No.
Series of _________.

Republic of the Philippines )

Municipality of Dinalupihan ) S.s.
Province of Bataan )

AFFIDAVIT

I, Normie C. Arceo, of legal age, Filipino, married and with residence and postal
address at Palihan Hermosa, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

177. I am married toRenan Singian Arceo. We got married on July 28, 2005 in
Hermosa, Bataan;

178. I gave birth to my two (2) children namely:

Mikas Norren C. Arceo, born on August 20, 2006

Mikas Rhiann C. Arceo, born on June 30, 2013

179. I got pregnant again in the year 2011. However, I got miscarriage on the
first quarter of my pregnancy and was confined at the Bataan General Hospital
on August 15, 2011;

180. In the Certificate of Live Birth of my youngest daughter Mikas Rhiann I

stated that I have two (2) total number of born alive, two (2) number of children
still living in this birth and zero (0) of number of children born alive but now dead;

181. I place the number zero (0) in the number of children born alive but are
now dead in the birth certitifate of Mikas Rhiann who was born on June 30,2013
without including my miscarriage because said child was not born on full term but
died on his third month while in my womb;

182. In my SSS Maternity Notification, I certitifed that Mikas is my third

pregnancy which means that I counted my miscarriage in 2011;
 183. The above discrepancy was committed without our fault and intention to
mislead the public;

184. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 25 th day of

October., 2013 at Dinalupihan, Bataan.

Normie C. Arceo
Affiant

Thumb mark:

Witnesses:

Fatima M. Rosales Josell C. Cruz

Palihan Hermosa, Bataan Palihan Hermosa, Bataan

Subscribed and sworn to before me this 25 th day of October, 2013 at Dinalupihan,

[Link] exhibited to me her UMID ID No. CRN-0002-1469571-9.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Affidavit of Abandonment

I, Cherelene V. Ranska, of legal age, Filipino, and with residence and postal
address at 08 Tala St., San Ramon Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

7. I am the mother of ______ who was born on ______;

8. His father is _________;

9. His father abandoned us snce _____;

 10. Sicne then, he has not come back and I have no contact with him. I do not know
his whereabouts;

11. Despite efforts, I could no longer locate him;

12. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this _____ day of

________________ at ________________________.

Csherelene V. Ranska
Affiant

Subscribed and sworn to before me this ____ day of __________________ at

____________________.Affiant exhibited to me her ____________________.

Doc. No.
Page No.
Book No.
Series of _________.

Republic of the Philippines )

Municipality of Dinalupihan ) S.s.
Province of Bataan )

Affidavit of Adverse Claim

 I, Jimmy Dela Cruz Garcia, of legal age, Filipino, married and with residence
and postal address at Sto. Niño Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

185. I am one of the heirs of Marcelo Garcia and Magdalena Mercado who both
died a long time ago;

186. During their lifetime, they acquired a real property located in Roxas
Dinalupihan, Bataan, measuring 344 square meters and covered by TCT No. T-
112962;

187. Carlito Garcia is claiming the said property to be his own and sole
property;

188. Considering that I am also an heir, I am filing this adverse claim on the
subject property and request the Registry of Deeds for the Province of Bataan to
have it annotated;

189. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 24 th day of

October., 2013 at Dinalupihan, Bataan.

Jimmy Dela Cruz Garcia

Affiant

Thumb mark:

Witness:

Rodrigo Dabu
Sto. Niño, Dinalupihan, Bataan

Subscribed and sworn to before me this 24 th day of October, 2013 at Dinalupihan,

[Link] exhibited to me his ____________________________.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Khalil Ahmad, of legal age, Pakistan Citizen, and with residence and postal
address at Room 320 Topaz Bldg., Crown Peak Subic Freeport Subic Bay, Zambales,
after having been sworn to in accordance with law, hereby depose and state that:

81. I was born on December 10, 1981 in Pakistan;

82. I have a Residence Alien Certificate of Registration No. ICR00000019823 issued
by the Bureau of Immigration in the Philippines;
 83. I am engaged in business in the Philippines under the Business Name Lino Khan
International & General Trading Corp. located at Lot No. 70-A, Innovative St.,
Industrial Park Phase I, Subic Bay Freeport Zone, Subic Olongapo City;
84. My nephews are intending to come the Philippines as tourists. Their names are
as follows, to wit;

Ali Faisal Muhammad Ammar

Passport No. CW8915321 Passport No. KH417840
Date of Birth: August 11, 1995 Date of Birth: July 1, 1987

Bilal Anzar Khan

Passport No. VJ 4127521
Date of Birth: August 22, 1995

85. They will be staying with me here in the Philippines for one (1) month;
86. They will stay with me during their visit;
87. I hereby undertake to give all the necessary support and assistance to the
aforementioned while in the Philippines;
88. I, likewise guarantee that they are peaceful citizens and that their purpose in
coming to the Philippines is purely recreation;
89. I declare these facts under threat of perjury;
90. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 24 th day of

October, 2013 at Dinalupihan, Bataan.

Khalil Ahmad
Affiant

Subscribed and sworn to before me this 24th day of October, 2013 at Dinalupihan,
Bataan, affiant exhibiting to me his BOI ID No. F0000004441.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )
 AFFIDAVIT

I, Mark Anthony I. Garcia, of legal age, Filipino, married and with residence and
postal address at New San Jose Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am a holder of Philippine Passport with Passport No. UU0505407 isssued on

January 23, 2007 and had expired on January 23, 2012;

2. Said passport was never returned by my employer in Riyadh sometime in 2011;

3. Because of that, I arrived in the Philippines via Travel Document No. EHT-RY-
31466-2013-ANS issued by the Embassy of the Philippines in Riyadh, Saudi
Arabia on September 24, 2013;

4. I arrived in the Philippines on October 19, 2013;

5. Despite diligent effort to get back sid passport from my employer the same
proves futile and now considered lost for all intents and purposes;

6. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 23 rd day of

October, 2013 at Dinalupihan, Bataan.

Mark Anthony I. Garcia

Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 23 rd day of Ocotbe, 2013 at Dinalupihan,

Bataan, affiant exhibiting to me his Postal ID No. 4401719.

Doc. No.
Page No.
Book No.
Series of 2013.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Miguela D. Pusong, of legal age, Filipino, married and with residence and
postal address at Palihan Hermosa, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

36. I am the surviving heir and only child of Guillerma Torres Lingad who died
on February 25, 2003 in Dinalupihan, Bataan as evidenced by her Certificate
of Death;

37. My father is Angel David who died on September 20, 1944;

38. During her lifetime, she was a member of Philippine Veterans Association
Office (PVAO);

39. She cohabit to Jose C. Lingad for almost 53 years.I was born on October 22,
1944 in Hermosa, Bataan from parents Spouses Angel David and Guillerma
Torres;

40. My father died on September 20, 1944;

41. When my father died, my mother remarry Jose C. Lingad;

42.

43. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 21 st day of

October, 2013 at Dinalupihan, Bataan.

Miguela D. Pusong
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 21 st day of October, 2013 at Dinalupihan,

Bataan, affiant exihibiting to me her OSCA ID No. 04291.
Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan ) S.s.
Province of Bataan

Affidavit To Use Maiden Name

I, Willet S. Vitug, of legal age, Filipino, married and with residence and postal
address at Gutad Floridablanca, Pampanga, after having been sworn to in accordance
with law, hereby depose and state that:

190. I was born on November 28, 1985;

191. I am married to John Paul Garcia Sangalang. We got married on March

17, 2013 in Floridablanca, Pampanga;

192. I cannot use the surname of my husband under Islamic laws;

193. Considering the above, I intend to use my maiden name which is Vitug in
all my documents and records;

194. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 21 st day of

October, 2013 at Dinalupaihan, Bataan.

Willet S. Vitug
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 21st day of Octoebr, 2013 at Dinalupihan,
Bataan, affiant exhibiting to me her VIN 5406-0109B-K2885WSV20001-4.

Doc. No.
Page No.
Book No.
Series of 2013.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Caselyn P. Venegas, of legal age, Filipino, and with residence and postal
address at San isidro St., Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

7. I was employed at Rotary International Clinic as follows:

Volunteer Nurse – July 15, 2009 to January 15, 2010

Staff Nurse – January 15, 2010 to July 31, 2010

8. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 17 th day of

August, 2013 at Dinalupihan, Bataan.

Caselyn P. Venegas
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan
 Subscribed and sworn to before me this 17 th day of August, 2103 at Dinalupihan,
Bataan, affiant exhibiting to me er _________________________.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Josefina E. Arce, of legal age, Filipino, married, and with residence and postal
address at No. 18 Purok 4, Sto. Niño Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I was born on June 1, 1958. I am 55 years old;

2. I am married to Arnel Avelino Arce. We got married on January 28, 1985 in

Manila as evidenced by our Marriage Contract;

3. I have been using the above data in all my documents and records they being
the true and correct one;

4. My usual signature is:

________________________

5. However, in some of my documents particularly in my passport, Marriage

Contract and Certificate of Live Birth of my son (Arnel Joseph Enriquez Arce),
my signature were different from the above;

_________________________

6. The above discrepancies in my signatrure were committed without my fault

anf intention to mislead the public;

7. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 16 th day of

October, 2013 at Dinalupihan, Bataan.

Josefina E. Arce
Affiant

Thumb mark:

Witness:
Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 16 th day of October, 2013 at

Dinalupihan, Bataan, affiant exhibiting to me her _________________________.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF CLOSURE

I, Augusto M. Nacu, of legal age, Filipino, and with residence and postal
address at Luacan Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

43. I am the owner of SAB Marketing located at Cristobal St., Luacan Dinalupihan,
Bataan;

44. Said business was closed effective on March 20, 2009 for lack of capital to
finance said business as it does not earn profits;

45. In view of the above, I am requesting that my registration with the Department of
Trade and Industry (DTI), Bureau of Internal Revenue (B.I.R.) and Office of
Municipality of Dinalupihan be cancelled or revoked;

46. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 11 th day of

October, 2013 at Dinalupihan, Bataan.

Augusto M. Nacu
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan
 Subscribed and sworn to before me this 11 th day of October, 2013 at Dinalupihan,
Bataan, affiant exhibiting to me his Driver’s License No. C02-98-061339.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Ownership

I, Arlene R. Singian, of legal age, and with residence and postal address at
Balsik Hermosa, Bataan, after having been sworn to in accordance with law, hereby
depose and state that:

1. I am the present owner of a Multi Media Purified Water Machine;

2. The previous owner of the said Multi Media Purified Water Machine is owned by
Bernadeth D. Bamba;

3. I purchased the said Multi Media Purified Water Machine from the said previous
owner as evidenced by the attached Kasunduan executed on October 10, 2013
notarized by Atty. Juvy Mell S. Malit, entered into her notarial book doc no. 211;
page no. 43; book no. XIV; series of 2013;

4. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 10 th day of

October, 2013 at Dinalupihan, Bataan.

Arlene R. Singian
Affiant

Witness:
May M. Sulangi
Dinalupihan, Bataan

Sworn to, signed, and notarized after being carefully read and explained to
Arlene R. Singian in the presence of the undersigned notary and witness this 10 th day of
October, 2013 at Dinalupihan, Bataan, Philippines. Affiant exhibited her
__________________________, to prove her identity as being the same person who
affixed her signature above.

Doc. No.
Page No.
Book No.
Series of 2013.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF CLOSURE

I, Candy Anne M. Mojica, of legal age, Filipino, and with residence and postal
address at Balsic Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

8. I am the owner of Jeanspark Sportswear located at Burgos St., Dinalupihan,

Bataan. Said business is registered with the Department of Trade & Industry;

9. Said business was closed effective on October 15, 2013 for lack of capital to
finance said business as it does not earn profits;

10. In view of the above, I am requesting that my registration with the Department of
Trade and Industry (DTI), Bureau of Internal Revenue (B.I.R.) and Office of
Municipality of Dinalupihan be cancelled or revoked;

11. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 29 th day of

October, 2013 at Dinalupihan, Bataan.

Candy Anne M. Mojica

Affiant

Thumb mark:

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 29 th day of October, 2013 at Dinalupihan,

Bataan, affiant exhibiting to me her Postal ID No. 10223272.

Doc. No.
Page No.
Book No.
Series of 2013.
Republic of the Philippines )
Municipality of Dinalupihan ) S.s.
Province of Bataan )

Affidavit of Cancellation

I, Natalia D. Reyes, of legal age, Filipino, married and with residence and postal
address at Culis Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

195. I am a Midwife by Profession duly licensed by the Professional Regulation

Commisssion with PRC Identification Card Registration No. 0037082 which is
valid until July 27, 2012;

196. I was born on July 27, 1951;

197. Considering that I am already sixty two (62) years old, I am requesting the
PRC to cancel my said license as a midwife;

198. Said request for cancellation shall be used for SSS purposes;

199. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 8 th day of

October., 2013 at Dinalupihan, Bataan.

Natalia D. Reyes
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 8 th day of October, 2013 at Dinalupihan,

[Link] exhibited to me her _______________________.
Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF CLOSURE

I, Victor A. Gaddi, of legal age, Filipino, and with residence and postal address
at Torres St., Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

12. I am the owner of VMG Aggregate and Construction with TIN 923-323-418-000
and Aiko Hardware & Construction Supply with TIN 923-323-418-001;

13. Said business have been closed effective in the year 2007 for lack of capital to
finance said business as it does not earn profits;

14. In view of the above, I am requesting that my registration with the Department of
Trade and Industry (DTI), Bureau of Internal Revenue (BIR) and Office of
Municipality of Dinalupihan be cancelled or revoked;

15. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 2 nd day of

October, 2013 at Dinalupihan, Bataan.
 Victor A. Gaddi
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 2 nd day of October, 2013 at Dinalupihan,

Bataan, affiant exhibiting to me his Dirver’s License No. C02-02-079055.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan ) S.s.
Province of Bataan )

Affidavit To Use Maiden Name

I, Joselyn S. Dimla, of legal age, Filipino, and with residence and postal address
at Blk. 50 Lot 80 Pabanlag Resettlement Floridablanca, Pampanga, after having been
sworn to in accordance with law, hereby depose and state that:
 200. I was born on August 16, 1980 in Floridablanca, Pampanga from parents
Spouses Benjamin Dimla and Caridad Ssalazar;

201. I am married to Roderick P. Nanquil. We got married on July 15, 1999 in

Floridablanca, Pampanga;

202. We have been separated for more than fourteen (14) years now and I do
not know his whereabouts. We have no communication;

203. Considering the above, I intend to use my maiden name which is Dimla in
all my documents and records;

204. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 1 st day of

October., 2013 at Dinalupihan, Bataan.

Joselyn S. Dimla
Affiant

Thumb mark:

Witness:

Arnbaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 1 st day of October, 2013 at Dinalupihan,

[Link] exhibited to me her VIN 5406-0133A-H1680JSD20000.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Jhone S. Petines, of legal age, Filipino, married and with residence and postal
address at 260 J.C. Payumo Jr. Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

44. I was born on June 17, 1976 in Caloocan City from parents Spouses Lorenzo
Petines and Mely Salinas;

45. I am a holder of Philippine Passport issued by the Department of Foreign

Affairs (DFA) with Passport No. EB5191513 issued on April 19, 2012 and
expiring on April 18, 2017;

46. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 1 st day of

October, 2013 at Dinalupihan, Bataan.

Jhone S. Petines
Affiant

Thumb mark:

Witness:

Marlyn S. Petines
Dinalupihan, Bataan

Subscribed and sworn to before me this 1st day of October, 2013 at Dinalupihan,
Bataan, affiant exihibiting to me his NBI Record Clearance No. NBIQR
P352J06NES17NE26VR7.

Doc. No.
Page No.
Book No.
Series of 2013.
 STATEMENT OF INCOME AND EXPENSES

1st Crop

Expenses

Binhi = 2 sacks/P 900.00 P 1,800.00

Fertilizer ng Binhi ½ cavan (ammonium) 500.00
Patanim = 14 tao/P 200.00 kada tao 2,800.00
Fertilizer = UREA 4 sacks/ P 900.00 per cavan 3,600.00
= 2x nagsasabog ng abono
= 2 sack 1 ½ buwan ng paglagay
Spray= malathion/karate 1 bottle big
Malathion = P 1,400.00/ bottle 1,400.00
Karate = P 900.00/bottle 900.00
Pagbibilad 2,600.00
Labor 12,000.00
Diesel 6,400.00
__________
Total Expenses P 32,000.00
==========

Harvest = 140 cavan/ P 800.00/cavan/tuyo palay P 112,600.00

==========
P 112,000.00 – earning 1st Crop
32,000.00 – Expenses
___________
P 80,000.00 – Total amount for earning in 1st Crop
=========

2nd Crop
Expenses

Binhi = 2 sacks/P 900.00 P 1,800.00

Fertilizer ng Binhi ½ cavan (ammonium) 500.00
Patanim = 14 tao/P 200.00 kada tao 2,800.00
Fertilizer = UREA 4 sacks/ P 900.00 per cavan 3,600.00
= 2x nagsasabog ng abono
= 2 sack 1 ½ buwan ng paglagay
Spray= malathion/karate 1 bottle big
Malathion = P 1,400.00/ bottle 1,400.00
Karate = P 900.00/bottle 900.00
Pagbibilad 2,600.00
Labor 12,000.00
Diesel 6,400.00
__________
Total Expenses P 32,000.00
==========

Harvest = 140 cavan/ P 800.00/cavan/tuyo palay P 112,600.00

==========
P 112,000.00 – earning 2nd Crop
32,000.00 – Expenses
___________
P 80,000.00 – Total amount for earning in 2nd Crop
=========
Prepared by:

Leovigildo D. Pangilinan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Leovigildo D. Pangilinan, of legal age, Filipino, and with residence and postal
address at Santa Lucia Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

47. I am cultivating a farm land situated at Pita Dinalupihan, Bataan measuring

1.2675 hectares more or less;

48. I earned income out of cultivation, attached hereto is the income and
expenses for the year 2012 which I personally prepared;

49. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 26 th day of

Septembe, 2013 at Dinalupihan, Bataan.

Leovigildo D. Pangilinan
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 26 th day of September, 2013 at

Dinalupihan, Bataan, affiant exihibiting to me his Driver’s License No. C02-82-032963.

Doc. No.
Page No.
Book No.
Series of 2013.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Marivic G. Liwanag, of legal age, Filipino, and with residence and postal
address at Sta. Isabel Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

1. I am the Manager of Red Camia Inc. located at Sta. Isabel Dinalupihan, Bataan;

2. Red Camia is operating a supermarket;

3. We have Thirty Nine (39) employees as of this date;

4. Attached hereto is the payroll for the period of April 1, 2013 to April 15, 2013;

5. Red Camia paid in cash to each employee listed in the said payroll the amount
set opposite their names;

6. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 18 th day of

September, 2013 at Dinalupihan, Bataan.

Marivic G. Liwanag
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 18 th day of September, 2013 at Dinalupihan,

Bataan, affiant exhibiting to me her Employee ID No. 100001.
Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF CLOSURE

I, Noel M. Rodriguez, of legal age, Filipino, and with residence and postal
address at New San Jose Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

16. I am the owner of Lynn Agricultural Supply located at New San Jose
Dinalupihan, Bataan. Said business is registered with Department of Trade and
Industry (DTI) with Certificate No. 00604576;

17. Said business has been closed effective on August 31, 2013 for lack of capital to
finance said business as it does not earn profits;

18. In view of the above, I am requesting that my registration with the Department of
Trade and Industry (DTI), Bureau of Internal Revenue (BIR) and Office of
Municipality of Dinalupihan be cancelled or revoked;

19. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 11 th day of

September, 2013 at Dinalupihan, Bataan.

Noel M. Rodriguez
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan
 Subscribed and sworn to before me this 11 th day of September, 2013 at Dinalupihan,
Bataan, affiant exhibiting to me his SSS ID No. 02-0401906-2.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Ma. Lourdes F. Santos, of legal age, Filipino, and with residence and postal
address at Tucop Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

1. I am the mother of Ernesto Flores Santos who was born on June 4, 2013 in
Dinalupihan, Bataan;

2. His father is unknown;

3. His birth records were late registered recently under Registry No. 2013-1598;

4. I am requesting the Local Civil Registrar of Dinalupihan, Bataan to correct the

following:

Data Recorded As Requested

Correction

Name of the Child Ernesto Santos Jose Ernesto Santos

Name of Father Mervin Pagaragan Jose Unknown or N/A

All other data in

No. 15 to 19 N/A/

5. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 9 th day of

September, 2013 at Dinalupihan, Bataan.

Ma. Lourdes F. Santos

Affiant

Thumb mark:
Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 9 th day of September, 2013 at

Dinalupihan, Bataan, affiant exhibiting to me her Driver’s License No. C02-08-002910.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Larrymar I. Mamangun, of legal age, Filipino, and with residence and postal
address at 419 Mang Juan Subd., Capitangan, Abucay, Bataan, after having been
sworn to in accordance with law, hereby depose and state that:

8. I was born on February 17, 1980 in Pilar, Bataan from parents Spouses Mario
Mamangun and Lydia Ignacio;

9. My signatures as appearing in my documents vary as follows:

_________________________

_________________________

_________________________

10. My present signature is:

__________________________

11. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ____ day of

September, 2013 at _________________________.
 Larrymar I. Mamangun
Affiant

Subscribed and sworn to before me this ____ day of September, 2013 at

________________________, affiant exhibiting to me his SSS ID No. 02-1731112-6.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

We, Diana May P. Reyes and Laurice Andrea L. Penaflor, both of legal age,
Filipino, single, and with residence and postal address at New San Jose, Dinalupihan,
Bataan, and No. 21 Zamora, Dinalupihan, Bataan, respectively, after having been sworn
to in accordance with law, hereby depose and state that:

12. On july 13, 2013 at about 4:30 in the afternoon, we arrived at the Office of
Barangay Sta. Lucia, Samal, Bataan which was then closed because of a tv
program;

13. Because it was closed, we were brought to the house of the Brgy. Chairman
named Rene Vinzon;

14. We asked Mr. Vinzon if he knows one Jane Dominguez and he told us “Ah
yung dito (pointing to a house near his house) anak ni Domeng.” He told the
person who accompanied us to take us to the house of Jane Dominguez but
we decided not to go with him for fear that a problem may arise;

15. Mr. Vinzon received the letter we were bringing for Jane Dominguez as
evidenced by his signature appearing therein, a copy of said letter is hereto
attached;

16. While we were still there, Capt. Vinzon instructed the person who
accompanied us to bring the demand letter at the house of Jane Dominguez
which is about 20 meters away from the place we were then conversing;

17. So therefore, it is not true as per Certification issued by Mr. Vinzon dated
August 15, 2013 that Jane Dominguez has never been a resident of their
Barangay. A copy of the said Certification is hereto attached;

18. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.
 IN WITNESS WHEREOF, we have hereunto affixed our signatures this 30 th day
of August, 2013 at Dinalupihan, Bataan.

Diana May P. Reyes Laurice Andrea L. Penaflor

Affiant Affiant
Comelec 0804-0072A-J1387LLP200000

Subscribed and sworn to before me this 30th day of August, 2013 at

Dinalupihan, Bataan.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Pilar P. Fajardo, of legal age, Filipino, married and with residence and postal
address at Balsic Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

7. I am the wife of Reynold Balatbat Fajardo;

8. Reynold is the petitioner in Sp. Proc. No. DH-256-09 in the case entitled Petition
for Correction of Entry in the Certificate of Live Birth of Ryenold Balatbat Fajardo,
Petitioner vs. Local Civil Registrar of Hermosa, Bataan and the National Statistics
Office, respondents, filed before the Regional Trial Court, Branch V,
Dinalupihan, Bataan;

9. Said petition was granted in a Decision promulgated on July 16, 2010;

10. Said Decision has become final and executory as evidenced by a Certificate of
Finality issued by the same court dated January 6, 2011. However, to date the
same is not yet registered or recorded with the Local Civil Registrar of Hermosa,
Bataan and the National Statistics Office (NSO);

11. He was not able to cause the immediate registration of the said Decision
because he forgot it;

12. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 28 th day of

August, 2013 at Dinalupihan, Bataan.

Pilar P. Fajardo
Affiant

Thumb mark:

Witness:
Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 28 th day of August, 2013 at Dinalupihan,

Bataan, affiant exhibiting to me her VIN 0805-0074A-A0173PPF20000.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Elder D. Silva, of legal age, Filipino, and with residence and postal address at
Palihan Hermosa, Bataan, after having been sworn to in accordance with law, hereby
depose and state that:

50. I am cultivating a lot situated at Palihan Hermosa, Bataan measuring 1

hectare more or less;

51. I earned income out of cultivation, attached hereto is the income and
expenses for the year 2012 which I personally prepared;

52. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 23 rd day of

August, 2103 at Dinalupihan, Bataan.

Elder D. Silva
Affiant

Thumb mark:
Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 23rd day of August, 2013 at Dinalupihan,
Bataan, affiant exihibiting to me his UMID ID No. 0111-0733655-3.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

We, Prudencio A. Vitug and Aurora S. Vitug, both of legal age, Filipino, and
with residence and postal address at Palihan Hermosa, Bataan, after having been
sworn to in accordance with law, hereby depose and state that:

1. We got married on August 12, 1967 in Dinalupihan, Battan. We have seven (7)
children;

2. Our eldest daughter is Lucena S. Vitug. She was born on May 29, 1965 in
Dinalupihan, Bataan or before we were legally married;

3. Before the said marriage, we were living together as husband and wife without
the benefit of marriage because of financial difficulties. Since we were living
under the same roof we were blessed with a child named Lucena;

4. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 17 th day of

August, 2013 at Dinalupihan, Bataan.
Prudencio [Link] Aurora S. Vitug
Affiant Affiant
VIN 0805-0169A-L2744PAV10000 OSVA ID No. 00209

Subscribed and sworn to before me this 17 th day of August, 2103 at Dinalupihan,

Bataan.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Ronald M. Cudia, of legal age, Filipino, single and with residence and postal
address at San Ramon Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

9. I was employed at Luakan National High School from July 25, 2001 to March
30, 2004 as a Volunteer Teacher/Psychologist. A certification was issued to me
by the said school, a copy of which is hereto attached and made an integral
part hereof;

10. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.
 IN WITNESS WHEREOF, I have hereunto affixed my signature this 14 th day of
August, 2013 at Dinalupihan, Bataan.

Ronald M. Cudia
Affiant

Thumb mark:

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 14 th day of August, 2103 at Dinalupihan,

Bataan, affiant exhibiting to me his Passport No. EB0510161.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Kevin B. Pangilinan, of legal age, Filipino, single and with residence and
postal address at #32 Zamora St., Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I was employed at Monsan Bar and Grill for the period April 2012 up to present
as Food Service Crew. A certification was issued to me on July 26, 2013 by
 Julius C. Moncupa, a copy of which is hereto attached and made an integral
part hereof;

2. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 8 th day of

August, 2103 at Dinalupihan, Bataan.

Kevin B. Pangilinan
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 8th day of August, 2013 at Dinalupihan,
Bataan, affiant exhibiting to me his Passport No. EB 8022832.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF CLOSURE

I, Jenny M. Cabigting, of legal age, Filipino, and with residence and postal
address at Happy Valley Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:
 20. I am the owner of RUKI’S RESTAURANT located at Happy Valley Dinalupihan,
Bataan. Said business is registered with Department of Trade and Industry (DTI);

21. Said business has been closed effective on Janaury 2008, considering that I
could no longer manage the said business;

22. In view of the above, I am requesting that my registration with the Department of
Trade and Industry (DTI), Bureau of Internal Revenue (BIR) and Office of
Municipality of Dinalupihan be cancelled or revoked;

23. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 2 nd day of

August, 2013 at Dinalupihan, Bataan.

Jenny M. Cabigting
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 2nd day of August, 2013 at Dinalupihan,
Bataan, affiant exhibiting to me her Postal ID No. 2023522.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Krizza Elizabeth B. Toledo, of legal age, Filipino, married and with residence
and postal address at Sta. Isabel, Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am the mother of Zephyr Cairo Beltran Toledo who was born on September
26, 2012 in Guagua, Pampanga;

2. His father is Mervin Glenn Oanes Toledo who is presently working in Saudi
Arabia, K.S.A

3. He is now 10 months and has been in my custody since birth;

4. My husband is a member of Philhealth .I used the benefits of my husband’s

Philhealth when I gave birth to Zephyr Cairo;

5. However, the check(s) payment made by Philhealth was named to my husband

as payee;

6. I am requesting Philhealth to replace said check(s) under my name;

7. I undertake to free Philhealth and all its employees and officers for whatever
liability that maybe incurred by virtue of this request and I obligate myself to be
held liable in case a problem arises by virtue of the above request;

8. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 1 st day of

August, 2103 at Dinalupihan, Bataan.

Krizza Elizabeth B. Toledo

 Affiant

Thumb mark:

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 1 st day of August, 2013 at Dinalupihan,

Bataan, affiant exhibiting to me her Postal ID No. 3012479.

Doc. No.
Page No.
Book No.
Series of 2013.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Mary Jane A. Kameyama, of legal age, Filipino, married and with residence
and postal address at Pentor, Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am the present owner of a house and lot located at Pentor Dinalupihan,

Bataan measuring 500 square meters more or less;

2. I purchased the same from Bernadette D. Ocampo;

3. Bernadette D. Ocampo purchased the same from Corazon Magpantay who is

now deceased;

4. I am applying for an electric meter to be installed at the said property, I being

the the present owner thereof;

5. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.
 IN WITNESS WHEREOF, I have hereunto affixed my signature this 30 th day of July,
2013 at Dinalupihan, Bataan.

Mary Jane A. Kameyama

Affiant

Thumb mark:

Witness:

Divina D. Bansil
Dinalupihan, Bataan

Subscribed and sworn to before me this 30 th day of July, 2013 at Dinalupihan,

Bataan, affiant exhibiting to me her ___________________________.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Kevin B. Pangilinan, of legal age, Filipino, single and with residence and
postal address at #32 Zamora St., Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

3. I was born on September 7, 1992 in Cauayan, Isabela from parents Spouses

Ricardo R. Pangilinan and Sylvia B. Pangilinan;

4. I am not a member of Social Security System and I do not have SSS

contributions;

5. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.
 IN WITNESS WHEREOF, I have hereunto affixed my signature this 29 th day of July,
2013 at Dinalupihan, Bataan.

Kevin B. Pangilinan
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 29 th day of July, 2013 at Dinalupihan,

Bataan, affiant exhibiting to me his Passport No. EB 8022832.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Annalyn J. Guzman, of legal age, Filipino, and with residence and postal
address at Pinulot Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

1. I am the mother of Roanne Justo who was born on September 25, 2000 in
Dianlupihan, Bataan;

2. Originally, the name of Roanne in her Birth Certificate was recorded as Roanne
Justo Borja. However, the same has been corrected judicially as per Order
dated October 1, 2012 of the Regional Trial Court, Branch 5, Dianlupihan,
Bataan in SP. Proc. No. DH-297-11. A copy of the said Order is hereto
attached and made an integral part hereof;
 3. I applied her for a Philippine Passport with Department of Foreign Affiars
(DFA). I was questioned when I presented her school ID for 2013 stating that
he name is Roanne Justo Borja when it should have been Roanne Justo as
corrected by the Court on October 1, 2012;

4. She has no ID bearing the name Roanne Justo because upon request from her
school, I was informed that the ID can be replaced with the name Roanne Justo
next week;

5. Considering that I am already leaving next week, I might not be able to process
my child’s passport if I need to wait for the new schoold ID;

6. In viewof the above, I undertakes to submit the new ID of my child bearing the
name Roanne Justo to the DFA within this month but in the meantime I am
requesting that her passport under the name Roanne Justo be processed;

7. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 23 rd day of July,

2013 at Dinalupihan, Bataan.

Annalyn J. Guzman
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 23 rd day of July, 2013 at Dinalupihan,

Bataan, affiant exhibiting to me her Passport No. 27847163.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

JOINT AFFIDAVIT OF COHABITATION

 We, Jonathan U. De Jesus and Joy T. Abille, both of legal age, Filipino, and with
residence and postal address at Almacen Hermosa, Bataan, after having been sworn
to in accordance with law, hereby depose and state that:

54. We have been cohabitating as common-law husband and wife since 2008;

55. Out of wedlock we have been blessed with the following children, namely:

Nathan, born on July 27, 2007

Nicco, born on May 6, 2012

56. We are executing this affidavit to attest to the truth of the foregoing and for
the whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed my signature this 18 th day of

July, 2013 at Dinlalupihan, Bataan.

Jonathan U. De Jesus Joy T. Abille

Affiant Affiant
VIN 0805-0046A-D0882JUD10000 Postal ID No. 1553901

Subscribed and sworn to before me this 18 th day of July, 2013 at Dinalupihan,

Bataan.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT
 I, Ronald M. Cudia, of legal age, Filipino, single and with residence and postal
address at San Ramon Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

11. I was employed at the Homecare Nursing Service Elderly named Leandro V.
Dabu Sr. for the period May 2007 to July 2007 and from November 2009 with a
monthly salary of P 3,000.00.A certification was issued to me on July 20,2010
by Susana Dabu De Guzman, a copy of which is hereto attached and made an
integral part hereof;

12. I was also employed at Shekainah Shanan SPED Center Inc. from January
2012 to April 2013 as Vocational Academic Teacher. A certification was issued
to me by the said company, a copy of which is hereto attached and made an
integral part hereof;

13. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 22 nd day of July,

2013 at Dinalupihan, Bataan.

Ronald M. Cudia
Affiant

Thumb mark:

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 22 nd day of July, 2013 at Dinalupihan,

Bataan, affiant exhibiting to me his Passport No. EB0510161.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT OF SOURCE
OF INCOME

I, Jonathan U. De Jesus, of legal age, Filipino, and with residence and postal
address at Almacen Hermosa, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

83. I am a tricycle driver since 2001 with route at Almacen Hermosa, Bataan;

84. I earn P 250.00 per day more or less as a tricycle driver;

 85. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signature this 18 th day of

July, 2013 at Dinalupihan, Bataan.

Jonathan U. De Jesus
Affiant

Witness:

Joy T. Aville
Hermosa, Bataan

Subscribed and sworn to before me this 18 th day of July, 2013 at Dinaluiphan,

Bataan, affiant exhibiting to me his _______________________________.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Cohabitation
 We, Jonathan U. De Jesus and Joy T. Aville, both of legal age, Filipino, and with
residence and postal address at Almacen Hermosa, Bataan, after having been sworn
to in accordance with law, hereby depose and state that:

57. We have been cohabitating as common-law husband and wife since 2008;

58. Out of wedlock we have been blessed with the following children, namely:

Nathan, born on July 27, 2007

Nicco, born on May 6, 2012

59. We are executing this affidavit to attest to the truth of the foregoing and for
the whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed my signature this 18 th day of

July, 2013 at Dinlalupihan, Bataan.

Jonathan U. De Jesus Joy T. Aville

Affiant Affiant
_______________________ _________________________
_______________________ _________________________

Subscribed and sworn to before me this 18 th day of July, 2013 at Dinalupihan,

Bataan.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT
 I, Edgar B. Serrano, of legal age, Filipino, married and with residence and postal
address at Saguing Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

14. I am the attorney-in-fact of the petitioner in the case entitled Petition for Judicial
Recognition of Foreign Judgment docketed as Civil Case No. DH-1325-13
pending before the Regional Trial Court, Branch 5, Dinalupihan, Bataan;

15. Said case was filed on June 3, 2013;

16. Considering that Goro Kawahara, private respondent in the aforesaid case,
does not reside or its not found in the Philippines, and the action affects of the
status of Neriza Kawahara, I hereby request the Regional Trial Court, Branch 5,
Dinalupihan, Bataan to cause the service of summons by publication upon
respondet Goro Kawahara so the Court may acquire jurisdiction over his
person;

17. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 17 th day of June,

2013 at Dinalupihan, Bataan.

Edgar B. Serrano
Affiant

Subscribed and sworn to before me this 17h day of June, 2013 at Dinalupihan,
Bataan, affiant exhibiting to me his _____________________________.

Doc. No.
Page No.
Book No.
Series of 2013.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Sherwin C. Coloma, of legal age, married, Filipino and with residence and
postal address at No. 111 Pinulot, Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

18. I am a married to Mina Tolentino – Coloma. We got married on May 1998 in

Colo Dinalupihan Bataan;

19. We have a child named Shermaine T. Coloma who was born on October 11,
1998.

20. Mina and I have been separated since 2011 due to indifference and the fact
that Mina was impregnated by another man;

21. Considering the above, I hereby revoke and cancel her designation or
appointment as one of my beneficiaries in all my insurances, remittance and
the like, having been infidel and the fact that we are already separated and no
chance of reconcile;

22. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 16 d day of July,

2013 at Dinalupihan, Bataan.

Sherwin C. Coloma
Affiant

Witness:

M. Luisa C. Coloma
Happy Valley Dinalupihan, Bataan

Subscribed and sworn to before me this 16d day of July, 2013 at Dinalupihan,
Bataan, affiant exhibiting to me his Driver’s License No. C02-95-046409.

Doc. No.
Page No.
Book No.
Series of 2013.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF CLOSURE

I, Alma R. Zuñiga, of legal age, Filipino, and with residence and postal address
at Sta. Isabel Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

24. I am the owner of 399 Trading (Branch) located at Kataasan Dinalupihan,

Bataan. Said business is registered with Department of Trade and Industry (DTI)
with Certificate no. 00420893;

25. I am closing said business effective December 2012 for lack of capital to finance
said business as it does not earn profits;

26. In view of the above, I am requesting that my registration with the Department of
Trade and Industry (DTI), Bureau of Internal Revenue (BIR) and Office of
Municipality of Lubao be cancelled or revoked;

27. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 12 th day of July,

2013 at Dinalupihan, Bataan.

Alma R. Zuñiga
Affiant

Thumb mark:

Witness:

Aiza Crisostomo
Dinalupihan, Bataan

Subscribed and sworn to before me this 12 th day of July, 2013 at Dinalupihan,

Bataan, affiant exhibiting to me her SSS ID No. 02-0613459-2.

Doc. No.
Page No.
Book No.
Series of 2013.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Toshiyuki Ogawa, of legal age, Japanese and with residence and postal
address at No. 340 Bacong Hermosa, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

23. I am a holder of a Tourist Visa valid until July 3, 2013;

24. I had a heart storke last 2011 while in the Philippines. I returned to Japan last
December 2011 and came back to Philippines on March 5, 2012 and stayed in
the Philippines up to now;

25. I am requesting for the extension of my visa for a longer period to stay in the
Philippines because I have a family who is taking care of me here;

26. I would love to stay in the Philippines forever;

27. My finances are being sent to me from Japan which come from my government
benefits amounting to P 20,000.00 more or less a month;

28. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 3 rd day of July,

2013 at Dinalupihan, Bataan.

Toshiyuki Ogawa
Affiant

Witness:

Elenita Payumo
Hermosa, Bataan

Subscribed and sworn to before me this 3 rd day of July, 2013 at Dinalupihan,

Bataan, affiant exhibiting to me his Japanese Passport No. TH4849873.

Doc. No. 416

Page No. 84
Book No. XI
Series of 2013.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Carlos S. Jimenez, of legal age, Filipino, married and with residence and
postal address at 17N Orchid Tower Oriental Garden Makati City, after having been
sworn to in accordance with law, hereby depose and state that:

1. I am the plaintiff in Civil Case No. G-13-4869 pending before the Regional Trial
Court Branch 51, Guagua, Pampanga;

2. Said case was filed on January 17, 2013;

3. It has been almost six (6) months already since the case was filed and the
summons were not yet served upon defendants;

4. I hereby request the Regional Trial Court, Branch 51, Guagua, Pampanga to
cause the service of summons by publication upon defendants so the court may
acquire jurisdiction over them;

5. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 3 rd day of July,

2013 at Dinalupihan, Bataan.

Carlos S. Jimenez
Affiant

Subscribed and sworn to before me this 3 rd day of July, 2013 at Dinalupihan,

Bataan, affiant exhibiting to me his Driver’s License No. N03-03-000894.

Doc. No.
Page No.
Book No.
Series of 2013.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Maura [Link], of legal age, Filipino, and with residence and postal
address at Gomez Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

1. I have no business in any part of Bataan;

2. However, I am a lawful possessor of a stall located at Dinalupihan Public Market

with stall no. G-073 (Grocery Section) ;

3. I waived my right on the said stall in favor of Angeline Saldaña on June 28, 2013;

4. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 2 nd day of July,

2013 at Dinalupihan, Bataan.

Maura R. Viacrusis
Affiant

Thumb mark:

Witness:

Armando Salang Jr.

Dinalupihan, Bataan

Subscribed and sworn to before me this 2 nd day of July, 2013 at Dinalupihan,

Bataan, affiant exhibiting to me her OSCA ID No. 2576283.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF CLOSURE

I, Dennis M. Reyes, of legal age, Filipino, and with residence and postal address
at Santiago Lubao, Pampanga, after having been sworn to in accordance with law,
hereby depose and state that:

28. I am the owner of Reyes Direct Sales Marketing located at Public Market Arcade
in Dinalupihan, Bataan. Said business is registered with Department of Trade
and Industry (DTI);
 29. I am closing said business for lack of capital to finance said business as it does
not earn profits;

30. In view of the above, I am requesting that my registration with the Department of
Trade and Industry (DTI), Bureau of Internal Revenue (BIR) and Office of
Municipality of Lubao be cancelled or revoked;

31. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 2 nd day of July,

2013 at Dinalupihan, Bataan.

Dennis M. Reyes
Affiant

Thumb mark:

Witness:

Myralyn Mataverde
Dinalupihan, Bataan

Subscribed and sworn to before me this 2 nd day of July, 2013 at Dinalupihan,

Bataan, affiant exhibiting to me his Driver’s License No. C02-99-063674.

Doc. No.
Page No.
BookNo.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Leonardo P. Gabriel, of legal age, Filipino, married, and with residence and
postal address at 121Caimito St.,Greenville Subd., San Fernando, Pampanga, after
having been sworn to in accordance with law, hereby depose and state that:
 1. I am the father of Christian Carlo C. Gabriel who was born on April 1, 1994. He
is now 19 years old;

2. I only have two (2) children. Christian Carlo is the eldest and the other one is
Leah C. Gabriel, now 13 years old;

3. In order to secure the future of my children, I already allotted money for them
since they were young. Part of the savings I gave to Christian Carlos was used
by him in the purchase of a house and lot located in Pasay City and covered by
TCT No. 150931 from Metrobank;

4. I also lent him P 1,500,000.00 to be added to the aforesaid purchase of

townhouse and we agreed that he will repay the same within 25 years;

5. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 2 nd day of July,

2013 at Dinalupihan, Bataan.

Leonardo P. Gabriel
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 2 nd day of July, 2013 at Dinalupihan,

Bataan, affiant exhibiting to me his Driver’s License No. C02-71-017929.

Doc. No.
Page No.
BookNo.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF CLOSURE
 I, Florence I. Batalla, of legal age, Filipino, married and with residence and
postal address at Roosevelt Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

32. I am the owner of __________ located at Dinalupihan Public Market in

Dinalupihan, Bataan. Said business is registered with Department of Trade and
Industry (DTI) with Certificate No. 01296253;

33. I am closing said business for lack of capital to finance said business as it does
not earn profits;

34. In view of the above, I am requesting that my registration with the Department of
Trade and Industry (DTI), Bureau of Internal Revenue (BIR) and Office of
Municipality of Lubao be cancelled or revoked;

35. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 27 th day of

June, 2013 at Dinalupihan, Bataan.

Florence I. Batalla
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 27th day of June, 2013 at Dinalupihan,
Bataan, affiant exhibiting to me her VIN 0804-0192A-J3174FIB10000-2.

Doc. No.
Page No.
BookNo.
Series of 2013.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Emerlinda F. Mangubat, of legal age, Filipino, married, and with residence

and postal address at No. 199 High Land, Culis, Hermosa, Bataan, after having been
sworn to in accordance with law, hereby depose and state that:

19. I was born on October 30, 1973. I am 39 years old;

 20. I have difficulty in affixing my signature since I am suffering from
Rheumatism;

21. In view thereof, my signatures in my documents vary so I decided to change

my signature to a simpler one;

22. Below is the signature I used to affix before;

_________________________

23. Considering my difficulty in signing, my new signature will be as follows:

_________________________

24. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 27 th day of

June, 2013 at Dinalupihan, Bataan.

Emerlinda F. Mangubat
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 27th day of June, 2013 at Dinalupihan,
Bataan, affiant exhibiting to me her Driver’s License no. C09-00-001043.

Doc. No.
Page No.
Book No.
Series of 2013.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Luisito B. Nicdao, of legal age, Filipino, and with residence and postal
address at Balsic Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

60. I am the older brother of Pancho B. Nicdao who was born on November 27,
1967 in Hermosa, Bataan;

61. My said brother has been suffering from down syndrome since birth;

62. As such, he is incompetent. He did not go to school;

63. I am his guardian since my mother died on October 10, 1994 and my father
died on August 9, 2004, respectively;

64. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 26 th day of

June, 2013 at Dinlalupihan, Bataan.

Luisito B. Nicdao
Affiant

Thumb mark:

Witness:

Arnaldo B. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 26 th day of June, 2013 at Dinalupihan,

Bataan, affiant exhibiting to me his SSS ID No. 33-3445688-0.

Doc. No.
Page No.
Book No.
Series of 2013.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Cohabitation

We, Mario O. Awid and Renelyn A. Tolibas, both of legal age, Filipino, and with
residence and postal address at San Pablo Dinalupihan, Bataan, after having been
sworn to in accordance with law, hereby depose and state that:

65. We have been cohabitating as common-law husband and wife since 2008;

66. Out of wedlock we have been blessed with the following children, namely:

Michael Jiho, who was born on July 1, 2009

John Martin, who was born on February 17, 2013

67. We are executing this affidavit to attest to the truth of the foregoing and for
the whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed my signature this 25 th day of

June, 2013 at Dinlalupihan, Bataan.

Mario O. Awid Renelyn A. Tolibas

Affiant Affiant
_______________________ VIN 0804-0229A-
D0188RAT20000
_______________________

Subscribed and sworn to before me this 25 th day of June, 2013 at Dinalupihan,

Bataan.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )
 AFFIDAVIT

I, Jhamar G. Manacmul, of legal age, Filipino, single and with residence and postal
address at 81 Purok 4 Pag-Asa Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I graduated at the following schools:

Luakan National High School – April 11, 2003

University of Baguio – March 28, 2010 (Bachelor of Science in Nursing)

2. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 25 th day of

June, 2013 at Dinlalupihan, Bataan.

Jhamar G. Manacmul
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 25th day of June, 2013 at Dinalupihan,
Bataan, affiant exhibited to me his PRC ID No. 0644760.

Doc. No.
Page No.
Book No.
Series of 2013.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Frederick P. Cornejo, of legal age, Filipino, and with residence and postal
address at Purok 3 Calzadang Bayu Porac, Pampanga, after having been sworn to in
accordance with law, hereby depose and state that:

1. I used to be employed with Sparta Construction in Sto. Tomas, Batangas as a

Pipefitter from July 18, 2011 up to May 12, 2013;

2. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 18 th day of

June, 2013 at Dinlalupihan, Bataan.

Frederick P. Cornejo
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 18 th day of June, 2013 at Dinalupihan,

Bataan, affiant exhibited to me his Driver’s License No. C02-07-003564.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Self- Employment

 I, Maria Concepcion P. Tungul, of legal age, Filipino, married and with residence
and postal address at Sta. Cruz,Lubao, Pampanga, after having been sworn to in
accordance with law, hereby depose and state that:

1. I have been self-employed since 2010;

2. My business is loading cell phone loads;

3. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 6 th day of May,

2013 at Dinlalupihan, Bataan.

Maria Concepcion P. Tungul

Affiant

Witness:

Soccoro Lingad
Lubao, Pampanga

Subscribed and sworn to before me this 6th day of May, 2013 at Dinalupihan,
Bataan, affiant exhibited to me her VIN 0804-0145A-K0465JBS20000-4.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )
 AFFIDAVIT OF CLOSURE

I, Janet G. Quong, of legal age, Filipino, and with residence and postal address
at 75 St. Dominic San Roque, Lubao, Pampanga, after having been sworn to in
accordance with law, hereby depose and state that:

36. I am the owner of QUONG’S JUNK SHOP located at Layac Dinalupihan,

Bataan. Said business is registered with Department of Trade and Industry (DTI)
with Certificate No. 01049781;

37. I am closing said business for lack of capital to finance said business as it does
not earn profits;

38. In view of the above, I am requesting that my registration with the Department of
Trade and Industry (DTI), Bureau of Internal Revenue (BIR) and Office of
Municipality of Lubao be cancelled or revoked;

39. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 14 th day of

May, 2013 at Dinalupihan, Bataan.

Janet G. Quong
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 14th day of May, 2013 at Dinalupihan,
Bataan, affiant exhibiting to me her TIN 279-104-645-000.

Doc. No.
Page No.
BookNo.
Series of 2013.
Republic of the Philippines )
Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Rosario A. Libo, of legal age, Filipino, and with residence and postal address
at Maligaya Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

10. I owned and cultivate a farm land located at Maligaya Dinalupihan, Bataan
measuring 13,026 square meters, more or less;

11. I earned income from the said farm. Attached is my statement of income and
expenses for the year 2012 which I personally prepared;

12. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 14 th day of

May, 2103 at Dinalupihan, Bataan.

Rosario A. Libo
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 14 th day of May, 2013 at Dinalupihan,

Bataan. Affiant exhibiting to me her OSCA ID No. 4483.

[Link].
Page No.
Book No.
Series of 2013.
 STATEMENT OF INCOME AND EXPENSES

1st Crop

Expenses

Binhi = 2 sacks/P 900.00 P 1,800.00

Fertilizer ng Binhi ½ cavan (ammonium) 500.00
Patanim = 14 tao/P 200.00 kada tao 2,800.00
Fertilizer = UREA 4 sacks/ P 900.00 per cavan 3,600.00
= 2x nagsasabog ng abono
= 2 sack 1 ½ buwan ng paglagay
Spray= malathion/karate 1 bottle big
Malathion = P 1,400.00/ bottle 1,400.00
Karate = P 900.00/bottle 900.00
Pagbibilad 1,600.00
Labor 10,000.00
Diesel 3,000.00
__________
Total Expenses P 25,600.00
==========

Harvest = 157 cavan/ P 800.00/cavan/tuyo palay P 125,600.00

==========
P 125,600.00 – earning 1st Crop
25,600.00 – Expenses
___________
P 100,000.00 – Total amount for earning in 1st Crop
=========

2nd Crop
Expenses

Binhi = 2 sacks/P 900.00 P 1,800.00

Fertilizer ng Binhi ½ cavan (ammonium) 500.00
Patanim = 14 tao/P 200.00 kada tao 2,800.00
Fertilizer = UREA 4 sacks/ P 900.00 per cavan 3,600.00
= 2x nagsasabog ng abono
= 2 sack 1 ½ buwan ng paglagay
Spray= malathion/karate 1 bottle big
Malathion = P 1,400.00/ bottle 1,400.00
Karate = P 900.00/bottle 900.00
Pagbibilad 1,600.00
Labor 10,000.00
Diesel 3,000.00
__________
Total Expenses P 25,600.00
==========
Harvest = 157 cavan/ P 800.00/cavan/tuyo palay P 125,600.00
==========
P 125,600.00 – earning 2nd Crop
25,600.00 – Expenses
___________
P 100,000.00 – Total amount for earning in 2nd Crop
=========

Prepared by:

Rosario A. Libo
Republic of the Philippines)
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Ownership

I, Juvy Mell S. Malit, of legal age, Filipino, and with residence and postal
address at Beverly Heights Subd. Cataning Hermosa, Bataan, after having been sworn
to in accordance with law, hereby depose and state that:

8. I am the owner of Sanchez-Malit Building located at Sta. Isabel, Dinalupihan,

Bataan;

9. My ownerships is evidenced by the attached Brgy. Certificate issued by the

Barangay Sta. Isabel Dinalupihan, Bataan;

10. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this _____ day of

October, 2012 at Dinlalupihan, Bataan.

Juvy Mell S. Malit

Affiant

Subscribed and sworn to before me this _____ day of October, 2012 at

Dinalupihan, Bataan, affiant exhibiting to me her Roll ID No. 40601.

Doc. No.
Page No.
Book No.
Series of 2012.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Self- Employment

I, Maria Concepcion P. Tungul, of legal age, Filipino, married and with residence
and postal address at Sta. Cruz,Lubao, Pampanga, after having been sworn to in
accordance with law, hereby depose and state that:

4. I have been self-employed since 2010;

5. My business is loading cell phone loads;

6. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ____ day of

May, 2013 at Dinlalupihan, Bataan.

Maria Concepcion P. Tungul

Affiant

Witness:

Soccoro L. Paule
Lubao, Pampanga

Subscribed and sworn to before me this ____ day of May, 2013 at Dinalupihan,
Bataan, affiant exhibited to me her VIN 0804-0145A-K0465JBS20000-4.

Doc. No.
Page No.
Book No.
Series of 2013.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF CANCELLATION

I, Orlando S. Mendoza, of legal age, Filipino, married and with residence and
postal address at 56 San Pedro, San Pedro (Pob.) Hermosa, Bataan, after having been
sworn to in accordance with law, hereby depose and state that:

40. I am the owner of SPAZIETA BODY MASSAGE AND SPA located at Orani,
Bataan. Said business is registered with Department of Trade and Industry (DTI)
with Certificate No. 01564254;

41. In the said Certification issued by the DTI, the location of the establishment is
Orani, Bataan, region 3 (Central Luzon). However, I will have a branch at
Dinalupihan, Bataan;

42. In view of the above, I am requesting that my registration with the Department of
Trade and Industry (DTI), Bureau of Internal Revenue (BIR) and Office of
Municipality of Orani, Bataan be cancelled or revoked and the same be reissued
with the location Region only;

43. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 2 nd day of May,

2013 at Dinalupihan, Bataan.

Orlando S. Mendoza
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 2nd day of May, 2013 at Dinalupihan,
Bataan, affiant exhibiting to me his Driver’s License No. C10-93-089538

Doc. No.
Page No.
BookNo.
Series of 2013.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Rosario R. Jimenez, of legal age, Filipino, widow and with residence and postal
address at Balsic Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

1. I am the surviving spouse of Domingo Antonio Jimenez who died on January

18, 2013 in Hermosa, Bataan;
2. In compliance with the requests for Transfer of Pension in my favor, I hereby
submit the following authenticated documents:

b. Retirement Order
c. Lump Sum Voucher/Retirement, Gratuity Vouchers
d. Computation of Lump Sum/Retirement Gratuity
e. Service Record
f. Certificate of Last Payment
g. Death Certificate
h. Certificate of No Marriage (CENOMAR-Retiree)
i. Certificate of No Marriage (CENOMAR-Wife)
j. Marriage Contract
k. Birth Certificate of Wife
l. Photocopy of any valid ID’s

3. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 30 th day of April,

2013 at Dinlalupihan, Bataan.

Rosario R. Jimenez
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 30 th day of April, 2013 at Dinalupihan,

Bataan, affiant exhibited to me her SSS ID No. 03-1990686-6.

Doc. No.
Page No.
Book No.
Series of 2013.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Self- Employment

I, Maria Concepcion P. Tungul, of legal age, Filipino, married and with residence
and postal address at Sta. Cruz,Lubao, Pampanga, after having been sworn to in
accordance with law, hereby depose and state that:

1. I have been self-employed since 2010;

2. My business is loading cell phone loads;

m. I am executing this affidavit to attest to the truth of the foregoing

and for the whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ____ day of

May, 2013 at Dinlalupihan, Bataan.

Maria Concepcion P. Tungul

Affiant

Witness:

Soccoro L. Paule
Lubao, Pampanga

Subscribed and sworn to before me this ____ day of May, 2013 at Dinalupihan,
Bataan, affiant exhibited to me her VIN 0804-0145A-K0465JBS20000-4.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )
 AFFIDAVIT

I, Balbir Singh, of legal age, Indian National, and with residence and postal
address at No. 84 Irving St., New Asian Olongapo City, after having been sworn to in
accordance with law, hereby depose and state that:

91. I was born on May 29, 1962;

92. As a Indian I have a Residence Alien Certificate of Registration No.
F0000052472 issued by Bureau of Immigration;
93. My son named Surinder Singh is intending to come the Philippines as tourist;

Surinder Singh
Passport No. G9627388
Date of Birth: July 26, 1991

94. He will be staying with me here in the Philippines for one (1) month;
95. He will stay with me during his visit;
96. I hereby undertake to give all the necessary support and assistance to the
aforementioned while in the Philippines;
97. I, likewise guarantee that he is peaceful citizens and that his purpose in coming
to the Philippines is purely recreation and business on the side;
98. I declare these facts under threat of perjury;
99. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 26 th day of

April, 2013 at Dinalupihan, Bataan.

Balbir Singh
Affiant

Thumb mark:

Witness:

Nadeem Sial
Olongapo City

Subscribed and sworn to before me this 26 th day of April, 2013 at Dinalupihan,

Bataan, affiant exhibiting to me his BOI ID No. F0000052472.

Republic of the Philippines )

Municipality of Dinalupihan)S.s.
Province of Bataan )

AFFIDAVIT
 I, Orlando M. Quinto, of legal age, Filipino, married and with residence and
postal address at Balsik Hermosa, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

1. I am bonafide member of Social Security System with SSS Number 02-

0466832-9;

2. I was never employed in any company;

3. I stopped being a self-employed person as a Driver since December 1998

and opted to continue paying SSS contribution as voluntary up to February
2012;

4. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 25 th day of April,

2013 at Dinalupihan, Bataan.

Orlando M. Quinto
Affiant

Thumb mark:

Witness:

Romelita M. Visda
Hermosa, Bataan

Subscribed and sworn to before me this 25 th day of April, 2013 at Dinalupihan,

Bataan, affiant exhibiting to me his UMID ID No. CRN-0111-0085974-9.

Doc. No.
Page No.
Book No.
Series of 2013.
Republic of the Philippines )

AFFIDAVIT

I, Ariel G. Nepomuceno, of legal age, and with residence and postal address at
____________________________________, after having been sworn to in accordance
with law, hereby depose and state that:

1. I am a Minister of the Church of God in Christ Jesus, The Pillar and Ground of
the Truth;

2. I am the solemnizing officer on a wedding of Melvin D.C. Serrano and Mary

Jane S. Bernal. Their marriage will be held on April 20, 2013. They requested
me to solemnized their marriage at the Roosevelt Park Village (Club House)
Dinaluiphan, Bataan;

3. I hereby garnt such request pursuant to Article 8 of the Family Code of the
Philippines;

4. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ____ day of

____________________ at _________________________.

Ariel G. Nepomuceno
Affiant

Subscribed and sworn to before me this ____ day of _______________________ at

____________________________.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT
 We, Melvin D.C. Serrano and Mary Jane S. Bernal, both of legal age, and with
residence and postal address at 791 San Vicente, Sta. Maria Bulacan, and San Pablo
Dinalupihan, Bataan, respectively, after having been sworn to in accordance with law,
hereby depose and state that:

1. We are the contracting parties in a marriage to be soleminized by Brother

Ariel G. Nepomuceno on April 7, 2013 to be held at Roosevelt Park Village
(Club House) Dinaluiphan, Bataan;

2. Pursuant to Article 8 of the Family Code of the Philippines,we are requesting

that the said wedding be held at a Club House located at Roosevelt Park
Village (Club House) in Dinalupihan, Bataan;

3. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this ____ day
of ____________________ at _________________________.

Melvin D.C. Serrano Mary Jane S. Bernal

Affiant Affiant
Holy Child Montessori ID School ID No. Olongapo City Christian School ID No.
07-A027 T-023

Subscribed and sworn to before me this ____ day of _______________________ at

____________________________.

Doc. No.
Page No.
Book No. Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan ) S.s.
Province of Bataan )

Affidavit To Use Maiden Name

I, Mylene L. Morales, of legal age, Filipino, and with residence and postal
address at Casa Bonita Homes, Pinulot Dinalupihan, Bataan, after having been sworn
to in accordance with law, hereby depose and state that:

205. I was born on February 18, 1973 in Pamplona, Cagayan from parents
Spouses Loreto Morales Sr. and Gloria Lacquian;

206. I am married to Adjutor Gonzales. We got married on December 4, 1993

in San Marcelino, Zambales as evidenced by our Marriage Contract;

207. We have been separated for more than five (5) years now;
 208. Considering the above, I intend to use my maiden name which is Morales
in all my documents and records;

209. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 12 th day of

April, 2013 at Dinalupihan, Bataan.

Mylene L. Morales
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 12 th day of April, 2013 at Dinalupihan,

[Link] exhibited to me her Passport No. XX3368665.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Judith R. Pantig, of legal age, Filipino, and with residence and postal address
at Sta. Lucia, Lubao, Pampanga, after having been sworn to in accordance with law,
hereby depose and state that:

13. I am the petitioner in Sp. Proc. No. DH-089-06 in the case entitled Petition for
Correction of Entries in the Birth Certificate of Judith Racan y Javeir, Petitioner
vs. Local Civil Registrar of Sto. Tomas, Batangas pending before the Regional
Trial Court, Branch V, Dinalupihan, Bataan;

14. Said petition was granted by the Court in its Decision promulgated on February
9, 2007;
 15. Said Decision has become final and executory as evidenced by a Certification
issued by the same court dated February 28, 2007. However, to date the same is
not yet registered or recorded with the Local Civil Registrar of Sto. Tomas,
Batangas and the National Statistics Office (NSO);

16. I was not able to cause the immediate registration of the above decision because
I got sick and suffered from Tubercoloma which could have caused death but
luckily, I survived;

17. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 10 th day of April,

2013 at Dinalupihan, Bataan.

Judith R. Pantig
Affiant

Thumb mark:
Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to me before me this 10 th day of April, 2013 at

Dinalupihan, Bataan, affiant exhibiting to me her VIN 5408-0366A-E1276JRP20000-4.

Doc. No.
Page No.
Book No.
Series of. 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Alicia M. Salang, of legal age, Filipino, married and with residence and postal
address at 31 Rosario St., Brgy. Rizal Poblacion Lopez, Quezon, after having been
sworn to in accordance with law, hereby depose and state that:

1. I am a policy holder of PET Plans Inc. with Policy No. E0001463443-0000;

 2. I have fully paid the premiums of said policy as evidenced by Full Payment
Certificate Control No. 2004-06673;

3. I have not received the Onhand Value Fund, Statement of Account and other
documents pertaining to the said policy which were allegedly sent to me;

4. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 10 th day of

April, 2013 at Dinalupihan, Bataan.

Alicia M. Salang
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 10 th day of April, 2013 at Dinalupihan,

Bataan, affiant exhibiting to me her Passport No. EB5647394.

Doc. No. 446

Page No. 90
BookNo. IX
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF CANCELLATION

I, Pablito R. Swing, of legal age, Filipino, married and with residence and postal
address at Balsik Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

44. I am the owner of MEGSCHEF SWING CATERING located at Balsic Hermosa,

Bataan. Said business is registered with Department of Trade and Industry (DTI)
with Certificate No. 01877772;

45. I am closing said business because for lack of capital to finance said business as
it does not earn profits;

46. In view of the above, I am requesting that my registration with the Department of
Trade and Industry (DTI), Bureau of Internal Revenue (BIR) and Office of
Municipality of Lubao be cancelled or revoked;
 47. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.
th
IN WITNESS WHEREOF, I have hereunto affixed my signature this 8 day of
April, 2013 at Dinalupihan, Bataan.

Pablito R. Swing
Affiant

Thumb mark:

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 8th day of April, 2013 at Dinalupihan,
Bataan, affiant exhibiting to me his Driver’s License No. C02-99-065529.

Doc. No.
Page No.
BookNo.
Series of 2013.

Doc. No. Atty. Juvy Mell B. Sanchez-Malit

Page No. Notary Public
Book No. Commission Expires on 12/31/2013
Series of 2013. PTR No. 1450932, 01/03/2013
IBP No. 837850, 01/02/2013
Roll of Attorney No. 40601

Republic of the Philippines)

Municipality of Dinalupihan) S.s.
Province of Bataan )

Joint Affidavit of
Source of Income

We , Spouses Edilberto De Guzman and Chona B. De Guzman, both of legal

age, Filipino, and with residence and postal address at Purok 2 Sta. Lucia, Pita
Dinalupihan, Bataan, after having been sworn to in accordance with law, hereby depose
and state that:
 11. We are husband and wife. We got married on November 7, 1981 in Novalichez,
Quezon City;

12. We obtain our source of income from proceeds of repairds of applicances from
our customers;

13. We are \executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 8 th day of

April, 2013 at Dinlalupihan, Bataan.

Edilberto De Guzman Chona B. De Guzman

Affiant Affiant
Driver’s Licenese No. N25-950004909

Thumb mark:

Subscribed and sworn to before me this 8 th day of April, 2013 at Dinalupihan,

Bataan.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT
 I, Orlando [Link], of legal age, Filipino, married and with residence and
postal address at Balsic Hermosa, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

13. I owned and cultivate a farm land located at Balsic Hermosa, Bataan
measuring 10,000 square meters, more or less;

14. I earned income from the said farm. Attached is my statement of income and
expenses for the year 2012 which I personally prepared;

15. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 25 th day of

March, 2103 at Dinalupihan, Bataan.

Orlando M. Quinto
Affiant

Thumb mark:

Witness:

Rosalie Quinto
Hermosa, Bataan

Subscribed and sworn to before me this 25th day of March, 2013 at Dinalupihan,
Bataan. Affiant exhibiting to me his OSCA ID No. 01517.

[Link].
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Julia L. Uy, of legal age, Chinese Citizen, and with residence and postal
address at Layac Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

16. I was born on July 10, 1969 in Jolo, Sulu from parents Spouses Leh Suy Uy
and Siu Hong Lee;

17. I have five (5) siblings;

18. I graduated at Notre Dame Elementary School in Jolo, Sulu;

19. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 3 rd day of

April, 2013 at Dinalupihan, Bataan.

Julia L. Uy
Affiant

Thumb mark:

Witness:

Edgar Espino
Dinalupihan, Bataan

Subscribed and sworn to before me this 3 rd day of April, 2013 at Dinalupihan,

Bataan. Affiant exhibiting to me her Chinese Passport No. 500006407.

Doc. No.
Page No.
Book No.
Series of 2013.
[Link].
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Closure

I, Annabelle S. Uchida, of legal age, Filipino, and with residence and postal
address at Pita Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

1. I am the registered owner of Goto Teddy located at San Ramon

Dinalupihan, Bataan registered with the Department of Trade and Industry
wih Certificate No. 01736990;

2. I closed the said business on September 2012 because it is no longer

earning income;

3. In view of the above, I am requesting that my registration with the

Department of Trade and Industry, Bureau of Internal Revenue and Office
of Municipality of Dinalupihan be cancelled or revoked;

4. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 3 rd day of

April, 2013 at Dinlalupihan, Bataan.

Annabelle S. Uchida
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 3rd day of April, 2013 at Dinalupihan,
Bataan., affiant exhibiting to me her Postal ID No. 2872310.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT OF DECLARATION
OF FINANCIAL DOCUMENT

I, Daryl M. Singian, of legal age, Filipino, and with residence and postal address
at Sto. Niño Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

1. I am an applicant for Student Visa at Australian Embassy;

2. I do hereby declare that I have access funds an acceptable source that are
sufficient to meet course fees, living costs an school costs for the remainder
of my proposed stay in Australia after the first 18 months;

3. I executed this affidavit to attest to truthness of the foregoing facts and it is

also being executed in support to my application for Student Visa with the
Australian embassy.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 2 nd day of

April, 2013 at Dinalupihan, Bataan.

Daryl M. Singian
Affiant

Thumb mark:
Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 2 nd day of April, 2013 at Dinalupihan,

Bataan. Affiant exhibiting to me his Driver’s License No. C02-04-085242.

+[Link].
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Orlando [Link], of legal age, Filipino, married and with residence and
postal address at Balsic Hermosa, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

20. I owned and cultivate a farm land located at Balsic Hermosa, Bataan
measuring 10,000 square meters, more or less;

21. I earned income from the said farm. Attached is my statement of income and
expenses for the year 2012 which I personally prepared;

22. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 25 th day of

March, 2103 at Dinalupihan, Bataan.

Orlando M. Quinto
Affiant

Thumb mark:

Witness:
 May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 25th day of March, 2013 at Dinalupihan,
Bataan. Affiant exhibiting to me his OSCA ID No. 01517.

[Link].
Page No.
Book No.
Series of 2013.

STATEMENT OF INCOME AND EXPENSES

1st Crop

Expenses

Binhi = 2 sacks/P 900.00 P 1,800.00

Fertilizer ng Binhi ½ cavan (ammonium) 500.00
Patanim = 14 tao/P 200.00 kada tao 2,800.00
Fertilizer = UREA 4 sacks/ P 900.00 per cavan 3,600.00
= 2x nagsasabog ng abono
= 2 sack 1 ½ buwan ng paglagay
Spray= malathion/karate 1 bottle big
Malathion = P 1,400.00/ bottle 1,400.00
Karate = P 900.00/bottle 900.00
Pagbibilad 1,000.00
Labor 10,000.00
Diesel 3,000.00
__________
Total Expenses P 25,000.00
==========

Harvest = 140 cavan/ P 800.00/cavan/tuyo palay P 112,000.00

==========
P 112,000.00 – earning 1st Crop
25,000.00 – Expenses
___________
P 87,000.00 – Total amount for earning in 1st Crop
=========

2nd Crop
Expenses

Binhi = 2 sacks/P 900.00 P 1,800.00

Fertilizer ng Binhi ½ cavan (ammonium) 500.00
Patanim = 14 tao/P 200.00 kada tao 2,800.00
Fertilizer = UREA 4 sacks/ P 900.00 per cavan 3,600.00
= 2x nagsasabog ng abono
 = 2 sack 1 ½ buwan ng paglagay
Spray= malathion/karate 1 bottle big
Malathion = P 1,400.00/ bottle 1,400.00
Karate = P 900.00/bottle 900.00
Pagbibilad 1,000.00
Labor 10,000.00
Diesel 3,000.00
__________
Total Expenses P 25,000.00
==========
Harvest = 140 cavan/ P 800.00/cavan/tuyo palay P 112,000.00
==========
P 112,000.00 – earning 2nd Crop
25,000.00 – Expenses
___________
P 87,000.00 – Total amount for earning in 2nd Crop
=========

Prepared by:

Orlando M. Quinto

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Bernadette G. Reyes, of legal age, Filipino, and with residence and postal
address at Daang Bago Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

1. I am the owner of one (1) set of Diamond (earrings and ring) pawned by Karyl
Joy Eniego at Cebuana Lhuillier on October 2012;

2. I only instruct her to pawn them for and in my behalf for lack of time to do it
myself;

3. Attached hereto are pictures depicting that I am wearing said jewelries;

 4. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 18 th day of

March, 2013 at Dinalupihan, Bataan.

Bernadette G. Reyes
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 18th day of March, 2013 at Dinalupihan,
Bataan, affiant exhibited to me her PRC ID No. 0029645.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Emelita B. Laxamana, of legal age, Filipino, married and with residence and
postal address at Prado Siongco, Lubao,Pampanga, after having been sworn to in
accordance with law, hereby depose and state that:

5. I am the wife of Estelito Laxamana;

6. My husband is the first cousin of Albert B. Laxamana;

7. Albert is presently in Dubai. He applied for a tourist visa for me to visit him as he
invited me to see said place;

8. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.
 IN WITNESS WHEREOF, I have hereunto affixed my signature this 14 th day of
March, 2013 at Dinalupihan, Bataan.

Emelita B. Laxamana
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 14th day of March, 2013 at Dinalupihan,
Bataan, affiant exhibited to me her VIN 5408-0117A-E2964EBL20000.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

Affidavit of Confirmation

I, Vlademir B. Mendigo, of legal age, Filipino, married and with residence and
postal address at 053 Brgy. Sto. Niño, Magalang, Pampanga, after having been sworn
to in accordance with law, hereby depose and state that:

1. I am a member of Philippine National Police (PNP) presently assigned at

PNP-MPS- Hermosa, Bataan;

2. My legal depedents are the following:

Name Relationship

Brizelda A. Mendigo Wife

Adem Gavriel A. Mendigo Child
Azairene Gail A. Mendigo Child

3. I hereby confirm that only the above named persons are my dependants;

4. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13 th day of

March,2013 at Dinalupihan, Bataan.

Vlademir B. Mendigo
Affiant

Thumb mark:
Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 13th day of March, 2013 at Dinaluiphan,
Bataan.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

Affidavit of Confirmation

I, Ricky N. Mangalindan, of legal age, Filipino, married and with residence and
postal address at Colo Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

1. I am a member of Philippine National Police (PNP) presently assigned at

PNP-MPS- Hermosa, Bataan;

2. My legal depedents are the following:

Name Relationship

Noemi M. Mangalindan Wife

Zia Deinice M. Mangalidan Child
Bryle M. Mangalindan Child
 Ricky II M. Mangalindan Child

3. I hereby confirm that only the above named persons are my dependants;

4. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13 th day of

March,2013 at Dinalupihan, Bataan.

Ricky N. Mangalindan
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 13th day of March, 2013 at Dinaluiphan,
Bataan, affiant exhibiting to me his PNP ID Card No. 11J050144.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Rolando P. Carpio, of legal age, Filipino, and with residence and postal
address at Pentor Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

5. I am a Pag-Ibig or Home Development Mutual Fund (HDMF) member;

6. I am now 56 years old having been born on May 22, 1956 in Sanchez Mira,
Cagayan;

7. I was employed at Cocochem United Coconut Chemicals, Inc. ;

8. Said company closed last August 15, 2012;

9. All I have now is a copy of our company’s Benefit Package for Rank and File
where it is provided that early retirement age is at 55 years old, a copy of
which is hereto attached;
 10. I cannot get a Certification from said company because of its closure;

11. I intend to claim my benefits from Pag-Ibig or HDMF as soon as possible so I

can use the same;

12. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 12 th day of

March,2013 at Dinalupihan, Bataan.

Rolando P. Carpio
Affiant

Thumb mark:

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 12th day of March, 2013 at Dinaluiphan,
Bataan, affiant exhibiting to me his Driver’s License No. D01-93-080739.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Ivy A. Malit, of legal age, Filipino, and with residence and postal address at
Daang Bago Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

13. I am the mother of Christian James Malit Morillo who was born on August
15, 2012 in Dinalupihan, Bataan;

14. His father is Gil V. Morillo. We are not legally married;

15. Gil is presently in Dubai and could not yet sign the Acknowledgment
acknowledging Christian James;

16. Christian James will baptized on March 16, 2013 at Holy Family Parish
Church in Hermosa, Bataan;

17. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 12 th day of

March,2013 at Dinalupihan, Bataan.

Ivy A. Malit
Affiant

Thumb mark:
Witness:

Annabelle M. Caling
Dinalupihan, Bataan

Subscribed and sworn to before me this 12th day of March, 2013 at Dinaluiphan,
Bataan, affiant exhibiting to me her Barangay Clearance issued by the Office of the
Punong Barangay of Daang Bago.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Emelda M. Franco, of legal age, Filipino, married and with residence and
postal address at Sta. Lucia,Pita Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

18. I am a distant relative of Lilian Q. Barrientos;

19. Lilian obtained a loan from Grameen Fundacion Pilipinas Inc. with offices
located at Dinalupihan, Bataan on July 20, 2012 in the amount of P
20,000.00 using my name;

20. I allowed her to use my name for her to be able to obtain a loan since she
cannot loan because she has unpaid account with Grameen;

21. Lilian will pay the said loan obtained under my name and by way of
conformity, she signed her name below;

22. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 11 th day of

March,2013 at Dinalupihan, Bataan.

Emelda M. Franco
Affiant

Thumb mark:

Conforme:

Lilian Q. Barrientos

Subscribed and sworn to before me this 11th day of March, 2013 at Dinaluiphan,
Bataan, affiant exhibiting to me her VIN 0804-0183A-J0264EMF20001-0.
Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Ma. Cecilia E. Santos, of legal age, Filipino, and with residence and postal
address at Pentor Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

1. I am the mother of GRAYCEL SANTOS who was born on September 17,

1990 in San Marcelino, Zambales as evidenced by her Certificate of Live
Birth;

2. Her father is Gary Deming. We are not legally married;

3. He abandoned us in the year 1991 and since then we have not seen not
talked to him;

4. We are staying at my friend’s house in Pentor Dinalupihan, Bataan;

5. My brother named Jun S. Eusebio is helping us by giving more or less P

3,000.00 a month;

6. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 11 th day of

March,2013 at Dinalupihan, Bataan.

Ma. Cecilia E. Santos

Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 11th day of March, 2013 at Dinaluiphan,
Bataan.

Doc. No. 239

Page No. 48
Book No. IX
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Closure

I, Reynaldo A. Montemayor, of legal age, Filipino, married and with residence

and postal address at Balsik Hermosa, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

5. I am the registered owner of Jeans Park Tailoring located at Burgos St.,

Dinalupihan, Bataan registered with the Department of Trade and
Industry;

6. I closed the said business on February 2000 because it is no longer

earning income;

7. In view of the above, I am requesting that my registration with the

Department of Trade and Industry, Bureau of Internal Revenue and Office
of Municipality of Dinalupihan be cancelled or revoked;

8. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 7 th day of

March, 2013 at Dinlalupihan, Bataan.

Reynaldo A. Montemayor
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 7 th day of March, 2013 at Dinalupihan,

Bataan., affiant exhibiting to me his Driver’s License No. C02-95-045369.

Doc. No.
Page No.
Book No.
Series of 2013.
Republic of the Philippines )
Municipality of Dinalupihan ) S.s.
Province of Bataan )

AFFIDAVIT

I, Maryll Joy D. Naga, of legal age, Filipino, and with residence and postal
address at Purok 4, Camacho Balanga City, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

210. I used to belong to the Religion Born Again Christian;

211. I intend to transfer and embraced Romana Catholic religion because,

among others, I will marry Aldelbert T. Vicente on April 27, 2013;

212. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 6 th day of

March, 2013 at Dinalupihan, Bataan.

Maryll Joy D. Naga

Affiant

Thumb mark:

Witness:

Nieves Tolentino
Hermosa, Bataan

Subscribed and sworn to before me this 6 th day of March, 2013 at Dinalupihan,

[Link] exhibited to me her VIN 0803-0028B-B1491MDN20000.

Doc. No.
Page No.
Book No.
Series of 2013.
Republic of the Philippines )
Municipality of Dinalupihan ) S.s.
Province of Bataan )

Affidavit To Use Maiden Name

I, Annalyn D. Cordova, of legal age, Filipino, and with residence and postal
address at Bonifacio St., Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

213. I was born on July 12, 1979 in Cordon, Isabela from parents Spouses
Danilo Cordova and Gloria De Leon;

214. I am married to Marcelo R. Dela Cruz. Jr.. We got married on June 19,
2000 in Orani, Bataan;

215. We have been separated for more than _____ (___) years now;

216. Considering the above, I intend to use my maiden name which is Cordova
in all my documents and records;

217. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ____ day of

March, 2013 at Dinalupihan, Bataan.

Annalyn D. Cordova
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this ____ day of March, 2013 at Dinalupihan,
[Link] exhibited to me her _______________________________.

Doc. No.
Page No.
Book No.
Series of 2013.
Republic of the Philippines )
Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Annalyn D. Cordova , of legal age, Filipino, separated and with residence and
postal address at Bonifacio St., Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am married to Marcelo R. Dela Cruz Jr. . We got married on June

18, 2000 in Orani, Bataan as evidenced by our Certificate of Marriage,
copy of which is hereto attached;

2. We have been separated since 2008 for several reasons;

3. I filed Petition for Declaration of Absolute Nullity of Marriage (Art.

36, Family Code of the Philippines) before the Regional Trial Court,
Branch 2, Balanga City, Bataan docketed as Sp. Proc. No. 9985;

4. I am executing this affidavit to attest to the truth of the foregoing

and for whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ____ day of

March, 2013 at Dinalupihan, Bataan.

Annalyn D. Cordova
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this ___ day of March, 2013 at Dinaluiphan,
Bataan. Affiant exhibiting to me her ___________________________.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )
 Affidavit

I, Bernadette G. Reyes, of legal age, Filipino and with residence and postal
address at Daang Bago Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

1. I am the owner of jewelries (one set of diamond earring and ring) pawned with
Cebuana Lhuillier with office at Bonifacio St., Dinalupihan, Bataan sometime in
October 2012;

2. I asked my maid Karyl Joy Eniego to bring said jewelries with Cebuana Lhuillier;

3. The pawn ticket was under her name;

4. On January 1, 2013 my said maid left our house without a word bringing with her
the pawn ticket;

5. Considering that I am the owner of the said jewelries, I hereby request that the
old pawn ticket be cancelled and a new one be issued in my name;

6. Should I redeem the same, I undertake to answer for whatever liabilities or

damage that may be incurred by virtue of this Affidavit;

7. I hereby free Cebuana Lhuillier and all its employees and officers for whatever
damages that may result herein;

8. The said pawn ticket could no longer be found;

9. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 28 th day of

February, 2013 at Dinalupihan, Bataan.

Bernadette G. Reyes
Affiant

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 28 th day of February, 2013 at

Dinalupihan, Bataan, affiant exhibiting to me her PRC ID No. 0029645.

Doc. No.
Page No.
Book No.
Series of 2013.
Republic Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Ownership

I, Pelia T. Ligsay, of legal age, Filipino and with residence and postal address at
Roxas St., Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

10. I am the owner of a motor vehicle described as follows: Model: Toyota; Body
Type: Commuter Van; Engine No. 5K-0464305; Serial No. KM30-9000227; Plate
No. PRF 982; Model: 1990;

11. The previous owner of the said motor vehicle is Nelsie D. Etcuban;

12. I purchased the said motor vehicle from the said previous owner as evidenced by
the attached Deed of Sale executed on January 14, 2011 notarized by Atty.
David P. Paguio Jr., entered into his Notarial Reg. Book as Doc. No. 96; Page
No. 20; Book No. 01; Series of 2011;

13. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 27 th day of

February, 2013 at Dinalupihan, Bataan.

Pelia T. Ligsay
Affiant

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 27 th day of February, 2013 at

Dinalupihan, Bataan, affiant exhibiting to me her SSS ID No. 02-1201424-0.

Doc. No.
Page No.
Book No.
Series of 2013.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Catherine L. Corrales, of legal age, Filipino, single and with residence and
postal address at Purok 5, Daang Bago,Dinalupihan, Bataan, after having been sworn
to in accordance with law, hereby depose and state that:

1. I am the sister of Annabel Corrales San Diego;

2. Sometime last year, she asked me to purchased a property located at Daang

BAgo Dinalupihan, Bataan, measuring 243 square meters and covered by TCT
No. CLOA-2816;

3. Considering that she was in Canada at that time, she told me to put my name as
the buyer of the said property which we purchased on August 16, 2012 as
evidenced by a document entitiled Extrajudicial Settlement Among Heirs with
Deed of Sale exewcuted by Ike Simsunagco, Helen Grace Bagsit and Nica
Santos notarized by Atty. Juvy Mell S. Malit and eneterd into her Notarial Reg.
Book as Doc. No. 355; Page No. 71; Book No. V; Series of 2012, a copy of which
is hereto attached;

4. I hereby confirm that the true owner of the above described property is my said
sister Annabel Corrales San Diego;

5. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 26 th day of

February, 2013 at Dinalupihan, Bataan.

Catherine L. Corrales
Affiant

Thumb mark:

Conforme:

Annabel C. San Diego

Subscribed and sworn to me before me this 26 th day of February, 2013 at

Dinalupihan, Bataan, affiant exhibiting to me her VIN 0804-0057A-K2468CLC20003-7.

Doc. No.
Page No.
Book No.
Series of. 2013.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Christian Paul Ramirez, of legal age, Filipino, and with residence and postal
address at Zamora St.,Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

1. I worked with Can Pack Middle East LLC in Dubai from August 18, 2009 up to
June 17, 2012 as Machine Operator;

2. Said company issued a certificate of employment, a copy of which is hereto

attached and made an integral part hereof;

3. I finished my said employment contract with said company;

4. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 26 th day of

February, 2013 at Dinalupihan, Bataan.

Christian Paul Ramirez

Affiant

Thumb mark:

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to me before me this 26 th day of February, 2013 at

Dinalupihan, Bataan, affiant exhibiting to me his _________________________.

Doc. No.
Page No.
Book No.
Series of. 2013.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Anna Marie L. Flood, of legal age, Filipino, and with residence and postal
address at J.C. Payumo Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

1. I was born on June 28, 1992 in Dinalupihan, Bataan;

2. My parents are William Arnold Flood and Melanny Lingad Flood;

3. They got married on July 14, 1992 in Olongapo City;

4. I am a U.S. Citizen following the citizenship of my father who is an american

citizen since birth;

5. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 25 th day of

February, 2013 at Dinalupihan, Bataan.

Anna Marie L. Flood

Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to me before me this 25 th day of February, 2013 at

Dinalupihan, Bataan, affiant exhibiting to me her U.S. Passport No. 472449630.

Doc. No.
Page No.
Book No.
Series of. 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT
 I, Maricel D. Rotario, of legal age, Filipino, and with residence and postal
address at 3036 Urrutia Tañada Subd., City of Valenzuela, after having been sworn to
in accordance with law, hereby depose and state that:

18. I am the petitioner in Sp. Proc. No. DH-272-10 in the case entitled Petition for
Correction of Entry in the Certificate of Live Birth of Arsenio Rotairo Mayo Jr.,
Petitioner vs. Local Civil Registrar of Dinalupihan, Bataan, Arsenio P. Mayo Sr.,
National Statistics Office (NSO) and Office of the Solicitor General (OSG)
pending before the Regional Trial Court, Branch V, Dinalupihan, Bataan;

19. Said petition was granted by the Court in its Decision promulgated on August 25,
2011;

20. Said Decision has become final and executory as evidenced by a Certification
issued by the same court dated August 3, 2012. However, to date the same is
not yet registered or recorded with the Local Civil Registrar of Dinalupihan,
Bataan and the National Statistics Office (NSO);

21. I was not able to cause the immediate registration because it is only yesterday
that I got copy of the Certificate of Finality personally at the Regional Trial Court
Branch V;

22. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 21 st day of

February, 2013 at Dinalupihan, Bataan.

Maricel D. Rotairo
Affiant

Thumb mark:
Witness:

Julieta Pingca
Dinalupihan, Bataan

Subscribed and sworn to me before me this 21 st day of February, 2013 at

Dinalupihan, Bataan, affiant exhibiting to me her Driver’s License No. N25-03-097212.

Doc. No.
Page No.
Book No.
Series of. 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Closure

I, Liberty M. Vibar, of legal age, Filipino, married and with residence and postal
address at Daang Bago Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:
 9. I am the registered owner of People’s Drugmart located at Bonifacio St.,
Dinalupihan, Bataan registered with the Department of Trade and Industry
with Certificate No. 01699317;

10. I already sold the said business on December 2012 because I could not
personally attend and manage it;

11. In view of the above, I am requesting that my registration with the

Department of Trade and Industry, Bureau of Internal Revenue and Office
of Municipality of Dinalupihan be cancelled or revoked;

12. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ____ day of

February, 2013 at Dinlalupihan, Bataan.

Liberty [Link]
Affiant

Subscribed and sworn to before me this ____ day of February, 2013 at

Dinalupihan, Bataan., affiant exhibiting to me her Passport No. EB5595668.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Gabriel M. Majaba, of legal age, Filipino, and with residence and postal
address at #25-A Harris St., East Bajac-Bajac, Olongapo City, after having been sworn
to in accordance with law, hereby depose and state that:

48. I am the previous owner of a vehicle described as follows:

Make :Isuzu Crosswind

Model : 2003
 Type : Wagon
Serial No. : PABTBR54F32015388
Motor No. : 4JA1-BD9503
Plate No. : XJG-652
File No. : 1352-50503

49. I sold the same to Ronnie De Guzman Mallari by virtue of the attached Deed of
Sale dated on March 23, 2012;

50. According to Land Transportation Office (LTO) my signature in the said Deed of
Sale is different from my usual signature and as per LTO records;

51. I hereby confirm and affirm that the signature appearing in the Deed of Sale is
mine and I personally affixed it on March 23, 2012;

52. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 14 th day of

February, 2013 at Dinalupihan, Bataan.

Gabriel M. Majaba
Affiant

Subscribed and sworn to before me this 14th day of February, 2013 at Dinalupihan,
Bataan, affiant exhibiting to me his SSS ID no. 03-0412902-7 and OSCA ID No. 5084.

[Link].
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT
 I, Milagros B. Dondriano, of legal age, Filipino, and with residence and postal
address at Concepcion Sta. Rita, Tarlac, after having been sworn to in accordance with
law, hereby depose and state that:

53. I am the biological mother of ANDRIAN BATERNA DONDRIANO who was born
on November 29, 1994 in Dinalupihan, Bataan;

54. His father is Ariel S. Dabu. We are not legally married;

55. I am allowing him to use the surname of his father which is DABU;

56. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13 th day of

February, 2013 at Dinalupihan, Bataan.

Milagros B. Dondriano
Affiant

Thumb mark:

Witness:

Dolores [Link]
Dinalupihan, Bataan

Subscribed and sworn to before me this 13th day of February, 2013 at Dinalupihan,
Bataan.

[Link].
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Closure

I, Julie P. Bolito, of legal age, Filipino, married and with residence and postal
address at Maite Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:
 13. I am the registered owner of JP Bolito’s Poultry Supply located at Maite
Hermosa, Bataan registered with the Department of Trade and Industry
with Certificate No. 01560112;

14. I closed the said business on October 2012 because it is no longer

earning income;

15. In view of the above, I am requesting that my registration with the

Department of Trade and Industry and Office of Municipality of
Dinalupihan be cancelled or revoked;

16. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 12 th day of

February, 2013 at Dinlalupihan, Bataan.

Julie P. Bolito
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 12 th day of February, 2013 at

Dinalupihan, Bataan., affiant exhibiting to me her VIN 0805-0141A-K0254JPB20000.

Doc. No.
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT
 I, Rosa G. Pa-it, of legal age, Filipino, and with residence and postal address at
Pinulot Dinalupihan, Bataan, after having been sworn to in accordance with law, hereby
depose and state that:

57. I am the owner of KEMAJOLEM’S FURNITURE & EXPORT (Dinalupihan

Branch) located at Pinulot Dinalupihan, Bataan. Said business is registered with
Department of Trade and Industry (DTI) with Certificate No. 00229978 on
September 19, 2006;

58. I closed said business on January 2011 because I could not purchase raw
materials to be used for our business;

59. In view of the above, I am requesting that my registration with the Department of
Trade and Industry (DTI), Bureau of Internal Revenue (BIR) and Office of
Municipality of Dinalupihan be cancelled or revoked;

60. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 12 th day of

February, 2013 at Dinalupihan, Bataan.

Rosa G. Pa-it
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 12th day of February, 2013 at Dinalupihan,
Bataan, affiant exhibiting to me her Postal ID No. 0772290.

Doc. No.
Page No.
Book No.
Series of 2013.
Doc. No. Atty. Juvy Mell B. Sanchez-Malit
Page No. Notary Public
Book No. Commission Expires on 12/31/2013
Series of 2013. PTR No. 1450932, 01/03/2013
IBP No. 837850, 01/02/2013
Roll of Attorney No. 40601

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

PARENTS AFFIDAVIT OF CONSENT

We, Paul Rhay Cantara and Melinda Nidua, both of legal age, Filipino, and with
residence and postal address at 104 Purok 3, Brgy. San Simon Dinalupihan, Bataan,
after having been sworn to in accordance with law, hereby depose and state that:

56. We are the stepfather and biological mother of JOAN NIDUA MACLEAN who
was born on October 21, 1996 in Novalichez, Quezon City;

57. We are giving our parental consent and custody of Joan Nidua Maclean her
name to her biological father who is now living and working in London, United
Kingdom;

58. The biological mother and stepfather can’t take care and support anymore Joan
Nidua Maclean financially, in education and other personal needs. And aside
from that the biological father had been very supportive to the child sicne birth so
we are giving them the chance to build a good relation and to be with each other;

59. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 5 th day of

February, 2013 at Dinalupihan, Bataan.

Paul Rhay Cantara Melinda Nidua

Affiant Affiant
____________________ ________________________
____________________ ________________________

Subscribed and sworn to before me this 5 th day of February, 2013 at Dinalupihan,

Bataan.

Doc. No.
Page No.
Book No.
Series of 2013.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Marianne B. Mendoza, of legal age, Filipino, and with residence and postal
address at #138 Greenfield Subd., Sta. Rosa, Pilar, Bataan, after having been sworn to
in accordance with law, hereby depose and state that:

60. I was employed at Bataan St. Joseph Hospital located at Don Manuel Ave.,
Poblacion, Balanga City, Bataan as Staff Nurse (Intensive Care Unit, Adult) from
January 18, 2009 up to Janaury 25, 2013;

61. I hereby attest to the authenticity and genuiness of the Certification issued by the
Bataan St. Joseph Hospital on January 28, 2013, copy of which is hereto
attached and made an integral part ghereof;

62. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 1 st day of

February, 2013 at Dinalupihan, Bataan.

Marianne B. Mendoza
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 1 st day of February, 20113 at Dinalupihan,

Bataan. Affiant exhibited to me her PRC ID No. 0504591.

Doc. No. 257

Page No. 52
Book No. VIII
Series of 2013.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Disability

I, Juan Pamintuan, of legal age, Filipino, married and with residence and postal
address at Bamban Hermosa, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

218. I was born on June 3, 1927 in San Fernando, Pampanga;

219. I am now 86 years old;

220. By reason of my advanced age. I could no longer write and read. I could
no longer sign my signature and instead affix my thumb mark in my documents;

221. The notary public read and explained to me the contents of this affidavit
before affixing my thumb mark;

222. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 28 th day of

January, 2013 at Dinalupihan, Bataan.

Juan Pamintuan
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 28 th day of January, 2013 at Dinalupihan,

Bataan. Affiant exhibited to me his FSCAP ID No. 90280.

Doc. No.
Page No.
Book No.
Series of 2013.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

We, Ma. Victoria R. Swing and Peter R. Swing, both of legal age, Filipino, and
with residence and postal address at Balsic Hermosa, Bataan, after having been sworn
to in accordance with law, hereby depose and state that:

61. We are among the owners of a property covered by TCT No. 038-CLOA-6510;

62. Said property was agreed to be subdivided into ten (10) lots;

63. Lot 6-A-1 was given to Peter R. Swing and Lot 6-A-2 was given to Ma. Victoria R.
Swing;

64. However, we, Ma. Victoria and Peter agreed to swap. Hence, Lot 6-A-1 will
belong to Ma. Victoria R. Swing and Lot 6-A-2 will belong to Peter R. Swing;

65. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ____ day of

January, 2013 at Dinalupihan, Bataan.

Ma. Victora R. Swing Peter R. Swing

Affiant Affiant

Represented by:

Pablito R. Swing
Representative

Witness:

Ma. Licelle S. Lopez

Hermosa, Bataan

Subscribed and sworn to before me this _____ day of January, 2013 at

Dinalupihan, Bataan, affiant exhibiting to me his _________________________.

[Link].
Page No.
Book No.
Series of 2013.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF EMPLOYMENT

I, Ernesto D. Nodado, of legal age, Filipino, and with residence and postal address
at Tucop DInalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

n. I used to be employed with Trans Asia Phils. Inc. as a

Consultant in 1981 to 1986;

o. I have no certificate of employment from the said company

because I did not ask for the certificate. I do not know whether
this corporation is still existing;

p. I am executing this affidavit to attest to the truth of the foregoing

and for the whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 24 th day of

January, 2013 at Dinalupihan, Bataan.

Ernesto D. Nodado
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 24 th day of Janaury, 2013 at

Dinalupihan, Bataan, affiant exhibited to me his OSCA ID No. 5396.

Doc. No.
Page No.
Book No.
Series of 2013.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Raymund S. Gabriel, of legal age, Filipino, and with residence and postal
address at #15 Burgos St., Dinalupihan,Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

66. I am the owner of Beauty Lab the Salon located at Dinalupihan Public Market in
Dinalupihan, Bataan. Said business is registered with Department of Trade and
Industry (DTI) with Certificate No. 00106676;

67. I am closing said business effective on December 31, 2011 for lack of capital to
finance said business as it does not earn profits;

68. In view of the above, I am requesting that my registration with the Department of
Trade and Industry , Bureau of Internal Revenue and Office of Municipality of
Dinalupihan be cancelled or revoked;

69. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 24 th day of

January, 2013 at Dinalupihan, Bataan.

Raymund S. Gabriel
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 24th day of January, 2013 at Dinalupihan,
Bataan, affiant exhibiting to me his SSS ID No. 02-2123673-4

[Link]. 171
Page No. 35
Book No. VIII
Series of 2013.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Rosemarie C. Manalili, of legal age, Filipino, and with residence and postal
address at Sta. Isabel DInalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

1. I am the surviving spouse of Almario M. Manalili who died on December 29, 2009
in Zamboanga City as evidenced by his Certificate of Death;

2. During his lifetime, he was a Philippine Navy under Armed Forces of the
Philippines (AFP);

3. I am entitled to Education benefit;

4. I am declaring Francis C. Manalili as my beneficiary to the said benefit;

5. He is our youngest son;

6. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 23 rd day of

January, 2013 at Dinalupihan, Bataan.

Rosemarie [Link]
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 23 rd day of Janaury, 2013 at Dinalupihan,

Bataan, affiant exhibiting to me her AFP ID No. B12-E-32070.

Doc. No.
Page No.
Book No.
Series of 2013.
Republic of the Philippines )
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

JOINT AFFIDAVIT

We, Barbara Ann A. Duero and Shiela M. Cruz, both of legal age, Filipinos,
single and with residence and postal address at Gen. Luna Dinalupihan, Bataan and
New San Jose Dinalupihan, Bataan and employed as Branch Manager and
Registered Pharmacist, respectively, by Mercury Drug Dinalupihan Public Market
Branch after having duly sworn in accordance with the law, do hereby depose and say:

That, Mercury Drug Dinalupihan Public Market is an applicant for a PDEA

License to handle dangerous drugs, dangerous drug preparation/s, Table I Controlled
Chemical/s used in the manufacture of drug preparation/s and or their drug
preparation/s with prior approval from the Philippine Drug Enforcement Agency;

That the following are the controlled drug/s being handled by our
company/establishment;

Name of Controlled Drug/s Purpose of Handling

Phenobarbital 90, 60, 30 mg. Retailing Purposes

Xanor 0.5 mg & .25 mg Retailing Purposes
Rivotril Retailing Purposes
Valium 5mg Retailing Purposes
Stilnox 10 mg tablet Retailing Purposes

That we in behalf of the company & virtue of this Affidavit hereby bind ourselves
of all the provisions of Republic Act 9165 otherwise known as the “Comprehensive
dangerous Drugs Act of 2002”, and other implementing rules and regulations shall be
faithfully complied with;

That we are executing this affidavit to attest the truth of the foregoing facts, for
whatever legal intent and purpose may it may serve.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 23 rd day of

January, 2013 at Dinalupihan, Bataan, Philippines.

Barbara Ann A. Duero Shiela M. Cruz

Affiant Affiant
Branch Manager Registered Pharmacist
Mercury Drug ID No. 5033 Trinity Franchising & Management
Corp. ID No. 4134

Subscribed and sworn to before me this 23 rd day of January, 2013 at

Dinalupihan, Bataan.

Doc. No.
Page No.
Book No.
Series of 2013.

Kame, pangalan at lagda ay nasa ibaba nito ay HINDI po pumapayag na magtayo ng

piggery o/at poultry sa Pagalanggang, Dinalupihan, Bataan ang Charoen Pokphand
Foods Philippines Corporation na malapit sa Poultry ni Joseph Michael P. Payumo na
matatagpuan sa San Simon, Dinalupihan, Bataan, na may pagitan lamang na 50 meters
sa poulty ni G. Payumo at ng piggery ni Charoen dahil ito po ay maaring magdulot ng
sakit sa amin maliban pa sa hindi pagsundo sa batas:

Pangalan Address ID Signature

_____________________ _______________ ________ __________________

_____________________ _______________ ________ __________________

_____________________ _______________ ________ __________________

_____________________ _______________ ________ __________________

_____________________ _______________ ________ __________________

_____________________ _______________ ________ __________________

_____________________ _______________ ________ __________________

_____________________ _______________ ________ __________________

_____________________ _______________ ________ __________________

_____________________ _______________ ________ __________________

_____________________ _______________ ________ __________________

_____________________ _______________ ________ __________________

_____________________ _______________ ________ __________________

_____________________ _______________ ________ __________________

_____________________ _______________ ________ __________________

_____________________ _______________ ________ __________________

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Rolando S. Publico, of legal age, Filipino, and with residence and postal
address at Sacrifice Valley Hermosa, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

7. I am a policeman since 1998;

8. In 1999, a firearm application was filled up by me upon instruction of my

superior;

9. Later, it appeared from the records that a firearm was issued to me with the
following details:

Serial No. : CDL1953

Kind : RVLVR
Valiber : 38
Make : SWSN

10. However, I did not receive said firearm for no apparent reason;

11. And until now, I do not have such firearm;

12. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 15 th day of

January, 2013 at Dinalupihan, Bataan.

Rolando S. Publico
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 15th day of January, 2013 at Dinalupihan,
Bataan, affiant exhibiting to me his PNP ID No. 11J240295.

Doc. No. Atty. Juvy Mell B. Sanchez-Malit

Page No. Notary Public
Book No. Commission Expires on 12/31/2013
Series of 2013. PTR No. 1450932, 01/03/2013
IBP No. 837850, 01/02/2013
Roll of Attorney No. 40601

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Augusto S. Simon, of legal age, Filipino, married and with residence and
postal address at San Simon, Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

70. I am one of the owners of a parcel of land located at San Simon Dinalupihan,
Bataan measuring Twenty One Thousand Two Hundred Forty Seven (21,247)
square meters and covered by Transfer Certificate of Title No. 038-2012014415.
We are seven (7) owners of the said property;

71. However, in the aforesaid title, my name was omitted;

72. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 15 th day of

January, 2013 at Dinalupihan, Bataan.

Agusto S. Simon
Affiant

Thumb mark:

Conforme:

Lucia S. De Sotto Aris Joy S. Simon Niño S. Tolentino

San. Simon, Din., Bataan San Simon, Din., Bataan San Simon Din., Bataan

Subscribed and sworn to before me this 15th day of January, 2013 at Dinalupihan,
Bataan, affiant exhibiting to me his PNP ID No. 10D260231.

Doc. No. Atty. Juvy Mell B. Sanchez-Malit

Page No. Notary Public
Book No. Commission Expires on 12/31/2013
Series of 2013. PTR No. 1450932, 01/03/2013
IBP No. 837850, 01/02/2013
Roll of Attorney No. 40601

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF CANCELLATION

I, Lalaine B. Macatuno, of legal age, Filipino, married and with residence and
postal address at #35 D. Silang, Sta. Cruz Lubao, Pampanga, after having been sworn
to in accordance with law, hereby depose and state that:

73. I am the owner of XON HOME SUPPLIES located at Sta. Cruz, Lubao,
Pampanga. Said business is registered with Department of Trade and Industry
(DTI) with Certificate No. 01796184;

74. I am closing said business because for lack of capital to finance said business as
it does not earn profits;

75. In view of the above, I am requesting that my registration with the Department of
Trade and Industry (DTI), Bureau of Internal Revenue (BIR) and Office of
Municipality of Lubao be cancelled or revoked;

76. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 14 th day of

January, 2013 at Dinalupihan, Bataan.

Lalaine B. Macatuno
Affiant

Thumb mark:

Witness:

Nelson Macatuno
Lubao, Pampanga

Subscribed and sworn to before me this 14th day of January, 2013 at Dinalupihan,
Bataan, affiant exhibiting to me her TIN 274-154-981-000.

Doc. No. Atty. Juvy Mell B. Sanchez-Malit

Page No. Notary Public
Book No. Commission Expires on 12/31/2013
Series of 2013. PTR No. 1450932, 01/03/2013
IBP No. 837850, 01/02/2013
Roll of Attorney No. 40601

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Leticia M. Vitug-Ong, of legal age, Filipino, and with residence and postal
address at Pagalanggang, Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am the surviving spouse of Ernesto T. Ong who died on January 13, 2001 at
St. Agnes Hospital in San Francisco Del Monte, Quezon City;
2. We got married on June 10, 1988 and have no child;
3. He was a member of Social Security System during his lifetime with SSS No. 03-
5821519-4;
4. We were living in San Francisco, Del Monte, Quezon City at the time he was still
living but he told me to go home in Dinalupihan, Bataan in the year 2000
because he does not want me to see him suffering in pain as he was already sick
at that time. We were renting on the said house. When he died, his relatives did
not inform me of his death;
5. It was only when I received a letter from Sunlife Financial last year stating,
among others, that he already passed away, that he has shares of stocks, and
that I am his beneficiary, that I have learned about his death;
6. This is the reason why I filed the application for burial and death benefits of my
husband with SSS only recently;
7. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 9 th day of

January, 2013 at Dinalupihan, Bataan.

Leticia M. Vitug-Ong
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 9th day of January, 2013 at Dinalupihan,
Bataan, affiant exhibiting to me her Postal ID No. 2434018.

Doc. No. 56 Atty. Juvy Mell B. Sanchez-Malit

Page No. 12 Notary Public
Book No. VIII Commission Expires on 12/31/2013
Series of 2013. PTR No. 1450932, 01/03/2013
IBP No. 837850, 01/02/2013
Roll of Attorney No. 40601
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Alma R. Zuñiga, of legal age, Filipino, and with residence and postal address
at Sta. Isabel, Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

77. I am the owner of 399 TRADING (BRANCH) located at Kataasan Dinalupihan,

Bataan. Said business is registered with Department of Trade and Industry (DTI)
with Certificate No. 00420893;

78. I am closing said business because for lack of capital to finance said business as
it does not earn profits;

79. In view of the above, I am requesting that my registration with the Department of
Trade and Industry (DTI), Bureau of Internal Revenue (BIR) and Office of
Municipality of Dinalupihan be cancelled or revoked;

80. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 4 th day of

January, 2013 at Dinalupihan, Bataan.

Alma R. Zuñiga
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 4th day of January, 2013 at Dinalupihan,
Bataan, affiant exhibiting to me her SSS ID No. 02-0613459-2.

Doc. No. Atty. Juvy Mell B. Sanchez-Malit

Page No. Notary Public
Book No. Commission Expires on 12/31/2013
Series of 2013. PTR No. 1450932, 01/03/2013
IBP No. 837850, 01/02/2013
Roll of Attorney No. 40601
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF ADVERSE CLAIM

I, Rowel D. Serrano, of legal age, Filipino, and with residence and postal
address at Palihan Hermosa, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

1. I personally know Bonifacio Cruz who is the son of Damasa Cruz (deceased),
registered owner of a lot located in Mabuco Hermosa, Bataan covered by
Transfer Certificate of Title No. T-255036 and measures Three Thousand Four
Hundred Sixty Nine (3,469) square meters;

2. Bonifacio Cruz mortgaged the said property to me on November 2007 in the

amount of Thirty One Thousand (P 31,000.00) and became due last November
2008. A copy of our agreement dated February 22, 2008 is hereto attached and
made an integral part hereof;

3. He was not able to pay the said loan, hence this Affidavit of Adverse Claim;

4. I have a claim over the aforesaid property and the original of TCT No. T-255036
is in my custody, given as collateral by Bonifacio Cruz. It is not true that said title
is missing;

5. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 4 th day of

January, 2013 at Dinalupihan, Bataan.

Rowel D. Serrano
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 4th day of January, 2013 at Dinalupihan,
Bataan, affiant exhibiting to me his Driver’s License No. C10-96-125331.

Doc. No. Atty. Juvy Mell B. Sanchez-Malit

Page No. Notary Public
Book No. Commission Expires on 12/31/2013
Series of 2013. PTR No. 1450932, 01/03/2013
IBP No. 837850, 01/02/2013
Roll of Attorney No. 40601
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Alma R. Zuñiga, of legal age, Filipino, and with residence and postal address
at Sta. Isabel, Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

81. I am the owner of 399 TRADING (MAIN) located at San Simon Dinalupihan,
Bataan. Said business is registered with Department of Trade and Industry (DTI)
with Certificate No. 00420893;

82. I am closing said business because for lack of capital to finance said business as
it does not earn profits;

83. In view of the above, I am requesting that my registration with the Department of
Trade and Industry , Bureau of Internal Revenue and Office of Municipality of
Dinalupihan be cancelled or revoked;

84. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 4 th day of

January, 2013 at Dinalupihan, Bataan.

Alma R. Zuñiga
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 4th day of January, 2013 at Dinalupihan,
Bataan, affiant exhibiting to me her SSS ID No. 02-0613459-2.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Adelaida R. San Diego, of legal age, Filipino, and with residence and postal
address at 12 Padre Dandan Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:
1. I am the mother of ROWENA REYES SAN DIEGO who was born on September
25, 1978 in Dinalupihan, Bataan as evidenced by her Certificate of Live Birth
issued by the National Statistics Office (NSO) in security paper, a copy of which
is hereto attached;
2. Said Certificate of Live Birth issued by NSO was not printed very clearly and
would like to supply the data indicated therein as follows:

Entry No. Data Information Supplied

1 a. Place of Birth
Province Bataan

b. City or Municipality Dinalupihan

c. Name of Hospital or
Institution (If not in hospital,
Give street address) Scholastica Romero
Hospital

d. Is place of Birth Inside City

Limits? Yes

2 a. Usual residence of Mother

(Where does mother live/)
Province Bataan

b. City or Municipality Dinalupihan

c. Number and Street Padre Dandan St.,

d. Is Residence Inside City

Limits? Yes
e. Is Residence Inside on a
Farm No

3 Name (Type or print)

First Rowena
Middle Reyes
Last San Diego

4 Sex Female

5 5a. This Birth Single

6 Date of Birth
Month September
Day 25
Year 1978

7 Name of Father
First Cecilio
Middle Dela Cruz
Last San Diego

Religion I.N.C.

8 Nationality Filipino
8a. Race Brown

9 Age (At time of this Birth) 27 years

10 Birthplace Dinalupihan, Bataan

11 11a. Usual Occupation Sanitary Inspector

12 Maiden Name (Mother)

 First Adelaida
Middle Salvador
Last Reyes

Religion R. Catholic

13 Nationality Filipino
13a. Race Brown

14 Age (At time of this birth) 30 years

15 Birthplace Dinalupihan, Bataan

16 Previoous Deliveries to Mother

(Do not include this birth) 5

a. How many children are

Now living? 5
b. How many other children
Were born alive but are now
Dead? 0
c. How many fetal deaths
(fetus born dead any after
Conception?) 1

17 b. Name in print Cecilio San Diego

c. Address Dinalupihan, Bataan

18 Mother’s mailing address

(Number, Street, City or Municipality
Province) Padre Dandan, Dinalupihan,
Bataan
21 Date and Place of Marriage of
Parents (For Legitimate birth)
Month November
Day 14
Year 1970

City of Municipality Abucay

Province Bataan

3. Rowena is now married to Arniel Noval and presently in Ireland;

4. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 4 th day of

January, 2013 at Dinalupihan, Bataan.

Adelaida R. San Diego

Affiant

Thumb mark:

Witness:

Esperanza San Diego

Dinalupihan, Bataan
 Subscribed and sworn to before me this 4th day of January, 2013 at
Dinalupihan, Bataan, affiant exhibited to me her OSCA ID No. 0501.

Doc. No. Atty. Juvy Mell B. Sanchez-Malit

Page No. Notary Public
Book No. Commission Expires on 12/31/2013
Series of 2013. PTR No. 1450932, 01/03/2013
IBP No. 837850, 01/02/2013
Roll of Attorney No. 40601

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Michael S. Reyes, of legal age, Filipino, married and with residence and postal
address at Mandama Hermosa, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

5. I am the brother/guardian of Arcee S. Reyes who was born on September 4,

1991 in Hermosa, Bataan from parents Spouses Angelito Reyes and Elizabeth
Reyes;

6. He has been in our custody since 1997 when our parents left him to us. Our
mother died a long time ago and our father never return;

7. He intends to marry his girlfriend named Mylene Rubio;

 8. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 4 th day of

January, 2013 at Dinalupihan, Bataan.

Michael S. Reyes
Affiant

Thumb mark:

Witness:

Myrna P. Esguerra
Hermosa, Bataan

Subscribed and sworn to before me this 4th day of January, 2013 at

Dinalupihan, Bataan, affiant exhibited to me his ___________________________.

Doc. No. Atty. Juvy Mell B. Sanchez-Malit

Page No. Notary Public
Book No. Commission Expires on 12/31/2013
Series of 2013. PTR No. 1450932, 01/03/2013
IBP No. 837850, 01/02/2013
Roll of Attorney No. 40601

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Ricardo Z. Buensuceso IV, of legal age, Filipino, and with residence and postal
address at Layac Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

9. I am the older brother of ANN ZAPANTA BUENSUCESO who was born on

December 4, 1977 in Dinalupihan, Bataan from parents Spouses Carlos T.
Buensuceso and Marietta S. Zapanta;

10. She is married to Rodrigo B. Del Rosario Jr. They got married on April 24, 2000
in Dinalupihan, Bataan;

11. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.
 IN WITNESS WHEREOF, I have hereunto affixed my signature this 3 rd day of
January, 2013 at Dinalupihan, Bataan.

Ricardo Z. Buensuceso IV
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 3rd day of January, 2013 at Dinalupihan,
Bataan, affiant exhibited to me his Driver’s License No. C02-96-048527

Doc. No. Atty. Juvy Mell B. Sanchez-Malit

Page No. Notary Public
Book No. Commission Expires on 12/31/2013
Series of 2013. PTR No. 1450932, 01/03/2013
IBP No. 837850, 01/02/2013
Roll of Attorney No. 40601

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Gilbert T. Buensuceso, of legal age, Filipino, and with residence and postal
address at Layac Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

q. I am the uncle of ANN ZAPANTA BUENSUCESO who was

born on December 4, 1977 in Dinalupihan, Bataan from parents
Spouses Carlos T. Buensuceso and Marietta S. Zapanta;

r. She is married to Rodrigo B. Del Rosario Jr. They got married

on April 24, 2000 in Dinalupihan, Bataan;

s. I am executing this affidavit to attest to the truth of the foregoing

and for the whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 3 rd day of

January, 2013 at Dinalupihan, Bataan.

Gilbert T. Buensuceso
Affiant

Thumb mark:
Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 3rd day of January, 2013 at Dinalupihan,
Bataan, affiant exhibited to me his Driver’s License No. C02-00-071457.

Doc. No. Atty. Juvy Mell B. Sanchez-Malit

Page No. Notary Public
Book No. Commission Expires on 12/31/2013
Series of 2013. PTR No. 1450932, 01/03/2013
IBP No. 837850, 01/02/2013
Roll of Attorney No. 40601

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Marvin G. David, of legal age, Filipino, and with residence and postal address at
New San Jose Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

9. I am the nephew of Marlon Garcia Tuazon;

10. Said Marlon is the first cousin of my mother. My mother’s father name Honorio
Gutierrez is the brother of my uncle Marlon’s mother Marcela Gutierrez;

11. Uncle Marlon is presently in Dubai. He aaplied for a tourist visa for me to visit him
as he invited me to see said place;

12. However, in his Affidavit of Support and Guarantee (paragraph 2 thereof), he

stated that he is my cousin when it should have been nephew-uncle relationship;

13. The above discrepancy was committed out of confusion and was never intended
to mislead the public;

14. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 20 th day of

December, 2012 at Dinalupihan, Bataan.

Marvin G. David
Affiant
 Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 20th day of December, 2012 at

Dinalupihan, Bataan, affiant exhibited to me his Driver’s License No. C02-02-002502.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Marvin G. David, of legal age, Filipino, and with residence and postal address at
New San Jose Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

t. I worked as factory worker at Hokei and Tunglong Ezset in

Subic Bay Metropolitan Authority (SBMA) in Olongapo City;

u. When my contracts ended with the said companies, I decided to

distribute and/or sell different merchandise like energy drink and
Liquid Petroleum Gas (LPG) since 2011;

v. Considering that it is just on consignment basis and my income

is based on commission. I did not register said work;

w. However, in the Tourist Visa granted by the Ministry of Interior,

United Arab Emirates with U.I.D. No. 123759499 my profession
was indicated as “Sales Executive”;

x. Considering the above explanation, I could not submit proof of

employment as Sales Executive;

y. I am executing this affidavit to attest to the truth of the foregoing

and for the whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 20 th day of

December, 2012 at Dinalupihan, Bataan.

Marvin G. David
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan
 Subscribed and sworn to before me this 20th day of December, 2012 at
Dinalupihan, Bataan, affiant exhibited to me his Driver’s License No. C02-02-002502.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Sergio A. Sudario, of legal age, Filipino, and with residence and postal address
at Brgy. Liozon Palauig, Zambales, after having been sworn to in accordance with law,
hereby depose and state that:

z. I used to be employed with EEI Corporation as a

Instrumentation Technician;

aa. I have no certificate of employment from the said company

because I did not ask for the certificate;

bb. I am executing this affidavit to attest to the truth of the foregoing

and for the whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 11 th day of

December, 2012 at Dinalupihan, Bataan.

Sergio A. Sudario
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 11th day of December, 2012 at

Dinalupihan, Bataan, affiant exhibited to me his OSCA ID No. 8611.
Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

JOINT AFFIDAVIT

We, Barbara Ann A. Duero and Shiela M. Cruz, both of legal age, Filipinos,
single and with residence and postal address at Gen. Luna Dinalupihan, Bataan and
New San Jose Dinalupihan, Bataan and employed as Branch Manager and
Registered Pharmacist, respectively, by Mercury Drug Dinalupihan Public Market
Branch after having duly sworn in accordance with the law, do hereby depose and say:

That, Central Luzon Drug Corporation is an applicant for a PDEA License to

handle dangerous drugs, dangerous drug preparation/s, Table I Controlled Chemical/s
used in the manufacture of drug preparation/s and or their drug preparation/s with prior
approval from the Philippine Drug Enforcement Agency;

That the following are the controlled drug/s being handled by our
company/establishment;

Name of Controlled Drug/s Purpose of Handling

Phenobarbital 90, 60, 30 mg. Retailing Purposes

Xanor 0.5 mg & .25 mg Retailing Purposes
Rivotril Retailing Purposes
Valium 5mg Retailing Purposes
Stilnox 10 mg tablet Retailing Purposes

That we in behalf of the company & virtue of this Affidavit hereby bind ourselves
of all the provisions of Republic Act 9165 otherwise known as the “Comprehensive
dangerous Drugs Act of 2002”, and other implementing rules and regulations shall be
faithfully complied with;

That we are executing this affidavit to attest the truth of the foregoing facts, for
whatever legal intent and purpose may it may serve.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this ____ day of
December, 2012 at Dinalupihan, Bataan, Philippines.
Barbara Ann A. Duero Shiela M. Cruz
Affiant Affiant
Branch Manager Registered Pharmacist
Mercury Drug ID No. 5033 Trinity Franchising & Management
Corp. ID No. 4134

Subscribed and sworn to before me this ____ day of December, 2012 at

Dinalupihan, Bataan.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Gloria D. Cordova, of legal age, Filipino, married and with residence and
postal address at Bonifacio St., Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:
 7. I am the owner of Guts and Glory Space Rentals duly registered with
Department of Trade and Industry (DTI);

8. Said business is operating at No. 5 Bonifacio St., Dinalupihan, Bataan;

9. For and consideration of an amount paid by Annalyn C. Dela Cruz, I hereby

request that the said establishment be transferred to Annalyn C. Dela Cruz;

10. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 3 rd day of

December, 2012 at Dinalupihan, Bataan.

Gloria D. Cordova
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 3 rd day of December, 2012 at Dinaluiphan,

Bataan. Affiant exhibiting to me her __________________________.

Doc. No.
Page No.
Book No.
Series of 2012.

STATEMENT OF INCOME AND EXPENSES

1st Crop

Expenses

Binhi = 2 sacks/P 900.00 P 1,800.00

Fertilizer ng Binhi ½ cavan (ammonium) 500.00
Patanim = 14 tao/P 200.00 kada tao 2,800.00
Fertilizer = UREA 4 sacks/ P 900.00 per cavan 3,600.00
= 2x nagsasabog ng abono
= 2 sack 1 ½ buwan ng paglagay
Spray= malathion/karate 1 bottle big
Malathion = P 1,400.00/ bottle 1,400.00
Karate = P 900.00/bottle 900.00
Pagbibilad 1,000.00
Labor 10,000.00
Diesel 3,000.00
__________
Total Expenses P 25,000.00
==========
Harvest = 125 cavan/ P 800.00/cavan/tuyo palay P 100,000.00
==========
P 100,000.00 – earning 1st Crop
25,000.00 – Expenses
___________
P 75,000.00 – Total amount for earning in 1st Crop
=========

2nd Crop
Expenses

Binhi = 2 sacks/P 900.00 P 1,800.00

Fertilizer ng Binhi ½ cavan (ammonium) 500.00
Patanim = 14 tao/P 200.00 kada tao 2,800.00
Fertilizer = UREA 4 sacks/ P 900.00 per cavan 3,600.00
= 2x nagsasabog ng abono
= 2 sack 1 ½ buwan ng paglagay
Spray= malathion/karate 1 bottle big
Malathion = P 1,400.00/ bottle 1,400.00
Karate = P 900.00/bottle 900.00
Pagbibilad 1,000.00
Labor 10,000.00
Diesel 3,000.00
__________
Total Expenses P 25,000.00
==========
Harvest = 125 cavan/ P 800.00/cavan/tuyo palay P 100,000.00
==========
P 100,000.00 – earning 2nd Crop
25,000.00 – Expenses
___________
P 75,000.00 – Total amount for earning in 2nd Crop
=========
 SPOUSAL CONSENT

I, Jose L. Relova Jr., (“Spouse”) am the spouse of Shizue H. Relova (“Participant”). I

understand that I may be entitled to a Spousal death benefit under the Mitsui-Soko
(U.S.A.) Inc. Shared Savings Plan based on the Participant’s account balance at the
time of his or her death. I realize that the Participant cannot obtain a distribution unless I
consent. I acknowledge that the transaction requested by the Participant may reduce or
eliminate ant benefit otherwise payable to me. I voluntarily consent to the Participant’s
distribution request (a copy of which is attached hereto) and acknowledge that this will
authorize the distribution of the Participant’s account balance in the Plan. I realize that
my consent is irrevocable.

Spouse Signature: _________________________ Date: _______________

Name of Spouse: _________________________

WITNESS ATTESTATION TO SPOUSAL CONSENT

(2 Witness Attestations Are Required)

I hereby attest under penalty of perjury that I am not related to Jose L. Relova Jr.
(“Spouse”) but who is personally known to me. I hereby certifiy that the contents of this
Spousal Consent were read over and explained to the Spouse and who, to the best of
my belief, understood the nature and effect thereof and signed this document.

Witness Singature: ______________________ Date:

_______________
Name and Address of Witness:______________________

I hereby attest under penalty of perjury that I am not related to Jose L. Relova Jr.
(“Spouse”) but who is personally known to me. I hereby certifiy that the contents of this
Spousal Consent were read over and explained to the Spouse and who, to the best of
my belief, understood the nature and effect thereof and signed this document.

Witness Singature: ______________________ Date:

_______________
Name and Address of Witness:______________________

Subscribed and sworn to before me this 26th day of November, 2012 at

Dinalupihan, Bataan.

Doc. No.
Page No.
Book No.
Series of 2012.
Republic of the Philippines)
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Rodrigo B. Pinili, of legal age, Filipino, and with residence and postal address
at Colo Dinalupihan, Bataan, after having been sworn to in accordance with law, hereby
depose and state that:

14. I was elected as Barangay Kagawad at Brgy. Colo Dinalupihan, Bataan in 2002
and served as such until 2007;

15. I did not have any other work at the time that I was serving as Kagawad from
2002 to 2007;

16. Thereafter, I run for the same position but lost in 2007 election;

17. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 21 st day of

November, 2012 at Dinlalupihan, Bataan.

Rodrigo B. Pinili
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 21 st day of November, 2012 at

Dinalupihan, Bataan, affiant exhibiting to me his Municipality of Dinalupihan ID No. EC-
00423.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )
 AFFIDAVIT

I, Engracia C. Sanchez, of legal age, Filipino, widow and with residence and
postal address at Bangal Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am the surviving spouse of Jose B. Sanchez who died on January 1, 1957 in

Manila;

2. My said husband is a veteran who is supposed to receive benefits from

Philippine Veterans Affiars Office (PVAO);

3. I am intending to file my Application For Old Age Pension (Surviving Spouse) this
month. I did not immediately file the said application because I had to take care
of my children and I was pre-occuopied of so many things;

4. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 14 th day of

November, 2012 at Dinlalupihan, Bataan.

Engracia C. Sanchez
Affiant

Thumbmark:

Witness:

Jovita S. Manabat
Dinalupihan, Bataan

Subscribed and sworn to before me this 14th day of November, 2012 at

Dinalupihan, Bataan,affiant exhibiting to me her VIN 0804-0037A-D1737ECS20000-8.

Doc. No. 131

Page No. 27
Book No. VII
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )
 Affidavit of Marital Consent

I, Sylvia L. Fabro, of legal age, Filipino, married and with residence and postal
address at San Benito Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

5. I am the wife of Ronaldo A. Fabro. We got married on September 2, 1984 in

Dinalupihan, Bataan. He is presently in Qatar, working thereat;

6. I intend to purchase a motor vehicle with Ford Pampanga in City of San

Fernando, Pampanga on financing. And as such my husband’s consent and
signature are needed. However, considering that he is still out of the country, his
marital consent could not as yet to be obtained;

7. I undertake to get his marital consent and for him to sign the chattel mortgage
and other documents as soon as he arrives;

8. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13 th day of

November, 2012 at Dinlalupihan, Bataan.

Sylvia L. Fabro
Affiant

Thumbmark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 13th day of November, 2012 at

Dinalupihan, Bataan,affiant exhibiting to me her UMID ID No. CRN-006-0040-0822-2.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Change of Account

Number/Bank

I, Marieta G. Gonzales, of legal age, Filipino, and with residence and postal
address at 04 Gutad Floridablanca, Pampanga, after having been sworn to in
accordance with law, hereby depose and state that:

9. I an account holder of Rural Bank of Florida in Floridablanca, Pampanga with

account no. 1-02-0043156-3;

10. I transferred said account from Rural Bank of Florida with account no. 1-02-
0043156-3 to Metropolitan Bank & Trust Company (MetroBank) Dinalupihan,
Bataan Branch with account no. 3-409-203044, thus the change in account
number/bank;

11. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of

November, 2012 at Dinlalupihan, Bataan.

Marieta G. Gonzales
Affiant

Thumbmark:

Witness:

Marilou Gonzales
Floridablanca, Pampanga

Subscribed and sworn to before me this 5 th day of November, 2012 at

Dinalupihan, Bataan,affiant exhibiting to me her OSCA ID No. 899399.

Doc. No.
Page No.
Book No.
Series of 2012.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Change of Account

Number/Bank

I, Marieta G. Gonzales, of legal age, Filipno and with residence and postal
address at 04 Gutad Floridablanca, Pampanga, after having been duly sworn to in
accordance with law, hereby depose and state that:

1. I am a member of Social Security System with SSS No. 03-1115325-1;

2. an account holder of Rural Bank of Florida in Floridablanca, Pampanga with

account no. 1-02-0043156-3

2 Said ATM Cash Card was misplaced in our house recently;

3 Despite diligent efforts to locate it, the same proves futile and is now
considered lost for all intents and purposes;

4 I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

In witness whereof, I have hereunto affixed my hand this 5 th day of November,

2012 at Dinalupihan, Bataan.

Marieta G. Gonzales
Affiant

Thumbmark:

Witness:

Marilou Gonzales
Floridablanca, Pampanga

Subscribed and sworn to before me this 5 th day of November, 2012 at

Dinalupihan, Bataan, affiant exhibiting to me her OSCA ID No. 89939.

Doc. No.
Page No.
Book No.
Series of 2012.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Employment

I, Christopher M. Mallari, of legal age, Filipino, and with residence and postal
address at Balsic Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

cc. I used to be employed with Drydocks World-Dubai holding the

position of Stager from March 22, 2001 to March 19, 2009;

dd. I am executing this affidavit to attest to the truth of the foregoing

and for the whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of

November, 2012 at Dinlalupihan, Bataan.

Christopher M. Mallari
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 5 th day of November, 2012 at

Dinalupihan, Bataan, affiant exhibited to me his SSS ID No. 02-0983746-9.

Doc. No.
Page No.
Book No.
Series of 2012.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Byron B. Valdez, of legal age, Filipino, and with residence and postal address
at Napariong Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

1. I was employed in the following companies:

Company Name: Chengta Toolings Co. Ltd.
#95 Sinjhuang Rad
Kaohsiung County
820 Taiwan R.O. C.
Position : Factory Worker/Machinist
February 11, 2009 to February 8, 2012
Company Name: Victory Liner Inc.
713 Rizal Avenue Ext.
Caloocan City, Philippines
Postion : Bus Conductor
June 2008 to November 2008
Company Name: Wistron Infocom (Philippines) Corporation
Subic Bay Industrial Park
Pahse 1, Subic Bay Freeport Zone
Olongapo City, Philippines
Postion : Production Operator of the Manufacturing Department
October 2007 to January 2008
Company Name: Yeong Chin Machinery Inc.
888 Humun Road
Taichung County
Taiwan R.O. C.
Position : Factory Worker/Machine Operator
February 20, 2002 to January 19, 2004

2. I have no certificate of employment from the above companies because I did not
ask for the certificate;
3. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 10 th day of

September, 2012 at Dinalupihan, Bataan.

Byron B. Valdez
Affiant
Thumb mark:

Witness:
Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 10 th day of September, 2012 at Dinalupihan,

Bataan, affiant exhibiting to me his SSS ID No. 02-1248705-5.

Doc. No.
Page No.
Book No.
Series of 2012.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF CESSATION
OF BUSINESS

I, Rodrigo P. Izon, of legal age, Filipino, and with residence and postal address at
103 Purok 2, Brgy. Magsaysay Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

ee. I had stopped/ceased from my self-employed activity as a

mechanic since March 30, 1997 because of health condition of
my wife renal failure {Chronic}, and since then I have no
earnings from my self-employed business;

ff. I am executing this affidavit to attest to the truth of the foregoing

and for the whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 9 th day of

October, 2012 at Dinalupihan, Bataan.

Rodrigo P. Izon
Affiant

Thumb mark:

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 9th day of October, 2012 at Dinalupihan,
Bataan, affiant exhibiting to me his VIN 0804-0103A-I2252RPI10000-5.
Republic of the Philippines)
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Sarah N. Bartolo, of legal age, Filipino, single and with residence and postal
address at Daang Bago Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

18. I am a member of Philippine Health Insurance Corporation with Philhealth No.

07-050298725-7;

19. On July 21, 2012, I was confined at Bataan Peninsula Medical Center in
Dinalupihan, Bataan. I gave birth to my son named Aleksandr Reign Bartolo;

20. As a philhealth member, I am entitled to benefits/reimbursement;

21. I was not able to submit the documents (CF1, CF2, CF3, Waiver and MDR
Form) because I was still recuperating from my cesarean operation;

22. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 25 th day of

October, 2012 at Dinlalupihan, Bataan.

Sarah N. Bartolo
Affiant

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 25 th day of October, 2012 at

Dinalupihan, Bataan, affiant exhibiting to me her PRC ID No. 0040267.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

JOINT AFFIDAVIT

We, Barbara Ann A. Duero and Shiela M. Cruz, both of legal age, Filipinos,
single and with residence and postal address at Gen. Luna Dinalupihan, Bataan and
New San Jose Dinalupihan, Bataan and employed as Branch Manager and
Registered Pharmacist, respectively, by Mercury Drug Dinalupihan Public Market
Branch after having duly sworn in accordance with the law, do hereby depose and say:

That, Central Luzon Drug Corporation is an applicant for a PDEA License to

handle dangerous drugs, dangerous drug preparation/s, Table I Controlled Chemical/s
used in the manufacture of drug preparation/s and or their drug preparation/s with prior
approval from the Philippine Drug Enforcement Agency;

That the following are the controlled drug/s being handled by our
company/establishment;

Name of Controlled Drug/s Purpose of Handling

Phenobarbital 90, 60, 30 & 15 mg. Retailing Purposes

Xanor 0.5 mg & .25 mg Retailing Purposes
Rivotril Retailing Purposes
Valium 5mg Retailing Purposes
Stilnox 10 mg tablet Retailing Purposes
Oxycontin 10 mg Retailing Purposes
Oxycontin 20 mg Retailing Purposes
Oxycontin 40 mg Retailing Purposes
Oxynorm 10 mg Retailing Purposes
Oxynorm 5 mg Retailing Purposes
MST Continus 30 mg Retailing Purposes
Norspan 5 mg Retailing Purposes
Norspan 10 mg Retailing Purposes
Norspan 20 mg Retailing Purposes
Oxynom 10 mg Retailing Purposes
407050 Targin PR Tab 10 mg/5 mg Retailing Purposes
407051 Targin PR Tab 20 mg/10 mg Retailing Purposes
407052 Targin PR Tab 40 mg/20 mg Retailing Purposes

That we in behalf of the company & virtue of this Affidavit hereby bind ourselves
of all the provisions of Republic Act 9165 otherwise known as the “Comprehensive
dangerous Drugs Act of 2002”, and other implementing rules and regulations shall be
faithfully complied with;

That we are executing this affidavit to attest the truth of the foregoing facts, for
whatever legal intent and purpose may it may serve.
 IN WITNESS WHEREOF, we have hereunto affixed our signatures this 30 th day of
October, 2012 at Dinalupihan, Bataan, Philippines.

Barbara Ann A. Duero Shiela M. Cruz

Affiant Affiant
Branch Manager Registered Pharmacist
Philhealth ID No. 07-050319438-2 Trinity Franchising &
Management Corp. ID No. 4134

Subscribed and sworn to before me this 30 th day of October, 2012 at

Dinalupihan, Bataan.
Republic of the Philippines)
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Sarah N. Bartolo, of legal age, Filipino, single and with residence and postal
address at Daang Bago Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

23. I am a member of Philippine Health Insurance Corporation with Philhealth No.

07-050298725-7;

24. On July 21, 2012, I was confined at Bataan Peninsula Medical Center in
Dinalupihan, Bataan. I gave birth to my son named Aleksandr Reign Bartolo;

25. As a philhealth member, I am entitled to benefits;

26. I was not able to submit the documents (CF1, CF2, CF3, Waiver and MDR
Form) while I was on confinement because I was still recuperating from my
cesarean operation;

27. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 25 th day of

October, 2012 at Dinlalupihan, Bataan.

Sarah N. Bartolo
Affiant

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 25 th day of October, 2012 at

Dinalupihan, Bataan, affiant exhibiting to me her PRC ID No. 0040267.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Statutory Declaration

I, Ricardo Z. Buensuceso IV, of legal age, Filipino, and with residence and
postal address at Layac Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

85. I am the common law husband of Diza Zheena B. Borromeo. We had living
together as husband and wife without the benefit of marriage since October
2001;
86. We have a child named Charles Josiah Borromeo who was born on July 18,
2002 in Dinalupihan, Bataan;
87. Presently, Diza Zheena is in France working thereat as Nurse. She left on
October 10, 2012 and will be back this coming December 2012 to join me in
Australia once my documents are ready;
88. I met her when we were still working on Star Cruises, she as a Nurse, and me as
Disk Jockey;
89. From there, our love blossoms producing the aforementioned child;
90. We joined and share in all the income and expsenses of our family. We plan to
legalize our relationship the soonest possible time;
91. I was previously married to Rowena Catly Ronquillo. We got married in 1999 and
had no children. She left for USA few days after we got married. When she came
back in the year 2000 she asked for a divorce. Prior to September 2003, I
received three (3) letters from the Superior Court of California, County of Los
Angeles for our decree of divorce in Case No. BD 328 780 filed by my erstwhile
wife Rowena Catly Ronquillo. In September 2003, I received a letter from Very
Reverend Anthony E. Bawyn that I am declared ecclesiastically free of our
marriage bond. Notice of Entry of Judgment in Case No. BD 328 780 dissolving
our marriage has likewise been sent to me. Copies of the Divorce Papers and
letter of Very Reverend Anthony E. Bawyn and the Notice of Entry of Judgment
are hereto attached and made integral parts hereof;
92. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 22 nd day of

October, 2012 at Dinalupihan, Bataan.

Ricardo Z. Buensuceso IV
Affiant

Subscribed and sworn to before me this 22nd day of October, 2012 at Dinalupihan,
Bataan. Affiant exhibiting to me his Driver’s License No. C02-96-048527.

Doc. No. 248

Page No. 50
Book No. VI
Series of 2012.

Republic of the Philippines)

Municipality of Dinalupihan) S.s.
Province of Bataan )
 Affidavit

I, Rodrigo B. Pinili, of legal age, Filipino, and with residence and postal address
at Colo Dinalupihan, Bataan, after having been sworn to in accordance with law, hereby
depose and state that:

28. I was elected as Barangay Kagawad at Brgy. Colo Dinalupihan, Bataan in 2002
and served as such until 2007;

29. Thereafter, I run for the same position but lost in 2007 election;

30. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 23 rd day of

October, 2012 at Dinlalupihan, Bataan.

Rodrigo B. Pinili
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 23 rd day of October, 2012 at

Dinalupihan, Bataan, affiant exhibiting to me his Municipality of Dinalupihan ID No. EC-
00423.

Doc. No.
Page No.
Book No.
Series of 2012.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Statutory Declaration

I, Ricardo Z. Buensuceso IV, of legal age, Filipino, and with residence and
postal address at Layac Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

93. I am the common law husband of Diza Zheena B. Borromeo. We had living
together as husband and wife without the benefit of marriage since October
2001;
94. We have a child named Charles Josiah Borromeo who was born on July 18,
2002 in Dinalupihan, Bataan;
95. Presently, Diza Zheena is in France working thereat as Nurse. She left on
October 10, 2012 and will be back this coming December 2012 to join me in
Australia once my documents are ready;
96. I met her when we were still working on Star Cruises, she as a Nurse, and me as
Disk Jockey;
97. From there, our love blossoms producing the aforementioned child;
98. We joined and share in all the income and expsenses of our family. We plan to
legalize our relationship the soonest possible time;
99. I was previously married to Rowena Catli Ronquillo. We got married in 1999 and
had no children. She left for USA few days after we got married. When she came
back in the year 2000 she asked for a divorce. In September 2003, I received a
letter from Very Reverend Anthony E. Bawyn that I am declared ecclesiastically
free of our marriage bond. Notice of Entry of Judgment in Case No. BD 328 780
dissolving our marriage has likewise been sent to me. Copies of the letter of Very
Reverend Anthony E. Bawyn and the Notice of Entry of Judgment are hereto
attached and made integral parts hereof;
100. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 22 nd day of

October, 2012 at Dinalupihan, Bataan.

Ricardo Z. Buensuceso IV
Affiant

Subscribed and sworn to before me this 22nd day of October, 2012 at Dinalupihan,
Bataan. Affiant exhibiting to me his Driver’s License No. C02-96-048527.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit to Surrender

I, Michael C. Fajota, of legal age, Filipino, married and with residence and postal
address at Bonifacio St., Dinalupihan, Bataan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am the registered owner of a motor vehicle described as follows:

Make : Haima
Body Type: Sedan-5-Door
Plate No.: UKI730
Engine No.: HM474Q-BAJI7009379
Chassis No.: LH16C2MF1CH048673
MV File No.: 1380-00000719922
O.R. No. : 280783860
C.R. No. : 153804976

2. On August 7, 2012 up to August 10, 2012 said vehicle was soaked in the water
flood while parked in our house in Bonifacio Dinalupihan, Bataan;

3. As a result, said vehicle was damaged;

4. I am surrending the said vehicle to the Comtrust Finance Investment Corporation

because I am no longer interested to use it having been damaged by the said
flood;

5. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 22 nd day of

October, 2012 at Dinalupihan, Bataan.

Michael C. Fajota
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 22 nd day of October, 2012 at Dinalupihan,

Bataan. Affiant exhibiting to me his SSS ID No. 02-2068904-9.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Cancellation

I, Yolanda M. Limin, of legal age, Filipino, married and with residence and postal
address at Ilang Ilang St., De Mesa Village Hermosa, Bataan, after having been sworn
to in accordance with law, hereby depose and state that:

101. I am the registered owner of a motor vehicle described as follows:

Make : Isuzu
Body Type: Wagon
Plate No.: PLQ141
Engine No.: 4JJ1HP4364
Chassis No.: MPAUCR85HBT100129

102. On October 1, 2012, I executed a Deed of Sale of Motor Vehicle in favor

of Manuel A. Perez Jr. notarized by Atty. Juvy Mell S. Malit entered into her
Notarial Reg. Book as Doc. No. 83; Page No. 17; Book No. VI; Series of 2012;

103. Said transaction did not push through and it was only today that the said
transaction was completed and the price of the motor vehicle was changed from
P 900,000.00 to P 1,200,000.00, thus the the need to cancel the aforesaid Deed
of Sale;

104. I will execute another Deed of Sale in favor of Manuel A. Perez Jr. today;

105. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 19 th day of

October, 2012 at Dinalupihan, Bataan.

Yolanda M. Limin
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 19 th day of Octobe, 2012 at Dinalupihan,

Bataan. Affiant exhibiting to me her Driver’s License No. C02-99-062720.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines)

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Ownership

I, Juvy Mell S. Malit, of legal age, Filipino, and with residence and postal
address at Beverly Heights Subd. Cataning Hermosa, Bataan, after having been sworn
to in accordance with law, hereby depose and state that:

31. I am the owner of Sanchez-Malit Building located at Sta. Isabel, Dinalupihan,

Bataan;

32. My ownerships is evidenced by the attached Brgy. Certificate issued by the

Barangay Sta. Isabel Dinalupihan, Bataan;

33. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this _____ day of

October, 2012 at Dinlalupihan, Bataan.

Juvy Mell S. Malit

Affiant

Subscribed and sworn to before me this _____ day of October, 2012 at

Dinalupihan, Bataan, affiant exhibiting to me her Roll ID No. 40601.

Doc. No.
Page No.
Book No.
Series of 2012.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF CESSATION
OF BUSINESS

I, Rodrigo P. Izon, of legal age, Filipino, and with residence and postal address at
103 Purok 2, Brgy. Magsaysay Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

gg. I had stopped/ceased from my self-employed activity as a

mechanis since first quarter of 1997 because of health condition
of my wife renal failure {Chronic}, and since then I have no
earnings from my self-employed business;

hh. I am executing this affidavit to attest to the truth of the foregoing

and for the whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 9 th day of

October, 2012 at Dinalupihan, Bataan.

Rodrigo P. Izon
Affiant

Thumb mark:

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 9th day of October, 2012 at Dinalupihan,
Bataan, affiant exhibiting to me his VIN 0804-0103A-I2252RPI10000-5.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Teresita D. Escarpe, of legal age, Filipino, and with residence and postal address
at Sta. Isabel Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

ii. I am the administrative supervisor of Kinetics Distribution;

jj. The motor vehicle of Centerpoint CSGT Distribution Inc. with

plate no. PLO 389 was reported to have been carnapped;

kk. On September 26, 2012, said vehicle was recovered by the

National Bureau of Investigation in Quezon City on an
entrapment proceedings;

ll. In view thereof, I am withdrawing said report made and all

documents made at Camp Olivas, San Fernando, Pampanga;

mm. I am executing this affidavit to attest to the truth of the

foregoing and for the whatever legal purpose this may serve
best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 3 rd day of

October, 2012 at Dinalupihan, Bataan.

Teresita D. Escarpe
Affiant

Thumb mark:

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 3rd day of October, 2012 at Dinalupihan,
Bataan.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT
 I, Larry G. Soriano, of legal age, Filipino, married and with residence and postal
address at San Isidro Dinaluiphan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

nn. I worked as free lancer with different houses with rates as

follows:

November 2000 to June 2005

Dinalupihan, Bataan P 250.00/day

April 2007 to October 2007

Dinalupihan, Bataan P 250.00/day

December 2008 to July 2009

Dinalupihan, Bataan P 300.00/day

April 2012 to March 2011

Dinalupihan, Bataan P 350.00/day

May 2012 up to present

Dinalupihan, Bataan P 350.00/day

oo. I am executing this affidavit to attest to the truth of the foregoing

and for the whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 25 th day of

September, 2012 at Dinalupihan, Bataan.

Larry G. Soriano
Affiant

Thumb mark:

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 25 th day of September, 2012 at

Dinalupihan, Bataan, affiant exhibited to me his DOLE ID No. 06-2005696.

Doc. No. 44
Page No. 9
Book No. VI
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Josephine D. Dagal, of legal age, Filipino, and with residence and postal address
at Balsic Hermosa, Bataan, after having been sworn to in accordance with law, hereby
depose and state that:

pp. I am the grandchild of Ester R. Dagal who died on May 13,

2012;
 qq. Before she died, a withdrawal slip was signed by her to
withdraw the amount of P 40,554.29 from her PNB Bank
account No. 1928777400000010;

rr. Said amount was duly received by her;

ss. However, the withdrawal receipt was no longer returned to the

bank although she already signed it because she died
thereafter;

tt. I personally knew the above because I was the one who asked
my grand mother Ester to sign it;

uu. I am executing this affidavit to attest to the truth of the foregoing

and for the whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 1 st day of

October, 2012 at Dinalupihan, Bataan.

Josephine D. Dagal
Affiant

Thumb mark:

Witness:

Evelyn D. Dagal
Hermosa, Bataan

Subscribed and sworn to before me this 1 st day of October, 2012 at Dinalupihan,

Bataan, affiant eexhibiting to me her _________________________.

Doc. No. 84
Page No. 17
Book No. VI
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Ma. Lucia M. Ablaza, of legal age, Filipino, and with residence and postal address
at New San Jose Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

vv. I am the owner of a house located at Purok 9 New San Jose

Dinalupihan, Bataan where electric meter serial no. 9861507
 under account no. 04-0424-1732 was installed by Penelco
under my name;

ww. Prior to that, said account was under the name of Jay
Quiambao Bansil who requested its transfer to me by virtue of
an Affidavit to Transfer Electric Meter executed on October 5,
2009 noatrized by Atty. Renato C. Bagay, entered into his
Notarial Reg. Book as Doc. No. 219; Page No. 52; Book No. VII;
Series of 2009;

xx. It was me who paid the P 1,400.00 deposit thru Jay Q. Bansil;

yy. I am requesting the Penelco to refund the P 1,400.00 to me, it

being my own money;

zz. I am executing this affidavit to attest to the truth of the foregoing

and for the whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 26 th day of

September, 2012 at Dinalupihan, Bataan.

Ma. Lucia M. Ablaza

Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 26 th day of September, 2012 at

Dinalupihan, Bataan.

Doc. No. 57
Page No. 12
Book No. VI
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT
I, Oscar L. Cotelo Jr., of legal age, Filipino, married and with residence and postal address
at Purok 4, Sta. Isabel Dinaluiphan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

aaa. I worked as free lancer, building houses with different trade

including installation of water lines with rates as follows:

May 2002 to December 2002

 Dinalupihan, Bataan P 200.00/day

June 2004 to July 2005

Dinalupihan, Bataan P 250.00/day

December 2008 to May 2009

Dinalupihan, Bataan P 350.00/day

bbb. From January 2003 to May 2004, I worked as pipefitter with

National Petroleum Construction Co., Ltd (N.P.P.C.L.) in Abu Dhabi,
UAE earning US $370 a month;
ccc. I have no certificate of employemt from N.P.P.C.L because when
I took my vacation, they did not call me again to work because they
had no project;
ddd. Thereafter, I had the following jobs:

Company: Samsung Saudi Arabia Ltd.

Jubail, K.S.A
Position: Foreman Piping
November 2007 to November 2008
Salary : US $400/month

Company: Hyundai Engineering and Construction Co. Ltd.

MESAIEED, DOHA, Qatar
Position: Piping Foreman
June 2009 to June 2010
Salary: US $900/month

Company: Sejong Saudi Arabia LLC

Gizan, K.S.A.
Position: Piping Foreman
April 2011 to January 2012
Salary: 4,500 Saudi Riyal/month

eee. From July 2010, March 2011, Febraury 2012 up to present, I have
been helping my wife managing our mini grocery store with business
permit nos. 01-06-2010; 01-11-2011 and 01-08-2012 under the name
of my wife Marilou Cotelo;
fff. In Samsung, my position was foreman piping, however as per job
order it was stated as Carpenter because at that time the available job
orders are only for carpenters;
ggg. In Hyundai, my position was Piping Foreman, however as per job
order it was stated as Foreman because at that time the available job
orders are only for foreman;
hhh. In Sejong, my position was Piping Foreman, however as per job
order it was stated as Pipefitter because at that time the available job
orders are only for pipefitter;
iii. The above discrepancies in job orders and positions actually held
were committed withour my fault and intention to mislead the public;

jjj. I am executing this affidavit to attest to the truth of the foregoing and
for the whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 26 th day of September,

2012 at Dinalupihan, Bataan.

Oscar L. Cotleo Jr.

Affiant

Thumb mark:
Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 26th day of September, 2012 at Dinalupihan,
Bataan, affiant exhibited to me his SSS ID No. 02-0395095-7.

Doc. No.
Page No.
Book No.
Series of 2012.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT
I, Larry G. Soriano, of legal age, Filipino, and with residence and postal address at
San Isidro Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

kkk. I worked at Pipefitter with Samsung for the period of

November 2007 to November 2008;

lll. In fact, a certification was issued by the Samsung stating that

my position is Pipefitter;

mmm. However, in the document issued by the POEA my position

was stated as Helper Building instead of Pipefitter the true and
correct one;

nnn. The above discrepancy was committed without my fault and

intention to mislead the public;

ooo. My true and correct position in Samsung was Pipefitter;

ppp. I am executing this affidavit to attest to the truth of the

foregoing and for the whatever legal purpose this may serve
best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 25 th day of

September, 2012 at Dinalupihan, Bataan.

Larry G. Soriano
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 25 th day of September, 2012 at

Dinalupihan, Bataan, affiant exhibited to me his DOLE ID No. 06-2005696.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT
 I, Larry G. Soriano, of legal age, Filipino, and with residence and postal address
at San Isidro Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

1. I have been a Plumber since in the following years:

November 2000 to June 2005
Plumber
April 2007 to October 2007
Plumber
December 2008 to July 2009
Plumber

April 2010 to March 2011

Plumber

May 2012 up to Company Name: Wistron Infocom (Philippines) Corporation

Subic Bay Industrial Park
Pahse 1, Subic Bay Freeport Zone
Olongapo City, Philippines
Postion : Production Operator of the Manufacturing Department
October 2007 to January 2008
Company Name: Yeong Chin Machinery Inc.
888 Humun Road
Taichung County
Taiwan R.O. C.
Position : Factory Worker/Machine Operator
February 20, 2002 to January 19, 2004

2. I have no certificate of employment from the above companies because I did not
ask for the certificate;
3. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 10 th day of

September, 2012 at Dinalupihan, Bataan.

Byron B. Valdez
Affiant
Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 10 th day of September, 2012 at Dinalupihan,

Bataan, affiant exhibiting to me his SSS ID No. 02-1248705-5.

Doc. No.
Page No.
Book No.
Series of 2012.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Promise to Marry

I, Mannie E. Salandanan, of legal age, single, and with residence and postal
address at Mandama Hermosa, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:
 1. I am the boyfriend of Princess M. Manalansan (born on May 15, 1987);

2. She is presently pregnant (4 months) and I am the father of the child in her
womb;

3. At present, we could not legalize our relationship by entering into a marriage

contract because I have to leave the country as soon as possible to earn a
living in Jeddah, Kingdom of Saudi Arabia;

4. I promised to marry her after two(2) years (from execution hereof);

5. I will support her through out her pregnancy and in raising our child,
financially, physically, morally and emotionally;

6. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 24 th day of

September, 2012 at Dinlalupihan, Bataan.

Mannie E. Salandanan
Affiant

Witnesses:

Gerlie M. Manalansan Reynaldo Salandanan

Mother of Princess Father of Mannie

Subscribed and sworn to before me this 24th day of September, at Dinalupihan,

Bataan, affiant exhibiting to me his Passport No. EB5144258.

Doc. No. 41
Page No. 9
Book No. VI
Series of 2012.

Republic of the Philippines )

)S.s.

Affidavit of Disability

I, Tomasa D. Paule, of legal age, Filipino, and with residence and postal address
at 61 San Pablo II Lubao, Pampanga, after having been sworn to in accordance with
law, hereby depose and state that:
 223. I was born on December 29, 1925 in Lubao, Pampanga;

224. I am now 86 years old;

225. By reason of my advanced age. I could no longer write and read. I could
no longer sign my signature and instead affix my thumb mark in my documents;

226. The notary public read and explained to me the contents of this affidavit
before affixing my thumb mark;

227. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this _____ day of

September, 2012 at _______________________________.

Tomasa D. Paule
Affiant

Witness:
Aurora P. Velasco
Lubao, Pampanga

Subscribed and sworn to before me this ____ day of September, 2012 at

________________________. Affiant exhibited to me her OSCA ID No. 294321.

Doc. No.
Page No.
Book No.
Series of 2012.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)
 AFFIDAVIT

I, Remo D. Vargas, of legal age, Filipino, married and with residence and postal
address at Tucop Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

11. I owned a piggery located at Tucop Dinalupihan, Bataan;

12. I earned income from the said piggery. Attached hereto is the Income and
Expenses for the year 2011 which I personally prepared;

13. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13 th day of

September, 2012 at Dinalupihan, Bataan.

Remo D. Vargas
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 13 th day of September, 2012 at

Dinaluiphan, Bataan. Affiant exhibiting to me his ______________________________.

Doc. No.
Page No.
Book No.
Series of 2012.

STATEMENT OF INCOME AND EXPENSES

Expenses

Hog Grower ( 12 sacks /P 1,250.00) P 15,000.00

Vetracin (10 bottles (Piglets)/ P 500.00) 5,000.00
10 Piglets (@ P 2,000.00) 20,000.00
 Purga (10 bottles/P 500.00) 5,000.00
Broth Chow (4 sacks/P 1,250.00) 5,000.00
__________

Total Expenses P 50,000.00

* Piglets = 100/ P 2,000.00 P 200,000.00

P 200,000.00 – Piglets
50,000.00 – Expenses
___________
P 150,000.00 – Total
=========

Prepared by:

Remo D. Vargas

Republic of the Philippines )

Municipality of Dinalupihan)S.s
Province of Bataan

Affidavit To Use Maiden Name

I, Carmela M. Muli, of legal age, Filipino, and with residence and postal address
at #25 Padre Dandan Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

228. I was born on October 21, 1978 in Lubao, Pampanga;

229. I am married to Loreto P. Palencia Jr.. We got married on February 3,

1998 in Abucay, Bataan;

230. We have been separated for more than six (6) years now and I do not
know his whereabouts. We have no communication;

231. Considering the above, I intend to use my maiden name which is Muli in
all my documents and records;

232. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13 th day of

September, 2012 at Dianlupihan, Bataan

Carmela M. Muli
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 13 th day of September, 2012 at Dianlupihan,

Bataan, affiane exhibiting to me her Postal ID No. 1821104.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Louie B. Valdez, of legal age, Filipino, and with residence and postal address at
Naparing Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:
 qqq. I used to be employed with CIPA Manufacturing Corporation
with office address at 2-1 Yong Kong 6 th Road Yong Ann
Industrial District Yong Ann Hsiang, Kaohsiung, Taiwan R.O.C.
as a Surface Treatment of Metal Finished Products and
Manufacture of Other Metal/Lathe Machine Operator since
March 27, 1997 to February 18, 2000;

rrr. I have no certificate of employment from the said company

because I did not ask for the certificate;

sss. I am executing this affidavit to attest to the truth of the

foregoing and for the whatever legal purpose this may serve
best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 10 th day of

September, 2012 at Dinalupihan, Bataan.

Louie B. Valdez
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 10 th day of September, 2012 at

Dinalupihan, Bataan, affiant exhibited to me his Driver’s License No. C09-04-003803.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT
 I, Louie B. Valdez, of legal age, Filipino, and with residence and postal address
at Naparing Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

4. I was employed in the following companies:

Company Name: CIPA Manufacturing Corporation
#95 Sinjhuang Rad
Kaohsiung County
820 Taiwan R.O. C.
Position : Factory Worker/Machinist
February 11, 2009 to February 8, 2012
Company Name: Victory Liner Inc.
713 Rizal Avenue Ext.
Caloocan City, Philippines
Postion : Bus Conductor
June 2008 to November 2008
Company Name: Wistron Infocom (Philippines) Corporation
Subic Bay Industrial Park
Pahse 1, Subic Bay Freeport Zone
Olongapo City, Philippines
Postion : Production Operator of the Manufacturing Department
October 2007 to January 2008
Company Name: Yeong Chin Machinery Inc.
888 Humun Road
Taichung County
Taiwan R.O. C.
Position : Factory Worker/Machine Operator
February 20, 2002 to January 19, 2004

5. I have no certificate of employment from the above companies because I did not
ask for the certificate;
6. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 10 th day of

September, 2012 at Dinalupihan, Bataan.

Byron B. Valdez
Affiant
Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 10 th day of September, 2012 at Dinalupihan,

Bataan, affiant exhibiting to me his SSS ID No. 02-1248705-5.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Byron B. Valdez, of legal age, Filipino, and with residence and postal address
at Napariong Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

4. I was employed in the following companies:

Company Name: Chengta Toolings Co. Ltd.
#95 Sinjhuang Rad
Kaohsiung County
820 Taiwan R.O. C.
Position : Factory Worker/Machinist
February 11, 2009 to February 8, 2012
Company Name: Victory Liner Inc.
713 Rizal Avenue Ext.
Caloocan City, Philippines
Postion : Bus Conductor
June 2008 to November 2008
Company Name: Wistron Infocom (Philippines) Corporation
Subic Bay Industrial Park
Pahse 1, Subic Bay Freeport Zone
Olongapo City, Philippines
Postion : Production Operator of the Manufacturing Department
October 2007 to January 2008
Company Name: Yeong Chin Machinery Inc.
888 Humun Road
Taichung County
Taiwan R.O. C.
Position : Factory Worker/Machine Operator
February 20, 2002 to January 19, 2004

5. I have no certificate of employment from the above companies because I did not
ask for the certificate;
6. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 10 th day of

September, 2012 at Dinalupihan, Bataan.

Byron B. Valdez
Affiant
Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 10 th day of September, 2012 at Dinalupihan,

Bataan, affiant exhibiting to me his SSS ID No. 02-1248705-5.

Doc. No.
Page No.
Book No.
Series of 2012.
Republic of the Philippines )
Municipality of Dinalupihan)S.s
Province of Bataan

AFFIDAVIT

I, Shella Grace G. Domingo, of legal age, Filipino, married and with residence
and postal address at Pentor, Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I was born on August 26, 1979 in Manila from parents Spouses Nemecio
Gonzales and Susuan Tolentino;
 2. I am married to Laurence Anthony, having joined the matrimony on March 29,
1998 in Dinalupihan, Bataan;

3. We have four (4) children, to wit:

Names Date of Birth Place of Birth

Alixandra Dominique October 21, 1997 Dinalupihan,

Bataan
Ronn Harvey December 30, 1999 Balanga, Bataan
Naxia Colynn November 20, 2001 Balanga, Bataan
Brylle Lexter March 17, 2004 Balanga, Bataan

4. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 10 th day of

September, 2012 at Dianlupihan, Bataan

Shella Grace G. Domingo

Affiant

Thumb mark:

Witnesses:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 10 th day of September, 2012 at Dianlupihan,

Bataan.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan)S.s
Province of Bataan

Affidavit To Use Maiden Name

I, Ma. Lourdes R. Briones, of legal age, Filipino, and with residence and postal
address at 12 Roxas St., Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

233. I was born on June 5, 1979 in Balanga City, Bataan;

234. I am married to Ericson Moral. We got married on June 19, 2009 in

Olongapo City, Zambales as evidenced by our Certificate of Marriage;
 235. We have been separated for more than two (2) years now and I do not
know his whereabouts. We have no communication;

236. I have filed a petition for declaration of nullity of marriage docketed as SP.
Proc. No. 9996 pending before the Regional Trial Court Branch 2, Balanga City,
Bataan;

237. Considering the above, I intend to use my maiden name which is Briones
in all my documents and records;

238. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 7 th day of

September, 2012 at Dianlupihan, Bataan

Ma. Lourdes R. Briones

Affiant

Thumb mark:

Witnesses:

May M. Sulangi Regina P. Malit

Dinalupihan, Bataan Dinalupihan, Bataan

Subscribed and sworn to before me this 7th day of September, 2012 at Dianlupihan,
Bataan, affiane exhibiting to me her PRC ID No. 0010934.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Arlene Q. Dula, of legal age, Filipino, married and with residence and postal
address at Balsic Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

23. I owned and cultivate a farm land located at Balsic Hermosa, Bataan;

24. I earned income from the said farm. Attached is my statement of income and
expenses for the year 2011 which I personally prepared;
 25. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 4 th day of

September, 2012 at Dinalupihan, Bataan.

Arlene Q. Dula
Affiant

Thumb mark:

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 4 th day of September, 2012 at Dinalupihan,

Bataan. Affiant exhibiting to me her VIN 0805-0058A-I0278AQD20000.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Arlene Q. Durla, of legal age, Filipino, married and with residence and postal
address at Balsic Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

14. I owned a piggery located at Saguing Dinalupihan, Bataan;

 15. I earned income from the said piggery. Attached hereto is the Income and
Expenses for the year 2011 which I personally prepared;

16. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 28 th day of

August, 2012 at Dinalupihan, Bataan.

Emily T. Culala
Affiant

Thumb mark:

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 28 th day of August, 2012 at Dinaluiphan,

Bataan. Affiant exhibiting to me her ______________________________.

STATEMENT OF INCOME AND EXPENSES

1st Crop

Expenses

* Patanim = 15 tao/P 230.00 kada tao P 3,450.00

* Fertilizer = 20 sacks/ P 1,350.00 per cavan 27,000.00
* Insecticide = 7 Bottles /P 1,000.00 7,000.00
* Diesel (20 containers) 18,000.00
____________
Total Expenses P 55,450.00

* Harvest = 200 cavans/ P 1,000.00 per cavan/tuyo palay P 200,000.00

P 200,000.00 – Earning 1st Crop

55,450.00 – Expenses
___________
P 144,550.00 – Total Amount for earning in 1st crop

2nd Crop
Expenses

* Patanim = 15 tao/P 230.00 kada tao P 3,450.00

* Fertilizer = 8 sacks/ P 1,350.00 per cavan 10,800.00
* Insecticide = 3 Bottles /P 1,000.00 3,000.00
* Diesel ( 8 containers @ P 900.00) 7,200.00
* Pagkain at Bayad 2,000.00
 ____________
Total Expenses P 26,450.00

* Harvest = 115 cavans/ P 850.00 per cavan/tuyo palay P 97,750.00

P 97,750.00 – Earning 2nd Crop

26,450. 00 – Expenses
___________
P 71,300.00 – Total Amount for earning in 2nd crop

3rd Crop

Expenses

* Patanim = 15 tao/P 230.00 kada tao P 3,450.00

* Fertilizer = 9 sacks/ P 1,350.00 per cavan 12,150.00
* Insecticide = 3 Bottles /P 1,000.00 3,000.00
* Diesel ( 15 containers @ P 900.00) 13,500.00
____________
Total Expenses P 32,100.00

* Harvest = 100 cavans/ P 850.00 per cavan/tuyo palay P 85,000.00

P 85,000.00 – Earning 3rd Crop

32,100.00 – Expenses
___________
P 52,900.00 – Total Amount for earning in 3rd crop

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Armando V. Quinto, of legal age, Filipino, married and with residence and postal
address at Balsic Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:
 ttt. I used to be employed with Roman Estate Development Inc. as
a Company Driver;

uuu. I stopped working in the year 1999 and I was not able to get
a Certificate of Employment because said company is no longer
operating;

vvv. I am executing this affidavit to attest to the truth of the

foregoing and for the whatever legal purpose this may serve
best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 3 rd day of

September, 2012 at Dinalupihan, Bataan.

Armando V. Quinto
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 3 rd day of September, 2012 at

Dinalupihan, Bataan, affiant exhibited to me his SSS ID No. 02-0466293-0.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Nestor R. Develos, of legal age, Filipino, and with residence and postal
address at Salvador Village New San Jose Dinalupihan, Bataan, after having been
sworn to in accordance with law, hereby depose and state that:

1. I am the common law husband of Jenny M.. De Leon;

2. We started cohabitating since year Novembe 18, 006;

3. We have one (1) child named Josh Brynt Develos who was born on
Novemver 7, 2010;
 4. I hereby designate both Jenny and John Brynt to be my beneficiaries in my
Social Security System (SSS) benefits with SSS No. 02-0592339-3;

5. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose it may serve best;

IN WITNESS WHEREOF, I have hereunto affixed my signature this 28 th day of

August, 2012 at Dinalupihan, Bataan.

Nestor R. Develos
Affiant

Thumb mark:

Witness:

Jenny M. De Leon
Dinalupihan, Bataan

Subscribed and sworn to before me this 28 th day of August, 2012 at Dinalupihan,

Bataan., affiant exhibiting to me his SSS ID No. 02-0592339-3.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Prudencio M. Aquino, of legal age, Filipino, married and with residence and
postal address at Pentor Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am a bonafide member of Social Security System with SSS No. 02-

0448572-2;

2. I am separated from my last employer Electronic Corporation with address at

Baliuag, Bulacan on March 1996;

3. I was never re-employed in any company;

4. I stopped being a self-employed person as Auto Mechanic sicne May 2011;

 5. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose it may serve best;

IN WITNESS WHEREOF, I have hereunto affixed my signature this 28 th day of

August, 2012 at Dinalupihan, Bataan.

Prudencio M. Aquino
Affiant

Thumb mark:

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 28 th day of August, 2012 at Dinalupihan,

Bataan., affiant exhibiting to me his _________________________.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Emily T. Culala, of legal age, Filipino, married and with residence and postal
address at Purok 3, Brgy. Saguing 594 Dinalupihan, Bataan, after having been sworn to
in accordance with law, hereby depose and state that:

17. I owned a piggery located at Saguing Dinalupihan, Bataan;

 18. I earned income from the said piggery. Attached hereto is the Income and
Expenses for the year 2011 which I personally prepared;

19. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 28 th day of

August, 2012 at Dinalupihan, Bataan.

Emily T. Culala
Affiant

Thumb mark:

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 28 th day of August, 2012 at Dinaluiphan,

Bataan. Affiant exhibiting to me her ______________________________.

STATEMENT OF INCOME AND EXPENSES

Expenses

Hog Grower ( 10 sacks /P 1,250.00) P 12,500.00

Vetracin (10 bottles (Piglets)/ P 500.00) 5,000.00
10 Piglets (@ P 2,000.00) 2,000.00
Purga (10 bottles/P 500.00) 5,000.00
Broth Chow (10 sacks/P 1,250.00) 12,500.00
__________

Total Expenses P 37,000.00

* Piglets = 90/ P 2,000.00 P 180,000.00

P 180,000.00 – Piglets
37,000.00 – Expenses
___________
P 143,000.00 – Total
=========
 Prepared by:

Emily T. Culala

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Zenaida P. Perez, of legal age, Filipino, and with residence and postal
address at Mabiga Hermosa, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

20. I owned a fish pond located at Mabiga Hermosa, Bataan;

21. I earned income from the said fish pond. Attached hereto is the Income and
Expenses for the year 2011 which I personally prepared;

22. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13 th day of

March, 2012 at Dinalupihan, Bataan.
 Zenaida P. Perez
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 13th day of March, 2012 at Dinaluiphan,
Bataan. Affiant exhibiting to me her Postal ID No.1270273

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Lutgardo A. Malit, of legal age, Filipino and with residence and postal address
at Daang Bago Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

6. I have been jobless since __________;

7. I am indigent and have no source of income and I depend my daily living from
my relatives;

8. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose it may serve best;

IN WITNESS WHEREOF, I have hereunto affixed my signature this 23 rd day of

August, 2012 at Dinalupihan, Bataan.

Lutgardo A. Malit
Affiant

Subscribed and sworn to before me this 23 rd day of August, 2012 at Dinalupihan,

Bataan., affiant exhibiting to me his _________________________.

Doc. No.
Page No.
 Book No.
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Joint Affidavit of Two (2)

Disinterested Persons

We, Teodorico D. Mallari and Doreen B. Ducut, both of legal age, and with
residence and postal address at Daang Bago Dinalupihan, Bataan, after having been
sworn to in accordance with law, hereby depose and state that:

4. We personally know LUTGARDO A. MALIT who was born on ____________

in _____________ from parents Spouses ________ and ___________;

5. He has been jobless since __________;

6. He is indigent and have no source of income and he depend his daily living
from his relatives;

7. We know the foregoing because we are the town mates and neighbors of
Lutgardo and we have known him for a long time now;

8. We are not in anyway related with him, either by consanguinity or by affinity;

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

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 23 rd day of

August, 2012 at Dinalupihan, Bataan.

Teodorico D. Mallari Doreen B. Ducut

Affiant Affiant
______________________
______________________
______________________
______________________

Subscribed and sworn to before me this 23rd day of August, 2012 at Dinalupihan,
Bataan.
 Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Non-Employment

I, Aurora P. Justo, of legal age, Filipino, married, and with residence and postal
address at Pinulot Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

1. I was born on August 24, 1948 in Dinalupihan, Bataan from parents Spouses
Alejandro Paguio and Ana Sangalang;

2. I am married to Conrado Justo. We got married on January 23, 1966 in

Dinalupihan, Bataan;

3. I have not been employed since I got married;

4. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 17 th day of

August, 2012 at Dinlalupihan, Bataan.

Aurora P. Justo
Affiant

Witness:

May M. Sulangi
Daang Bago, Dinalupihan, Bataan

Subscribed and sworn to before me this 17 th day of August, 2012 at Dinalupihan,

Bataan, affiant exhibiting to me her OSCA ID No. 1276.
Doc. No.
Page No.
Book No.
Series of 2008.
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Edna M. Areglado, of legal age, Filipino, married and with residence and
postal address at Luacan Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am the absolute owner of a lot located at Luacan Dinalupihan, Bataan and still
covered by TCT No. CLOA-5307 by virtue of the attached Deed of Donation of
Real Property executed by Leticia L. Miranda in my favor on July 20, 2012
notarized by Atty. Juvy Mell B. Sanchez-Malit, entered into her Notarail Reg.
Book as Doc. No. 179; Page No.36; Book No. V; Series of 2012;

2. My mother purchased the same from Armando Buenaventura as evidenced by

the attached Deed of Absolute Sale and donated the same to me thereafter;

3. In the tax declaration of the said property, my name was recorded as Edna
Miranda when it should have been Edna M. Areglado the true and correct one;

4. I am requesting the Assessor’s Office to correct my name in the said tax

declaration from Edna Miranda to Edna M. Areglado;

6. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13 th day of

August, 2012 at Dinalupihan, Bataan.

Edna M. Areglado
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 13 th day of August, 2012 at Dinalupihan,

Bataan, affiant exhibiting to me her TIN 901-447-048.

Doc. No. 309

Page No. 62
Book No. V
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Ligaya D. Caling, of legal age, Filipino, and with residence and postal address
at Rizal St., Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

5. I am the owner of Book of Psalms Stationery and Novelty Shoppe located at

Rizal S., Dinalupihan, Bataan;

6. As such, I pay monthly income tax and premiums with Bureau of Internal
Revenue (BIR), Social Security System (SSS) and Philippine Health Insurance
Corp. (PHILHEALTH);

7. However, for the month of July 2012, I was not able to pay the above on time
because of the flood which occurred in Dianlupihan, Bataan from august 7 to 10,
2012 and all my documents were soaked in said flood;

8. Despite diligent efforts to locate and/or restore them, the same proves futile and
are now considered lost for all intents and purposes

6. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 16 th day of

August, 2012 at Dinalupihan, Bataan.

Ligaya D. Caling
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 16 th day of August, 2012 at Dinalupihan,

Bataan.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )
 AFFIDAVIT

I, Edna M. Areglado, of legal age, Filipino, married and with residence and
postal address at Luacan Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

9. I am the absolute owner of a lot located at Luacan Dinalupihan, Bataan and still
covered by TCT No. CLOA-5307 by virtue of the attached Deed of Donation of
Real Property executed by my mother Leticia L. Miranda in my favor on July 20,
2012 notarized by Atty. Juvy Mell B. Sanchez-Malit, entered into her Notarail
Reg. Book as Doc. No. 179; Page No.36; Book No. V; Series of 2012;

10. She purchased the same from Armando Buenavista as evidenced by the
attached Deed of Absolute Sale;

11. In the tax declaration of the said property, my name was recorded as Edna
Miranda when it should have been Edna M. Areglado the true and correct one;

12. I am requesting the Assessor’s Office to correct my name in the said tax
declaration from Edna Miranda to Edna M. Areglado;

6. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13 th day of

August, 2012 at Dinalupihan, Bataan.

Edna M. Areglado
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 13 th day of August, 2012 at Dinalupihan,

Bataan, affiant exhibiting to me her ________________________.

Doc. No. 309

Page No. 62
Book No. V
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Benedicto D. Parrocha, of legal age, Filipino, and with residence and postal
address at Tipo Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

www. I used to be employed with Napocor-Ambuklao HE Plant in

Ambuklao, Bokod, Benguet as a Company Physician;
 xxx. I stopped working in the year 1986 and I was not able to get
a Certificate of Employment because said company is no longer
operating;

yyy. I am executing this affidavit to attest to the truth of the

foregoing and for the whatever legal purpose this may serve
best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 16 th day of

August, 2012 at Dinalupihan, Bataan.

Benedicto D. Parrocha
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 16th day of August, 2012 at Dinalupihan,
Bataan, affiant exhibited to me his VIN 0805-0199A-H0452BDP10001-4.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Rosmarie D. Ortiguerra, of legal age, Filipino, married, and with residence

and postal address at Daang Bago, Samal, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am the mother of Raelyn D. Ortiguerra who is presenty in Wistron, Mexico;

2. She is a member of Pag-IBIG Fund for a long time now;

3. Her last employer before she left for abroad was Wistron Infocomm Philippines
located in SBMA as held the position of Purchasing Supervision with a monthly
compensation of P 20,000.00. She ceased her employement with the said
company on May 8, 2012;

4. Before she left, she executed a sworn statement stating the above facts.
However, it can no longer be notarized because she is now in another country.
She gave me authorization to act for and on her behalf as evidenced by her letter
of authorization. Copies of her sworn statement and letter of authorization are
hereto attached for ready references;

5. Raelyn wanted to continue paying her contribution with Pag-IBIG Fund despite
not being employed anymore in the Philippines;

6. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 15 th day of

August, 2012 at Dinalupihan, Bataan.

Rosmarie D. Ortiguerra
Affiant

Thumbmark:

Subscribed and sworn to before me this 15 th day of August, 2012 at Dinalupihan,

Bataan. Affiant exhibited to me her Comelec ID No. 0812-0006B-1367RDO200000.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT
 I, Leticia L. Miranda, of legal age, Filipino, married and with residence and
postal address at Luacan Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

13. I am the owner of a lot located at Luacan Dinalupihan, Bataan and still covered
by TCT No. CLOA-5307;

14. I purchased the same from Armando Buenavista as evidenced by the attached
Deed of Absolute Sale;

15. I donate the said property to my daughter Edna M. Areglado as evidenced by the
attached Deed of Donation of Real Property;

16. In the tax declaration of the said property, the name of my daughter was
recorded as Edna Miranda when it should have been Edna M. Areglado the true
and correct one;

17. I am requesting the Assessor’s Office to correct the name in the said tax
declaration from Edna Miranda to Edna M. Areglado;

6. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13 th day of

August, 2012 at Dinalupihan, Bataan.

Leticia L. Miranda
Affiant

Thumb mark:

Witness:

May M. Sualngi
Dinalupihan, Bataan

Subscribed and sworn to before me this 13 th day of August, 2012 at Dinalupihan,

Bataan, affiant exhibiting to me her OSCA ID No. 1562.

Doc. No.
Page No.
Book No.
Series of 2012.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Non-Acceptance

I, Willet S. Vitug, of legal age, Filipino, single and with residence and postal
address at Gutad Floridablanca, Pampanga, after having been sworn to in accordance
with law, hereby depose and state that:

18. I was born on November 28, 1985 in Floridablanca, Pampanga;

19. I have been an Air Materiel Wing Savings & Loan Association Inc. (AMWSLAI)
Member since 2011 with Account No. 015-10-006659-6;

20. However to date I have not received my AMWSLAI ID;

21. I am requesting AMWSLAI to issue my ID;

6. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 1 st day of

August, 2012 at Dinalupihan, Bataan.

Willet S. Vitug
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 1 st day of August, 2012 at Dinalupihan,

Bataan, affiant exhibiting to me her VIN 5406-0109B-K2885WSV20001-4.
Doc. No. ATTY. JUVY MELL B. SANCHEZ-MALIT
Page No. Notary Public
Book No. Commission Expires on 12/31/2013
Series of 2012. PTR No. 0947792, 01/02/2012
IBP No. 837794, 01/02/2012
Roll of Attorney No. 40601
Bataan

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Marciano P. Dolores, of legal age, Filipino, and with residence and postal
address at Pinulot Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

21. I am a bonafide member of the Social security system with SSS Number 02-
0370069-9;

23. I am separated from my last employer Benguet Corporation Asian

Construction and Development with address at Limay, Bataan on March
1999;

24. I was never re-employed in any company;

25. I stiopped being a self-employed as Mason since June 2011;

26. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 19 th day of

March, 2012 at Dinalupihan, Bataan.

Manuel D. Abille
Affiant

Thumb mark:

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 19th day of March, 2012 at Dinaluiphan,
Bataan. Affiant exhibiting to me his SSS ID No. 03-4050956-2.
Republic of the Philippines

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

We, Alpha Mae J. Jimenez and Jesse Lee Mockbee, both of legal age, and
with residence and postal address at 61 Jasmin St., Purok 5 New Cabalan Olongapo,
City, after having been sworn to in accordance with law, hereby depose and state that:

10. We are the contracting parties in a marriage to be soleminized by Bishop

Roland C. Jimenez on July 30, 2012 to be held at Roosevelt Park
Subdivision, Brgy. San Pablo Dinalupihan, Bataan;

11. Pursuant to Article 8 of the Family Code of the Philippines,we are requesting
that the said wedding be held at a house located at Roosevelt Park
Subdivision in San Pablo Dinalupihan, Bataan;

12. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 30 th day of

July, 2012 at Dinalupihan, Bataan.

Alpha Mae J. Jimenez Jesse Lee Mockbee

Affiant Affiant
Passport No. XX1162080 USA Passport No. 479445620

Subscribed and sworn to before me this 30 th day of July, 2012 at Dinalupihan,

Bataan.

Doc. No.
Page No.
Book No.
Series of 2012.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Junel A. Bondoc, of legal age, Filipino, married and with residence and postal
address at New San Jose Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

13. I am the holder of and named in the Medical Certificate issued by the HPD
International dated June 4, 2012;

14. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 30 th day of

July, 2012 at Dinalupihan, Bataan.

Junel A. Bondoc
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 30 th day of July, 2012 at Dinalupihan,

Bataan, affiant exhibiting to me his PRC ID No. 0011001.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Junel A. Bondoc, of legal age, Filipino, married and with residence and postal
address at New San Jose Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

7. I was employed in the following companies:

Al Subhi Trading Co. LLC AST

Electrical Engineer
October 10, 1991 to January 25, 1997
ABB Philippines
Field Electrical Engineer
March 17, 1997 to January 15, 13999
Hyundai Engineering & Construction Co., LTD
Electrical Planning Engineer
March 27, 2000 to June 29, 2002
Hyundai Engineering & Construction Co., LTD
Electrical Planning Engineer
December 30, 2006 to September 14, 2006
Petroleum Facilities E & C Limited
Senior Planning Engineer
October 8, 2006 to July 26, 2012

8. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 30 th day of

July, 2012 at Dinalupihan, Bataan.

Junel A. Bondoc
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 30 th day of July, 2012 at Dinalupihan,

Bataan, affiant exhibiting to me his PRC ID No. 0011001.
Republic of the Philippines )
Province of Bataan ) S.s.
Municipality of Dinalupihan)

Affidavit to Change Beneficiary

I, Bertilia S. Morales, of legal age, Filipino, and with residence and postal
address at #16 Purok 6, Sto. Niño, Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am a member of Social Security System with SSS No. 02-1211581-9;

2. I am married to Jaime F. Morales. We got married on March 1, 1987 in

Dinalupihan, Bataan;

3. My husband and I have been separated since February 1996, now living
our separate lives since he has his own family now. There is no room for
reconciliation;

4. However, in the said SSS, he is my beneficiary. Considering that we will

no longer reconcile, I am removing his name as my beneficiary and
hereby appoint my daughter Jenielyn M. Cruz and my grandchildren
namely; Richlyn Jade S Morales, Jefferson Kim M. Cruz and Justine Dave
M. Cruz;

5. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 19th day of

May, 2012 at Dinalupihan, Bataan.

Bertilia S. Morales
Affiant

Thumb mark:
Witness:

May M. Sulangi
Dinaluiphan, Bataan

Subscribed and sworn to before me this 19th day of May, 2012 at Dinalupihan,
Bataan, affiant exhibiting to me her SSS ID No. 02-1211581-9.

Doc. No.
Page No.
Book No.
Series of 2012.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )
AFFIDAVIT

I, Abdul Mateen Tahir, of legal age, Pakistani, and with residence and postal
address at #11 Macaraeg St., Barrio Barretto, Olongapo City, after having been sworn
to in accordance with law, hereby depose and state that:

100. I was born on March 4, 1973;

101. As a Pakistani I have a Residence Alien Certificate of Registration No.
ICR-354628;
102. I am the registered owner/manager of Mateen Tokyo International Inc. in
Subic, Zambales;
103. My cousin named Haris Sana Ullah is intending to come the Philippines as
tourists;

Haris Sana Ullah

Passport No. AM5790641
Date of Birth: June 6, 1990

104. He will be staying with me here in the Philippines for one (1) or two (2)
months;
105. He will stay with me during his visit;
106. I hereby undertake to give all the necessary support and assistance to the
aforementioned while in the Philippines;
107. I, likewise guarantee that he is peaceful citizens and that his purpose in
coming to the Philippines is purely recreation and business on the side;
108. I declare these facts under threat of perjury;
109. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed my signature this 18 th day of

July, 2012 at Dinalupihan, Bataan.

Abdul Mateen Tahir

Affiant

Thumb mark:

Witness:

Nadeem Sial
Dinalupihan, Bataan

Subscribed and sworn to before me this 18 th day of July, 2012 at Dinalupihan,

Bataan, affiant exhibiting to me his BOI ID No. E322759.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Compliance

I, Richard C. Paraguison, of legal age, Filipino, married and with residence and
postal address at San Ramon, Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

9. I am the owner of Ionizer Diagnostic X-Ray Services located at San Ramon

Dianlupihan, Bataan;

10. I am submitting the attached documents in compliance with the requirements of

Department of Health;

11. I have fully complied with the said requirements;

12. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 18 th day of

July, 2012 at Dinalupihan, Bataan.

Richard C. Paraguison
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 18 th day of July, 2012 at Dinalupihan,

Bataan, affiant exhibiting to me his PRC ID No. 0005273.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Carmelita J. Mangulabnan, of legal age, Filipino, married, and with residence

and postal address at Culis Hermosa, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:
 7. I am the policy holder of Philippine Prudential Life Insurance Co., Inc. which took
effect on June 26, 2012 as evidenced by a Confrimation a copy of which is
hereto attached;

8. Official Receipt No. 001048 in the amount of P 16,688.60 was issued to me for
the alleged payment of the said insurance;

9. I did not pay such amount and was supposed to strt paying on August 26, 2012
until December 26, 2012; in the amount of P 3,034.24 monthly using my credit
card with Metro Bank;

10. However, I am canceling the said policy and do not intend to pay the above
amortizations;

11. In view, thereof, I am surrending all the documents I previously signed and
request that my policy be cancelled immediately because I am not interested and
have no financial capacity to pay the said amount; I am also requesting that my
Metro Bank Credit Card b not debited for said amount;

12. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 17 th day of July,

2012 at Dinalupihan, Bataan.

Carmelita J. Mangulabnan
Affiant

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 17 th day of July, 2012 at Dinalupihan,

Bataan. Affiant exhibited to me her SSS ID No. 02-2071005-7.

Doc. No. 150

Page No. 30
Book No. V
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Recovery

I, Virginia P. Manuel, of legal age, Filipino, widow and with residence and postal
address at Sta. SIabel Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

18. I am the absolute owner of property located at Sta. Isabel Dinalupihan, Bataan
covered by Transfer Certificate of Title No. CLOA-5920;

19. I purchased the said property from Avelina Navarro on September 30, 2009 as
evidenced by the attached Deed of Absolute Sale notarized by Atty. Edmundo S.
Cari-an entered into his notarial reg. book as doc. No. 423; page no. 85; book no.
II; series of 2009;

20. In the year 2009, the original title of the said property could not be found;
 21. I was about to file a petition for reconstitution of lost title with the court. In fact, an
Affidavit of Lost was executed and caused it to be annotated at the back of the
title kept of Registry of Deeds, Bataan as Entry No. 545864;

22. Recently, I accidentally found the original of the said title, hence this affidavit;

23. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 17 th day of July,

2012 at Dinalupihan, Bataan.

Virginia P. Manuel
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 16 th day of July, 2012 at Dinalupihan,

Bataan. Affiant exhibiting to me her Postal ID No. 5928771.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Kristine D. Baluyot, of legal age, Filipino, single, and with residence and
postal address at Balsic Hermosa, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

13. I was born on February 14, 1987 in Hermosa, Bataan from parents Spouses
Goido Baluyot and Maria Dionisio;

14. I intend to marry my boyfriend named Leonard A. Martinez on August 25, 2012;
 15. I have not received the Sacrament of Confrimation and I am willing to receive it
immediately;

16. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 11 th day of July,

2012 at Dinalupihan, Bataan.

Kristine D. Baluyot
Affiant

Witness:

Susan Baluyot
Hermosa, Bataan

Subscribed and sworn to before me this 11 th day of July, 2012 at Dinalupihan,

Bataan. Affiant exhibited to me her SBMA Temporary Pass ID No. 620129077.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Leonard A. Martinez, of legal age, Filipino, single, and with residence and
postal address at 1915 Bennet Road Forestry Old Cabalan, Olongapo City, after having
been sworn to in accordance with law, hereby depose and state that:

1. I was born on January 25, 1983 in Olongapo City from parents Spouses
Lamberto A. Martinez and Orvetta Alqueza;

2. I intend to marry my girlfriend named Kristine D. Baluyot on August 25, 2012;

3. I have not received the Sacrament of Confrimation and I am willing to receive it

immediately;

4. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 11 th day of July,

2012 at Dinalupihan, Bataan.
 Leonard A. Martinez
Affiant

Witness:

Susan Baluyot
Hermosa, Bataan

Subscribed and sworn to before me this 11 th day of July, 2012 at Dinalupihan,

Bataan. Affiant exhibited to me his Subic Bay ID No. 481169067.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Loida G. Dizon, of legal age, Filipino, married, and with residence and postal
address at Tucop, Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

1. My maiden name is Loida G. Garcia. I was born on October 22, 1965 in

Dinalupihan, Bataan from parents Spouses Raymundo M. Garcia and Catalina
Guinto as evidenced by my Certificate of Live Birth;

2. I am married to Manuel M. Dizon. We got married on July 7, 1984 in

Dinalupihan, Bataan as evidenced by our Marriage Contract;

3. I am jobless while my husband is a tricyle driver whose daily income is not even
enough to our basic needs. We have three (3) children;

4. I am indigent;

5. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.
 IN WITNESS WHEREOF, I have hereunto affixed my signature this 9 th day of July,
2012 at Dinalupihan, Bataan.

Loida G. Dizon
Affiant

Witness:
Arnaldo V. Sulangi
Dinaluiphan, Bataan

Subscribed and sworn to before me this 9 th day of July, 2012 at Dinalupihan,

Bataan. Affiant exhibited to me her VIN 0804-0267A-J1665LGD20000-5.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Liezl Vergara Yaghmour, of legal age, Filipino, married, and with residence
and postal address at 360 Palihan Hermosa, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am the wife of MOHAMMAD AHMAD HELMI YAGHMOUR who is a Jordanian

Nationality, holding Passport No. L159475 and presently working in Abu Dhabi;

2. I am inviting my husband to go to the Philippines as soon as his travel

documents are processed;

3. I hereby give my full responsibility to take charge where whom my husband

intend to visit the Philippines;

4. I hereby assure the government of the Philippines, where my husband intend to

go that he shall not be of public burden or liability to the Philippine Government;

5. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 10 th day of July,

2012 at Dinalupihan, Bataan.

Liezl V. Yaghmour
Affiant

Witness:

Arnaldo V. Sulangi
Dinaluiphan, Bataan
 Subscribed and sworn to before me this 10 th day of July, 2012 at Dinalupihan,
Bataan. Affiant exhibited to me her Postal ID No. 5662564.

Doc. No. 100

Page No. 20
Book No. V
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Disability

I, Pablo F. Albor, of legal age, Filipino, married, and with residence and postal
address at Roosevelt Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

239. I was born on September 9, 1931 in Zamboaga Del Norte;

240. I am now 80 years old;

241. By reason of my advanced age. I could no longer write and read. I could
no longer sign my signature and instead affix my thumb mark in my documents;

242. The notary public read and explained to me the contents of this affidavit
before affixing my thumb mark;

243. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 2 nd day of July,

2012 at Dinalupihan, Bataan.

Pablo F. Albor
Affiant

Witness:
May M. Sulangi
Dinaluiphan, Bataan

Subscribed and sworn to before me this 2nd day of July, 2012 at Dinalupihan,
Bataan. Affiant exhibited to me his OSCA ID No. 2633.

Doc. No.
Page No.
Book No.
Series of 2012.
Republic of the Philippines )
Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Fernan R. Dabu, of legal age, Filipino, and with residence and postal address
at Balsic Hermosa, Bataan, after having been sworn to in accordance with law, hereby
depose and state that:

15. I am the holder of and named in the following documents:

Certification of Employment- dated March 10, 2012 issued by Saint

Nicolas Security Agency Inc.

Certificate –dated March 27, 2012 issued by Cougar Rules Security

Academy of the Philippines

16. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 28 th day of

June, 2012 at Dinalupihan, Bataan.

Fernand R. Dabu
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 28th day of June, 2012 at Dinaluiphan,
Bataan, affiant exhibiting to me his Driver’s License No. C02-12-000278.

Doc. No.
Page No.
Book No.
Series of 2012.
Republic of the Philippines )
Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Rosette B. Flores, of minor age, Filipino, assited by her mother Rosita B.

Flores and with residence and postal address at Balsic Hermosa, Bataan, after having
been sworn to in accordance with law, hereby depose and state that:

17. I was born on August 2, 1996 in Floridablanca, Pampanga. I am the youngest

and 11th child of Spouses Pepito Flores (deceased) and Rosita B. Flores;

18. My mother and I applied for immigrant visas to Canada to be with our sister
Anita F. Cayanan;

19. However, I enrolled at ICCT Colleges for the course Bachelor of Science in
Medical Technology as my pre-medical course;

20. We thought it would be more advantageous if I finish my studies first before

going to Canada;

21. My mother can handle herself in going to Canada alone;

22. I will be staying with my sister Heidelyn F. Fausto who is living at No. 17-J.
Fernando St., Barangka, Marikina City, while studying at ICCT Colleges;

23. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 25 th day of

June, 2012 at Dinalupihan, Bataan.

Rosette B. Flores
Affiant

Thumb mark:

Assited by her mother:

Rosita B. Flores

Subscribed and sworn to before me this 25th day of June, 2012 at Dinaluiphan,
Bataan.

Doc. No. 457

Page No. 92
Book No. IV
Series of 2012.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Joint Affidavit of Relatives

We, Rolando Hizon and Socorro Hizon, both of legal age, Filipino, and with
residence and postal address at Rizal St., Dinalupihan, Bataan, after having been sworn
to in accordance with law, hereby depose and state that:

6. I affiant Rolando is the brother of Edgardo Hizon who died on September 22,
2007 in Dinalupihan, Bataan and I affiant Socorro is the sister in law of the
said Edgardo Hizon;

7. We know for a fact that Estrelita Hizon is the wife of Edgardo and they got
married on January 4, 987 iN Dianlupihan, Bataan;

8. They had no children;

9. They have been separated since October 3, 1993 because Edgardo had
another family;

10. Edgardo had a common-law wife named Josephine “Jocy” Jimenez with
whom he had three (3) minor illegitimate children namely: John Ejerson,
Krista and Jeane Jhyrie;

11. During his lifetime and before their separation, Estrelita dependent to him for
support,a nd since they separated, they did not support her anymore until his
death;

12. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 25 th

day of June, 2012 at Dinlalupihan, Bataan.

Rolando Hizon Socorro Hizon

Affiant Affiant
___________________________
___________________________
___________________________
___________________________

Subscribed and sworn to before me this 25th day of June, 2012 at Dinalupihan,
Bataan.

Doc. No.
Page No.
Book No.
Series of 2012.
Republic of the Philippines )
Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Estrelita G. Hizon, of legal age, Filipino, widow and with residence and postal
address at Luacan Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

1. I am the surviving spouse of Edgardo D. Hizon who died on September

22, 2007;
2. We got married on January 4, 1987 in Dianlupihan, Bataan. We had no
children;
3. During his lifetime, he was a member of the Social Security System with
SSS No. 02-0390887-3;
4. We separated in the year 1993 because he had another family and in fact
had children to his common-law wife named Josephine “Jocy” Jimenez
with whom he had three (3) minor illegitimate children namely: John
Ejerson, Krista and Jeane Jhyrie;
5. These children were given benefits entitlement per RA 8282. However, my
claim for benefits was denied in the Letter dated March 6, 2009 and a
directive is made to file petition within thirty (30) days if unsatisfied with the
denial, hence this petition for appeal;
6. The denial of my claim was based on Section 8 (e) and (k) of RA 8282
because apparently I was not dependentfor support with my deceased
husband;
7. I had to work on my own when we separated in 1993 because first, he
was no longer working as far as I know, and so he did not have means to
support me and secondly, I had to earn a living in order to support myself
and to be able to maintain my health which was then deteriorating brought
about by our separation and other factors;
8. I am appealing to your good office to grant my application for hatever
benefits that I am entitled to by virtue of being the legal wife of Edgardo D.
Hizon;
9. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 25 th day of June,

2012 at Dinalupihan, Bataan.

Estrelita G. Hizon
Affiant

Thumb mark:

Subscribed and sworn to before me this 25th day of June, 2012 at Dinaluiphan,
Bataan. Affiant exhibiting to me her PRC License Card No. 0080099.

Doc. No. 464

Page No. 93
Book No. IV
Series of 2012.
Republic of the Philippines )
Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Rosita B. Flores, of legal age, Filipino, widow and with residence and postal
address at Balsic Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

1. I am the mother of Rosette B. Flores who was born on August 2, 1996 in

Floridablanca, Pamapnga. She is my youngest among my eleven (11)
children;

2. Rosette and I applied for Immigrant Visas to Canada to visit my daughter

Anita F. Cayanan;

3. However, Rosette, enrolled herself to ICCT Colleges in Manila with course

Bachelor of Science in Medical Technology as her pre-medical course;

4. We realized that finishing her studies in the Philippines first will open more
work opportunities for her, hence, the decision for her to stay in the
Philippines;

5. I can handle myself in going to Canada alone;

6. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 25 th day of

June, 2012 at Dinalupihan, Bataan.

Rosita B. Flores
Affiant

Thumb mark:

Witness:

Rosie F. Lingad
Hermosa, Bataan

Subscribed and sworn to before me this 25th day of June, 2012 at Dinaluiphan,
Bataan, affiant exhibiting to me her ___________________________.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT
 I, Rosette B. Flores, of minor age, Filipino, assited by her mother Rosita B.
Flores and with residence and postal address at Balsic Hermosa, Bataan, after having
been sworn to in accordance with law, hereby depose and state that:

24. I was born on August 2, 1996 in Floridablanca, Pamapnga. I am the youngest

and 11th child of Spouses Pepito Flores (deceased) and Rosita B. Flores;

25. My mother and I applied for immigrant visas to Canada to be with our sister
Anita F. Cayanan;

26. However, I enrolled at ICCT Colleges for the course Bachelor of Science in
Medical Technology as my pre-medical course;

27. We thought it would be more advantageous if I finish my studies first before

going to Canada;

28. My mother can handle herself in going to Canada alone;

29. I will be staying with my sister Heidelyn F. Fausto who is living at No. 17-J.
Fernando St., Barangca, Marikina City, while studying at ICC Colleges;

30. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 25 th day of

June, 2012 at Dinalupihan, Bataan.

Rosette B. Flores
Affiant

Thumb mark:

Assited by her mother:

Rosita B. Flores

Subscribed and sworn to before me this 25th day of June, 2012 at Dinaluiphan,
Bataan.

Doc. No. 457

Page No. 92
Book No. IV
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Employment

I, Neriza R. Cordova, of legal age, Filipino, widow and with residence and postal
address at Daang Bago Dinaluiphan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

zzz. I am the stepmother of Anne H. Cordova who died on May

12, 2012 in Dinalupihan, Bataan as evidenced by her Certificate
of Death;
 aaaa. During her lifetime, she used to be employed with the
following companies:

Tempo Services Inc. – May 1996 to June 1996

MJoy Cleaning Inc. – June 1999 to August 1999
Mega Joy Trading – September 1999 to February 2000

bbbb. She stopped working in the year 2000 and she was not able
to get Certificates of Employment because said companies are
no longer operating;

cccc. I am executing this affidavit to attest to the truth of the

foregoing and for the whatever legal purpose this may serve
best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 25 th day of

June, 2012 at Dinalupihan, Bataan.

Neriza R. Cordova
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 25 th day of June, 2012 at Dinalupihan,

Bataan, affiant exhibited to me her Postal ID No. 8819518.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Heidelyn F. Fausto, of legal age, Filipino, married and with residence and
postal address at No. 17 J. Fernando St., Barangka, Marikina City, after having been
sworn to in accordance with law, hereby depose and state that:
 1. I am the sister of Rosette B. Flores who was born on August 2, 1996 in
Floridablanca, Pampanga;

2. Rosette enrolled at ICCT Colleges this semester for the course Bachelor of
Science in Medical Technology as her pre-medical course;

3. She will no longer go with my mother Rosita in Canada;

4. She will stay with me while studying college;

5. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 25 th day of

June, 2012 at Dinalupihan, Bataan.

Heidelyn F. Fausto
Affiant

Thumb mark:

Witness:

Rosie F. Lingad
Hermosa, Bataan

Subscribed and sworn to before me this 25th day of June, 2012 at Dinaluiphan,
Bataan. Affiant exhibiting to me her SSS ID No. 02-1750621-6.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Rosette B. Flores, of minor age, Filipino, assited by her mother Rosita B.

Flores and with residence and postal address at Balsic Hermosa, Bataan, after having
been sworn to in accordance with law, hereby depose and state that:

31. I was born on August 2, 1996 in Floridablanca, Pamapnga. I am the youngest

and 11th child of Spouses Pepito Flores (deceased) and Rosita B. Flores;

32. My mother and I applied for immigrant visas to Canada to be with our sister
Anita F. Cayanan;

33. However, I enrolled at ICCT Colleges for the course Bachelor of Science in
Medical Technology as my pre-medical course;
 34. We thought it would be more advantageous if I finish my studies first before
going to Canada;

35. My mother can handle herself in going to Canada alone;

36. I will be staying with my sister Heidelyn F. Fausto who is living at No. 17-J.
Fernando St., Barangca, Marikina City, while studying at ICC Colleges;

37. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 25 th day of

June, 2012 at Dinalupihan, Bataan.

Rosette B. Fausto
Affiant

Thumb mark:

Assited by her mother:

Rosita B. Flores

Subscribed and sworn to before me this 25th day of June, 2012 at Dinaluiphan,
Bataan.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Violeta M. Soriano, of legal age, Filipino, widow and with residence and
postal address at Pinulot Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

38. I am married to Ronnie Soriano. We got married on February 1, 1991 in

Olongapo City as evidenced by our Marriage Contract;

39. Ronnie died on March 6, 2009 in Balanga City, Bataan;

40. During his lifetime, Ronnie was a member of Philippine National Police and
Pensioner Retirement Benefits Section (PRBS);

41. I found out recently that Ronnie was previously married to Purita Haig on
December 1, 1977 as evidenced by the Certificate of No Marriage
(CENOMAR) issued by National Statistics Office (NSO). They had no
children. Purita and Ronnie separated prior to our marriage because Purita
 suddenly left Ronnie as she went to Social Security System (SSS) to collect
the death benefits of Quirino M. Bonifacio with whom Purita was previously
married also prior to her marriage to Ronnie;

42. I and my children to Ronnie were the beneficiaries registered by Ronnie in his
PRBS account;

43. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 25 th day of

June, 2012 at Dinalupihan, Bataan.

Violeta M. Soriano
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 25th day of June, 2012 at Dinaluiphan,
Bataan. Affiant exhibiting to me her OSCA ID NO. 2834.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Employment

I, Neriza R. Cordova, of legal age, Filipino, widow and with residence and postal
address at Daang Bago Dinaluiphan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

dddd. I am the stepmother of Anne H. Cordova who died on May

12, 2012 in Dianluiphan, Bataan as evidenced by her Certificate
of Death;

eeee. During her lifetime, she used to be employed with Mega Joy
Trading Enterprises holding the position of ____________ in the
year of _____;

ffff. She stopped working in the year _____ and she was not able to
get a Certificate of Employment because said company is no
longer operating;

gggg. I am executing this affidavit to attest to the truth of the

foregoing and for the whatever legal purpose this may serve
best.
 IN WITNESS WHEREOF, I have hereunto affixed my signature this 25 th day of
June, 2012 at Dinalupihan, Bataan.

Neriza R. Cordova
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 25 th day of June, 2012 at Dinalupihan,

Bataan, affiant exhibited to me her Postal ID No. 8819518.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Joint Affidavit of Relatives

We, Rolando Hizon and Socorro Hizon, both of legal age, Filipino, and with
residence and postal address at Rizal St., Dinalupihan, Bataan, after having been sworn
to in accordance with law, hereby depose and state that:

13. I affiant Rolando is the brother of Edgardo Hizon who died on September 22,
2007 in Dinalupihan, Bataan and I affiant Socorro is the sister in law of the
said Edgardo Hizon;

14. We know for a fact that Estrelita Hizon is the wife of Edgardo and they got
married on January 4, 987 iN Dianlupihan, Bataan;

15. They had no children;

16. They have been separated since October 3, 1993 because Edgardo had
another family;

17. Edgardo had a common-law wife named Josephine “Jocy” Jimenez with
whom he had three (3) minor illegitimate children namely: John Ejerson,
Krista and Jeane Jhyrie;
 18. During his lifetime and before their separation, Estrelita dependent to him for
support,a nd since they separated, they did not support her anymore until his
death;

19. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 22nd

day of June, 2012 at Dinlalupihan, Bataan.

Rolando Hizon Socorro Hizon

Affiant Affiant
___________________________
___________________________
___________________________
___________________________

Subscribed and sworn to before me this 22nd day of June, 2012 at Dinalupihan,
Bataan.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Estrelita G. Hizon, of legal age, Filipino, widow and with residence and postal
address at Luacan Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

1. I am the surviving spouse of Edgardo D. Hizon who died on September

22, 2007;
2. We got married on January 4, 1987 in Dianlupihan, Bataan. We had no
children;
3. During his lifetime, he was a member of the Social Security System with
SSS No. 02-0390887-3;
4. We separated in the year 1993 because he had another family and in fact
had children to his common-law wife named Josephine “Jocy” Jimenez
with whom he had three (3) minor illegitimate children namely: John
Ejerson, Krista and Jeane Jhyrie;
5. These children were given benefits entitlement per RA 8282. However, my
claim for benefits was denied in the Letter dated March 6, 2009 and a
directive is made to file petition within thirty (30) days if unsatisfied with the
denial, hence this petition for appeal;
10. The denial of my claim was based on Section 8 (e) and (k) of RA 8282
because apparently I was not dependentfor support with my deceased
husband;
11. I had to work on my own when we separated in 1993 because first, he
was no longer working as far as I know, and so he did not have means to
support me and secondly, I had toe arn a living in order to support myself
and to be able to maintain my health which was then deteriorating brought
about by our separation and other factors;
12. I am appealing to your good office to grant my application for hatever
benefits that I am entitled to by virtue of being the legal wife of Edgardo D.
Hizon;
 13. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 25 th day of June,

2012 at Dinalupihan, Bataan.

Estrelita G. Hizon
Affiant

Thumb mark:

Subscribed and sworn to before me this 25th day of June, 2012 at Dinaluiphan,
Bataan. Affiant exhibiting to me her _______________________________.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Manolito P. Timpog, of legal age, Filipino, and with residence and postal
address at New San Jose Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I was born on October 20, 1951 in Dinalupihan, Bataan as evidenced by my

Certificate of Baptism;

2. I am a member of Social Security System with SSS No. 03-30252861;

3. I was ordered by the SSS to furnish a copy of my SSS Form E4 wherein I

requested for the correction of my date of birth from October 21, 1951 to
October 20, 1951;

4. However, I do not have a copy of the said E4 Form, hence this Affidavit;

5. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.
 IN WITNESS WHEREOF, I have hereunto affixed my signature this 20 th day of June,
2012 at Dinalupihan, Bataan.

Manolito P. Timpog
Affiant

Thumb mark:

Witness:

Rose Tolentino
Dinalupihan, Bataan

Subscribed and sworn to before me this 20th day of June, 2012 at Dinaluiphan,
Bataan. Affiant exhibiting to me his Driver’s License No. C02-73-009997.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

AFFIDAVIT

I, Gilma M. Santos, of legal age, Filipino, widow and with residence at San
Jose California, USA, after having been sworn to in accordance with law, hereby
depose and state that:

1. I am the surviving spouse of Delfin M. Santos, who died on December 15,

2006 in Bulacan;

2. We got married on April 2, 1982 in Sta. Rita, Pampanga as evidenced by our

Certificate of Marriage;

3. We have three (3) children, namely: Darlene, Madeleine and Delfin Jr.;

4. I know for a fact that I am his only legal wife as evidenced by a Certificate of
No Marriage (CENOMAR);

5. I have yet to claim any benefits due my said husband from the Philippine
Veterans Affairs Office (PVAO), Social Security System (SSS) and other
government agencies;

6. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ____ day of

_______________________ at ______________________.

Gilma M. Santos
 Affiant

Subscribed and sworn to before me this ___ day of _______________ at

_______________________

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Closure

I, Reynaldo C. Santos, of legal age, Filipino, married and with residence and
postal address at San Pablo, Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am the registered owner of Moto Craft and Mika General Merchandize

located at San Pablo, Dinalupihan, Bataan registered with the Department
of Trade and Industry under Certificate No. 014288524;

2. Said business has been closed effective on May 9, 2012, considering that
I could no longer manage the said business;

3. In view of the above, I am requesting that my registration with the

Department of Trade and Industry and Office of Municipality of
Dinalupihan be cancelled or revoked;

4. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 20 th day of

Dinalupihan, Bataan.

Reynaldo C. Santos
Affiant

Thumb mark:

Subscribed and sworn to before me this 20 th day of June, 2012 at Dinalupihan,

Bataan. Affiant exhibiting to me his Driver’s License No. C09-04-001826.

Doc. No.
Page No.
Book No.
Series of 2012.

STATEMENT OF INCOME AND EXPENSES

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF REVOCATION

I, Jaime S. Dimacali, of legal age, Filipino and with address at Mambog

Hermosa, Bataan, after having been sworn in accordance with law, hereby depose and
say:

1. On December 13, 2010, I sold my firearm to Fahad Abdullah N. Alakeel

described as follows:

Control No.: I-E0095193

FA Lic. No.: 1019458I1883179
Kind/Make: PISTL NORIN
Model/Caliber: 9MM
Serial No. : 4096431

as evidenced by a document entitled Deed of Sale of Firearm which document

was notarized by Atty. Juvy Mell B. Sanchez-Malit entered into her Notarial
Reg. Book as Doc. No. 253; Page No. 51; Book No. IX; Series of 2010, a copy
of which is hereto attached and made an integral part hereof;

2. We cancelled the said Deed. In fact, Fahad Abdullah N. Alakeel returned the
said firearm to me, and I returned the amount of P 10,000.00 to Fahad
Abdullah N. Alakeel;
3. I hereby revoked said Deed of Sale considering that the said sale is already
cancelled;
4. I am executing this affidavit to attest to the truth of the foregoing and for
whatever purpose this may serve best.

AFFIANT FURTHER SAYETH NAUGHT.

IN WITNESS WHEREOF, I have hereunto set my hand this 14th day of June, 2012
in Dinalupihan, Bataan.
 Jaime S. Dimacali
Affiant

SUBSCRIBED AND SWORN TO BEFORE ME, a Notary Public for and in

Province of Bataan this 14th day of June 2012 by the affiant, who personally appeared
before
me and whose identity I have confirmed through his Firearm License Card No.
F0661740.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

Joint Affidavit of Two (2)

Disinterested Persons

We, Blanca Flora Rosa F. Mangahas nd Reiner R. Baltazar, both of legal age,
Filipino, and with residence and postal address at Pagalanggang Dinalupihan, Bataan
and Sta. Monica Sasmuan, Pampanga, after having been sworn to in accordance with
law, hereby depose and state that:

1. We personally know Catherine Mercado Bucud and Gian Battulayan Dee

who have been sweethearts since December 8, 2010;

2. Gian is a resident of New Zealand. Sometime in December 2010, Gian

returned to the Philippines to meet Catherine. He was introduced to Catherine
by a common friend prior to December 2010 and since then they started to
communicate thru phone calls;

3. When he returned to the Philippines, he met Catherine in Manila. They went

on dating and do things to get to know each other. Catherine finally
answered Gian on December 8, 2010 and their relationship bossomed since
then until now;

4. When Gian left, they still continued their relationship. They would email, text
and call each other every now and then. Gian also sent money to Catherine
for the latter to spend in processing her documents;

5. We affirm that they are still sweethearts up to now;

6. We know the foregoing because we are their close friends and we have
known them for a long time now;

7. We are not related by consanguity or by affinity;

8. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.
 IN WITNESS WHEREOF, we have hereunto affixed our signatures this 8 th day of
June, 2012 at Dinalupihan, Bataan.

Blaca Flora Rosa F. Mangahas Reiner R. Baltazar

Affiant Affiant
___________________________ Driver’s License No. C10-03—
009039
___________________________

Subscribed and sworn to before me this 8th day of June, 2012 at Dinaluiphan,
Bataan.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Catherine M. Bucud, of legal age, Filipino, and with residence and postal
address at Pagalanggang Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

7. I am the girlfriend or partner of Gian Battulayan Dee who was born on

October 22, 1985 in Cagayan Valley. He is a permanent in New Zealand at
present;

8. We have been sweethearts since December 2010;

9. We are not related by consanguity or by affinity;

10. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 8 th day of June,

2012 at Dinalupihan, Bataan.

Catherine M. Bucud
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan
 Subscribed and sworn to before me this 8th day of June, 2012 at Dinaluiphan,
Bataan. Affiant exhibiting to me her SSS ID No. 02-1604764-0.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Marciano P. Dolores, of legal age, Filipino, and with residence and postal
address at Pinulot Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

1. I am a bonafide member of Social Security System with SSS No. 02-

0370069-9;

2. I have been working as driver only until June 1, 2012;

3. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 4 th day of June,

2012 at Dinalupihan, Bataan.

Marciano P. Dolores
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 4th day of June, 2012 at Dinaluiphan,
Bataan. Affiant exhibiting to me his SSS Id No. 02-0370069-9.

Doc. No.
Page No.
Book No.
Series of 2012.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF REVOCATION

I, Carmen D. Mallari, of legal age, married, and with address at Luacan,

Dinalupihan, Bataan, after having been sworn in accordance with law, hereby depose
and say:

5. On May 15, 2012, I sold my motor vehicle with Plate Number RDH-681 (Toyota
Passenger Van) to Jay Ar M. Cabigting as evidenced by a document entitled
Deed of Sale of Motor Vehicle which document was notarized by Doc. No. 347;
Page No. 70; Book No. III; Series of 2012, a copy of which is hereto attached
and made an integral part hereof;

6. We cancelled the said Deed. In fact, Jay Ar M. Cabigting returned the said
vehicle to me, and I returned the amount of P 100,000.00 to Jay Ar;

7. I hereby revoked said Deed of Sale considering that the said sale is already
cancelled;

8. I am executing this affidavit to attest to the truth of the foregoing and for
whatever purpose this may serve best.

AFFIANT FURTHER SAYETH NAUGHT.

IN WITNESS WHEREOF, I have hereunto set my hand this 28th day of May, 2012,
in Dinalupihan, Bataan.

Carmen D. Mallari

SUBSCRIBED AND SWORN TO BEFORE ME, a Notary Public for and in

Province of Bataan this 28th day of May 2012 by the affiant, who personally appeared
before
me and whose identity I have confirmed through her OSCA ID No. 2858.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Compliance

I, Ma. Eleonor A. Saplala, of legal age, Filipino, married and with residence and
postal address at Tucop, Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

13. I am the Radiologic Technologist of Collimator Diagnostic X-Ray Services

located at Bonifacio St., Dinalupihan, Bataan;

14. I am submitting the attached documents in compliance with the requirements of

Department of Health;

15. We have fully complied with the said requirements;

16. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 25 th day of

May, 2012 at Dinalupihan, Bataan.

Ma. Eleonor A. Saplala

Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 25 th day of May, 2012 at Dinalupihan,

Bataan, affiant exhibiting to me her PRC ID No. 0001618.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Cancellation

I, Victor A. Gaddi, of legal age, Filipino, and with residence and postal address
at Sta. Isabel, Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

1. I am the owner of VMG Aggregates and Construction located at Pita

Dinalupihan, Bataan. Said business is rergistered with Department of Trade and
Industry (DTI) under Certificate No. 00186956;

2. The establishment operates as selling aggregates and construction materials;

3. I am closing said business but I have intention to change business in the future;

4. In view of the above, I am requesting that my registration with the Department of

Trade and Industry, Office of Municipality of Dinalupihan and Bureau of Internal
Revenue be cancelled or revoked;

5. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 23 rd day of

May, 2012 at Dinalupihan, Bataan.

Victor A. Gaddi
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 23 rd day of May, 2012 at Dinalupihan,

Bataan, affiant exhibiting to me his Postal ID No. 5465430.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Cancellation

I, Victor A. Gaddi, of legal age, Filipino, and with residence and postal address
at Sta. Isabel, Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

106. I am the owner of AIKO Hardware and Construction Supply located at

Sta. Isabel Dinalupihan, Bataan. Said business is rergistered with Department of
Trade and Industry (DTI);

107. The establishment operates as hardware materials;

 108. I am closing said business because for lack of capital to finance said
business as it does not earn profits;

109. In view of the above, I am requesting that my registration with the

Department of Trade and Industry , Bureau of Internal Revenue and Office of
Municipality of Dinalupihan be cancelled or revoked;

110. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 23 rd day of

May, 2012 at Dinalupihan, Bataan.

Victor A. Gaddi
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 23 rd day of May, 2012 at Dinalupihan,

Bataan, affiant exhibiting to me his Postal ID No. 5465430.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Marciano P. Dolores, of legal age, Filipino, and with residence and postal
address at Pinulot Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

4. I am a bonafide member of Social Security System with SSS No. 02-

0370069-9;

5. I have been working as driver only until June 1, 2012;

6. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 21 st day of May,

2012 at Dinalupihan, Bataan.
 Marciano P. Dolores
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 21st day of May, 2012 at Dinaluiphan,
Bataan. Affiant exhibiting to me his SSS Id No. 02-0370069-9.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Diana Q. Simsuangco, of legal age, Filipino and with residence and postal
address at Pinulot Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

68. I am the common-law wife of Dondon S. Simsuangco. We have been

cohabitating as common-law husband and wife since 2004;

69. Out of wedlock, the following children were born, namely:

Dion, who was born on August 7, 2004

Daniel, who was born on December 20, 2005
Darwin, who was born on March 5, 2010

70. He died on April 19, 2012 in Dinalupihan, Bataan;

71. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 21 st day of May,

2012 at Dinlalupihan, Bataan.

Diana Q. Simsuangco
 Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinaluiphan, Bataan

Subscribed and sworn to before me this 21st day of May, 2012 at Dinalupihan,
Bataan, affiant exhibiting to me her Brgy. Clearance with Code No. BPC/F-001.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

Affidavit to Change Beneficiary

I, Lorena Q. Frondozo, of legal age, Filipino, and with residence and postal
address at 92 Bonifacio St., Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

6. I am a teacher by profession presently teaching at Happy Valley

Elementary School in Happy Valley Dinalupihan, Bataan;

7. I am married to Ariel M. Frondozo. We got married on October 27, 2004 in

Guagua, Pampanga;

8. My husband and I have been separated since Janaury 2012, now living
our separate lives since he has his own family now. There is no room for
reconciliation;

9. In all my policies and insurances with the Government Service Insurace

System (GSIS), Pag-Ibig, Social Security System (SSS) and Philhealth, he
is my beneficiary. Considering that we will no longer reconcile, I am
removing his name as my beneficiary and hereby appoint my mother
Dominga B. Quuinto to be my sole beneficiary in all my benefits in case of
my death;

10. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 15th day of

May, 2012 at Dinalupihan, Bataan.

Lorena Q. Frondozo
 Affiant

Thumb mark:
Witness:

May M. Sulangi
Dinaluiphan, Bataan

Subscribed and sworn to before me this 15th day of May, 2012 at Dinalupihan,
Bataan.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Hermida R. Martin, of legal age, Filipino, married and with residence and
postal address at Daang Bago Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am the wife of Jeremias Martin;

2. Jeremias is the brother of Joel Martin;
3. Joel Martin is the father of Jowellah A. Martin who was born on February
16, 2008. Her mother is Sarah P. Angeles;
4. Joel is presently working in Saudi Arabia while Sarah left the child to us
after giving birth to her on February 16, 2008. Since then we did not see
her anymore. We do not know her whereabouts;
5. Joel and Sarah are not legally married;
6. There is a need to have her birth records registered considering that she
will go to school this June 2012;
7. I am presently in custody of the said child together with my husband;
 8. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 15th day of

May, 2012 at Dinalupihan, Bataan.

Hermida R. Martin
Affiant

Thumb mark:
Witness:

Arnaldo V. Sulangi
Dinaluiphan, Bataan

Subscribed and sworn to before me this 15th day of May, 2012 at Dinaluiphan,
Bataan.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Mellanie C. Martin-Sarili, of legal age, Filipino, married and with residence

and postal address at Saguing Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am a teacher by profession;

2. I passed the board examination for teachers in the year 2001;

3. I applied for a Professional Regulation Commission (PRC) License with

License No. 733982 in November 15, 2001 under my maiden name Mellanie
C. Martin;
 4. I failed to claim the said license from the PRC because I was not able to work
immediately as a teacher, but instead work as a factory worker;

5. I intend to claim said license anytime this month;

6. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 11 th day of May,

2012 at Dinalupihan, Bataan.

Mellanie M. Sarili
Affiant

Thumb mark:

Witness:

Regina P. Malit
Dinaluiphan, Bataan

Subscribed and sworn to before me this 11 th day of May, 2012 at Dinaluiphan,

Bataan, affiant exhibiting to me her DepEd ID No. 11902.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Angelica R. Magno, of legal age, Filipino, married and with residence and
postal address at San Ramon Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

26. I would be visiting USA to visit my father who is sick, to spend some quality
family time and possibly visit tourist places;
27. I am a teacher by profession presently teaching at San Pablo Elemntary
School in Dinalupihan, Bataan;
28. I have my job to get back to;
29. My children Leonila Mae and Aaron Neil are both minors;
30. My children are studying in the Philippines;
31. My elderly mother is staying with me and I am taking car of her, reason why I
need to go back immediately;
32. I have properties to take care of and my husband is waiting for my comeback;
33. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.
 IN WITNESS WHEREOF, I have hereunto affixed my signature this 10 th day of May,
2012 at Dinalupihan, Bataan.

Angelica R. Magno
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinaluiphan, Bataan

Subscribed and sworn to before me this 10 th day of May, 2012 at Dinaluiphan,

Bataan, affiant exhibiting to me her DepEd ID No. 4142174.

Doc. No.
Page No.
Book No.
Series of 2012.

Doc. No. 66
Page No. 14
Book No. II
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

JOINT AFFIDAVIT

We, Barbara Ann A. Duero and Shiela M. Cruz, both of legal age, Filipinos,
single and with residence and postal address at Gen. Luna Dinalupihan, Bataan and
New San Jose Dinalupihan, Bataan and employed as Branch Manager and
Registered Pharmacist, respectively, by Mercury Drug Dinalupihan Public Market
Branch after having duly sworn in accordance with the law, do hereby depose and say:

That, Central Luzon Drug Corporation is an applicant for a PDEA License to

handle dangerous drugs, dangerous drug preparation/s, Table I Controlled Chemical/s
used in the manufacture of drug preparation/s and or their drug preparation/s with prior
approval from the Philippine Drug Enforcement Agency;

That the following are the controlled drug/s being handled by our
company/establishment;

Name of Controlled Drug/s Purpose of Handling

Phenobarbital 90, 60, 30 & 15 mg. Retailing Purposes

Xanor 0.5 mg & .25 mg Retailing Purposes
Rivotril Retailing Purposes
Valium 5mg Retailing Purposes
Stilnox 10 mg tablet Retailing Purposes
Oxycontin 10 mg Retailing Purposes
Oxycontin 20 mg Retailing Purposes
Oxycontin 40 mg Retailing Purposes
Oxynom 10 mg Retailing Purposes
Oxynom 5 mg Retailing Purposes
MST Continus 30 mg Retailing Purposes
Norspan 5 mg Retailing Purposes
Norspan 10 mg Retailing Purposes
Norspan 20 mg Retailing Purposes
Oxynom 10 mg Retailing Purposes

That we in behalf of the company & virtue of this Affidavit hereby bind ourselves
of all the provisions of Republic Act 9165 otherwise known as the “Comprehensive
dangerous Drugs Act of 2002”, and other implementing rules and regulations shall be
faithfully complied with;

That we are executing this affidavit to attest the truth of the foregoing facts, for
whatever legal intent and purpose may it may serve.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this nd day of

May, 2012 at Dinalupihan, Bataan, Philippines.

Barbara Ann A. Duero Shiela M. Cruz

Affiant Affiant
Branch Manager Registered Pharmacist
Mercury Drug ID No. 5033 PRC ID No. 0045210

Subscribed and sworn to before me this 2 nd day of May, 2012 at Dinalupihan,

Bataan.

Doc. No.
Page No.
Book No.
Series of 2012.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Flordeliza C. Sambat, of legal age, Filipino, married and with residence and
postal address at San Benito Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

22. I am the daughter of Spouses Lamberto A. Castro (deceased) and Remedios De

Vera-Castro;

23. They have eight (8) children;

24. During the lifetime of our father, he and my mother acquired a parcels of land
located at Bamban Hermosa, Bataan and San Benito Dinalupihan, BAataan
measuring 7,311 square meters and 5,932 square meters covered by TCT Nos.
EP-996 and TCT CLOA-10621, issued by the Registry of Deeds on October 19,
1998 and May 19, 1991, respectively;
 25. In the year 2008, a year before my father died, my husband Renato P. Sambat
started to cultivate the saidlots with the consent of my parents and brothers and
sisters because my father was already sick;

26. Up to the present, my husband is still the one managing and working on the said
properties. We earned income from the said cultivation;

27. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 2 nd day of May,

2012 at Dinalupihan, Bataan.

Flordeliza C. Sambat
Affiant

Thumb mark:

Witness:

Ramon Torres
Dinalupihan, Bataan

Subscribed and sworn to before me this 2 nd day of May, 2012 at Dinalupihan,

Bataan, affiant exhibiting to me her SSS ID No. 02-0901801-3.

Doc. No.
Page No.
Book No.
Series of 2012.

Doc. No. 423 ATTY. JUVY MELL B. SANCHEZ-MALIT

Page No. 85 Notary Public
Book No. II Commission Expires on 12/31/2013
Series of 2012. PTR No. 0947792, 01/02/2012
IBP No. 837794, 01/02/2012
Roll of Attorney No. 40601
Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Closure

I, Ma. Daisy T. Alvarico, of legal age, Filipino, married and with residence and
postal address at New San Jose Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

17. I am the registered owner of Alvarico Vegetable Stall located at

Dinalupihan Public Market in Dinalupihan, Bataan registered with the
Department of Trade and Industry with Certificate No. 00250824;

18. I closed the said stall in the year 2011 because it is no longer earning
income;

19. In view of the above, I am requesting that my registration with the

Department of Trade and Industry and Office of Municipality of
Dinalupihan be cancelled or revoked;
 20. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 26 th day of

April, 2012 at Dinlalupihan, Bataan.

Ma. Daisy T. Alvarico

Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 26 th day of April, 2012 at Dinalupihan,

Bataan., affiant exhibiting to me her Postal ID No. 1266439.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Late Registration

I, Mariel A. Mallari, of legal age, Filipino, and with residence and postal address
at Palihan Hermosa, Bataan, after having been sworn to in accordance with law, hereby
depose and state that:

1. I am the petitioner in Sp. Proc. No. DH-269-10 in the case entitled In Re:
In the matter of correction of Entry of Gender in the Certificate of Live,
Petitioner vs. Local Civil Registrar Hermosa, Bataan, respondent filed
before the Regional Trial Court, Branch V, Dinalupihan, Bataan;

2. Said petition was granted in a Decision promulgated on September 5,

2011;

3. Said Decision has become final and executory as evidenced by a

Certification issued by the same court dated November 18, 2011.
 However, to date the same it not yet registered or recorded with the Local
Civil Registrar of Hermosa, Bataan and the National Statistics Office
(NSO);

4. I was not able to cause the immediate registration because it is only

recently that I got copies of the decision and Certificate of Finality
personally at the Regional Trial Court Branch V;

5. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 23 rd day of

April, 2012 at Dinalupihan, Bataan.

Mariel A. Mallari
Affiant

Thumb mark:
Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 23rd day of April, 2012 at Dinalupihan,
Bataan, affiant exhibiting to me his VRR No. 080530011122.

Doc. No.
Page No.
Book No.
Book No.

Doc. No. Atty. Juvy Mell B. Sanchez-Malit

Page No. Notary Public
Book No. Commission Expires on 12/31/2011
Series of 2011. PTR No. 0506906.01/04/2011
IBP No. 662038.01/03/2011
Roll of Attorney No. 40601
Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )
 AFFIDAVIT

I, Nadeem Sial, of legal age, Pakistani, and with residence and postal address at
#11 Macaraeg St., Barrio Barretto, OlongapO City, after having been sworn to in
accordance with law, hereby depose and state that:

110. I was born on June 21, 1982;

111. As a Pakistani I have a Residence Alien Certificate of Registration No.
CRPE0000106217;
112. I also work at Mateen Tokyo International Inc. in Subic, Zambales as a
Finance Manager;
113. My cousins named Shahzad Akram and Raja Israr Ahmed Khan,
respectively are intending to come the Philippines as tourists;

Shahzad Akram Raja Israr Ahmed Khan

Passport No. AG1322222 Passport No. XF4106401
Date of Birth: July 14, 1987 Date of Birth: January 1,
1984

114. They will be staying with me here in the Philippines for one (1) or two (2)
months;
115. They will stay with me during their visit;
116. I hereby undertake to give all the necessary support and assistance to the
aforementioned while in the Philippines;
117. I, likewise guarantee that they are peaceful citizens and that their purpose
in coming to the Philippines is purely recreation and business on the side;
118. I declare these facts under threat of perjury;
119. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed my signature this 23 rd day of

April, 2012 at Dinalupihan, Bataan.

Nadeem Sial
Affiant

Thumb mark:

Witness:

Adnan Ali
Dinalupihan, Bataan

Subscribed and sworn to before me this 23 rd day of April, 2012 at Dinalupihan,

Bataan, affiant exhibiting to me his BOI ID No. F0000142004.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Dennis S. Reyes, of legal age, Filipino, and with residence and postal address
at San Benito Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:
 28. On March 12, 2012, by the authority given to me by the Sangguniang Bayan of
Dinalupihan, Bataan, I personally delivered a copy of the SB Resolution No. 28-
2012 and SP Resolution No. 119 to Barangay Captain Alfredo Santos at his
residence in Luacan Dinalupihan, Bataan at about 4:15 p.m.;

29. However, while he was there, he refused to receive the same;

30. And so the next day March 13, 2012, I mailed the said documents at the
Dinalupihan Post Office in Dinalupihan, Bataan with Registry Receipt No. 751;

31. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 23 rd day of

March, 2012 at Dinalupihan, Bataan.

Dennis S. Reyes
Affiant

Thumb mark:

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 23 rd day of March, 2012 at Dinalupihan,

Bataan, affiant exhibiting to me his Municipality of Dinalupihan ID No. RC-00390.

Doc. No. 423 ATTY. JUVY MELL B. SANCHEZ-MALIT

Page No. 85 Notary Public
Book No. II Commission Expires on 12/31/2013
Series of 2012. PTR No. 0947792, 01/02/2012
IBP No. 837794, 01/02/2012
Roll of Attorney No. 40601
Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Disability
 I, Luz S. David, of legal age, Filipino, widow, and with residence and postal
address at New San Jose Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

244. I was born on December 27, 1916 in Dinalupihan, Bataan;

245. I am now 96 years old;

246. By reason of my advanced age. I could no longer write and read. I could
no longer sign my signature and instead affix my thumb mark in my documents;

247. The notary public read and explained to me the contents of this affidavit
before affixing my thumb mark;

248. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 12 th day of April,

2012 at Dinalupihan, Bataan.

Luz S. David
Affiant

Witness:

Flordeliza D. Paez
Dinalupihan, Bataan

Subscribed and sworn to before me this 12 th day of April, 2012 at Dinalupihan,

Bataan. Affiant exhibited to me her OSCA ID no. 2085402.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Maricon C. Balingit, of legal age, Filipino, and with residence and postal
address at Roosevelt Dinaluiphan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

32. I am the mother of RAFAELA CRUZ BALINGIT who was born on January 23,
2003 in Dinalupihan, Bataan. Her father is Armando F. Mangaring as declared in
her Certificate of Live Birth;

33. Her father and I are not married;

 34. We did not cohabit. The last time we talked was when Rafaela was born and
thereafter we did not see each other anymore;

35. We do not know his whereabouts;

36. Having been inexistent for nine (9) years, his consent cannot be obtained
anymore;

37. I am the only person who will give consent to whatever is needed for my
daughter’s benefit and interest;

38. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 17 th day of April,

2012 at Dinalupihan, Bataan.

Maricon C. Balingit
Affiant

Thumb mark:
Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 17 th day of April, 2012 at Dinalupihan,

Bataan, affiant exhibiting to me her Passport No. EB1642517.

Doc. No. 119

Page No. 24
Book No. III
Series of 2012.

Doc. No. 423 ATTY. JUVY MELL B. SANCHEZ-MALIT

Page No. 85 Notary Public
Book No. II Commission Expires on 12/31/2013
Series of 2012. PTR No. 0947792, 01/02/2012
IBP No. 837794, 01/02/2012
Roll of Attorney No. 40601
Bataan
Republic of the Philippines )
Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Allan P. Pruna, of legal age, Filipino, married and with residence and postal
address at Bagong Silang San Ramon Dinalupihan, Bataan, after having been sworn to
in accordance with law, hereby depose and state that:

27. I was born on December 12, 1983 in Dinalupihan, Bataan from parents
Spouses Reynaldo Pruna and Nerissa Pangilinan;

28. I am a holder of Philippine Passport issued by the Department of Foreign

Affairs (DFA) on November 4, 2008 with Passport No. XX2382315;

29. Said passport will expire on November 3, 2013. I am applying for work
aborad. The requirement of the recruiting agency is that my passport should
be valid for two (2) years. However, considering that my said passport is
expiring on November 3, 2013, I am requesting the DFA to have it cancelled
and renewed for another five (5) years;

30. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 10 th day of

April, 2012 at Dinalupihan, Bataan.

Allan P. Pruna
Affiant

Thumb mark:

Witness:

Olivia Pruna
Dinalupihan, Bataan

Subscribed and sworn to before me this 10th day of April, 2012 at Dinaluiphan,
Bataan. Affiant exhibiting to me his Passport No. XX2382315.

Doc. No. 34
Page No. 7
Book No. III
Series of 2012
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Luzviminda M. Mendenilla, of legal age, married, Filipino citizen, with address

at Balsic, Hermosa, Bataan, after having been sworn in accordance with law, hereby
depose and say:

1. I am the wife of Arnold Mendenilla. We got married on January 11, 1997;

2. We have two (2) children;

3. Arnold and I have been separated since 1998;

4. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose;

AFFIANT FURTHER SAYETH NAUGHT.

IN WITNESS WHEREOF, I have hereunto set my hand this 4 th day of April, 2012,
in Dinalupihan, Bataan.

Luzviminda M. Mendenilla

SUBSCRIBED AND SWORN TO BEFORE ME, a Notary Public for and in

Province of Bataan this 4th day of April, 2012 by the affiant, who personally appeared
before
me and whose identity I have confirmed through her Postal ID No. _______________.

Doc. No.
Page No.
Book No.
Series of 2012.
SUBSCRIBED AND SWORN TO BEFORE ME, a Notary Public for and in
Province of Bataan this 3rd day of April, 2012 by the affiant, who personally appeared
before
me and whose identity I have confirmed through his/her Roll of Atty. ID No. 40601
issued on __________________at ____________________, bearing affiant's
photograph and
signature.

STATEMENT OF INCOME AND EXPENSES

1st Crop

Expenses

* Patanim = 15 tao/P 230.00 kada tao P 3,450.00

* Fertilizer = 6 sacks/ P 1,000.00 per cavan 6,000.00
* Insecticide = 2 Bottles /P 1,000.00 2,000.00
* Diesel 5,000.00
____________
Total Expenses P 16,450.00

* Harvest = 80 cavans/ P 850.00 per cavan/tuyo palay P 64,000.00

P 64,000.00 – Earning 1st Crop

16,450. 00 – Expenses
___________
P 47,550.00 – Total Amount for earning in 1st crop

2nd Crop

Expenses

* Patanim = 15 tao/P 230.00 kada tao P 3,450.00

* Fertilizer = 6 sacks/ P 1,000.00 per cavan 6,000.00
* Insecticide = 2 Bottles /P 1,000.00 2,000.00
* Diesel 5,000.00
____________
Total Expenses P 16,450.00

* Harvest = 80 cavans/ P 850.00 per cavan/tuyo palay P 64,000.00

P 64,000.00 – Earning 2nd Crop

16,450. 00 – Expenses
___________
P 47,550.00 – Total Amount for earning in 2nd crop

* Patanim = 12 tao/P 1,500.00 kada tao P 18,000.00

* Fertilizer = 20 sacks/ P 750.00 per cavan 15,000.00
* Insecticide = 3 Bottles /P 800.00 2,400.00
* Diesel 5,000.00
____________
Total Expenses P 40,400.00

* Harvest = 300 cavans/ P 850.00 per cavan/tuyo palay P 255,000.00

P 255,000.00 – Earning 2nd Crop

40,400.00 – Expenses
 ___________
P 214,600.00 – Total Amount for earning in 2nd crop

P 214,600.00 – 1st Crop

214,600.00 – 2nd Crop
__________

P 429,200.00 – Total Amount for earning in 1st and 2nd crop in one year.

Prepared by:

Renato C. Decena Mary Ann Y. Decena

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Magdalena S. Manglicmot, of legal age, Filipino, and with residence and

postal address at Luacan Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

31. I am cultivating a lot situated at Luacan Dinalupihan, Bataan measuring 7,500

square meters, more or less;

32. I earned income out of cultivation. Attached hereto is the Income and
Expenses for the year 2011 which I personally prepared;

33. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 3 rd day of April,

2012 at Dinalupihan, Bataan.

Magdalena S. Manglicmot
Affiant

Thumb mark:

Witness:
 Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 3 rd day of April, 2012 at Dinaluiphan,

Bataan. Affiant exhibiting to me her VIN 0804-0086A-E140MSM20001-4.

Doc. No.
Page No.
Book No.
Series of 2012

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Editha G. Torres, of legal age, Filipino, single and with residence and postal
address at Colo Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

1. I was born on March 23, 1958 in Dinaupihna, Bataan from parents Spouses
Euprocino Gallega and Victoria Quellope;

2. I have been using the above data in all my documents and records;

3. However, I found out last week that I have no records of birth as evidenced by a
negative certificate from the National Statisctics Office;

4. I do not know why my birth certificate is not resgitered although I was able to get
passport in 1985;

5. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 2 nd day of April,

2012 at Dinalupihan, Bataan.

Editha G. Torres
Affiant

Thumb mark:

Witness:
 Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 2 nd day of April, 2012 at Dinalupihan,

Bataan, affiant exhibiting to me her Passport No. XX4061124.

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Jemeleee M. Romanban, of legal age, Filipino, single and with residence and
postal address at Colo Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

39. I was born on April 20, 1985 in Iba, Zamabales from parents Spouses Jaime
Romanban and Yolanda Mallari as evidenced by my Certificate of Live Birth;
40. I have three (3) sisters and two (2) brothers. One of my brothers is Jerickson who
was born on February 19, 1987 in Iba, Zambale;
41. However, in his Certificate of Live Birth, Jerickson surname was recorded as
ROMAMBAN instead of ROMANBAN the true and correct one;
42. We are in fact siblings although there was typographical discrepancy in ouorlast
name;
43. The above discrepancy was committed without our fault and intention to mislead
the public;
44. The names Jerickson M. Romamban and Jerickson M. Romanban as explained
above belong to one and the same person;
45. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 30 th day of

March, 2012 at Dinalupihan, Bataan.

Jemelee M. Romanban
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 30th day of March, 2012 at Dinalupihan,
Bataan, affiant exhibiting to me her VIN 0804-0048A-D2085JMR20003-0.

Doc. No.
 Page No.
Book No.

Doc. No. 423 ATTY. JUVY MELL B. SANCHEZ-MALIT

Page No. 85 Notary Public
Book No. II Commission Expires on 12/31/2013
Series of 2012. PTR No. 0947792, 01/02/2012
IBP No. 837794, 01/02/2012
Roll of Attorney No. 40601
Bataan
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )
Affidavit

I, Analiza L. Seida, of legal age, Filipino, and with residence and postal address
at Happy Valley Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

1. I am the mother of the following children:

Name Date of Birth

Ulyses Gonzales April 28, 1998

Louieses Gonzales April 28, 1998
Moises Gonzales Jr. April 10, 199

2. Their father is Moises Gonzales. We are not legally married;

3. Their said father and I have been separated since 2006 and since then have not
communicated. The last address of my husband in Caloocan;
4. I am married to Erwin Seida, a Canadian National, on June 12, 2010;
5. I am applying for sponsorship visa in Canada;
6. I will leave my children to my parents and shall take custody of them while I am in
Canada. I know that they will take care my children as much as I do since we
have been living with our parents since they were born;
7. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 26 day of

March, 2012 at Dinalupihan, Bataan.

Analiza L. Seida
Affiant

Thumb mark:

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 26 th day of March, 2012 at Dinalupihan,

Bataan, affiant exhibiting to me her Passport No. EB1196681.

Doc. No.
Page No.
Book No.
Series of 2012.

Doc. No. 423 ATTY. JUVY MELL B. SANCHEZ-MALIT

Page No. 85 Notary Public
Book No. II Commission Expires on 12/31/2013
Series of 2012. PTR No. 0947792, 01/02/2012
IBP No. 837794, 01/02/2012
Roll of Attorney No. 40601
Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Dennis S. Reyes, of legal age, Filipino, and with residence and postal address
at San Benito Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

46. On March 12, 2012, by the authority given to me, I personally delivered a copy of
the Resolution No. 28-2012 to Barangay Captain Alfredo Santos at his residence
in Luacan Dinalupihan, Bataan at about 4:15 p.m.;

47. However, while he was there, he refused to receive the same;

48. And so the next day March 13, 2012, I mailed the said document at the
Dinalupihan Post Office in Dinalupihan, Bataan with Registry Receipt No. 757;

49. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 23 rd day of

March, 2012 at Dinalupihan, Bataan.

Dennis S. Reyes
Affiant

Thumb mark:

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 23 rd day of March, 2012 at Dinalupihan,

Bataan, affiant exhibiting to me his Municipality of Dinalupihan ID No. RC-00390.

Doc. No. 423 ATTY. JUVY MELL B. SANCHEZ-MALIT

Page No. 85 Notary Public
Book No. II Commission Expires on 12/31/2013
Series of 2012. PTR No. 0947792, 01/02/2012
IBP No. 837794, 01/02/2012
Roll of Attorney No. 40601
Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Non-Acceptance

I, Juay Mah L. Ocampo, of legal age, Filipino, single and with residence and
postal address at Luacan Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

50. I was born on June 7, 1983 in Lubao, Pampanga;

51. I have been a Philhealth Member since 2009;

 52. However to date I have not received my Philhealth ID;

53. I am requesting Philhealth to issue my ID;

6. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 21 st day of

March, 2012 at Dinalupihan, Bataan.

Juay Mah L. Ocampo

Affiant

Thumb mark:

Witness:

Jenelyn Ocampo
Dinalupihan, Bataan

Subscribed and sworn to before me this 21 st day of March, 2012 at Dinalupihan,

Bataan, affiant exhibiting to me her VIN 0804-0092A-F0783JLO20000-3.

Doc. No. ATTY. JUVY MELL B. SANCHEZ-MALIT

Page No. Notary Public
Book No. Commission Expires on 12/31/2013
Series of 2012. PTR No. 0947792, 01/02/2012
IBP No. 837794, 01/02/2012
Roll of Attorney No. 40601
Bataan

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Marciano P. Dolores, of legal age, Filipino, and with residence and postal
address at Pinulot Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

22. I am a bonafide member of the Social security system with SSS Number 02-
0370069-9;

34. I am separated from my last employer Benguet Corporation Asian

Construction and Development with address at Limay, Bataan on March
1999;

35. I was never re-employed in any company;

36. I stiopped being a self-employed as Mason since June 2011;

37. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.
 IN WITNESS WHEREOF, I have hereunto affixed my signature this 19 th day of
March, 2012 at Dinalupihan, Bataan.

Manuel D. Abille
Affiant

Thumb mark:

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 19th day of March, 2012 at Dinaluiphan,
Bataan. Affiant exhibiting to me his SSS ID No. 03-4050956-2.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Non-Acceptance

I, Sylvia L. Fabro, of legal age, Filipino, and with residence and postal address
at San Benito Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

23. I was born on December 16, 1958 in Dinalupihan, Bataan;

24. I have been a Philhealth Member since 1982;

25. However to date I have not received my Philhealth ID;

26. I am requesting Philhealth to issue my ID;

6. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 14 th day of

March, 2012 at Dinalupihan, Bataan.

Sylvia L. Fabro
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan
 Subscribed and sworn to before me this 14th day of March, 2012 at Dinalupihan,
Bataan, affiant exhibiting to me her UMID ID No. CRN-006-0040-0822-2.

Doc. No. ATTY. JUVY MELL B. SANCHEZ-MALIT

Page No. Notary Public
Book No. Commission Expires on 12/31/2013
Series of 2012. PTR No. 0947792, 01/02/2012
IBP No. 837794, 01/02/2012
Roll of Attorney No. 40601
Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OF ADVERSE CLAIM

I, Elmer G. Broquil, of legal age, Filipino, married and with residence and postal
address at San Ramon Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

1. I am the son and attorney-in-fact of Domingo Broquil who is the actual occupant
and owner of a parcel of land situated at San ramon Dinalupihan, Bataan;

2. My autnority is by virtue of the attached Special Power of attorney (SPA);

3. We have learned recently that said lot which we have been occupying since 1991
was titled in the name of his sister Erlinda Broquil Manalansan as evidenced by
TCT No. CLOA-10618;

4. Considering thatw e are the owners of the said property, we hereby register our
adverse claim, hence this affidavit;

5. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 14 th day of

March, 2012 at Dinlalupihan, Bataan.

Elmer G. Broquil
Affiant

Thumb mark:

Witness:

Reynaldo Salvador
Dinalupihan, Bataan

Subscribed and sworn to before me this 14th day of March, 2012 at Dinalupihan,
Bataan. Affiant exhibited to me his SSS ID No. 33-0471948-9.
Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Zenaida P. Perez, of legal age, Filipino, and with residence and postal
address at Mabiga Hermosa, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

38. I owned a fish pond located at Mabiga Hermosa, Bataan;

39. I earned income from the said fish pond. Attached hereto is the Income and
Expenses for the year 2011 which I personally prepared;

40. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13 th day of

March, 2012 at Dinalupihan, Bataan.

Zenaida P. Perez
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan
 Subscribed and sworn to before me this 13th day of March, 2012 at Dinaluiphan,
Bataan. Affiant exhibiting to me her Postal ID No.1270273.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Myrna M. Puzon, of legal age, Filipino, and with residence and postal address
at San Ramon Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

34. I was born on June 21, 1953;

35. I have not obtained any Philippine Passport under my name since birth;

36. I intend to apply for a passport soon;

37. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 9 th day of March,

2012 at Dinalupihan, Bataan.

Myrna M. Puzon
Affiant

Thumb mark:

Witness:

Leodegaria Puzon
Dinaluiphan, Bataan

Subscribed and sworn to before me this 9 th day of March, 2012 at Dinaluiphan,

Bataan, affiant exhibiting to me her VIN 0804-0235A-F2153MMP20001-1.

Doc. No. 66
Page No. 14
Book No. II
Series of 2012.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

Deed of Indemnity

I, Eredito G. Gabriel, of legal age, Filipino, single and with residence and postal
address at New San Jose Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am an account holder of Land Bank of the Philippines Dinalupihan, Bataan

with account no. 2631-1048-54 covered by a passbook;

2. Said passbook was lost on March 7, 2012;

3. I hereby agree to indemnify the said bank twice the amount of the balance of
the lost passbook together with two (2) solvent indivisuals whose signatures
appear below manifesting their conformity;

4. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 7 th day of March,

2012 at Dinalupihan, Bataan.

Eredito G. Gabriel
Affiant

Thumb mark:

Conformity:

Myria L. Ayson Consolacion L. Caling

Sdalao, Dinalupihan, Bataan Dalao Dinalupihan, Bataan
 Subscribed and sworn to before me this 7th day of March, 2012 at Dinaluiphan,
Bataan, affiant exhibiting to me his Barangay Secretary ID No. 030804021-01(10).

Doc. No.
Page No.
Book No.
Series of 2012.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Marilyn B. Fortin, of legal age, Filipino, and with residence and postal
address at Roosevelt Park San Pablo, Dinalupihan, Bataan, after having been sworn to
in accordance with law, hereby depose and state that:

38. I am the registered owner of a motor vehicle, particularly described as follows:

Make : Honda Odyssey

Chassis No.: RA6-1133674
Engine No.: F23A-2350633
Plate No.: BEG 897

39. The other owner of the said vehicle is Jessie Barnachea Merced;

40. His name was not included in the Deed of Sale when it was executed
because he was out of the country;

41. Considering that he also ownes the said motor vehicle, I hereby request the
Land Transportation Office (LTO) to include his name in my name as owner
of the said vehicle;

42. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.
6day of March, 2012 at Dinalupihan, Bataan.

Marilyn B. Fortin
Affiant

Thumb mark:

Witness:

Jessie B. Merced
Dinalupihan, Bataan

Subscribed and sworn to before me this 6th day of March, 2012 at Dinaluiphan,
Bataan, affiant exhibiting to me her Driver’s License No. C09-11-05639.

Doc. No.
Page No.
Book No.
Series of 2012.
Republic of the Philippines )
Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

We, Renato C. Decena and Mary Ann Y. Decena, both of legal age, Filipino,
and with residence and postal address at Palihan Hermosa, Bataan, after having been
sworn to in accordance with law, hereby depose and state that:

43. We cultivate a farm land in Culis Hermosa, Bataan measuring 1.8 hectares
more or less;

44. Attaached is our statement of income and expenses for the year 2011 which
we personally prepared;

45. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed my signature this 5 th day of

March, 2012 at Dinalupihan, Bataan.

Renato C. Decena Mary Ann Y. Decena

Affiant Affiant
Driver’s License No. C02-83-020752 SSS ID No. 02-1478675-4

Thumb mark: Thumb mark:

Subscribed and sworn to before me this 5 th day of March, 2012 at Dinaluiphan,

Bataan.

Doc. No.
Page No.
Book No.
Series of 2012.
 STATEMENT OF INCOME AND EXPENSES

1st Crop

Expenses

* Patanim = 12 tao/P 1,500.00 kada tao P 18,000.00

* Fertilizer = 20 sacks/ P 750.00 per cavan 15,000.00
* Insecticide = 3 Bottles /P 800.00 2,400.00
* Diesel 5,000.00
____________
Total Expenses P 40,400.00

* Harvest = 300 cavans/ P 850.00 per cavan/tuyo palay P 255,000.00

P 255,000.00 – Earning 1st Crop

40,400.00 – Expenses
___________
P214,600. 00 – Total Amount for earning in 1st crop

2nd Crop

Expenses

* Patanim = 12 tao/P 1,500.00 kada tao P 18,000.00

* Fertilizer = 20 sacks/ P 750.00 per cavan 15,000.00
* Insecticide = 3 Bottles /P 800.00 2,400.00
* Diesel 5,000.00
____________
Total Expenses P 40,400.00

* Harvest = 300 cavans/ P 850.00 per cavan/tuyo palay P 255,000.00

P 255,000.00 – Earning 2nd Crop

40,400.00 – Expenses
___________
P 214,600.00 – Total Amount for earning in 2nd crop

P 214,600.00 – 1st Crop

214,600.00 – 2nd Crop
__________

P 429,200.00 – Total Amount for earning in 1st and 2nd crop in one year.

Prepared by:

Renato C. Decena Mary Ann Y. Decena

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )
 Affidavit of Closure

I, Cristina O. Bugay, of legal age, married and with residence and postal
address at Kataasan Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

22. I am the registered owner of OMJ DERM SKINLITE FACIAL & SPA located at
General Luna Dinalupihan, Bataan registered with the Department of Trade and
Industry under Certificate No. 00830254;

23. Said business has been closed effective on February 17, 2012, considering that
I could no longer manage the said business;

24. In view of the above, I am requesting that my registration with the Department of
Trade and Industry and Office of Municipality of Dinalupihan be cancelled or
revoked;

25. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 22 nd day of

February, 2012 at Dinlalupihan, Bataan.

Cristina O. Bugay
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 22nd day of February, 2012 at

Dinalupihan, Bataan. Affiant exhibiting to me her VIN 0804-0068A-J0680COB20000.

Doc. No.
Page No.
Book No.
Series of 2012.

STATEMENT OF INCOME AND EXPENSES

1st Crop

Expenses

* Patanim = 20 tao/P 1,500.00 kada tao P 45,000.00

* Fertilizer = 20 sacks/ P 750.00 per cavan 15,000.00
* Insecticide = 3 Bottle /P 800.00 4,500.00
* Diesel 5,000.00
____________
Total Expenses P 69,500.00
* Harvest = 200 cavans/ P 700 per cavan/tuyo palay P 175,000.00

P 175,000.00 – Earning 1st Crop

69,500.00 – Expenses
___________
P105,500.00 – Total Amount for earning in 1st crop

2nd Crop

Expenses

* Patanim = 20 tao/P 1,500.00 kada tao P 45,000.00

* Fertilizer = 20 sacks/ P 750.00 per cavan 15,000.00
* Insecticide = 3 Bottle /P 800.00 4,500.00
* Diesel 5,000.00
____________
Total Expenses P 69,500.00

* Harvest = 200 cavans/ P 700 per cavan/tuyo palay P 175,000.00

P 175,000.00 – Earning 1st Crop

69,500.00 – Expenses
___________
P 105,500.00 – Total Amount for earning in 1st crop

P 105,500.00 – 1st Crop

105,500.00 – 2nd Crop
__________

P 211,000.00 – Total Amount for earning in 1st and 2nd crop in one
year.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Cresencia L. Flores, of legal age, Filipino, and with residence and postal
address at Brgy. Pag-Asa Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

41. I owned a piggery located at Brgy. Pag-Asa Dinalupihan, Bataan;

42. I earned income from the said piggery. Attached hereto is the Income and
Expenses for the year 2011 which I personally prepared;

43. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.
 IN WITNESS WHEREOF, I have hereunto affixed my signature this 22 nd day of
February, 2012 at Dinalupihan, Bataan.

Cresencia L. Flores
Affiant

Thumb mark:

Witness:

Sheryl Anne Espino

Dinalupihan, Bataan

Subscribed and sworn to before me this 22nd day of February, 2012 at Dinaluiphan,
Bataan. Affiant exhibiting to me her Postal ID No. 1554104.

STATEMENT OF INCOME AND EXPENSES

Expenses

Hog Starter (7 sacks /P 1,250.00) P 8,750.00

Vetracin (30 bottles (Piglets)/ P 240.00) 7,200.00
Vetracin (3 bottles/P 240.00) 720.00
Broth Chow (2 sacks/P 700.00) 1,400.00
__________

Total Expenses P 18,070.00

* Piglets = 90/ P 2,000.00 P 180,000.00

P 180,000.00 – Piglets
18,070.00 – Expenses
___________
P 161,930.00 – Total
=========

Prepared by:
 Cresencia L. Flores

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Disability

I, Marciano P. Magalong, of legal age, Filipino, widower, and with residence and
postal address at Sacrifice Valley Hermosa, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

249. I was born on October 7, 1921 in Bautista, Pangasinan;

250. I am now 90 years old;

251. By reason of my advanced age. I could no longer write and read. I could
no longer sign my signature and instead affix my thumb mark in my documents;

252. The notary public read and explained to me the contents of this affidavit
before affixing my thumb mark;

253. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 21 st day of

February, 2012 at Dinalupihan, Bataan.

Marciano P. Magalong
Affiant

Thumb mark:

Witness:
 Fideliza M. Salles
Hermosa, Bataan

Subscribed and sworn to before me this 21st day of February, 2012 at Dinalupihan,
Bataan. Affiant exhibited to me his PVAO Id No. V-09-007253.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Jose M. De Leon, of legal age, Filipino, married and with residence and postal
address at San Simon Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

44. I owned a piggery located at San Simon Dinalupihan, Bataan;

45. I earned income from the said piggery. Attached hereto is the Income and
Expenses for the year 2011 which I personally prepared;

46. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 21 st day of

February, 2012 at Dinalupihan, Bataan.

Jose M. De Leon
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 21 st day of February, 2012 at Dinaluiphan,

Bataan. Affiant exhibiting to me his SSS ID No. 02-0346763-1.

Doc. No.
Page No.
Book No.
Series of 2012.
 STATEMENT OF INCOME AND EXPENSES

Expenses

Purina B 100 (3 sacks /P 1,150.00) P 3,450.00

Vetracin (2 bottles / P 850.00) 1,700.00
__________

Total Expenses P 5,150.00

* Piglets = 100/ P 2,500.00 P 250.000.00

P 250,000.00 – Piglets
5,150.00 – Expenses
___________
P 244,850.00 – Total
=========
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Non-Acceptance

I, Marilyn B. Reyes, of legal age, Filipino, and with residence and postal address
at New San Jose Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

27. I was born onFebruary 18, 1971 in Dinalupihan, Bataan;

28. I have been a Philhealth Member since 2002;

29. However to date I have not received my Philhealth ID;

30. I am requesting Philhealth to issue my ID;

6. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 20 th day of

February, 2012 at Dinalupihan, Bataan.

Marilyn B. Reyes
Affiant

Thumb mark:

Witness:

Danilo F. Reyes
Dinalupihan, Bataan
 Subscribed and sworn to before me this 20th day of February, 2012 at Dinalupihan,
Bataan, affiant exhibiting to me her PRC ID No. 0263316.

Doc. No. ATTY. JUVY MELL B. SANCHEZ-MALIT

Page No. Notary Public
Book No. Commission Expires on 12/31/2013
Series of 2012. PTR No. 0947792, 01/02/2012
IBP No. 837794, 01/02/2012
Roll of Attorney No. 40601
Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Armando O. Palermo, of legal age, Filipino, married and with residence and
postal address at Roosevelt Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am the resgitered owner of Christian Image. Said establishement is registered

with the Department of Trade and Industry with Certtificate of Business Name
Reg. No. 00471575;

2. I am transferring th ownership of the said establishment to Lorena G. Palermo

upon reasonable payment and considering that I could no longer personally
manage and operate the same;

3. I am requesting the DTI to transfer the ownership of Christian Image to Lorena G.

Palermo;

4. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 10 th day of

Janaury, 2012 at Dinlalupihan, Bataan.

Armando O. Palermo
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 10 th day of January, 2012 at

Dinalupihan, Bataan. Affiant exhibiting to me his Driver’s License No. C09-83-038040.
Doc. No. 52 ATTY. JUVY MELL B. SANCHEZ-MALIT
Page No. 11 Notary Public
Book No. I Commission Expires on 12/31/2013
Series of 2012. PTR No. 0947792, 01/02/2012
IBP No. 837794, 01/02/2012
Roll of Attorney No. 40601
Bataan

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Roseli M. Arellano, of legal age, Filipino, married and with residence and
postal address at San Simon Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am the mother of SHARON M. ARELLANO who was born on November

19, 1980 in Simlong, Batanga City;

2. Her father is Teodoro M. Arellano;

 3. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 14 th day of

February, 2012 at Dinalupihan, Bataan.

Roseli M. Arellano
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 14th day of February, 2012 at Dinaluiphan,
Bataan. Affiant exhibiting to me her Passport No. XX4720184.

Doc. No. ATTY. JUVY MELL B. SANCHEZ-MALIT

Page No. Notary Public
Book No. Commission Expires on 12/31/2013
Series of 2012. PTR No. 0947792, 01/02/2012
IBP No. 837794, 01/02/2012
Roll of Attorney No. 40601
Bataan

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Alberto P. Tuazon, of legal age, Filipino, widower and with residence and
postal address at Cabog Cabog Balanga Citym, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am one of the owners of the property covered by TCT No. __________

measuring 26,054 square meters;

2. The area mentioned and described in the said title is within the retention limit
of the Land Owner (L.O);

3. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13 th day of

February, 2012 at Dinalupihan, Bataan.

Alberto P. Tuazon
Affiant

Thumb mark:
Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 13th day of February, 2012 at Dinaluiphan,
Bataan. Affiant exhibiting to me his Driver’s License No. C02-82-020354.

Doc. No. 352 ATTY. JUVY MELL B. SANCHEZ-MALIT

Page No. 71 Notary Public
Book No. I Commission Expires on 12/31/2013
Series of 2012. PTR No. 0947792, 01/02/2012
IBP No. 837794, 01/02/2012
Roll of Attorney No. 40601
Bataan

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Ma. Cecilia E. Santos, of legal age, Filipino, and with residence and postal
address at Pentor Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

7. I am the mother of GRAYCEL SANTOS who was born on September 17,

1990 in San Marcelino, Zambales as evidenced by her Certificate of Live
Birth;

8. Her father is Gary Deming. We are not legally married;

9. He abandoned us in the year 1991 and since then we have not seen not
talked to him;

10. We are staying at my friend’s housee in Pentor Dinalupihan, Bataan;

11. My brother named Jun S. Eusebio is helping us by giving more or less P

3,000.00;

12. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.
 IN WITNESS WHEREOF, I have hereunto affixed my signature this 10 th day of
February, 2012 at Dinalupihan, Bataan.

Ma. Cecilia E. Santos

Affiant

Thumb mark:

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 10th day of February, 2012 at Dinaluiphan,
Bataan. Affiant exhibiting to me her VIN 1420-0128B-K1865MES20001-3.

Doc. No. ATTY. JUVY MELL B. SANCHEZ-MALIT

Page No. Notary Public
Book No. Commission Expires on 12/31/2013
Series of 2012. PTR No. 0947792, 01/02/2012
IBP No. 837794, 01/02/2012
Roll of Attorney No. 40601
Bataan

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Anita S. De Leon, of legal age, Filipino, married and with residence and postal
address at New San Jose Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

47. I owned a poultry located at New San Jose Dinalupihan, Bataan;

48. I earned income from the said poultry. Attached hereto is the Income and
Expenses for the year 2011 which I personally prepared;

49. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 10 th day of

February, 2012 at Dinalupihan, Bataan.

Anita S. De Leon
Affiant
 Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 10th day of February, 2012 at Dinaluiphan,
Bataan. Affiant exhibiting to me her SSS ID No. 02-3050425-3.

STATEMENT OF INCOME AND EXPENSES

Expenses

Chick Booster (10 sacks /P 1,580.00) P 15,800.00

Chick Starter (10 sacks/P 1,200) 12,000.00
Harvest Finisher (10 sacks/P 1,100.00) 11,000.00
Vetracin (12 kilo/ P 270.00) 3,240.00
__________

Total Expenses P 42,040.00

* Harvest = 200/ P 1,500.00 P 300.000.00

P 300,000.00 – Harvest
42,040.00 – Expenses
___________
P 257,960.00 – Total
=========
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Ownership

I, Felix L. Dungaya, of legal age, Filipino, and with residence and postal
address at San Pablo Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

34. I am the owner of one (1) unit chainsaw particularly described as follows:

Serial No. : 116473098

Model : MS070
Brand : STIHL

35. Chainsaw is being used for cutting/sawing trees planted within titled property with
approved cutting permit and for legal purposes only;

36. This affidavit is being executed for submission to the DENR Dinalupihan, Bataan
Office in my application for issuance of permit to use and license if needed;

37. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 8 th day of

February, 2012 at Dinlalupihan, Bataan.

Felix L. Dungaya
Affiant

Witness:

Arnaldo V. Sulangi
Dinaluiphan, Bataan

Subscribed and sworn to before me this 8 th day of February, 2012 at Dinalupihan,

Bataan, affiant exhibiting to me his ___________________________.

Doc. No. ATTY. JUVY MELL B. SANCHEZ-MALIT

Page No. Notary Public
Book No. Commission Expires on 12/31/2013
Series of 2012. PTR No. 0947792, 01/02/2012
IBP No. 837794, 01/02/2012
Roll of Attorney No. 40601
Bataan

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Angelica R. Magno, of legal age, Filipino, married and with residence and
postal address at San Ramon Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. We would be visitng USA to visit my father who is sick, to spend some quality
famiy time and possibly visit tourist places. My father is sponsoring this short
trip and I will be with my children namely: Leonila Mae R. Magno and Aaron
Neil R. Magno;
2. I am a teacher by profession presently teaching at San Pablo Elementary
School in Dinalupihan, Bataan;
3. I have my job to get back to;
4. My children Leonila Mae and Aaron Neil are both minors;
5. My children are studying in the Philippines;
6. My elderly mother is staying with me and I am taking care of her, reason why
I need to go back immediately;
7. I have properties to take care of and my husband is waiting for our comeback;
8. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 6 th day of

February, 2012 at Dinalupihan, Bataan.

Angelica R. Magno
Affiant

Thumb mark:
Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 6 th day of February, 2012 at Dinaluiphan,

Bataan. Affiant exhibiting to me her DepEd Id No. 4142174.

Doc. No. 301 ATTY. JUVY MELL B. SANCHEZ-MALIT

Page No. 61 Notary Public
Book No. I Commission Expires on 12/31/2013
Series of 2012. PTR No. 0947792, 01/02/2012
IBP No. 837794, 01/02/2012
Roll of Attorney No. 40601
Bataan
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Non-Acceptance

I, Jobelle B. Serrano, of legal age, Filipino, single and with residence and postal
address at No. 424 Purok 5 New San Jose Dinalupihan, Bataan, after having been
sworn to in accordance with law, hereby depose and state that:

31. I was born on December 12, 1987 in Dinalupihan, Bataan;

32. I have been a Philhealth Member since 2011 with Philhealth ID No. 07-
0506319097;

33. However to date I have not received my Philhealth ID;

34. I am requesting Philhealth to issue my ID;

6. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 25 th day of

January, 2012 at Dinalupihan, Bataan.

Jobelle B. Serrano
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 25 th day of January, 2012 at Dinalupihan,

Bataan, affiant exhibiting to me her ___________________________.

Doc. No. ATTY. JUVY MELL B. SANCHEZ-MALIT

Page No. Notary Public
Book No. Commission Expires on 12/31/2013
Series of 2012. PTR No. 0947792, 01/02/2012
IBP No. 837794, 01/02/2012
Roll of Attorney No. 40601
Bataan

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT OF CLOSURE

I, Abraham S. Capulong, of legal age, Filipino, single, and with residence and
postal address at Layac Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

1. I am the owner of Capulong Transport Gravel and Sand located at Layac

Dinalupiphan, Bataan and registered with Department of Trade and Industry
under Certificate No. 01594892;

2. In the said Certificate of Registration the name of establishment is Capulong

Transport Gravel and Sand, however in the Barangay License /Business
Permit it was registered as Capulong Transport and Construction Supply;

3. Capulong Transport Gravel and Sand and Capulong Transport and

Construction Supply are one and the same establishment and they belong to
me;

4. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signatures this 19 th day of

January, 2012 at Dinalupihan, Bataan.

Abraham S. Capulong
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 19 th day of January, 2012 at Dinaluiphan,

Bataan, affiant exhibiting to me his Passport No. XX4332194.

Doc. No. ATTY. JUVY MELL B. SANCHEZ-MALIT

Page No. Notary Public
Book No. Commission Expires on 12/31/2013
Series of 2012. PTR No. 0947792, 01/02/2012
IBP No. 837794, 01/02/2012
Roll of Attorney No. 40601
Bataan

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT OF CLOSURE

I, Maria Ellenor M. Muli, of legal age, Filipino, single, and with residence and
postal address at Purok 2 San Benito, Dinalupihan, Bataan, after having been sworn to
in accordance with law, hereby depose and state that:

1. I am the owner of Polynor Trading and General Business located at San

Benito, Dinalupihan, Bataan;

2. Said establishmet is registered with the Department of Trade and Industry

(DTI) since 2007;

3. I closed the said establishment in 2010 because it is no longer earning

income;

4. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signatures this 18 th day of

January, 2012 at Dinalupihan, Bataan.

Maria Ellenor M. Muli

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 18 th day of January, 2012 at Dinaluiphan,

Bataan, affiant exhibiting to me her Driver’s. License No. C02-98-060865.

Doc. No. ATTY. JUVY MELL B. SANCHEZ-MALIT

Page No. Notary Public
Book No. Commission Expires on 12/31/2013
Series of 2012. PTR No. 0947792, 01/02/2012
IBP No. 837794, 01/02/2012
Roll of Attorney No. 40601
Bataan
Doc. No. ATTY. JUVY MELL B. SANCHEZ-MALIT
Page No. Notary Public
Book No. Commission Expires on 12/31/2013
Series of 2012. PTR No. 0947792, 01/02/2012
IBP No. 837794, 01/02/2012
Roll of Attorney No. 40601
Bataan

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Lucylyn A. Reyes, of legal age, Filipino, and with residence and postal
address at Mabini Ext. Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

9. I have been working as Instructor with the Polytechnic University of the

Philippines in Mariveles, Bataan since June 2009;

10. I am not connected with any government agency in the Philippines apart from
PUP;

11. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13 th day of

January, 2012 at Dinalupihan, Bataan.

Lucylyn A. Reyes
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 13 th day of January, 2012 at Dinaluiphan,

Bataan. Affiant exhibiting to me her PRC ID No. 0506785.
Doc. No. 96 ATTY. JUVY MELL B. SANCHEZ-MALIT
Page No. 20 Notary Public
Book No. I Commission Expires on 12/31/2013
Series of 2012. PTR No. 0947792, 01/02/2012
IBP No. 837794, 01/02/2012
Roll of Attorney No. 40601
Bataan

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Marciano P. Dolores, of legal age, Filipino, and with residence and postal
address at Pinulot Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

7. I am a bonafide member of Social Security System with SSS No. 02-

0370069-9;

8. I have been working as driver only until June 1, 2012stopped being a self-
employed as a Driver on June 1, 2012;

9. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 21 st day of May,

2012 at Dinalupihan, Bataan.

Marciano P. Dolores
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 21st day of May, 2012 at Dinaluiphan,
Bataan. Affiant exhibiting to me his SSS Id No. 02-0370069-9.

Doc. No.
Page No.
Book No.
Series of 2012.
Republic of the Philippines )
Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Benjamin B. Paguio, of legal age, Filipino, married and with residence and
postal address at Sto. Niño dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

46. I owned a poultry and delicacies store in Sto. Niño Dinalupihan, Bataan;

47. Likewise, I have been a farmer and cultivate a farm land located in Sto. Niño
Dinalupihan, Bataan measuring 2 hectares, more or less;

48. Attached are my statements of income and expenses for the year 2011 which
I personally prepared;

49. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13 th day of

January, 2012 at Dinalupihan, Bataan.

Benjamin B. Paguio
Affiant

Thumb mark:

Witness:

Maricel Perillo
Dinalupihan, Bataan

Subscribed and sworn to before me this 13 th day of January, 2012 at Dinaluiphan,

Bataan. Affiant exhibiting to me his OSCA ID No. 2269573.
Doc. No. ATTY. JUVY MELL B. SANCHEZ-MALIT
Page No. Notary Public
Book No. Commission Expires on 12/31/2013
Series of 2012. PTR No. 0947792, 01/02/2012
IBP No. 837794, 01/02/2012
Roll of Attorney No. 40601
Bataan

STATEMENT OF INCOME AND EXPENSES

1st Crop

Expenses

* Patanim = 20 tao/P 1,500.00 kada tao P 45,000.00

* Fertilizer = 20 sacks/ P 750.00 per cavan 15,000.00
* Insecticide = 3 Bottle /P 800.00 4,500.00
* Diesel 5,000.00
____________
Total Expenses P 69,500.00

* Harvest = 200 cavans/ P 700 per cavan/tuyo palay P 175,000.00

P 175,000.00 – Earning 1st Crop

69,500.00 – Expenses
___________
P105,500.00 – Total Amount for earning in 1st crop

2nd Crop

Expenses

* Patanim = 20 tao/P 1,500.00 kada tao P 45,000.00

* Fertilizer = 20 sacks/ P 750.00 per cavan 15,000.00
* Insecticide = 3 Bottle /P 800.00 4,500.00
* Diesel 5,000.00
____________
Total Expenses P 69,500.00

* Harvest = 200 cavans/ P 700 per cavan/tuyo palay P 175,000.00

P 175,000.00 – Earning 1st Crop

69,500.00 – Expenses
___________
P 105,500.00 – Total Amount for earning in 1st crop

P 105,500.00 – 1st Crop

105,500.00 – 2nd Crop
__________

P 211,000.00 – Total Amount for earning in 1st and 2nd crop in one
year.

STATEMENT OF INCOME AND EXPENSES

Delicacies

Expenses

* Skim Milk P 20,000.00

* Milk 15,000.00
* Sugar 4,500.00
* Wrapper 3,000.00
* Cooking Oil 5,000.00
* Other ingredients 5,000.00
____________
Total Expenses P 52,500.00

* Income = P 500.00/day (For a year) P 182,500.00

P 182,500.00 – Earning in 1 year

52,500.00 – Expenses
___________
P130,000.00 – Total

Poultry

Income P 50,000.00
Expenses 20,000.00
___________
Total P 30,000.00
=========

Expenses

* Patanim = 13 tao/P 1500.00 kada tao P 1,950.00

* Fertilizer = 6 sacks/ P 750.00 per cavan 1,800.00
* Insecticide = 1 Bottle /P 800.00 800.00
* Diesel 500.00
____________
Total Expenses P 5,050.00

* Harvest = 90 cavans/ P 500 per cavan/tuyo palay P 45,000.00

P 45,000.00 – Earning 2nd Crop

5,050.00 – Expenses
___________
P 39,950.00 – Total Amount for earning in 1st crop

P 39,950.00 – 1st Crop

39,950.00 – 2nd Crop
___________
P79,900. 00 – Total Amount for earning in 1st and 2nd crop in one
year.

STATEMENT OF INCOME AND EXPENSES

Expenses

* Patanim = 13 tao/P 1500.00 kada tao P 1,950.00

* Fertilizer = 6 sacks/ P 750.00 per cavan 1,800.00
* Insecticide = 1 Bottle /P 800.00 800.00
* Diesel 500.00
____________
Total Expenses P 5,050.00

* Harvest = 90 cavans/ P 500 per cavan/tuyo palay P 45,000.00

P 45,000.00 – Earning 1st Crop

5,050.00 – Expenses
___________
P 39,950.00 – Total Amount for earning in 1st crop

2nd Crop

Expenses

* Patanim = 13 tao/P 1500.00 kada tao P 1,950.00

* Fertilizer = 6 sacks/ P 750.00 per cavan 1,800.00
* Insecticide = 1 Bottle /P 800.00 800.00
* Diesel 500.00
____________
Total Expenses P 5,050.00

* Harvest = 90 cavans/ P 500 per cavan/tuyo palay P 45,000.00

P 45,000.00 – Earning 2nd Crop

5,050.00 – Expenses
___________
P 39,950.00 – Total Amount for earning in 1st crop
 P 39,950.00 – 1st Crop
39,950.00 – 2nd Crop
___________
P79,900. 00 – Total Amount for earning in 1st and 2nd crop in one
year.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Armando O. Palermo, of legal age, Filipino, married and with residence and
postal address at Roosevelt Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

5. I am the resgitered owner of Christian Image. Said establishement is registered

with the Department of Trade and Industry with Certtificate of Business Name
Reg. No. 00471575;

6. I am transferring th ownership of the said establishment to Lorena G. Palermo

upon reasonable payment and considering that I could no longer personally
manage and operate the same;

7. I am requesting the DTI to transfer the ownership of Christian Image to Lorena G.

Palermo;

8. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 10 th day of

Janaury, 2012 at Dinlalupihan, Bataan.

Armando O. Palermo
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 10 th day of January, 2012 at

Dinalupihan, Bataan. Affiant exhibiting to me his Driver’s License No. C09-83-038040.

Doc. No. 52 ATTY. JUVY MELL B. SANCHEZ-MALIT

Page No. 11 Notary Public
Book No. I Commission Expires on 12/31/2013
Series of 2012. PTR No. 0947792, 01/02/2012
IBP No. 837794, 01/02/2012
Roll of Attorney No. 40601
Bataan
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Closure

I, Abraham S. Cauplong, of legal age, Filipino, and with residence and postal
address at Layac Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

26. I am the son of Jose [Link] who died on October 28, 2011 in Angeles City;

27. He is the registered owner of CAPULONG TRANSPORT & CONSTRUCTION

SUPPLY located at Layac Dinalupihan, Bataan registered with the Department
of Trade and Industry;

28. Said business was closed effectively upon my father’s death on October 28,
2011;

29. In view of the above, I am requesting that the registration with the Department of
Trade and Industry, Bureau of Internal Revenue and Office of Municipality of
Dinalupihan be cancelled or revoked;

30. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 9 th day of

Janaury, 2012 at Dinlalupihan, Bataan.

Abraham S. Capulong
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 9th day of January, 2012 at Dinalupihan,
Bataan. Affiant exhibiting to me his Postal ID No. 7063165.

Doc. No. ATTY. JUVY MELL B. SANCHEZ-MALIT

Page No. Notary Public
Book No. Commission Expires on 12/31/2013
Series of 2012. PTR No. 0947792, 01/02/2012
IBP No. 837794, 01/02/2012
Roll of Attorney No. 40601
Bataan
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Non-Acceptance

I, Gina B. Pamintuan, of legal age, Filipino, and with residence and postal
address at Culis Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

35. I was born on September 17, 1976 in Dinalupihan, Bataan;

36. I have been a Philhealth Member since 2010;

37. However to date I have not received my Philhealth ID;

38. I am requesting Philhealth to issue my ID;

6. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 6 th day of

January, 2012 at Dinalupihan, Bataan.

Gina B. Pamintuan
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 6 th day of January, 2012 at Dinalupihan,

Bataan, affiant exhibiting to me her Postal ID No. 7884696.

Doc. No. ATTY. JUVY MELL B. SANCHEZ-MALIT

Page No. Notary Public
Book No. Commission Expires on 12/31/2013
Series of 2012. PTR No. 0947792, 01/02/2012
IBP No. 837794, 01/02/2012
Roll of Attorney No. 40601
Bataan
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Undertaking

I, Carlito C. Dela Pena, , of legal age, Filipino, and with residence and postal
address at Luacan, Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

1. I am married to Salome Estrada. We have three (3) children, namely: Carol who
was born on April 25, 1979; Chat who was born on August 25, 1981 and Champ
who was born on October 8, 1986;

2. We have been separated since 1988 and we will no longer reconcile considering
that we already have our separate lives;

3. We agree to donate our conjugal house/dwelling located in Luacan, Dinalupihan,

Bataan to our youngest son Champ;

4. I promise to let my children to Salome that they can stay in the said house;

5. I undertake not to let any other person to stay therein particularly my other
children who are not mentioned herein;

6. I undertale to dispose all the properties acquired by me and my second family;

7. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 29 th day of

December, 2011 at Dinalupihan, Bataan.

Carlito C. Dela Pena

Affiant

Thumb mark:

Witness:

Carlito O. Pagulayan James Q. Soriano

573 P-33 Luacan, Din.,, BataanNo 408 P-3 Luacan, Din., Bataan

Subscribed and sworn to before me this 29th day of December, 2011 at Dinalupihan,
Bataan. Affiant exhibited to me his Driving License No. DELAP511147CC9CL

Doc. No.
Page No.
Book No.
Series of 2011.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )
AFFIDAVIT

I, Nadeem Sial, of legal age, Pakistani, and with residence and postal address at
#11 Macaraeg St., Barrio Barretto, OlongapO City, after having been sworn to in
accordance with law, hereby depose and state that:

120. I was born on June 21, 1982;

121. As a Pakistani I have a Residence Alien Certificate of Registration No.
CRPE0000106217;
122. I also work at Mateen Tokyo International Inc. in Subic, Zambales as a
Finance Manager;
123. My cousins named Shahzad Akram and Raja Israr Ahmed, respectively
are intending to come the Philippines as tourists;

Shahzad Akram Raja Israr Ahmed

Passport No. AG1322222 Passport No. XF4106401
Date of Birth: July 14, 1987 Date of Birth: January 1,
1984

124. They will be staying with me here in the Philippines for one (1) or two (2)
months;
125. They will stay with me during their visit;
126. I hereby undertake to give all the necessary support and assistance to the
aforementioned while in the Philippines;
127. I, likewise guarantee that they are peaceful citizens and that their purpose
in coming to the Philippines is purely recreation and business on the side;
128. I declare these facts under threat of perjury;
129. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed my signature this 29 th day of

December, 2011 at Dinalupihan, Bataan.

Nadeem Sial
Affiant

Thumb mark:

Witness:

Rizwan Akhtar
Dinalupihan, Bataan

Subscribed and sworn to before me this 29th day of December, 2011 at

Dinalupihan, Bataan, affiant exhibiting to me his DOLE Permit No. RO3-2010-08-1267
and BOI ID No. F0000142004.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit
We, Kota M. Anonas and Eleniece Vi Z. Tagudtud, both of legal age, Filipino,
and with residence and postal address at 197 San Benito Dinalupihan, Bataan, after
having been sworn to in accordance with law, hereby depose and state that:

1. We have come to an agreement that our marriage be solemnized by Pastor Joel

Quicho at Didis Resort in Magsaysay Dinalupihan, Bataan on December 30,
2011;

2. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 27 th day of

December, 2011 at Dinalupihan, Bataan.

Kota M. Anonas Eleniece Vi Z. Tagudtud

Affiant Affiant
Passport No. XX4216469 Postal ID No. 0513879

Thumb mark: Thumb mark:

Conforme:

Rev. Ptr. Joel L. Quicho

Subscribed and sworn to before me this 27th day of December, 2011 at Dinalupihan,
Bataan.

Doc. No. 101

Page No. 21
Book No. XVII
Series of 2011.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Cancellation
I, Alfie S. Alunday, of legal age, Filipino, single and with residence and postal
address at San Ramon Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

3. I am the registered owner of San Ramon Cycle Parts registered with the
Department of Trade and Industry under Certificate No. 00974048;

4. I am requesting that said registration be cancelled considering that I could no

longer operate and manage the same;

5. I hereby transfer said business to my father Ernesto N. Alunday;

6. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 15 th day of

March, 2011 at Dinalupihan, Bataan.

Alfie S. Alunday
Affiant

Thumb mark:

Witness:

Kristine Alunday
Dinalupihan, Bataan

Subscribed and sworn to before me this 15 th day of March, 2011 at Dinalupihan,

Bataan. Affiant exhibiting to me his ______________________________.

Doc. No. 412

Page No. 83
Book No. XI
Series of 2011.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit
I, Moneth M. Malit, of legal age, Filipino, and with residence and postal address
at Sta. Maria Lubao, Pampanga, after having been sworn to in accordance with law,
hereby depose and state that:

7. I am the owner of properties located at Sta. Maria Lubao, Pampanga covered by

Transfer Certificate of Title Nos. T-705911-R and T-705912-R;
8. I mortgaged the property covered by TCT No. T-705911-R to Lucila T. Pungyan
in the amount of P 200,000.00 on November 23, 2011 and gave the original of
the said titile to her;
9. When she was about to cause the annotation of the mortgage, she was informed
by the Registry of Deeds of Pampanga that said title, including title no. T-705912-
R were spurious/fake;
10. I have no idea that the same were fake;
11. I was advised by Registry of Deeds of Pampanga to file petition for loss title
immediately;
12. I undertake to surrender TCT No. 705911-R to Mrs. Pungyan as soon as I have it
and undertake not to mortgaged or not to sell the property covered by the same
title to anyone;
13. Should I fail to do the above, I undertake to return the amount of P 200,000.00
and all the 8% monthly interest accruing therein from November 23, 2011;
14. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 19 th day of

December, 2011 at Dinalupihan, Bataan.

Moneth M. Malit
Affiant

Thumb mark:

Witness:

Erwin M. Dale
Lubao, Pampanga

Subscribed and sworn to before me this 19th day of December, 2011 at Dinalupihan,
Bataan. Affiant exhibiting to me her Postal ID No. 3952154

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit
 I, Moneth M. Malit, of legal age, Filipino, and with residence and postal address
at Sta. Maria Lubao, Pampanga, after having been sworn to in accordance with law,
hereby depose and state that:

24. I am the owner of properties located at Sta. Maria Lubao, Pampanga covered by
Transfer Certificate of Title Nos. T-705911-R and T-705912-R;
25. I mortgaged the property covered by TCT No. T-705911-R to Lucila T. Pungyan
in the amount of P 200,000.00 on November 23, 2011 and gave the original of
the said titile to her;
26. When she was about to cause the annotation of the mortgage, she was informed
by the Registry of Deeds of Pampanga that said title, including title no. T-705912-
R were spurious/fake;
27. I have no idea that the same were fake;
28. I was advised by Registry of Deeds of Pampanga to file petition for loss title
immediately;
29. I undertake to surrender TCT No. 705911-R to Mrs. Pungyan as soon as I have it
and undertake not to mortgaged or not to sell the property covered by the same
title to anyone;
30. Should I fail to do the above, I undertake to return the amount of P 200,000.00
and all the 8% monthly interest accruing therein from November 23, 2011;
31. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 19 th day of

December, 2011 at Dinalupihan, Bataan.

Moneth M. Malit
Affiant

Thumb mark:

Witness:

Erwin M. Dale
Lubao, Pampanga

Subscribed and sworn to before me this 19th day of December, 2011 at Dinalupihan,
Bataan. Affiant exhibiting to me her Postal ID No. 3952154

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Cancellation
I, Andrey A. Muñoz, of legal age, Filipino, and with residence and postal
address at Magsaysay, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

32. I am one of the buyers on a property purchased from Romeo S. Magno located
at Magsaysay Dinalupihan, Bataan covered by Transfer Certificate of Title No.
CLOA-4824 as evidenced by Deed of Absolute Sale of Real Property notarized
by Atty. Juvy Mell B. Sanchez-Malit entered into her Notarial Reg. Book as Doc.
No. 408; Page No. 82; Book No. XIV; Series of 2011. The other buyer is Maria
Theresa G. Dehito;
 33. Considering that my share in the said property has not been paid by me, and it
was Maria Theresa G. Dehito who fully paid the same. I hereby conform to the
erasure of my name in the said document, as in fact I have intialled the same on
December 16, 2011;

34. I hereby free to Notary Public whatever liability or damages that may arise as a
result of the above;

35. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 16 th day of

December, 2011 at Dinalupihan, Bataan.

Andrey A. Muñoz
Affiant

Thumb mark:

Witness:

Maria Theresa G. Dehito

Dinalupihan, Bataan

Subscribed and sworn to before me this 16th day of December, 2011 at Dinalupihan,
Bataan. Affiant exhibiting to me his ______________________________.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Cancellation
I, Amor O. Izon, of legal age, Filipino, and with residence and postal address at
San Ramon Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

5. I am the the owner of a motor vehicle described as follows:

Make : Honda
Body Type : Sedan
Chassis No. : PAD3A15301V406578
Engine No. : P2RD1-1406599
Plate No. : XGY956

6. I purchased the said motor vehicle from Century Canning Corporation owned by
Oscar A. Pobre;

7. I am requesting to cancel the Deed of Sale of Motor Vehicle with Doc No. 127;
Book No. XIV; Page No. 26; Seirs of 2011 notarized by Atty. Juvy Mell B.
Sanchez-Malit;
 8. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 14 th day of

December, 2011 at Dinalupihan, Bataan.

Amor O. Izon
Affiant

Thumb mark:

Witness:

Maria Teresa G. Miranda

Dinalupihan, Bataan

Subscribed and sworn to before me this 14th day of December, 2011 at Dinalupihan,
Bataan. Affiant exhibiting to me her ______________________________.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT OF NO OBJECTION

I, HARRY VAN ES, of legal age, Filipino, married and with residence and postal
address at 12 Lourdes , Lubao, Pampanga, after having been sworn to in accordance
with law, hereby depose and state that:

50. I am the father of MARILINE CHRISTELLE VAN ES who was born on

December 5, 1999 in Jeddah, Saudi Arabia;

51. Her mother is Marlyn Van Es;

52. I am a retired Elementary School Principal receiving monthly pension as a

government retiree;

53. My husband and I owned real properties in the Philippines;

 54. I undertake to return to the Philippines on or before the expiration of the visa
to be granted in my favor considering that I will not be with my husband
who will stay in the Philippines and we have properties in the Philippines;

55. I will strictly abide by the terms and conditions of my visa;

56. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 14 th day of

December, 2011 at Dinalupihan, Bataan.

HARRY VAN ES
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 14 th day of December, 2011 at Dinaluiphan,

Bataan. Affiant exhibiting to me his ___________________________.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan ) S.s.
Province of Bataan )

Affidavit To Use Maiden Name

I, Adoracion Q. Baquiran, of legal age, Filipino, and with residence and postal
address at Colo Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

254. I was born on February 25, 1976 in Dinalupihan, Bataan;

255. I am married to Ely Petisme as evidenced by our Certificate of Marriage;

256. Ely and I did not cohabit;

 257. Recently, I found out that our Marriage Certificate is not registered with the
National statistics Office (NSO) as evidenced by the Negative Certificate dated
October 15, 2010, a copy of which is hereto attached and made an integral part
hereof;

258. Considering the above, I intend to use my maiden name. Thus, request
the DFA to allow me to use my maiden name in my next passport;

259. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 14 th day of

December, 2011 at Dinalupihan, Bataan.

Adoracion Q. Baquiran
Affiant

Thumb mark:

Witness:

Violeta Q. Baquiran
Dinalupihan, Bataan

Subscribed and sworn to before me this 14th day of December, 2011 at Dinalupihan,
[Link] exhibited to me her Passport mentioned above.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Justification of Surety

I, Roberto P. Nacu, of legal age, Filipino, widower and with residence and postal
address at Saguing Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:
 6. I am a resident/householder and freeholder in Saguing Dinalupihan, Bataan;

7. That the amount specified in the foregoing Bail Bond is over and above all just
debts, obligations and property exempt from execution;

8. The entire sum justified to by me is equivalent to the whole amount of bail

demanded;

9. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ___ day of

December, 2011 at Dinalupihan, Bataan.

Roberto P. Nacu
Bondsman

Thumb mark:

Subscribed and sworn to before me this ____ day of December, 2011 at

Dinalupihan, Bataan.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

JOINT AFFIDAVIT

We, Llewllyn H. Baza and Shiela M. Cruz, both of legal age, Filipino, married &
single and with residence and postal address at Roosevelt Park Village, San Pablo
Dinalupihan, Bataan and New San Jose Dinalupihan, Bataan and employed as Branch
Manager and Registered Pharmacist, respectively, by Mercury Drug Dinalupihan
Public Market Branch after having duly sworn in accordance with the law, do hereby
depose and say:

That, Central Luzon Drug Corporation is an applicant for a PDEA License to

handle dangerous drugs, dangerous drug preparation/s, Table I Controlled Chemical/s
used in the manufacture of drug preparation/s and or their drug preparation/s with prior
approval from the Philippine Drug Enforcement Agency;
That the following are the controlled drug/s being handled by our
company/establishment;

Name of Controlled Drug/s Purpose of Handling

Phenobarbital 90, 60, 30 & 15 mg. Retailing Purposes

Xanor 0.5 mg & .25 mg Retailing Purposes
Rivotril Retailing Purposes
Valium 5mg Retailing Purposes
Stilnox 10 mg tablet Retailing Purposes

That we in behalf of the company & virtue of this Affidavit hereby bind ourselves
of all the provisions of Republic Act 9165 otherwise known as the “Comprehensive
dangerous Drugs Act of 2002”, and other implementing rules and regulations shall be
faithfully complied with;

That we are executing this affidavit to attest the truth of the foregoing facts, for
whatever legal intent and purpose may it may serve.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 8 th day of

December, 2011 at Dinalupihan, Bataan, Philippines.

Llwellyn H. Baza Shiela M. Cruz

Affiant Affiant
Branch Manager Registered Pharmacist

Subscribed and sworn to before me this 8 th day of December, 2011 at

Dinalupihan, Bataan.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Surviving Legal Heirs

We, Shirley G. Gaw and Shierlene G. Gaw, both of legal age, and with residence
and postal address at #047 Centro I, Culis Hermosa, Bataan, after having been sworn
to in accordance with law, hereby depose and state that:
 10. We are the legal surviving heirs of Reynaldo G. Gaw who died on November 21,
2008 in Manila as evidenced by the Certificate of Death;

11. I, affiant Shirley G. Gaw, is his wife having joined the matrimony on January 27,
1991 in Callocan City as evidenced by our Certificate of Marriage;

12. I, affiant Shierlene G. Gaw, is his daughter. His other children are as follows:
Jennylyn, who was born on February 10, 1994 and Rheynell, who was born on
June 20, 1998;

13. During his lifetime, he was a government employee of the Office of the Vice
Mayor, Caloocan City Hall, Caloocan City;

14. As surviving legal heirs we are entitiled to all the benefits of deceased Reynaldo
from the GSIS;

15. I , affiant Shirley G. Gaw, hereby attest that ever since our union as husband
and wife, I did not cohabit nor relationship with any other man until the time of his
death;

16. We are executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 5 th day of

December, 2011 at Dinalupihan, Bataan.

Shirley G. Gaw Shierlene G. Gaw

Affiant Affiant
Postal ID No. 7370613 Postal ID No. 1270458

Subscribed and sworn to before me this 5 th day of December, 2011 at

Dinalupihan, Bataan.

Doc. No. 262

Page No. 53
Book No. XVI
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT OFLEGAL/CERTIFIED GUARDIAN

OF MINOR DEPENDENT CHILD

I, Shirley G. Gaw, of legal age,Filipino and with residence and postal address at
#047 Centro I, Culis Hermosa, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

I am the mother (state relationship with child, i.e. father/mother, etc.) and legal
guardian of Shierlene G. Gaw, Jennylyn G. Gaw and Rheynell G. Gaw (name of
child), a child of the late Reynaldo G. Gaw, who was a GSIS member/retiree; who died
on November 21, 2008 at Phil. General Hospital;

I hereby declare that the above-named children is the youngest (or second
youngest/third, youngest, etc.) of the deceased; that he/she is not more than 18 years of
age.
 I am fully aware that if the said children are granted survivorship benefit by the
GSIS, their entitlement thereto will automatically and permanently terminate the moment
they are over eighteen. Consequently, I hereby unconditionally make myself personally
and solidarily liable with the children for whatever survivorship benefit the latter may still
unduly receive from the GSIS after their entitlement thereto are terminated as stated
above.

I am executing this affidavit to attest to the truth of the foregoing statements in

support of the application for survivorship benefit of the said Shierlene G. Gaw,
Jennylyn G. Gaw and Rheynell G. Gaw (name of child) under Republic Act No. 8291
and for what other legal purposes it may serve. I fully understand that any inaccurate
and untruthful statement in this affidavit shall render me criminally and civilly liable.

Shirley G. Gaw
Affiant

Subscribed and sworn to before me this 5 th day of December, 2011 at

Dinalupihan, Bataan.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Roselie M. Arellano, of legal age, Filipino, married and with residence and
postal address at San Simon Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

57. I am the mother of SHARON MENDOZA ARELLANO who was born on

November 19, 1982 in Batangas City;

58. Her father is Teodoro Arellano;

59. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.
 IN WITNESS WHEREOF, I have hereunto affixed my signature this 7 th day of
December, 2011 at Dinalupihan, Bataan.

Roselie M. Arellano
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 7th day of December, 2011 at Dinaluiphan,
Bataan. Affiant exhibiting to me her __________________________.

Doc. No.
Page No.
Book No.
Series of 2011.

STATEMENT OF INCOME AND EXPENSES

1st Crop

Expenses

* Patanim = 13 tao/P 1500.00 kada tao P 1,950.00

* Fertilizer = 6 sacks/ P 750.00 per cavan 1,800.00
* Insecticide = 1 Bottle /P 800.00 800.00
* Diesel 500.00
____________
Total Expenses P 5,050.00

* Harvest = 90 cavans/ P 500 per cavan/tuyo palay P 45,000.00

P 45,000.00 – Earning 1st Crop

5,050.00 – Expenses
 ___________
P 39,950.00 – Total Amount for earning in 1st crop

2nd Crop

Expenses

* Patanim = 13 tao/P 1500.00 kada tao P 1,950.00

* Fertilizer = 6 sacks/ P 750.00 per cavan 1,800.00
* Insecticide = 1 Bottle /P 800.00 800.00
* Diesel 500.00
____________
Total Expenses P 5,050.00

* Harvest = 90 cavans/ P 500 per cavan/tuyo palay P 45,000.00

P 45,000.00 – Earning 2nd Crop

5,050.00 – Expenses
___________
P 39,950.00 – Total Amount for earning in 1st crop

P 39,950.00 – 1st Crop

39,950.00 – 2nd Crop
___________
P79,900. 00 – Total Amount for earning in 1st and 2nd crop in one
year.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Romeo C. Calhoun, of legal age, married, and with residence and postal address
at Sto. Niño, Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

1. I am the grandfather of Charibel C. Dela Peña and Justin Scott C. Dela

Peña who were born on December 9, 1999 and March 16, 2001 in
Dinalupihan, Bataan, respectively, as evidenced by their Certificates of Live
Birth;

2. Their mother is Jannet B. Calhoun. Jannet is my daughter;

 3. Said children have been in my custody because the whereabouts of their
mother is unknown to all of us since 2003;

4. I am acting as their guardian up to the present considering that their mother

abandoned them for a long time now;

5. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

In witness whereof, I have hereunto affixed my signature this 22 nd day of

November, 2011 at Dinalupihan, Bataan.

Romeo C. Calhoun
Affiant

Thumb mark:

Witness:

Carol D. Viray
Dinalupihan, Bataan

Subscribed and sworn to before me this 22nd day of November, 2011 at

Dinalupihan Bataan, affiant exhibited to me his __________________________.

Doc. No.
Page No.
Book No.
Series of 2011.

80. I am the sister of Susan Ignacio Hicom who died on May 1, 2009 in Dinalupihan,
Bataan;

81. During her lifetime, she was using the surname of her common law husband
named Rosito Hicom. They did not legalize their marriage until they separated in
the year 2006;

82. They cohabited for a long time and thereafter she was abandoned by Rosito in
the year 2006;

83. Since then, Rosito’s whereabouts were unknown to all of us;

84. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of May,

2009 at Dinlalupihan, Bataan.

Christina I. Obispo
Affiant

The above statements are hereto attested and witnessed by the following barangay
officials:
Milagros D. Mallari Elisa C. Recibe
Kabaka Coordinator Purok Chairman 1-B
New San Jose, Dinalupihan, Bataan New San Jose, Dinalupihan, Bataan

Subscribed and sworn to before me this 5 th day of May, 2009 at Dinalupihan,

Bataan, affiant exhibited to me her CTC No. CC12008 15163793 issued on May 4, 2009
at Dinalupihan, Bataan.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Joint Affidavit of Two (2)

Disinterested Persons

We, Ria R. Santos and Daisy N. Layug, both of legal age, and with residence
and postal address at General Luna St., Dinalupihan, Bataan and San Ramon
Dinalupihan, Bataan, respectively, after having been duly sworn to in accordance with
law, hereby depose and state that:

1. We personally know RUBIE FAITH F. TAGUINES. She is married to Teddy

Taguines on March 8, 2003 in Dinalupihan, Bataan as evidenced by their
Certificate of Marriage;
2. They were blessed with two (2) children, namely: Marcela Pauline F.
Taguines, who was born on September 13, 2004 in San Fernando,
Pampanga and Ernest Seam F. Taguines who was born on September 20,
2011 in San Fernando, Pampanga, respectively,as evidenced by their
Certificates of Live Birth;
3. In 2003, She got a miscarriage. Thereafter in 2004, she gave birth to Marcela
Pauline and thereafter in 2011, she gave birth to Ernest Seam;
4. In the aforesaid Certificate of Live Birth of Ernest Seam, his Birth Order was
entered and recorded as SECOND instead of THIRD, the true and correct
one following the dates when I gave birth:

1st Miscarriage September 8, 2003

2nd Marcela Pauline September 13, 2004;
3rd Ernest Seam September 20, 2011

5. The above discrepancy was committed without their fault and intention to
mislead the public;
6. We know the foregoing because we are the closed friends of the Rubie Faith
and we have known her for a long time now;
7. We are not in anyway related with her, either by consanguinity or by affinity;
8. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose it may serve best;

In witness whereof, we have hereunto affixed our hands this 21 st day of

November, 2011 at Dinalupihan, Bataan.

Ria R. Santos Daisy N. Layug

Affiant Affiant
TIN 918-373-550-000 SSS ID No. 02-2062266-6

Subscribed and sworn to before me this 21st day of November, 2011 at

Dinalupihan, Bataan.

Doc. No.
Page No.
Book No.
Series of 2011.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Employment

I, Eliseo S. Ibera, of legal age, Filipino, married and with residence and postal
address at 26 Balite St., Gordon Heights Olongapo City, after having been sworn to in
accordance with law, hereby depose and state that:

hhhh. I used to be employed with Subic Bay Fuels holding the

position of Aircraft Refueling Operator in the year of 1994;

iiii. I stopped working in the year 2004 and I was not able to get a
Certificate of Employment because said company is no longer
operating;

jjjj. I am executing this affidavit to attest to the truth of the foregoing

and for the whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 17 th day of

November, 2011 at Dinlalupihan, Bataan.

Eliseo S. Ibera
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 17th day of November, 2011 at

Dinalupihan, Bataan, affiant exhibited to me his SSS ID No. 01-0134570-3.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)
 AFFIDAVIT

I, Almario M. Danan, of legal age, Filipino, married and with residence and
postal address at Bodega Floridablanca, Pampanga, after having been sworn to in
accordance with law, hereby depose and state that:

60. I have been a farmer since 1975;

61. I cultivate a farm land located in Bodega Floridablanca, Pampanga measruing

25,250 square meters;

62. Attaached is my statement of income and expense for the year 2010 which
personally prepared;

63. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 14 th day of

November, 2011 at Dinalupihan, Bataan.

Almario M. Danan
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 14 th day of November, 2011 at Dinaluiphan,

Bataan. Affiant exhibiting to me his DILG ID No. 035406005-01(8).

STATEMENT OF INCOME AND EXPENSES

1st Crop

Expenses
* Patanim = 17 tao/P 250.00 kada tao P 4,250.00
* Fertilizer = 20 sacks/ P 750.00 per cavan 15,000.00
* Insecticide = 3 Bottles /P 800.00 2,400.00
* Diesel 7,500.00
____________
Total Expenses P 29,150.00

* Harvest = 150 cavans/ P 800 per cavan/tuyo palay P 120,000.00

P 120,000.00 – Earning 1st Crop

29,150.00 – Expenses
___________
P 90,850.00 – Total Amount for earning in 1st crop

2nd Crop

Expenses

* Patanim = 17 tao/P 250.00 kada tao P 4,250.00

* Fertilizer = 20 sacks/ P 750.00 per cavan 15,000.00
* Insecticide = 3 Bottles /P 800.00 2,400.00
* Diesel 7,500.00
____________
Total Expenses P 29,150.00

* Harvest = 150 cavans/ P 800 per cavan/tuyo palay P 120,000.00

P 120,000.00 – Earning 2nd Crop

29,150.00 – Expenses
___________
P 90,850.00 – Total Amount for earning in 2nd crop

P 90,850.00 – 1st Crop

90,850.00 – 2nd Crop
___________
P 181,700. 00 – Total Amount for earning in 1st and 2nd crop in one
year.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Non-Acceptance

I, Jimmy C. Dahan, of legal age, single, Filipino, and with residence and postal
address at San Ramon Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

39. I was born on September 29, 1981 in Tagbilaran City from parents Spouses
Eduardo Dahan and Andresa Clamucha;

40. I have been a Philhealth Member since 2006;

 41. However to date I have not received my Philhealth ID;

42. I am requesting Philhealth to issue my ID;

6. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 11 th day of

November, 2011 at Dinalupihan, Bataan.

Jimmy C. Dahan
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 11th day of November, 2011 at Dinalupihan,
Bataan, affiant exhibiting to me his Passport No. XX1250253.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Conrado G. Tayag Jr., of legal age, Filipino, married and with residence and
postal address at No. 16 Zone 1 Bodega Floridablanca, Pampanga, after having been
sworn to in accordance with law, hereby depose and state that:

kkkk. I was previously working as a Factory Worker with R & A

Printing 491-1 Kwang Sukri Kwang Jeok, Myeon Yang Jusi in
South Korea from July 16, 2007 to June 17, 2011 with Alien
Card No. 780710-5141896;

llll. I am executing this affidavit to attest to the truth of the foregoing

and for the whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 9 th day of

November, 2011 at Dinlalupihan, Bataan.
 Conrado G. Tayag Jr.
Affiant

Thumb mark:

Witness:

Mary Grace Tayag

Floridablanca, Pampanga

Subscribed and sworn to before me this 9 th day of November, 2011 at

Dinalupihan, Bataan, affiant exhibited to me his Postal ID No. 1093796.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Disability

I, Magdalena Y. Villegas, of legal age, Filipino, and with residence and postal
address at Baruiya, Lubao, Pampanga, after having been sworn to in accordance with
law, hereby depose and state that:

8. I was born on May 3, 1933 in Lubao, Pampanga;

9. I am now 78 years old;

10. By reason of my advanced age. I could no longer write and read and suffered
illnesses due to my old age and that I could no longer sign my signature and
instead affix my thumb mark in my documents;

11. The notary public read and explained to me the contents of this affidavit before
affixing my thumb mark;
 12. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 8 th day of

November, 2011 at Dinalupihan, Bataan.

Magdalena Y. Villegas
Affiant

Witness:

Julieta V. Lintag
Lubao, Pampnga

Subscribed and sworn to before me this 8 th day of November, 2011 at Dinalupihan,

Bataan. Affiant exhibited to me her OSCA ID No. 0008002.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Unemployment

I, Marivic C. Pineda, of legal age, married, and with residence and postal
address at 115 Luacan Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

5. I was born on September 13, 1959 in Solana Cagayan from parents Spouses
Guillerma T. Carag and Luis Z. Carag;

6. I have not been employed since 1989;

7. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 26 th day of

October, 2011 at Dinlalupihan, Bataan.
 Marivic C. Pineda
Affiant

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 26 th day of October, 2011 at Dinalupihan,

Bataan, affiant exhibiting to me her _____________________________.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Mylyn Simon Arguelles, of legal age, married, Filipino, and with residence
and postal address at Bodega Floridablanca, Pampanga, after having been sworn to in
accordance with law, hereby depose and state that:

64. I am the sister of Benjo Simon. He is presently in Taiwan, R.O.C.;

65. Before he left, he pawned his bracelet (9.6 grams/LKX) with Lovely Kahael’s
Pawnshop under pawn ticket no. 3220;

66. He gave the original pawn ticket and told me to redeem the same, hence this
affidavit;

67. I hereby set Lovely Kahael’s Pawnshop free from whatever liability or damage
by reason of redemption;
 68. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 25 th day of

October, 2011 at Dinalupihan, Bataan.

Mylyn S. Arguelles
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 25 th day of October, 2011 at Dinaluiphan,

Bataan. Affiant exhibiting to me her ____________________________.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Non-Acceptance

I, Edwin C. Diwa, of legal age, married, Filipino, and with residence and postal
address at San Ramon Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

43. I was born on February 6, 1979 in Dinalupihan, Bataan from parents

Spouses Alfonso Diwa and Angelita Dela Cruz;

44. I have been a Philhealth Member since 2010;

45. However to date I have not received my Philhealth ID;

 46. I am requesting Philhealth to issue my ID;

6. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 24 th day of

October, 2011 at Dinalupihan, Bataan.

Edwin C. Diwa
Affiant

Thumb mark:

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 24 th day of October, 2011 at Dinalupihan,

Bataan, affiant exhibiting to me his Passport No. TT0458436.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Jasvir Singh, of legal age, single, Indian National, and with residence and
postal address at Pilar, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

69. I have been in the Philippines since;

 70. I cultivate a farm land located in Tucop, Dinalupihan Bataan measruing 1.6
hectares more or less;

71. Attaached is my statement of income and expense for the year 2010 which I
personally prepared;

72. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 10 th day of

October, 2011 at Dinalupihan, Bataan.

Jasvir Singh
Affiant

Thumb mark:

Witness:

Flerida M. Tala
Tucop, Dinalupihan, Bataan

Subscribed and sworn to before me this 10 th day of October, 2011 at Dinaluiphan,

Bataan. Affiant exhibiting to me his Drivers License No. C02-10-003996.

STATEMENT OF INCOME AND EXPENSES

1st Crop

Expenses
* Patanim = 24 tao/P 240.00 kada tao P 5,760.00
* Fertilizer = 14 sacks/ P 1,280.00 per cavan 17,920.00
* Isecticide 1,000.00
* Diesel 8,200.00
____________
Total Expenses P 32,880.00
* Harvest = 175 cavan/ P 850 per cavan/tuyo palay P148,750.00

P 148,750.00 – Earning 1st Crop

32,880.00– Expenses
___________
P115,870.00 – Total Amount for earning in 1st crop

2nd Crop
 Expenses
* Patanim = 24 tao/P 240.00 kada tao P 5,760.00
* Fertilizer = 14 sacks/ P 1,280.00 per cavan 17,920.00
* Isecticide 1,000.00
* Diesel 8,200.00
____________
Total Expenses P 32,880.00
* Harvest = 185 cavan/ P 850 per cavan/tuyo palay P157,250.00

P 157,250.00 – Earning 2nd Crop

32,880.00 – Expenses
___________
P124,370.00 – Total Amount for earning in 2nd crop

P 115,870.00 – 1st Crop

124,370.00 – 2nd Crop
___________
P240,240.00 – Total Amount for earning in 1st and 2nd crop in one
year.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Leonardo M. Diwa, of legal age, Filipino, and with residence and postal address
at Pentor Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

mmmm. I used to be employed with the following companies:

Company : Bradken Bassendean

Wellspool West Perth Western, Australia
Date : February 20, 2006 to December 10, 200
Position : Boiler Maker, Welder, Fabricator

Company: CPC Engineering P.T.Y.L.T.D.

West Kambalda Western, Australia
Date : December 12, 2006 to February 4, 2009
Position : Boiler Maker, Welder, Fabricator

nnnn. I am executing this affidavit to attest to the truth of the

foregoing and for the whatever legal purpose this may serve
best.
 IN WITNESS WHEREOF, I have hereunto affixed my signature this 7 th day of
October, 2011 at Dinlalupihan, Bataan.

Leonardo M. Diwa
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 7th day of October, 2011 at Dinalupihan,
Bataan, affiant exhibited to me his Western Australia Driver’s License No. 5267250.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Gemma R. Yao, of legal age, Filipino, married and with residence and postal
address at 184 Salvador St., Pentor Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am the guardian of Johna Isabel Suarez who was born on June 24, 2003 in
Dinalupihan, Bataan. Her biological mother is Virgie Suarez who is nowhere to
be found since 2003;

2. Johna Isabel was given to me on June 25, 2003 or a day after she was born by
Tess Ogaya and Alice Merced. Since then, me and my husband treated her as
our own child. In fact, we already filed our Petition to adopt her before the
Regional trial Court, Branch 5, Dinalupihan, Bataan;

3. We tried to locate Virgie but to no avail;

4. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 7 th day of

October, 2011 at Dinalupihan, Bataan.

Gemma R. Yao
Affiant

Thumb mark:

Witness:
 Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 7th day of October, 2011 at Dinalupihan,
Bataan, affiant exhibiting to me her St. John Academy Employee No. 09-000135.

Doc. No. 433

Page No. 87
Book No. XV
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Disability

I, Gregorio C. Realin, of legal age, Filipino, and with residence and postal
address at Rosal Sacrifice Valley, Hermosa, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

13. I was born on April 13, 1927 in San Marcelino, Zambales;

14. I am now 84 years old;

15. By reason of my advanced age. I could no longer write and read ansd suffered
illnesses due to my old age and that I could no longer sign my signature and
instead affix my thumb mark in my documents;

16. The notary public read and explained to me the contents of this affidavit before
affixing my thumb mark;

17. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 6 th day of

October, 2011 at Dinalupihan, Bataan.

Gregorio C. Realin
Affiant

Thumb mark:

Witness:

Federico Junell Day

Hermosa, Bataan

Subscribed and sworn to before me this 6 th day of October, 2011 at Dinalupihan,

Bataan. Affiant exhibited to me his AFP ID No. R10-E-2926.
Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Claro B. Dacanay, of legal age, Filipino, widow and with residence and postal
address at No. 50 Hi-way 54 St. Townsite, Mariveles, Bataan, after having been sworn
to in accordance with law, hereby depose and state that:

260. I am the surviving spouse of Susana R. Dacanay who died on September

19, 2011 at Bataan Doctor’s Hospital in Balanga City, Bataan;

261. We got married on July 27, 1992 in Mariveles, Bataan and we have two
(2) children

262. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 26 th day of

October, 2011 at Dinalupihan, Bataan.

Claro B. Dacanay
Affiant

Thumb mark:

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 26th day of October, 2011 at Dinalupihan,
Bataan, affiant exhibiting to me his Postal ID No. 0925252.

Doc. No.
Page No.
Book No.
Series of 2011.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Disability

I, Consolacion S. Santos, of legal age, Filipino, widow and with residence and
postal address at 26 Purok 4 Sto. Niño, Dinalupihan, Bataan, after having been sworn
to in accordance with law, hereby depose and state that:

263. I was born on November 10, 1935 in Porac, Pampanga;

264. I am turning 76 years old this November 10, 2011;

265. I did not attend school because my parents died when I was very young,
reason why I do not know how to read and write;

266. I only affixed mt thumb mark on documents where my signature is

needed;

267. This affidavit was explained and read twice to me by the undersigned
lawyer who is a Notary Public Commissioned in the Province of Bataan;

268. As far as my health concerned, I am physically and mentally fit as certified

to by Dr. Ferdinand B. Bautista, M.D., a copy of his Certificate is hereto attached
and made an integral part hereof;

269. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of

October, 2011 at Dinalupihan, Bataan.

Consolacion S. Santos
Affiant

Thumb mark:

Witnesses:

Olivia Santos Rowena Cabalhin

Dinalupihan, Bataan Dinalupihan, Bataan

Subscribed and sworn to before me this 5 th day of October, 2011 at Dinalupihan,

Bataan. Affiant exhibited to me her OSCA ID No. 2085418.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Ruby M. Supe, of legal age, Filipino, and with residence and postal address at
Pinulot Dinalupihan, Bataan, after having been sworn to in accordance with law, hereby
depose and state that:

86. I am the common-law wife of EDWARD PATAGAN. We have been living

together without the benefit of marriage since April 2003;

87. We have two (2) children, namely;

Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Fe D. Due, of legal age, Filipino, married and with residence and postal
address at New San Jose Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

270. I am the mother of JUSTIN GABBEY DIMACULANGAN DUE who was

born on October 1, 2006 in Balanga City, Bataan as evidenced by his Certificate
of Live Birth;

271. Said Certificate of Live Birth has been corrected in so far as my said son’s
first name is concerned;

272. In fact, the same was annotated in the said Birth Certificate;

273. However, what was annotated was from JUSTINE ABBEY to JUSTIN
ABBEY when it should have been JUSTIN GABBEY;

274. The said error was committed without our fault and intention to mislead
the public;

275. My son’s true and correct first name is JUSTIN GABBEY and I would like
that the same be reflected in his Certificate of Live Birth;

276. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 29 th day of

September, 2011 at Dinalupihan, Bataan.

Fe D. Due
Affiant

Thumb mark:
Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 29 th day of September, 2011 at

Dinalupihan, Bataan, affiant exhibiting to me her Driver’s License No. C02-09-004642.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Abraham R. Paguio, of legal age, Filipino, married and with residence and
postal address at No. 471 Palihan Hermosa, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am the owner of Arlene’s Pawnshop with principal office in Olongapo City and a
branch in Dinalupihan Public Market in Dinalupihan, Bataan (Stall No. 9);

2. On June 23, 2003, our accountant then caused the registration with the Bureau
of Internal Revenue (BIR) for our Tax Identification Number (TIN);

3. She has been following it up with the BIR but was told that there is no TIN yet;

4. When she resigned, we again went to BIR in 2004 to get TIN not knowing that
there was already a TIN issued in the first attempt of our accountant;

5. Because of the above, two TINs were issued, to wit:

TIN- 003-509-204-003
TIN- 003-509-204-004

6. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 29 th day of

September, 2011 at Dinalupihan, Bataan.

Abraham R. Paguio
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 29 th day of September, 2011 at

Dinalupihan, Bataan, affiant exhibiting to me his OSCA ID No. 04186.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )
AFFIDAVIT

I, Nadeem Sial, of legal age, Pakistani, and with residence and postal address at
#11 Macaraeg St., Barrio Barretto, OlongapO City, after having been sworn to in
accordance with law, hereby depose and state that:

130. I was born on June 21, 1982;

131. As a Pakistani I have a Residence Alien Certificate of Registration No.
CRPE0000106217;
132. I am the registered owner/manager of 1Shan Traders Point Corporation
located at Brgy. San Ramon Dinalupihan, Bataan;
133. I also work at Mateen Tokyo International Inc. in Subic, Zambales as a
Finance Manager;
134. My brother and cousin named Shahbaz Ashraf and Adnan Ali, respectively
are intending to come the Philippines as tourists;

Shahbaz Ashraf Adnan Ali

Passport No. BQ1848211 Passport No. MS1790131
Date of Birth: July 12, 1987 Date of Birth: April 14,
1988

135. They will be staying with me here in the Philippines for one (1) or two (2)
months;
136. They will stay with me during their visit;
137. I hereby undertake to give all the necessary support and assistance to the
aforementioned while in the Philippines;
138. I, likewise guarantee that they are peaceful citizens and that their purpose
in coming to the Philippines is purely recreation and business on the side;
139. I declare these facts under threat of perjury;
140. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed my signature this 30 th day of

September, 2011 at Dinalupihan, Bataan.

Nadeem Sial
Affiant

Thumb mark:

Witness:

Rizwan Akhtar
Dinalupihan, Bataan

Subscribed and sworn to before me this 30 th day of September, 2011 at

Dinalupihan, Bataan, affiant exhibiting to me his DOLE Permit No. RO3-2010-08-1267
and BOI ID No. F0000142004.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )
Affidavit of Cancellation
I, Armando O. Palermo, of legal age, Filipino, married and with residence and
postal address at Purok 5 Roosevelt Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

9. I am the the owner of CHRISTIAN IMAGE STUDIO AND GENERAL

MERCHANDISE located at Bonifacio St., Dinalupihan, Bataan duly registered
with the Department of Trade and Industry (DTI);

10. I am requesting the DTI to cancel the said registration;

11. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 20 th day of

September, 2011 at Dinalupihan, Bataan.

Armando O. Palermo
Affiant

Thumb mark:

Witness:

Lorena Palermo
Dinalupihan, Bataan

Subscribed and sworn to before me this 20 th day of September, 2011 at Dinalupihan,

Bataan. Affiant exhibiting to me his Driver’s License No. C09-83-038040.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Magdalena B. Alfonso, of legal age, Filipino, widow and with residence and
postal address at Prado Saba Lubao, Pampanga, after having been sworn to in
accordance with law, hereby depose and state that:

7. I am the surviving spouse of AMANCIO ALFONSO who died on May 9, 2003 in

Saudi Arabia;

8. On December 2, 2010 at about 10:00 in the morning, I parked the said vehicle at
the parking lot of Royal inside SBMA, Olongapo City. After doing the groceries,
we went to the parking area to get the car. I noticed that there was a scratch
about 8 inches long at passenger back side of the said car;

9. Said vehicle is insured with People’s general Insurance Corporation;

10. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 19 th day of

September, 2011 at Dinalupihan, Bataan.

Magdalena B. Alfonso
Affiant

Thumb mark:

Witness:

Angela Nuguid
Lubao, Pampanga

Subscribed and sworn to before me this 19 th day of September, 2011 at Dinalupihan,

Bataan, affiant exhibiting to me her SSS ID no. 02-2315122-8.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )
Affidavit of Cancellation
I, Lucy B. Pablo, of legal age, Filipino, married and with residence and postal
address at Daang Bago Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

12. I am the vendee in the Deed of Sale of Motor Vehicle executed by Ruben G.
Lingad in my favor on August 5, 2010 notarized by Atty. Juvy Mell S. Malit
entered into her notarial reg. book as Doc. No. 491; Page No. 66; Book No. V;
Series of 2010;

13. Said transaction did not push through, hence this Affidavit of Cancellation;

14. I am returning the said motor vehicle to Ruben G. Lingad;

15. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 1 st day of June,

2011 at Dinalupihan, Bataan.

Lucy B. Pablo
Affiant

Thumb mark:

Witness:

Ricardo Cuaresma
Dinalupihan, Bataan

Subscribed and sworn to before me this 1st day of June, 2011 at Dinalupihan,
Bataan. Affiant exhibiting to me her VIN 0804-0059A-A2668LBP20000-0

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Non-Acceptance

I, Ryan G. Alanunay, of legal age, married, Filipino, and with residence and
postal address at Colo Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:
 47. I was born on May 24, 1982 in Dinalupihan, Bataan from parents Spouses
Eufracio Alanunay and Cristina Galang;

48. I have been a Philhealth Member with Philhealth No. 190266315698;

49. However to date I have not received my Philhealth ID;

50. I am requesting Philhealth to issue my ID;

6. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed my signature this 19 th day of

September, 2011 at Dinalupihan, Bataan.

Ryan G. Alanunay
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 19 th day of September, 2011 at Dinalupihan,

Bataan, affiant exhibiting to me his Postal ID No. 0942469.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)
AFFIDAVIT
I, Ruby M. Supe, of legal age, Filipino, and with residence and postal address at
Pinulot Dinalupihan, Bataan, after having been sworn to in accordance with law, hereby
depose and state that:
 1. I am the common-law wife of EDWARD PATAGAN. We have been living
together without the benefit of marriage since April 2003;
2. We have two (2) children, namely;

Ian Kyle, born on March 11, 2010

Sean Brandon, born on April 26, 2004

3. I am receiving a $650 monthly allowance from him to provide for me and our
said children as daily needs and expenses described as follows:

TV Cable P 400.00 $ 10.00

Water Bill P 700.00 $ 16.67
Utility Bill P 1,300.00 $ 31.00
House Rent P 2,500.00 $ 59.52
Baby Sitter P 2,500.00 $ 59.52
School Allowance P 3,000.00 $ 71.42
Baby Milk/Diaper P 5,600.00 $ 133.33
Food Allowance P 10,000.00 $ 238.09
LPG P 800.00 $ 19.04
Trasnportation (Others) P 500.00 $ 11.90
____________ _________
Total P 27,300.00 $ 650.49
========== ========

4. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.
IN WITNESS WHEREOF, I have hereunto affixed my signature this 15 th day of
September, 2011 at Dinalupihan, Bataan.

Ruby M. Supe
Affiant

Witness:

May M. Sulangi
Dinalupihan, Bataan
Subscribed and sworn to before me this 15 th day of September, 2011 at
Dinaluiphan, Bataan. Affiant exhibiting to me her SSS ID No. 02-1749060-7.

Republic of the Philippines )

Province of Bataan ) S.s.

AFFIDAVIT OF FULL CUSTODY

I, Janine Alexis M. Peñaflor, 17 years old, assisted by my mother Imelda

Mallari and with residence and postal address at San Ramon Dinalupihan, Bataan,
after having been sworn to in accordance with law, hereby depose and state that:

88. I am the mother of CIAN P. GONZALES who was born on July 5, 2011 in
Balanga City, Bataan;

89. His father is Francis Ryan Gonzales;

90. Said Francis Ryan Gonzales will go on training at US Navy, USA;

91. I shall take the full custody and care of our child in the Philippines until such
time that we get married;
 92. I will not obligate his father to send or give financial assistance to us during
the said training;

93. His father will not be held liable for whatever untoward incident that may
happen to our child during his training;

94. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 14 th day of

September, 2011 at Dinalupihan, Bataan.

Janine Alexis M. Peñaflor

Affiant

Assited by:

Imelda Mallari
Mother

Subscribed and sworn to before me this 14 th day of September, 2011 at

Dinalupihan, Bataan.

Doc. No. 284

Page No. 57
Book No. XV
Series of 2011.

Republic of the Philippines )

Province of Bataan ) S.s.

AFFIDAVIT OF WITHDRAWAL

I, Eleanor P. Espino, of legal age, Filipino, single and with residence and postal
address at 124 J.C. Payumo Jr. Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

95. I am an applicant of M. and M Placement International Inc.;

96. I am applying for the position of Cleaner Supervisor;

97. I submitted the following documents to the said agency:

Passport
Medical Certificate
Other Credentials
Resume

98. I am requesting the withdrawal of the above documents considering that they
colleted P 1,200.00 from me without issuing any receipt and I am no lionger
interested to apply work with the said agency;

99. I am executing this affidavit upon the request of Ms. Marcia Sadicon who is a
Vice President/Manager of M and M Placement International Inc.;

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13 th day of

September, 2011 at Dinalupihan, Bataan.
 Eleanor P. Espino
Affiant

Thumb mark:

Witness:

Mylah Pedrano
Dinalupihan, Bataan

Subscribed and sworn to before me this 13 th day of September, 2011 at

Dinalupihan, Bataan, affiant exhibiting to me her VIN 0804-0153A-J3185EPE20000-5.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Closure

I, Marlyn B. Van Es, of legal age, Filipino, married and with residence and postal
address at 12 Lourdes, Lubao, Pampanga, after having been sworn to in accordance
with law, hereby depose and state that:

31. I am the registered owner of 7th TREF CYBERAROMA located at Bonifacio St.,
Dinalupihan, Bataan registered with the Department of Trade and Industry and
Mayor’s Office in Dinalupihan, Bataan;

32. Said business had been closed in the year 2005, considering that I could no
longer manage the said business as I have to leave the country to earn a living;

33. In view of the above, I am requesting that my registration with the Department of
Trade and Industry and Office of Municipality of Dinalupihan be cancelled or
revoked;
 34. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 12 th day of

September, 2011 at Dinlalupihan, Bataan.

Marlyn B. Van Es
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 12 th day of September, 2011 at

Dinalupihan, Bataan. Affiant exhibiting to me her Driver’s License No. C02-01-075717.

Doc. No. 263

Page No. 53
Book No. XV
Series of 2011.

Republic of the Philippines )

Province of Bataan ) S.s.

AFFIDAVIT OF WITHDRAWAL

I, Joana D. Sioson, of legal age, Filipino, married and with residence and postal
address at Sto. Nino, Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

100. I am the wife of Bernardo Z. Sioson;

101. I filed a criminal complaint against him before the Office of the Provincial
Prosecutor in Balanga City, Bataan for violation of R.A. 9262 and Grave
Threats;

102. I am withdrawing the said case considering that I am no longer interested

to prosecute the same in order to buy peace for us and our children;

103. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 12 th day of

September, 2011 at Balanga City, Bataan.

Joana D. Sioson
Affiant
 Thumb mark:

Subscribed and sworn to before me this 12th day of September, 2011 at Balanga
City, Bataan.

Doc. No. 96
Page No. 20
Book No. XV
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

JOINT AFFIDAVIT

We, Butch E. Urbano and Gloria A. Dalit, both of legal age, Filipino, and with
residence and postal address at Roosevelt Dinalupihan, Bataan, after having been
sworn to in accordance with law, hereby depose and state that:

35. We got married on April 12, 1998. It was solemnized by Judge Conrado O.
Alinea Jr. as evidenced by the attached Certificate of Marriage;
 36. Out of lawful marriage, we were blessed with three (3) children the eldest of
whom was born on January 5, 1999;

37. The said Certificate of Marriage was not duly registered for no apparent reason;

38. We will get married again on September 27, 2011 at the St. Jerome Parish
Church in Roosevelt Din., Bataan;

39. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 2 nd day of

September, 2011 at Dinlalupihan, Bataan.

Butch E. Urbano Gloria A. Dalit

Affiant Affiant
SBMA Temporary Pass No. 902371264

Thumb mark: Thumb mark:

Subscribed and sworn to before me this 2 nd day of September, 2011 at

Dinalupihan, Bataan.

Doc. No.
Page No.
Book No.
Series of 2011.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Cancellation

I, Ramonette L. Reyes , of legal age, Filipino, married and with residence and
postal address at Bonifacio St., Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am the Lessor in the Contract of Lease executed on January 1, 2005 notarized

by Atty. Juvy Mell S. Malit entered into her notarial reg. book as Doc. No. 152;
Page No. 31; Book No. IX; Series of 2005;

2. I am canceling said Contract of Lease with the confirmity of Marlyn B. Van Es;

3. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13 th day of

September, 2011 at Dinalupihan, Bataan.

Ramonette L. Reyes
Affiant

Thumb mark:

Conforme:

Marlyn B. Van Es
Lubao, Pampanga

Subscribed and sworn to before me this 13 th day of September, 2011 at Dinalupihan,

Bataan. Affiant exhibiting to me his ____________________________.

Doc. No.
Page No.
Book No.
Series of 2011.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

JOINT AFFIDAVIT

We, Angelita P. Valencia, of legal age, Filipino, and with residence and postal
address at Pentor Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

40. My maiden name is Angelita P. Valencia;

41. I was born on May 20, 1948 in Dinalupihan, Bataan as evidenced by my

Certificate of Live Birth;

42. I have never entered into any marriage contract, however I have used the
surname of Dela Cruz in some of my documents particularly in Social Security
System following the surname of my common-law husband named Tomas Dela
Cruz;

43. We separated on March 20, 2003;

44. We had two (2) children;

45. I started using my maiden name again in the year 2009;

46. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 19 th day of

August, 2011 at Dinlalupihan, Bataan.

Angelita P. Valencia
Affiant

Thumb mark:

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 19th day of August, 2011 at Dinalupihan,
Bataan. Affiant exhibiting to me her OSCA ID No. 1543.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )
 Affidavit of Closure

I, Ma. Carla G. Apostol, of legal age, Filipino, married and with residence and
postal address at Daang Bago Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

47. I am the registered owner of GUIAO VISION GALLERY located at Dinalupihan

Public Market in Dinalupihan, Bataan registered with the Department of Trade
and Industry and Mayor’s Office in Dinalupihan, Bataan;

48. Said business has been closed in the year 1999, considering that I could no
longer manage the said business as I have to leave the country to earn or living;

49. In view of the above, I am requesting that my registration with the Department of
Trade and Industry and Office of Municipality of Dinalupihan be cancelled or
revoked;

50. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 12 th day of

August, 2011 at Dinlalupihan, Bataan.

Ma. Carla G. Apostol

Affiant

Thumb mark:

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 12th day of August, 2011 at Dinalupihan,
Bataan. Affiant exhibiting to me her PRC ID No. 0007115.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Disability

I, Antonia E. Prado, of legal age, Filipino, and with residence and postal address
at Sto. Rosario, Floridablanca, Pampanga, after having been sworn to in accordance
with law, hereby depose and state that:

277. I was born on June 13, 1933 in Floridablanca, Pampanga;

278. I am now 78 years old;

 279. By reason of my advanced age. I could no longer write and read. I could
no longer sign my signature and instead affix my thumb mark in my documents;

280. The notary public read and explained to me the contents of this affidavit
before affixing my thumb mark;

281. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ____ day of

August, 2011 at Dinalupihan, Bataan.

Antonia E. Prado
Affiant

Thumb mark:

Witness:

Emilia P. Nicdao
Floridablanca, Pampanga

Subscribed and sworn to before me this ____day of August, 2011 at Dinalupihan,

Bataan. Affiant exhibited to me her OSCA ID No. 3133.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Ruby M. Supe, of legal age, Filipino, and with residence and postal address at
Pinulot Dinalupihan, Bataan, after having been sworn to in accordance with law, hereby
depose and state that:

104. I am the common-law wife of EDWARD PATAGAN. We have been living

together without the benefit of marriage since April 2003;

105. We have two (2) children, namely;

Ian Kyle, born on March 11, 2010

Sean Brandon, born on April 26, 2004

106. We have not legalize our marriage yet, although therei s no legal
impediment existing;

107. We plan to get married in the future;

 108. He has been the one financially supporting me and my children;

109. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 9 th day of

August, 2011 at Dinalupihan, Bataan.

Ruby M. Supe
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 9th day of August, 2011 at Dinaluiphan,
Bataan. Affiant exhibiting to me her SSS ID No. 02-1749060-7.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Erlinda Mil Tagudin, of legal age, Filipino, married and with residence and
postal address at Palihan Hermosa, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

110. I am applying for a single entry visa with the Canadian Embassy in the
Philippines;

111. I will request for a 30-day period of stay in Canada to be with my sister
named Carmen M. Hipolito and my counsin Nasario Mil Ico who will be
celebrating his and his wife’s 50th Wedding Anniversary and I want to be part
of it;

112. I promise to return to the Philippines after a 30-day or one month stay in
Canada considering that there is no one to take care of my house and
belongings in the Philippines. I have my three (3) other children in the country
and so there is no reason to leave them for a long time;

113. I also have my Apartment and other business in the Philippines which
need my supervision;

114. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of

August, 2011 at Dinalupihan, Bataan.
 Erlinda M. Tagudin
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 5th day of August, 2011 at Dinaluiphan,
Bataan. Affiant exhibiting to me her Passport No. EB2378466.

Doc. No.
Page No.
Book No.
Series of 2011

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Bernadeth D. Solano , of legal age, Filipino, separated and with residence

and postal address at No. 50 General Luna St., Dinalupihan, Bataan, after having been
sworn to in accordance with law, hereby depose and state that:

5. I am married to Ralph Solano . We got married on May 16, 2000 in

Dinalupihan, Bataan as evidenced by our Certificate of Marriage, copy of
which is hereto attached;

6. We have been separated since 2002 for several reasons;

7. I filed Petition for Annulment based on Polygamous Marriage (Art.

35, Par. 4 of the Family Code of the Philippines) before the Regional Trial
Court, Branch 5, Dinalupihan, Bataan docketed as Sp. Proc. DH-290-11;

8. I am executing this affidavit to attest to the truth of the foregoing

and for whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 4 th day of

August, 2011 at Dinalupihan, Bataan.

Bernadeth D. Solano
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 4th day of August, 2011 at Dinaluiphan,
Bataan. Affiant exhibiting to me her SSS ID No. 33-1808275-9.
Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Bernadeth D. Solano , of legal age, Filipino, separated and with residence

and postal address at No. 50 General Luna St., Dinalupihan, Bataan, after having been
sworn to in accordance with law, hereby depose and state that:

73. I arrived in Canada on February 21, 2008 by virtue of a Work Permit issued
by Corporate Ventures Inc. o/a Podollan Inn & Rez to work with the latter as
Housekeeping Room Attendant from February 21, 2008 to February 2010;
74. However, they extended my employment for three (3) months for March 2010
to May 2010;
75. Thereafter, I applied for a work permit in Canada and paid for the processing
fee as per instruction letter dated April 15, 2010 of the Case Processing
Centre;
76. I paid for $ 350.00 twice at the Bank of Montreal as evidenced by the receipts
attached hereto;
77. Later, I received letters from Case Processing Centre with address 6212-55 th
Avenue Vegreville, AB T9C 1W5 dated April 15, 2010, August 18, 2010 and
August 30, 2010 directing me to leave the country;
78. During these periods, I was still working with Corporate Ventures Inc. o/a
Podollan Inn & Rez until March 8, 2011 because there was no one to replace
me in my work;
79. I left Canada on March 8, 2011;
80. I overstayed because I was waiting for a work permit. In fact, I complied with
the required payment of $ 350.00 twice;
81. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 4 th day of

August, 2011 at Dinalupihan, Bataan.

Bernadeth D. Solano
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 4th day of August, 2011 at Dinaluiphan,
Bataan. Affiant exhibiting to me her SSS ID No. 33-1808275-9.
Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Alejandro T. Cabais, of legal age, Filipino, married and with residence and postal
address at Saguing Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

6. I am married to Virginia Catequesta Banas. We got married on January 6, 1978 in

Surallah, South Cotabato;

7. Our personal data as should have been indicated in our Marriage Contract are as
follows:

Name of Husband: Alejandro Tolentino Cabais Name of Wife: Virginia Catequesta Bañas
Date of Birth: March 10, 1955 Date of Birth: August 21, 1958
Age : 23 yrs. old Age : 20 yrs. old
Place of Birth: Dinalupihan, Bataan Place of Birth: Lemery, Iloilo
Sex : Male Sex : Female
Residence: 38th IBPA Datu Piang Maguindanao Residence: Esperansa Sultan Kudarat
Civil Status: Single Civil Status: Single
Religion: Roman Catholic Religion: Roman Catholic
Citizenship: Filipino Citizenship: Filipino

Name of Husband Parents: Name of Wife Parents:

 Name of Father: Canuto Morales Cabais Name of Father: Constantino
Posadas Bañas
Citizenship: Filipino Citizenship: Filipino
Name of Mother: Trinidad T. Cabais Name of Mother: Epifania C. Bañas

Date of Marriage: January 6, 1978

Place of Birth: Office of the Mayor Surallah, South Cotabato
Time of Marriage: 10:00 a.m.

8. I am executing this affidavit to the truth of the foregoing and for whatever legal
purposes this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 2 nd day of August, 2011
at Dinalupihan, Bataan.

Alejandro T. Cabais
Affiant

Thumb mark:

Witnesses:

May M. Sulangi Regina P. Malit

Dinalupihan, Bataan Dinalupihan, Bataan

Subscribed and sworn to before me this 2nd day of August, 2011 at Dinalupihan, Bataan.
Affiant exhibiting to me his VFP Sons & Daughters Association, Inc. ID No. CA1B-0010884.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Joint Affidavit of Two (2)

Disinterested Persons

We, Carmen A. Dolores and Corazon A. Naguiat, both of legal age, and with
residence and postal address at Saguing Dinalupihan, Bataan, after having been duly
sworn to in accordance with law, hereby depose and state that:

9. We personally know Spouses Alejandro T. Cabais and Virginia C. Bañas.

They got married on January 6, 1978 in Surallah, South Cotabato;

10. Out of their lawful marriage, they were blessed with four (4) children;

11. In 1979 when they tried to get a copy of their marriage contract they were
informed by the Local Civil Regsitrar of Surallah, South Cotabato that their
records from the beginning until 1979 were all destroyed;

12. We know the foregoing because we are the neighbors and closed friends of
the said spouses and we have known them for a long time now;

13. We are not in anyway related with them, either by consanguinity or by affinity;

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

In witness whereof, we have hereunto affixed our hands this 4 th day of August,
2011 at Dinalupihan, Bataan.
Carmen A. Dolores Corazon A. Naguiat
Affiant Affiant
VIN 0804-0215A-I0846CAD20000-2 VIN 0804-0215A-J0748CAN20001-9

Subscribed and sworn to before me this 4 th day of August, 2011 at Dinalupihan,

Bataan.

Doc. No. 429

Book No. 86
Page No. XIV
Series of 2011.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Alfredo C. Nicdao, of legal age, Filipino, single and with residence and postal
address at No. 04 San Isidro St. Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

50. I am obtained a loan from the closed Rural Bank of Dinalupihan, Inc.
presently under the liquidation of Philippine Deposit Insurance Corporation
(PDIC) for the sum of Fifteen Thousand Pesos ( P 15,000.00) only;

51. That as security to the aforesaid loan, I executed on August 5, 1993 a Deed
of Real estate Mortgage in favor of the closed Rural Bank of Dinalupihan, Inc.
covering my property located at Dinalupihan, Bataan, which is particularly
described under TCT No. CLOA-377-M of the Registry of Deeds for the
Balanga, Bataan;

52. That by virtue of the encumbrance, the same was annotated on TCT No.
CLOA-377-M as Entry No. 7620 with an inscription date on August 2, 1993;

53. That the aforementioned loan was fully paid to Rural Bank of Dinalupihan,
Inc. on August 10, 1993;
 54. That if the said lost Release/Cancellation of Mortgage is found later on, I
undertake to deliver the same to the closed Rural Bank of Dinalupihan, Inc. or
PDIC for cancellation and I hereby further agree to hold Rural Bank of
Dinalupihan, Inc. of PDIC free and harmless from any claim, loss of damage
that may rise from the loss or unauthorized used of the said
Release/Cancellation of Real Estate Mortgage. Should the closed Rural Bank
of Dinalupihan, Inc. and/or PDIC incur any loss or damage from
representations hereof, I hereby agree to indemnity closed Rural Bank of
Dinalupihan, Inc. and/or PDIC for the same, in addition, to out other liabilities,
civil or criminal, that may arise there from;

55. That I was not able to immediately work on the cancellation of the aforesaid
real estate mortgage because I was not aware of the procedure;

56. That I have no outstanding obligation with the closed Rural Bank of
Dinalupihan, Inc. and if it should have been discovered to pay the same to the
closed Rural Bank of Dinalupihan, Inc.;

57. I am executing this affidavit to secure another copy of the said

Release/Cancellation of Real estate Mortgage from the Liquidator of the
closed Rural Bank of Dinalupihan and to attest to the truth and veracity of the
above allegations.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 2 nd day of

August, 2011 at Dinalupihan, Bataan.

Alfredo C. Nicdao
Affiant

Thumb mark:

Subscribed and sworn to before me this 2nd day of August, 2011 at Dinaluiphan,
Bataan. Affiant exhibiting to me his OSCA ID No. 3150.

Doc. No.
Page No.
Book No.
Series of 2011.
Republic of the Philippines )
Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT OF RELEASE AND QUITCLAIM

I, Jennyfer N. Jusayan, of legal age, Filipino, single and with residence and
postal address at Pentor Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

82. I am the Attorney-in-fact of Alfredo C. Nicdao as per Special Power of

Attorney notarized by Atty. Juvy Mell B. Sanchez-Malit on July 20, 2011
and entered into her Notarial Book as Doc. No. 179; Page No. 36; Book
No. XIV; Series of 2011;

83. I hereby acknowledge having received the Release/Cancellation of Real

Estate Mortgage from the closed Unified Savings and Loan Association,
Inc., and in view of which I hereby RELEASE AND DISCHARGE said
closed bank, and/or its Liquidator, its officers, employees, agents or
representatives from any further liability, whatsoever, emanating directly or
indirectly from the aforestated release of Release/Cancellation of Real
estate Mortgage, and for this purpose I hereby hold the said bank, its
Liquidator, its officers, employees, agents or representatives, legally free
and harmless from any further liability arising the foregoing transaction,
claim or incident;

84. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 2 nd day of

August, 2011 at Dinalupihan, Bataan.

Jennyfer N. Jusayan
Affiant

Thumb mark:

Witnessess:

May M. Sulangi Regina P. Malit

Dinalupihan, Bataan Dinalupihan, Bataan

Subscribed and sworn to before me this 2 nd day of August, 2011 at Dinaluiphan,

Bataan. Affiant exhibiting to me her VIN 0804-0166A-I0484JNJ20000-9.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT OF CANCELLATION

I, Elizabeth A. Flores-Joson, of legal age, Filipino, married and with residence

and postal address at Manibuag, Porac, Pampanga, after having been sworn to in
accordance with law, hereby depose and state that:

85. I am the Donor in a Deed of Donation executed on July 21, 2011 notarized by
Atty. Juvy Mell B. Sanchez-Malit and entered into her Notarial Book as
Doc. No. 185; Page No. 37; Book No. XIV; Series of 2011;

86. I am canceling said Donation with the confirmity of Clarita C. Flores;

87. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 1 st day of

August, 2011 at Dinalupihan, Bataan.

Elizabeth A. Flores-Joson
Affiant

Thumb mark:

Conforme:

Clarita C. Flores
Dinalupihan, Bataan

Subscribed and sworn to before me this 1 st day of August, 2011 at Dinaluiphan,

Bataan. Affiant exhibiting to me her PRC ID No. 0053528.
Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Disability

I, Laurentino B. Flores, of legal age, Filipino, married, and with residence and
postal address at Sto. Niño, Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

282. I was born on February 4, 1920 in Dinalupihan, Bataan;

283. I am now 91 years old;

284. By reason of my advanced age. I could no longer write and read. I could
no longer sign my signature and instead affix my thumb mark in my documents;

285. The notary public read and explained to me the contents of this affidavit
before affixing my thumb mark;

286. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 29 th day of July,

2011 at Dinalupihan, Bataan.

Laurentino B. Flores
Affiant

Thumb mark:

Witness:

Ana Richelle Gernaldo

Dinalupihan, Bataan

Subscribed and sworn to before me this 29 th day of July, 2011 at Dinalupihan,

Bataan. Affiant exhibited to me his VIN 0804-0248A-B0420LBF10001-9.

Doc. No.
Page No.
Book No.
Series of 2011.
Republic of the Philippines )
Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Roy C. Pedregosa , of legal age, Filipino, married and with residence and
postal address at No. 25 Estanislao St., Palihan Hermosa Bataan, after having been
sworn to in accordance with law, hereby depose and state that:

88. I worked in Qatar from December 2007 to May 2011 at the United Precast
Concrete as Erector as evidenced by my Employment Certificate dated
April 2011;

89. I can no longer request for Police Clearance Certificate with the State of
Qatar since I am already in the Philippines;

90. I did not commit any crime in Qatar as in fact I was allowed to leave the said
country on May 8, 2011;

91. This is in support to Item No. 30 of my Application for Immigrant Visa and
Alien Registration;

92. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 26 th day of July,

2011 at Dinalupihan, Bataan.

Roy C. Pedregosa
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 26 th day of July, 2011 at Dinaluiphan,

Bataan. Affiant exhibiting to me his Passport No. UU0305677.

Doc. No.
Page No.
Book No.
Series of 2011.
Republic of the Philippines )
Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Corazon D. Olarte, of legal age, Filipino, married and with residence and
postal address at Purok 2 Sto. Niño Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

93. I intend to travel to the Australia anytime this year;

94. I was born January 25, 1948 in Dinalupihan, Bataan;

95. I am a retired Elementary School Principal receiving monthly pension as a

government retiree;

96. My husband and I owned real properties in the Philippines;

97. I undertake to return to the Philippines on or before the expiration of the visa
to be granted in my favor considering that I will not be with my husband
who will stay in the Philippines and we have properties in the Philippines;

98. I will strictly abide by the terms and conditions of my visa;

99. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 25 th day of July,

2011 at Dinalupihan, Bataan.

Corazon D. Olarte
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 25 th day of July, 2011 at Dinaluiphan,

Bataan. Affiant exhibiting to me her OSCA ID No. 1233.

Doc. No.
Page No.
Book No.
Series of 2011.
Republic of the Philippines )
Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Leonardo A. Suba, of legal age, Filipino, married and with residence and
postal address at New San Jose Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

100. I have been a farmer since 1990;

101. I cultivate a farm land located in New San Jose Dinalupihan, Bataan
measruing 2 hectares more or less;

102. Attaached is my statement of income and expense for the year 2010
which I personally prepared;

103. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 20 th day of July,

2011 at Dinalupihan, Bataan.

Leonardo A. Suba
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 20 th day of July, 2011 at Dinaluiphan,

Bataan. Affiant exhibiting to me his Postal ID No. 0942200.

Doc. No.
Page No.
Book No.
Series of 2011.
 STATEMENT OF INCOME AND EXPENSES

2nd Crop- July to November

Expenses

* Binhi (6 sack/ P 900.00) P 6,000.00

Fertilizer ng binhi 1 cavan (ammonium) 1,000.00
* Patanim = 50 tao/P 230.00 kada tao 11,500.00
* Fertilizer =UREA – 15 sacks/ P 900.00 per cavan 13,500.00
= 2x nagsasabog ng abono
7.5= 2 sack tuwing 1 ½ buwan ng paglagay
* Spray –Malathion –Big Bottle (3) 4,200.00
Karate – Big Bottle (3) 2,700.00
* Pagbibilad 2,000.00
* Labor 10,000.00
* Diesel 3,000.00
____________
Total Expenses P 53,900.00
* Harvest = 300 cavan/ P 800 per cavan/tuyo palay 240,000.00

P 53,900.00 – Expenses
240,000.00 – Earning 1st Crop
___________
P 186,100.00 – Total Amount for earning in 1st crop
 Gasoline P 6,000.00
Binhi 4,000.00
Abono 14,000.00
Labor 20,000.00 44,000.00
__________ ____________

Total P 96,000.00
============

Prepared by:

Leonardo A. Suba

STATEMENT OF INCOME AND EXPENSE

FOR CALENDAR YEAR 2010
Income/Harvest P 140,000.00
Expenses:
Gasoline P 6,000.00
Binhi 4,000.00
Abono 14,000.00
Labor 20,000.00 44,000.00
__________ ____________

Total P 96,000.00
============

Prepared by:

Leonardo A. Suba

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, __________________, of legal age, Filipino, single and with residence and

postal address at Pentor Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

58. I am obtained a loan from the closed Rural Bank of Dinalupihan, Inc.
presently under the liquidation of Philippine Deposit Insurance Corporation
(PDIC) for the sum I could no longer recall;
59. That as securitytot he aforesaid loan, I executed in _____ a Deed of Real
estate Mortgage in favor of the closed Rural Bank of Dinalupihan, Inc.
covering my property located at _______________, measuring ____ square
meters and covered by Transfer Certificate of Title No. _____ of the Registry
of Deeds for the Province of Bataan;
60. That by virtue of the encumbrance, the same was annotated on TCT No.
_____ as Entry No. _____ with an inscription date on _________;
61. That the aforementioned loan was fully paid to Rural Bank of Dinalupihan,
Inc. in _____;
62. That if the said lost Release/Cancellation of Mortgage is found later on, I
undertake to deliver the same to the closed Rural Bank of Dinalupihan, Inc. or
PDIC for cancellation and I hereby further agree to hold Rural Bank of
Dinalupihan, Inc. of PDIC free and harmless from any claim, loss of damage
that may rise from the loss or unauthorized used of the said
Release/Cancellation of Real Estate Mortgage. Should the closed Rural Bank
of Dinalupihan, Inc. and/or PDIC incur any loss or damage from
representations hereof, I hereby agree to indemnity closed Rural Bank of
 Dinalupihan, Inc. and/or PDIC for the same, in addition, to out other liabilities,
civil or criminal, that may arise there from;
63. That I was not able to immediately work on the cancellation of the aforesaid
real estate mortgage because I was not aware of the procedure;
64. That I have no outstanding obligation with the closed Rural Bank of
Dinalupihan, Inc. and if it should have been discovered to pay the same to the
closed Rural Bank of Dinalupihan, Inc.;
65.
66. We got married on February 15, 1997 in Dinalupihan, Bataan as evidenced
by our Certificate of Marriage;

67. We have a child named Mikkee Rose [Link] who was born on June 22,
1997 in Dinalupihan, Bataa as evidenced by her Certificate of Live Birth;

68. My child and I are the only living heirs of Michael V. Espino;

69. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 19 th day of July,

2011 at Dinalupihan, Bataan.

Rossana P. Espino
Affiant

Thumb mark:

Witness:

Rowell Paras
Dinalupihan, Bataan

Subscribed and sworn to before me this 19 th day of July, 2011 at Dinaluiphan,

Bataan. Affiant exhibiting to me her Passport No. XX4210702.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

JOINT AFFIDAVIT
 We, Arnold C. Valencia and Marites C. Centeno, both of legal age, Filipino,
and with residence and postal address at Luacan Dinalupihan, Bataan, after having
been sworn to in accordance with law, hereby depose and state that:

70. We personally know Spouses Michael V. Espino and Rossana P. Espino

who got married on February 15, 1997 in Dinalupihan, Bataan as
evidenced by their Certificate of Marriage;

71. They have a child named Mikkee Rose P. Espino who was born on June 22,
1997 in Dinaluihan, Bataan as evidenced by her Certificate of Live Birth;

72. We know the foregoing because we are the close friends of Spouses Michael
V. Espino and Rossana P. Espino and in fact attended their said wedding;

73. We are not in anyway related to them, either by consanguinity or by affinity;

74. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed my signature this 20 th day of

July, 2011 at Dinalupihan, Bataan.

Arnold C. Valencia Marites C. Centeno

Affiant Affiant
Driver’s License No. C02-00-069219 Penelco Membership No.
71958

Thumb mark: Thumb mark:

Subscribed and sworn to before me this 20 th day of July, 2011 at Dinaluiphan,

Bataan.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Rossana P. Espino, of legal age, Filipino, widow and with residence and
postal address at J.C. Payumo Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:
 75. I am the surviving spouse of MICHAEL V. ESPINO who died on June 26,
2011 in OlongapO City, Zambales as evidenced by his Certificate of
Death;

76. We got married on February 15, 1997 in Dinalupihan, Bataan as evidenced

by our Certificate of Marriage;

77. We have a child named Mikkee Rose [Link] who was born on June 22,
1997 in Dinalupihan, Bataa as evidenced by her Certificate of Live Birth;

78. My child and I are the only living heirs of Michael V. Espino;

79. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 19 th day of July,

2011 at Dinalupihan, Bataan.

Rossana P. Espino
Affiant

Thumb mark:

Witness:

Rowell Paras
Dinalupihan, Bataan

Subscribed and sworn to before me this 19 th day of July, 2011 at Dinaluiphan,

Bataan. Affiant exhibiting to me her Passport No. XX4210702.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Analiza D. Lucero, of legal age, Filipino, and with residence and postal
address at Happy Valley Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

80. I owned a poultry located at Happy Valley Dinaluiphan, Bataan;

 81. I earned income from the said poultry. Attached hereto is the Income and
Expenses for the year 2010 which I personally prepared;

82. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 11 th day of July,

2011 at Dinalupihan, Bataan.

Analiza D. Lucero
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 11 th day of July, 2011 at Dinaluiphan,

Bataan. Affiant exhibiting to me her Postal ID No. 0513997.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

JOINT AFFIDAVIT

We, Spouses Exequiel S. Sarmiento and Prinsesita F. Sarmiento, both of

legal age, Filipino, and with residence and postal address at Saguing Dinalupihan,
Bataan, after having been sworn to in accordance with law, hereby depose and state
that:

115. We are cultivating a lot situated in Abucay, Bataan measuring 1 hectares;

116. We earned income out of cultivation. Attached hereto is the Income and
Expenses for the year 2010 which we personally prepared;

117. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 11 th day of

July, 2011 at Dinalupihan, Bataan.

Exequiel S. Sarmiento Prinsesita F. Sarmiento

Affiant Affiant
Driver’s License No. C02-04-000144 Postal ID No. 4126411
 Subscribed and sworn to before me this 11 th day of July, 2011 at Dinaluiphan,
Bataan.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Agapito Marantal, of legal age, Filipino, married and with residence and
postal address at Culis Hermosa, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

118. I am the grandfather of Cherry Joy Marantal and Michelle Marantal who
were born on January 13, 1996 and August 26, 1998, respectively;

119. Their mother named Margie O. Marantal is my daughter;

120. Their parents are not legally married, the reason why the above named
children followed the maiden surname of their mother;

121. Their parents separated when said children are still at young ages;

122. It was my daughter who supported them all throughout until the present
time;

123. I am acting as their guardian and they are living with me since their mother
is presently in Luxemberg;

124. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.
 IN WITNESS WHEREOF, I have hereunto affixed my signature this 11 th day of July,
2011 at Dinalupihan, Bataan.

Agapito Marantal
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 11 th day of July, 2011 at Dinaluiphan,

Bataan. Affiant exhibiting to me his ________________________.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Singleness

We, Michael Manalo, Danilo Cordova and Gloria Cordova, all of legal age,
and with residence and postal address at Happy Valley Dinalupihan, Bataan and
Bonifacio St., Dinalupihan, Bataan, respectively, after having been sworn to in
accordance with law, hereby depose and state that:

9. We personally know ANALIZA D. LUCERO who was born on March 23, 1976 in
Dinalupihan, Bataan from parents Spouses Laureano Lucero and Rufina De
Leon;

10. She has three (3) children namely; Ulyses, who was born on April 28, 1998;
Louieses, who was born April 28, 1998 and Moises, who was born April 10,
1999. The father of the said children and Analiza are not legally married;

11. Analiza has never entered into any marriage contract and has stayed single or
unmarried up to this time;

12. We know the foregoing because we are the close friends of Analiza and we have
known her for a long time now;

13. We are not in anyway related to her, either by consanguinity or by affinity;

14. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 11 th day of

July, 2011 at Dinlalupihan, Bataan.

Michael Manalo Danilo Cordova Gloria Cordova

Affiant Affiant Affiant

Thumb mark: Thumb mark: Thumb mark:

 Subscribed and sworn to before me this 11 th day of July, 2011 at Dinalupihan,
Bataan.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Carolina G. Mil, of legal age, Filipino, and with residence and postal address
at Palihan Hermosa, Bataan, after having been sworn to in accordance with law, hereby
depose and state that:

125. I am applying for a single entry visa with the Canadian Embassy in the
Philippines;

126. I will request for a 30-day period of stay in Canada to be with my daughter
named Ivy Mil who is getting married on September 10, 2011 in Canada;

127. I promise to return to the Philippines after a 30-day or one month stay in
Canada considering that there is no one to take care of my house and
belongings in the Philippines. I have my two (2) other children and my
grandchildren in the country and so there is no reason to leave them for a
long time;

128. I also have my farm in the country where harvest will be made this year
and I have to be present during these times;

129. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 6 th day of July,

2011 at Dinalupihan, Bataan.

Carolina G. Mil
 Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 6 th day of July, 2011 at Dinaluiphan,

Bataan. Affiant exhibiting to me her OSCA ID No. 00299.

Doc. No.70
Page No. 14
Book No. XIV
Series of 2011

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Non-Acceptance

I, Roger E. Ronquillo, of legal age, married, Filipino, and with residence and
postal address at Pagalanggang Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

51. I was born on January 16, 1979 in Dinalupihan, Bataan from parents Spouses
Rodrigo B. Ronquillo and Zenaida S. Escoto;

52. I have been a Philhealth Member since 2007;

53. However to date I have not received my Philhealth ID neither do I know my

Philhealth number;

54. I am requesting Philhealth to issue my ID;

6. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed my signature this 6 th day of July,

2011 at Dinalupihan, Bataan.

Roger E. Ronquillo
Affiant

Thumb mark:

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 6th day of July, 2011 at Dinalupihan, Bataan.

Doc. No.
Page No.
Book No.
Series of 2011.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Non-Acceptance

I, Jaybee A. Santos, of legal age, single, Filipino, and with residence and postal
address at Balsic Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

55. I was born on April 22, 1989 in Hermosa, Bataan from parents Spouses
Dominador Santos and Josephine Antonio;

56. I have been a Philhealth Member since 2008;

57. However to date I have not received my Philhealth ID neither do I know my

Philhealth number;

58. I am requesting Philhealth to issue my ID;

6. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed my signature this 18 th day of

May, 2011 at Dinalupihan, Bataan.

Roger E. Ronquillo
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 18th day of May, 2011 at Dinalupihan,
Bataan. Affiant exhibiting to me his TIN 281-696-958-000.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Explanation

I, Esther C. De Mesa, of legal age, Filipino, and with residence and postal
address at Culis Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

8. I am the common law wife of Bienvenido C. De Mesa who died on June 19, 2011
in Dinalupihan, Bataan;

9. We have been living together as husband and wife without the benefit of
marriage since 1990 until his death on June 19, 2011. We have two (2) children
namely:

Bernie C. De Mesa, born on Septemebr 3, 1990

Bernadette C. De Mesa, born February 7, 2000

10. I never knew he was married when we cohabited. I only knew he was married to
Ligaya Miranda De Mesa who died on January 9, 1976 in Olongapo City as
evidenced by her Death Certificate; reason why I agree to live with him;

11. Later, after his death, I found out from the National Statistics Office (NSO) he had
another wife named Cecilia C. De Mesa whom I never saw since we cohabited in
1990;

12. I have no idea of her personal circumstances and whereabouts;

13. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of July,

2011 at Dinlalupihan, Bataan.

Esther C. De Mesa
Affiant

Witness:

Virginia C. Calipara
Hermosa, Bataan

Subscribed and sworn to before me this 5th day of July, 2011 at Dinalupihan,
Bataan, affiant exhibiting to me her Postal ID No. 0932669.
Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT OF SEPARATION

I, Sr. Celina Cini, of legal age, and with residence and postal address at Tucop
Dinalupihan, Bataan, after having been sworn to in accordance with law, hereby depose
and state that:

130. I am the Directress of Mother Margherita de Brincat Catholic School in

Dinalupihan, Bataan;

131. Isagani A. Ramos and Lenie S. Mañalac were formerly employed in our
school as Driver and Teacher, respectively;

132. They resigned on January 4, 2011 and April 30, 2011, respectively, and
have been separated from employment since then;

133. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 30 th day of

June, 2011 at Dinalupihan, Bataan.

Sr. Celina Cini

Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 30 th day of June, 2011 at Dinaluiphan,

Bataan.

Doc. No.
Page No.
 Book No.
Series of 2011.

Republic of the Philip

pines )
Province of Bataan ) S.s.
Municipality of Dinalupihan)

JOINT AFFIDAVIT OF SOURCE

OF INCOME

We, Spouses Edilberto De Guzman and Chona B. De Guzman, both of legal

age, Filipino, and with residence and postal address at Purok 2 Sta. Lucia, Pita,
Dinalupihan, Bataan, after having been sworn to in accordance with law, hereby depose
and state that:

134. We are husband and wife. We got married on November 7, 1981 in

Novaliches, Quezon City;

135. We obtain our source of income from proceeds of repairs of appliances

from our customers;

136. Aside from the above, we also received monthly remittance of P 1,500.00
from our brother;

137. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signature this 30 th day of

June, 2011 at Dinalupihan, Bataan.

Edilberto De Guzman Chona B. De Guzman

Affiant Affiant
Driver’s License No. N25-95-004909

Thumb mark:

Subscribed and sworn to before me this 30 th day of June, 2011 at Dinaluiphan,

Bataan.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Non-Employment

I, Margaret Mary A. Peñaflor, of legal age, single, and with residence and postal
address at Kataasan, Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

14. I was born on February 19, 1991 in Balanga City, Bataan from parents Spouses
Isagani C. Peñaflor Sr. and Josielle A. Peñaflor;

15. I graduated at University of Sto. Tomas on April 1, 2011;

16. I have never been employed since then;

17. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 28 th day of

June, 2011 at Dinlalupihan, Bataan.

Margaret Mary A. Peñaflor

Affiant

Witness:

Josielle A. Peñaflor
Dinalupihan, Bataan

Subscribed and sworn to before me this 28 th day of June, 2011 at Dinalupihan,

Bataan, affiant exhibiting to me her UST Alumni Card ID No. 03-25-16117541.

Doc. No.
Page No.
Book No.
Series of 2011.
Republic of the Philippines )
Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT

I, Conrado D. Zuñiga, of legal age, Filipino, married and with residence and
postal address at Kataasan Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

138. I am married to Elsa Cabillon. We got married in the year 1964. We have
a child named Agnes C. Zuñiga;

139. We have been separated since 1965 and have no communications at all;

140. In 1966, Enrica Malatag and I lived as common-law husband and wife up
to present time. We have five (5) children, namely Eduardo, Fernando,
Josephine, Jennifer and Rolando;

141. In my Social Security System (SSS) records, of which I am a member of, it

was discovered that there were two (2) beneficiaries, namely Elsa Cabillon
and Enrica Malatag;

142. I am requesting the SSS to remove the name of Elsa Cabillon and
maintain the name of Enrica Malatag as my sole beneficiary, she being my
common-law wife for 45 years now;

143. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 27 th day of

June, 2011 at Dinalupihan, Bataan.

Conrado D. Zuñiga
Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 27 th day of June, 2011 at Dinaluiphan,

Bataan.

Doc. No.
Page No.
Book No.
Series of 2011
Republic of the Philippines )
Municipality of Dinalupihan ) S.s.
Province of Bataan )
 Affidavit To Use Maiden Name

I, Bernadeth S. Dabu, of legal age, Filipino, single and with residence and postal
address at #50 General Luna St., Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

287. I was born on August 12, 1972 in Cupang, Muntilupa Rizal from parents
Spouses Bailey T. Dabu Sr. and Felicidad S. Dabu as evidenced by my
Certificate of Live Birth;

288. I am married to Ralph D. Solano. We got married on May 16, 2000 in

Dinalupihan, Bataan;

289. We have been separated for more than nine (9) years now;

290. Considering the above, I intend to use my maiden name which is Dabu in
all my documents and records;

291. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 27 th day of

June, 2011 at Dinalupihan, Bataan.

Bernadeth S. Dabu
Affiant

Thumb mark:

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 27th day of June, 2011 at Dinalupihan,
[Link] exhibited to me her SSS ID No. 33-1808275-9.

Doc. No. 470

Page No. 94
Book No. XIII
Series of 2011.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Non-Acceptance

I, Carlus Z. Graciano, of legal age, married, Filipino, and with residence and
postal address at Roosevelt Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

59. I am the husband of Tracey Flippin Graciano;

60. We got married on May 3, 1995 in Olongapo City. We have been separated
since 2000;

61. Considering the above, I hereby give my consent for her to use her maiden
name which is FLIPPIN;

62. Said use of her maiden name is upon her request;

6. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed my signature this 22 nd day of

June, 2011 at Dinalupihan, Bataan.

Carlus Z. Graciano
Affiant

Thumb mark:

Subscribed and sworn to before me this 22nd day of June, 2011 at Dinalupihan,
Bataan. Affiant exhibiting to me his VIN 0804-0201A-D0174CZG10000-1.

Doc. No.
Page No.
Book No.
Series of 2011.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Cohabitation

I, Jemalyn B. Manalili, of legal age, and with residence and postal address at
New San Jose Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

72. I am the common-law wife of Rommel G. Derecho. We have been

cohabitating as common-law husband and wife since 2007;

73. Out of wedlock we begot with the following children, namely:

Kim Shylee, who was born on June 30, 2008

Kirk Zaimon, who was born on June 5, 2010

74. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 15 th day of

June, 2011 at Dinlalupihan, Bataan.

Jemalyn B. Manalili
Affiant

Thumb mark:

Witness:

Regina [Link]
Dinaluiphan, Bataan

Subscribed and sworn to before me this 15 th day of June, 2011 at Dinalupihan,

Bataan. Affiant exhibiting to me her Postal ID No. 0513994.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)

AFFIDAVIT
 I, Arnold S. Dabu, of legal age, Filipino, and with residence and postal address
at #39 Daang Bago Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

144. I am married to Jealyn Garcia. We got married on September 24, 2010 in

New York City, U.S.A;

145. Prior to the said marriage, I was married to Marian Manalansan;

146. I obtained divorced on the first marriage (with Marian Manalansan) as

evidenced by the attached divorce documents;

147. We have no communication since 2005;

148. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 16 th day of

June, 2011 at Dinalupihan, Bataan.

Arnold S. Dabu
Affiant

Thumb mark:

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 16 th day of June, 2011 at Dinaluiphan,

Bataan. Affiant exhibiting to me his VIN 0804-0052A-J2873ASD10001-0.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Province of Bataan ) S.s.
Municipality of Dinalupihan)
 Affidavit

I, Remedios M. Mendoza, of legal age, Filipino, single, and with residence and
postal address at Mabini St., Morong, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

149. I was accepted for an I-20 Visa by the Boston Academy of English in USA
as evidenced by the attached document;

150. By virtue of the above, I am applying for an F-1 Visa so that I can study at
the said school;

151. I undertake to return to the Philippines as soon as I completed my studies

in the said school within the period allowed in a visa to be given by the US
Embassy in the Philippines;

152. I do not intend to overstay in the US considering that my family is in the

Philippines;

153. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13 th day of

June, 2011 at Dinalupihan, Bataan.

Remedios M. Mendoza
Affiant

Thumb mark:

Subscribed and sworn to before me this 13 th day of June, 2011 at Dinaluiphan,

Bataan. Affiant exhibiting to me her Passport No. EB2099495 issued on March 15,
2011.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Province of Bataan ) S.s.
Mu7nicipality of Dinalupihan)

Affidavit

I, Tracey F. Graciano, of legal age, Filipino, married, and with residence and
postal address at Roosevelt Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

154. I was born on June 7, 1971 from parents Spouses Joel Flippin and
Virginia Marcilino as evidenced by my Certificate of Live Birth;
 155. I am married to Carluz Graciano on May 3, 1995 in Olongapo City as
evidenced by our Certificate of Marriage;

156. We have two (2) children namely: Tracy Carl F. Graciano, who was born
on May 25, 1995 and Samiel F. Graciano who was born on January 9, 1999
as evidenced by their Certificates of Live Birth;

157. I have been raising my said children since they were born solely by myself
without the help of my husband, considering that the latter abandoned us in
the year 2000. Since then my husband never appeared;

158. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13 th day of

June, 2011 at Dinalupihan, Bataan.

Tracey F. Graciano
Affiant

Thumb mark:

Subscribed and sworn to before me this 13 th day of June, 2011 at Dinaluiphan,

Bataan. Affiant exhibiting to me her Passport No. EB0147468.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Self- Employment

I, Josefina B. Saplala, of legal age, Filipino, married and with residence and postal
address at Pagalanggang Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

oooo. I am operating a small grocery store in Dinalupihan Public

Market in Dinalupihan, Bataan since 2008;

pppp. Other than the above, I have no other employment or

source of income;

qqqq. I am executing this affidavit to attest to the truth of the

foregoing and for the whatever legal purpose this may serve
best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 6 th day of June,

2011 at Dinlalupihan, Bataan.

Josefina B. Saplala
Affiant
 Thumb mark:

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 6 th day of June, 2011 at Dinalupihan,

Bataan, affiant exhibited to me her VIN 0804-0145A-K0465JBS20000-4.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

JOINT AFFIDAVIT

We, Rizwan Akhtar and Juvielyn R. Akhtar, both of legal age, Filipino, and with
residence and postal address at Luacan Dinalupihan, Bataan, after having been sworn
to in accordance with law, hereby depose and state that:

141. We got married on December 27, 2005 in Dinalupihan, Bataan;

142. As a Pakistani I have a Residence Alien Certificate of Registration No.
ICR0000031474;
143. We are engaged in business under the Business Name Jhoriz Taira
Enterprises located at Dinalupihan Public Market in Dinalupihan, Bataan with
Cell Phone No. 0927-6293716;
144. My mother named Zahida Sultana is intending to come the Philippines as
tourists;

Zahida Sultana
Passport No. BT5776511
Date of Birth: January 1, 1956

145. She will be staying with us here in the Philippines for one (1) or two (2)
months;
146. She will stay with us during her visit;
147. We hereby undertake to give all the necessary support and assistance to
the aforementioned while in the Philippines;
148. We, likewise guarantee that she is peaceful citizen and that her purpose in
coming to the Philippines is purely recreation and business on the side;
149. We declare these facts under threat of perjury;
150. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed my signature this 6 th day of

June, 2011 at Dinalupihan, Bataan.
Rizwan Akhtar Juvielyn R. Akhtar
Affiant Affiant
Passport No. KG447996 Passport No. XX0997394

Subscribed and sworn to before me this 6th day of June, 2011 at Dinalupihan,
Bataan.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Closure

I, Bailey S. Dabu Jr., of legal age, married and with residence and postal
address at General Luna Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

51. I am the registered owner of BAILEY COMPUTER GATE located at Brgy.

Bonifacio Dinalupihan, Bataan registered with the Department of Trade and
Industry under Certificate No. 00713110;

52. Said business has been closed effective on May 30, 2011, considering that I
could no longer manage the said business;

53. In view of the above, I am requesting that my registration with the Department of
Trade and Industry and Office of Municipality of Dinalupihan be cancelled or
revoked;

54. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 29 th day of

June, 2011 at Dinlalupihan, Bataan.

Bailey S. Dabu Jr.

Affiant

Thumb mark:
Witness:

Bernadeth S. Dabu
Dinalupihan, Bataan

Subscribed and sworn to before me this 29 th day of June, 2011 at Dinalupihan,

Bataan. Affiant exhibiting to me his ___________________________.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Reynaldo D. Vergara, of legal age, married, and with residence and postal
address at Bonifacio St. Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

159. I am the registered owner of a motor vehicle described as follows:

Make : Isuzu
Body Type: Dropside
Chassis No.: CXM71V3002457
Engine No.: 10PD1-753351
Plate No.: WSU811

160. The original Certificate of Registration (C.R) of the said vehicle was gutted
from fire a long time ago;

161. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 9 th day of

November, 2010 at Dinlalupihan, Bataan.

Reynaldo D. Vergara
Affiant

Thumb mark:
Witness:

Jocelyn Tajonera
Dinalupihan, Bataan

Subscribed and sworn to before me this 9 th day of November, 2010 at Dinalupihan,

Bataan. Affiant exhibited to me his SSS ID No. 02-3051145-3.

Doc. No. 226

Page No. 46
Book No. VII
Series of 2010.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of No Operation

I, Arlene Singian, of legal age, married, and with residence and postal address
at Culis Hermosa, Bataan, after having been sworn to in accordance with law, hereby
depose and state that:

162. I am the treasurer of VALLEYSTREAM GARMENTS CORP. registered

with the Department of Trade and Industry (DTI);

163. It was opened in the year 2006 at Sta. Isabel Dinalupihan, Bataan;

164. It has not been operating since January 2010 because there are no more
orders placed by customers;

165. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 25 th day of May,

2011 at Dinlalupihan, Bataan.

Arlene Singian
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan
 Subscribed and sworn to before me this 25th day of May, 2011 at Dinalupihan,
Bataan. Affiant exhibited to me her SSS ID No. 02-1211728-6.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Cancellation

I, Susana N. Del Rosario, of legal age, Filipino, married and with residence and
postal address at Palihan Hermosa, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

111. I am the registered owner of JOYSAN SURPLUS TV RETAILER AND

REPAIR SHOP located at Dinalupihan Public Market in Dinalupihan, Bataan
registered with the Department of Trade and Industry under Certificate No.
00442859;

112. I am requesting that said registration be cancelled considering that I could

no longer operate and manage the same;

113. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 25 th day of May,

2011 at Dinalupihan, Bataan.

Susana N. Del Rosario

Affiant

Thumb mark:

Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 25 th day of May, 2011, 2011 at Dinalupihan,
Bataan. Affiant exhibiting to me her Driver’s License No. K03-06-002063.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit
I, Edmond S. Pabalan , of legal age, single, Filipino, and with residence and
postal address at Roosevelt , Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

63. I am an Overseas Filipino Worker (OFW) in Bahrain since September 24,

2008 and returned to the Philippines on May 2, 2011;

64. I am returning to Bahrain to continue my contract with Kuwait Food Company

(Americana);

65. I am aware of Advisory No. 12, Series of 2011 of Philippine Overseas

Employment Administration (POEA) with states as follows:

In view of the issuance of a Travel Advisory by the Department of

Foreign Affairs that raised the alert level on the security situation in
Bahrain from alert Level 1 (Observation Stage) to Alert Level 2 (Caution
Stage), the processing and deployment of all newly hired workers to the
country is hereby deferred until such time that the political and security
condition has normalized.

Under Alert Level 2, only returning workers will be allowed to travel

back to Bahrain, provided that they execute an affidavit that they are fully
aware of the security risk in the country, but voluntarily resumes their
employment in Bahrain.

4. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed my signature this 24 th day of

May, 2011 at Dinalupihan, Bataan.

Edmond S. Pabalan
Affiant

Thumb mark:
Witness:

Arnaldo V. Sulangi
Dinalupihan, Bataan
 Subscribed and sworn to before me this 24th day of May, 2011 at Dinalupihan,
Bataan. Affiant exhibiting to me his VIN 0804-0196A-G1186ESP10000-3.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Joint Affidavit

We, Emma E. Muli and Temmy F. Carlos, both of legal age, Filipino, and with
residence and postal address at Layac Dinalupihan, Bataan, after having been sworn to
in accordance with law, hereby depose and state that:

151. We got married on February 8, 2011 at the City Hall in Matsudoshi, Japan;

152. After the wedding, we were not able to drop by the Philippine Embassy
Office in Japan as instructed because I, Alvin B. Feria, was then on jail for
overstaying and I, Mary Jane E. Garcia , had to leave Japan for an emergency
case in the Philippines;

153. For this reason, our Marriage Contract was not reported, submitted and
registered with the Philippine Embassy in Japan;

154. We request that our Marriage Contract be registered with the proper
agency and we apologize for the non-registration;

155. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed my signature this 18 th day of

may, 2011 at Dinalupihan, Bataan.

Alvin B. Feria Mary Jane E. Garcia

Affiant Affiant
Passport No. XX 0535814 Certificate of Alien Registration No. 428161372

Subscribed and sworn to before me this 18 th day of may, 2011 at Dinalupihan,

Bataan.

Doc. No.
Page No.
Book No.
Series of 2011.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Non-Acceptance

I, Jaybee A. Santos, of legal age, single, Filipino, and with residence and postal
address at Balsic Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

66. I was born on April 22, 1989 in Hermosa, Bataan from parents Spouses
Dominador Santos and Josephine Antonio;

67. I have been a Philhealth Member since 2008;

68. However to date I have not received my Philhealth ID neither do I know my

Philhealth number;

69. I am requesting Philhealth to issue my ID;

6. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed my signature this 18 th day of

May, 2011 at Dinalupihan, Bataan.

Jaybee A. Santos
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 18th day of May, 2011 at Dinalupihan,
Bataan. Affiant exhibiting to me his TIN 281-696-958-000.

Republic of the Philippines )

Municipality of Dinalupihan ) S.s.
Province of Bataan )
 Affidavit To Use Maiden Name

I, Myra G. Yumang, of legal age, Filipino, and with residence and postal address
at Luacan, Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

292. I was born on September 3, 1975 in Hermosa, Bataan from parents

Spouses Rufino Yumang and Edelwina Garcia as evidenced by my Certificate of
Live Birth;

293. I am married to Dennis C. Velasco. We got married on August 22, 2001 in

Dinalupihan, Bataan;

294. We have been separated for more than seven (7) years now and I do not
know his whereabouts. We have no communication;

295. Considering the above, I intend to use my maiden name which is Yumang
in all my documents and records;

296. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 17 th day of May,

2011 at Dinalupihan, Bataan.

Myra G. Yumang
Affiant

Thumb mark:

Witnesses:

May M. Sulangi Regina P. Malit

Dinalupihan, Bataan Dinalupihan, Bataan

Subscribed and sworn to before me this 17th day of May, 2011 at Dinalupihan,
[Link] exhibited to me her SSS ID No. 02-1105665-2.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan ) S.s.
Province of Bataan )

Affidavit of Singleness
 I, Aris P. Flores, of legal age, Filipino, single, and with residence and postal
address at Purok 3, Luacan, Dinaluiphan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I was born on March 30, 1980 in Dinalupihan, Bataan;

2. I have never entered into any marriage contract, and has remained single
to date;

3. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 9 th day of May,

2011 at Dinalupihan, Bataan.

Aris P. Flores
Affiant

Thumbmark:

Witnesses:

Rainer G. Kopfmann May M. Sulangi

Subscribed and sworn to before me this 9 th day of May, 2011at Dinalupihan,

Bataan. Affiant exhibiting to me his Passport Number XX2852383 issued on January
23, 2009.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan ) S.s.
Province of Bataan )

Affidavit of Service
 I, May M. Sulangi, of legal age, Filipino, married, and with residence and postal
address at Daang Bago, Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

4. I am the secretary of Atty. Juvy Mell [Link];

5. That today, April 27, 2011, I caused the mailing by registered mail a copy
of the Petition For Review of Rachelle M. Bansil with address at San
Isidro, Lubao, Pampanga as evidenced by Registry Receipt No.
________, Dinalupihan, Bataan Post Office;

6. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 27 th day of April,

2011 at Dinalupihan, Bataan.

May M. Sulangi
Affiant

Sworn to, signed, and notarized after being carefully read and explained to May M.
Sulangi in the presence of the undersigned notary and witnesses this 27 th day of April,
2011 at Dinalupihan, Bataan, Philippines.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Singleness

I, Arnaldo V. Sulangi, of legal age, married, and with residence and postal
address at Daang Bago Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

1. I am the guardian/uncle of VIRGILIA LYNN S. DAIT who was born on July 18,
1989 in Olongapo City from parents Spouses Virgilio Dait and Luzviminda
Sulangi as evidenced by her Certificate of Live Birth;

2. Her parents are presently out of the country;

 3. She has remained single and has not entered into any marriage contract;

4. She is now 22 years old;

5. She wish to marry her boyfriend this year named Mick Rhodes D. Natividad , 22
years old;

6. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this _____ day of

April, 2011 at Dinlalupihan, Bataan.

Arnaldo V. Sulangi
Affiant

Thumb mark

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this _____ day of April, 2011at Dinalupihan,
Bataan.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Cohabitation

We, Jay D. Paguio and Rosemarie L. Natural, both of legal age, and with
residence and postal address at Bamban Hermosa, Bataan, after having been sworn to
in accordance with law, hereby depose and state that:

75. We have been cohabitating as common-law husband and wife since 2003;
76. Out of wedlock we have been blessed with the following children, namely:

Adrian, who was born on August 18, 2004

Justine, who was born on July 23, 2007

77. We are executing this affidavit to attest to the truth of the foregoing and for
the whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed my signature this _____ day of

April, 2011 at Dinlalupihan, Bataan.

Jay D. Paguio Rosemarie L. Natural

Affiant Affiant
__________________ PHIC ID No. 07-201331703-9
__________________

Subscribed and sworn to before me this _____ day of April, 2011at Dinalupihan,
Bataan.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Joint Affidavit

We, Enrique G. Dabu and Clarita N. Wenceslao , both of legal age, Filipino,
and with residence and postal address at Daang Bago Dinalupihan, Bataan, after
having been sworn to in accordance with law, hereby depose and state that:

70. We personally know Spouses Mario Navarro and Rosita Inocencio. They
got married on April 20, 1952 in Dinalupihan, Bataan;

71. They were blessed with Seven (7) Children:

72. We know the foregoing because we are the neighbors of Spouses Mario
Navarro and Rosita Inocencio and in fact attended their said wedding;
 73. However, said parties discovered that their Certificate of Marriage was not
duly registered of the Local Civil Registrar of Dinalupihan, Bataan and the
National Statistics Office;

74. We are not in anyway related to them, either by consanguinity or by affinity;

75. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed my signature this 27 th day of

April, 2011 at Dinalupihan, Bataan.

Enrique G. Dabu Clarita N. Wenceslao

Affiant Affiant
VIN 0804-0053A-K2546EGD10001-7 OSCA ID No. 01973

Subscribed and sworn to before me this 27 th day of April, 2011 at Dinalupihan,

Bataan.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Teresita R. Pantig, of legal age, widow, Filipino, and with residence and postal
address at San Isidro Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

76. I am the surviving spouse of Ernesto I. Pantig who died on March 25, 2011 in
Dinalupihan, Bataan as evidenced by his Certificate of Death;

77. We have three (3) children, namely: Raquel, Nhice and Joyce;

78. I am the nearest kin of Ernesto, being his legal wife;

4. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.
 IN WITNESS WHEREOF, we have hereunto affixed my signature this 13 th day of
April, 2011 at Dinalupihan, Bataan.

Teresita R. Pantig
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 13 th day of April, 2011 at Dinalupihan,

Bataan. Affiant exhibiting to me her Postal ID No. 0513608.

Doc. No.
Page No.
Book No.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )
Affidavit of Cancellation
I, Lucy B. Pablo, of legal age, Filipino, married and with residence and postal
address at Daang Bago Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

16. I am the vendee in the Deed of Sale of Motor Vehicle executed by Ruben G.
Lingad in my favor on August 5, 2010 notarized by Atty. Juvy Mell S. Malit
entered into her notarial reg. book as Doc. No. 491; Page No. 66; Book No. V;
Series of 2010;

17. Said transaction did not push through, hence this Affidavit of Cancellation;

18. I am returning the said motor vehicle to Ruben G. Lingad;

19. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 1 st day of June,

2011 at Dinalupihan, Bataan.

Lucy B. Pablo
Affiant

Thumb mark:

Witness:

Ricardo Cuaresma
Dinalupihan, Bataan

Subscribed and sworn to before me this 1st day of June, 2011 at Dinalupihan,
Bataan. Affiant exhibiting to me her VIN 0804-0059A-A2668LBP20000-0

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Ownership

I, Nelia A. Hilario, of legal age, married, Filipino, and with residence and postal
address at Palihan Hermosa, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

20. I am the owner of the following appliances:

(1 unit) Swing Machine

(1 unit) Wall Fan
(1 unit) Desk Fan
(1 unit) Component
( 1 unit) Washing Machine
( 1 unit) Sharp TV
(1 unit) Blender
( 1 unit ) Flat Iron

2. Said properties/appliances are located presently at our house in Palihan

Hermosa, Bataan;

3. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed my signature this 4 th day of

April, 2011 at Dinalupihan, Bataan.

Nelia A. Hilario
Affiant

Thumb mark:

Subscribed and sworn to before me this 4th day of April, 2011 at Dinalupihan,
Bataan. Affiant exhibiting to me her Philhealth ID No. 07-201235225-6.

Doc. No.
Page No.
Book No.
Series of 2011.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

JOINT AFFIDAVIT

We, Amanda B. Movida and Criszaldy B. Santos, both of legal age, Filipino, and
with residence and postal address at Roosevelt Dinalupihan, Bataan, after having been
sworn to in accordance with law, hereby depose and state that:

1. We personally know KENNETH JOSEPH CIRCULADO who was born on

March 16, 1989 in Cavite City;

2. He was the child of Margarita Y. Circulado;

3. His birth records are not yet duly registered with the Office of the Local Civil
Registrar of Cavite City;

4. There is a need to have said records registered;

5. We know the foregoing because we visited his mother at the time that he was
born;

6. We are not in anyway related to him, either by consanguinity or by affinity;

7. We are executing this affidavit to attest to the truth of the foregoing and for the
purpose of late registering the birth certificate of Kenneth Joseph Circulado with
the concerned Office of the Local Civil Registrar and the National Statistics Office
(NSO).

IN WITNESS WHEREOF, I have hereunto affixed my signature this 4 th day of April,

2011 at Dinlalupihan, Bataan.

Amanda B. Movida Criszaldy B. Santos

Affiant Affiant
VRR No. 0804030007697 Driver’s License No. D18-00-002978

Subscribed and sworn to before me this 4 th day of April, 2011 at Dinalupihan,

Bataan.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Non-Tenancy

I, Clarita De Ocampo, of legal age, widow, and with residence and postal
address at Cabog-Cabog, Balanga City, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am the registered owner of a parcel of land situated at Cabog-Cabog Balanga

City, Bataan, containing an area of Four Thousand Three Hundred Eighty Seven
(4,387) Square Meters, covered by Transfer Certificate of Title No. 5267;

2. Being the owner, I know for a fact that there are no tenants and squatters in the
said real property;

3. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 24 th day of

March, 2011 at Dinlalupihan, Bataan.

Clarita De Ocampo
Affiant

Subscribed and sworn to before me this 24 th day of March, 2011 at Dinalupihan,

Bataan, affiant exhibiting to me her ____________________________.

Doc. No.
Page No.
Book No.
Series of 2011.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Non-Tenancy

I, Remedios D. Landicho, of legal age, married, and with residence and postal
address at Cabog-Cabog, Balanga City, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am the registered owner of a parcel of land situated at Cabog-Cabog Balanga

City, Bataan, containing an area of Four Thousand Three Hundred Eighty Seven
(4,387) Square Meters, covered by Transfer Certificate of Title No. 5266;

2. Being the owner, I know for a fact that there are no tenants and squatters in the
said real property;

3. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed our signatures this 24 th day of

March, 2011 at Dinlalupihan, Bataan.

Remedios D. Landicho
Affiant

Subscribed and sworn to before me this 24 th day of March, 2011 at Dinalupihan,

Bataan, affiant exhibiting to me her ____________________________.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )
 Affidavit of Release and Quitclaim
with Indemnity Undertaking

We, Lilia G. Sta. Ana, Gilda S. Lalic, Gil John Paul G. Sta. Ana, Gilsen G.
Sta. Ana and George G. Sta. Ana, all of legal age, Filipino Citizens, and with residence
and postal address at Sto. Niño, Lubao, Pampanga, after having been sworn to in
accordance with law, hereby depose and state that:

1. We are the heirs of the late JUAN D. STA. ANA who died on November 22,
2010 in Lubao, Pampanga as evidenced by his Certificate of Death;

2. For and in consideration of the amount of P 78,181.71, hereby acknowledged

and received in hand by the affiants. We expressly and absolutely remiss,
release and forever discharge BANCO DE ORO UNIVERSAL BANK, its
administrators, directors, stockholders, offices, assigns and/or any of its
employees from any of its employees from any and all claims, suits, actions or
causes which we successors/assigns now have or in the future claim to have
against the said bank in connection with the proceeds S/A No. 7400004473 in
the name of Juan D. Sta. Ana;

3. We hereby further obligate ourselves, jointly and severally to indemnify the said
bank, its administrators, directors, stockholders, officers, assigns and or any of its
employees for any loss or damages which they may sustain in the event that any
third person/s shall succeed in establishing a right superior to that of our
concerning the aforesaid deposit/s.

FURTHER AFFIANT/S SAYETH NAUGHT.

IN WITNESS WHEREOF, we have hereunto affixed our signature this ____ day of
March, 2011 at Dinalupihan, Bataan.

Lilia G. Sta. Ana Gilda S. Lalic

Gil John Paul G. Sta. Ana Gilsen G. Sta. Ana

George G. Sta. Ana

Subscribed and sworn to before me this ____ day of March, 2011 at Dinalupihan,
Bataan.

Doc. No.
Page No.
Book No.
Series of 2011.

Deed of Extrajudicial Settlement of Estate

Known all men by these presents:

We, Lilia G. Sta. Ana, Gilda S. Lalic, Gil John Paul G. Sta. Ana, Gilsen G.
Sta. Ana and George G. Sta. Ana, all of legal age , Filipino Citizens, and with
residence and postal address at Sto. Niño, Lubao, Pampanga, after having been sworn
to in accordance with law, hereby depose and state that:

1. We are the legitimate heirs of JUAN D. STA. ANA;

 2. The aforementioned deceased died in the Municipality of Lubao, Province of
Pampanga which was his residence at the time of his death on November 22,
2010;

3. Said decedent died without leaving any will, nor debts;

4. Said deceased left the following:

a. Bank Account maintained with Banco De Oro Branch of Lubao,

Pampanga, in the amount of P71,181.71 plus interest accruing:

5. The parties herein have agreed, as they hereby agree, to divide and settle the
aforementioned estate of Juan D. Sta. Ana between them;

6. The parties here in have agreed to waive their share in the aforementioned
estate of deceased in favor of their mother Lilia G. Sta. Ana who accept the same
with gratitude.

IN WITNESS WHEREOF, we have hereunto affixed our signature this ____ day of
March, 2011 at Dinalupihan, Bataan.

Lilia G. Sta. Ana Gilda S. Lalic

Gil John Paul G. Sta. Ana Gilsen G. Sta. Ana

George G. Sta. Ana

Signed in the presence of:

_________________________ _________________________
_________________________ _________________________

ACKNOWLEDGMENT

Republic of the Philippines)

______________________)S.s.

Before me, a Notary Public and in the above jurisdiction, personally appeared the
following:

Name ID No.

Lilia G. Sta. Ana

Gilda S. Lalic
Gil John Paul G. Sta. Ana
Gilsen G. Sta. Ana
George G. Sta. Ana

known to me and me known to be the same person who executed and signed the
foregoing Deed of Extrajudicial Settlement of the Estate of the deceased Juan D. Sta.
Ana, which deed consist of two (2) pages, including this page where on the
acknowledgment appears, signed by the parties and the instrumental witnesses at the
bottom of the last page and the left margin of each and every page thereof, and the
partial acknowledged to me that the same is their free and voluntary act and deed.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Evangelina C. Pacheco, of legal age, Filipino, widow and with postal address
at Masagana Farm Products & Supplies San Ramon , Dinalupihan, Bataan, after having
been sworn to in accordance with law, hereby depose and state that:

1. That, my real name as appearing in my birth certificates is

EVANGELINA de CASTRO CUARTERO;
2. That, when I attended school up to college I used the name
EVANGELINE de CASTRO CUARTERO because I thought it was my
correct name;
3. That, I also used the name EVANGELINE de CASTRO
CUARTERO in my Marriage contract and EVANGELINE C. PACHECO in
Birth Certificates of my children and other legal documents;
4. In 1995, when I obtained a copy of my Certificate of Live Birth from
the National Statistics Office (NSO) I found out that my registered name is
EVANGELINA de CASTRO CUARTERO and so I started using the same
to conform with my Certificate of Live Birth;
5. That, however, in the letter dated January 25, 2011 of the United
States Department of State National Visa Center address to me, my name
was entered as EVANGELINE CUARTERO PACHECO instead of
EVANGELINA CUARTERO PACHECO;
6. The names Evangelina de Castro Cuartero, Evangeline C.
Cuartero, Evangeline Cuartero Pacheco, Evangeline C. Pacheco and
Evangelina C. Pacheco as explained above belong to one and the same
person;
7. I will maintain using the name EVANGELINA CUARTERO
PACHECO because it is the name registered in all my legal documents;
8. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 16 th day of

March, 2011 at Dinalupihan, Bataan.
 Evangelina C. Pacheco
Affiant

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 16th day of March, 2011 at Dinalupihan,
Bataan. Affiant exhibiting to me her Passport No. EB1246268.

Doc. No.419
Page No. 84
Book No. XI
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

JOINT AFFIDAVIT

We, Spouses Wilfredo B. David and Felicita G. David, both of legal age,
Filipino, and with residence and postal address at Pagalanggang Dinalupihan, Bataan,
after having been sworn to in accordance with law, hereby depose and state that:

9. Our personal data as should have been indicated in our Marriage Contract
are as follows:

Name of Husband: Wiflredo Baluyot David Name of Wife: Felicita Barin

Garcia
Date of Birth: January 13, 1965 Date of Birth: September 29, 1958
Place of Birth: Dinalupihan, Bataan Place of Birth: Dinalupihan,
Bataan
Residence: Pagalanggang, Din,., Bataan Residence: New San Jose
Din., Bataan
Civil Status: Single Civil Status: Single
Religion: Catholic Religion: Catholic
Citizenship: Filipino Citizenship: Filipino

Name of Husband Parents: Name of Wife Parents:

Name of Father: Domingo D. David Name of Father: Honorio G.
Garcia
Citizenship: Filipino Citizenship: Filipino
Name of Mother: Valentina D. Baluyot Name of Mother: Adoracion B. Barin

Name of Solemnizing Officer/Designation: Mayor Jose Alejandre Payumo Jr.

Date of Marriage: June 17, 1980
Place of Birth: Dinalupihan, Bataan
Time of Marriage: 10:00 a.m.

Name of Sponsors: Andres Tuazon and Carmelina Montemayor

 10. We are executing this affidavit to the truth of the foregoing and for whatever
legal purposes this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed my signature this 9 th day of

March, 2011 at Dinalupihan, Bataan.

Wilfredo B. David Felicita G. David

Affiant Affiant
_______________________ ______________________
_______________________ ______________________

Subscribed and sworn to before me this 9th day of March, 2011 at Dinalupihan,
Bataan.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Non- Submission of

Old Passport

I, Ellen O. Atienza, of legal age, widow, Filipino, and with residence and postal
address at Padre Dandan, Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

11. I am the surviving spouse of Arturo P. Atienza who died on October 22,
2004;

12. We got married on January 5, 1980 in Dinalupihan, Bataan as evidenced by

our Certificate of Marriage;

13. He died on October 22, 2004 in Balanga City, Bataan;

14. He was a holder of a Philippine Passport issued by the Department of Foreign

Affairs (DFA), more or less in the years 1978 to 1982;

15. The original of the said passport has been missing for a long time now;

16. Despite diligent efforts to locate it, the same proves futile and is now
considered lost for all intents and purposes;

17. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.
 IN WITNESS WHEREOF, I have hereunto affixed my signature this 2 nd day of
March, 2011 at Dinalupihan, Bataan.

Ellen O. Atienza
Affiant

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 2 nd day of March, 2011 at Dinaluiphan,

Bataan. Affiant exhibiting to me her SSS ID No. 02-0339545-7.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Employment

I, Aujolyn A. Mercado, of legal age, Filipino, single and with residence and postal
address at Palihan Hermosa, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

rrrr. I used to be employed with Wistron Infocom (Phils.) Corp.

holding the position of Operator in the year of 2007;

ssss. I stopped working on April 15, 2007 because I went to

Kuwait to worked as a Service Crew;

tttt. By reason thereof, I was not able to get a Certificate of

Employment and at present Wistron Infocom (Phils.) Corp. is
no longer operating;

uuuu. I am executing this affidavit to attest to the truth of the

foregoing and for the whatever legal purpose this may serve
best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 10 th day of May,

2011 at Dinlalupihan, Bataan.

Aujolyn A. Mercado
Affiant

Thumb mark:

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 10 th day of May, 2011 at Dinalupihan,

Bataan, affiant exhibited to me her SSS ID No. 02-2079210-1.
Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Laureano D. Romero, of legal age, Filipino, married and with residence and
postal address at Sto. Niño Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

13. I am one of the Plaintiffs in the case entitled Antonio Romero, Ricardo
Romero and Laureano D. Romero, as represented by Laureano Romero their
Atty. –in-fact vs. Norma David and Pacifico Manabat @ Pacing Manabat
pending before the Office of the Provincial Adjudicator , Dinalupihan, Bataan
and docketed as Civil Case No. R-0301-1238-10;

14. The Defendants committed violations mentioned in the complaint and in the
position paper to wit: (I) par. 9 of the Leasehold Contract (II) refusal to remit
the leased rental for the years 2008, 2009 and continuously to the present
which is a violation under PD No. 816 particularly sec. 1 and 3 and page 5
(III) par. 5 TSN dated June 29, 2010 wherein defendant herself admitted that
she mortgaged the subject landholding to her co defendant Pacifico Manabat
and (IV) the proud admission of the defendant herself that she is just a
woman and cannot cultivate the farm holding (see page 6, par. 8, 9 and 10
preliminary conference dated June 29, 2010) and (V) the admission that her
children are also professionals (response dated December 2, 2009 addressed
to Atty. Malit’s demand letter and was marked as exh. D-1 (TSN dated June
29, 2010) are sufficient grounds enough to the Honorable Board to grant the
prayed issuance of Preliminary Injunction with Temporary Restraining Order;

15. Further, plaintiffs wanted the defendant David and her children to stop the on
going construction of her son’s house within the subject premises because it
will destroy the size of farm work making the farm holding even more smaller.
This act of the defendants will cause great and irreparable damages on the
part of the plaintiffs;

16. If the defendant will not be restrained from continuing the acts being
complained of plaintiffs will suffer great irreparable damages. On the other
hand, it would also be a burden on the part of the defendants to continue
tilling the farm holding because the latter cannot produce the leasehold
rentals anymore because of her own admissions that she is a teacher, a
woman and has no ability to cultivate the farm holding;

17. Under the obtaining circumstances, there is an extreme urgency for the Writ
of Preliminary Injunction with Temporary Restraining Order to issue in order
to – (I) preserve and protect the rights of the plaintiffs, (II) to restrain the
Defendant David and her unknown son from further constructing any
structures within the subject premises which in effect destroys the farm size
and farm works (III) to avoid and stop further grave and irreparable damages
or injury that plaintiff may unnecessarily suffer;
 18. Plaintiffs are willing to post a bond for the issuance of the writ of preliminary
injunction with Temporary Restraining Order should the Honorable Board so
require. Plaintiffs’ however prays that the amount be nominal in view of their
difficult financial situation;

19. The defendants are doing, threatening, or are about to do, or are procuring or
suffering to be done, some acts probably in violation of the plaintiffs rights
respecting the subject of the action and tending to render the judgment
ineffectual;

20. Plaintiffs being the owners of the subject property are entitled to relief
demanded, and the whole or part relief consists in restraining the commission
or continuance of the acts complained of;

21. The plaintiffs hereby applies for a writ of preliminary injunction to restrain
defendant from the act herein complained of, and for this purpose hereby
offers a bond in such sum as this Honorable Board may affix;

22. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

In witness whereof, I have hereunto affixed my signature this 19 th day of January,

2011 at Dinalupihan, Bataan.

Laureano D. Romero
Affiant

Subscribed and sworn to before me this 19th day of January, 2011 at

Dinalupihan, Bataan, affiant exhibited to me his VIN 0804-0250A-H2042LDR10000-1.

Doc. No.
Page No.
Book No.
Series of 2011.
 Juvy Mell B. Sanchez-Malit
23. father of Sarah Mae C. Capulong who was born on September 20, 1987 in
San Fernando, Pampanga;

24. I am fully dependent upon her for support. I have been unemployed for a long
time;

25. She is the one providing for all my basic and medical needs. We both live in
the same house located at Layac Dinalupihan, Bataan;

26. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto

affixed my signature this 17th day of December, 2010 at Dinalupihan, Bataan.

Jose A. Capulong
Affiant

Thumb mark:

Witness:

Raymond Capulong
Dinalupihan, Bataan

Subscribed and sworn to before me this 17th day of December, 2010 at Dinalupihan,
Bataan. Affiant exhibiting to me his Driver’s License No. C02-65-002464

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Maternity

I, Cristina S. Beltran, of legal age, married, Filipino Citizen, and with residence
and postal address at 343 Saguing Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

7. I am the mother of Menard M. Sarreal and Mark Anthony M. Sarreal who were
born on July 13, 1992 and August 7, 1990, respectively in Dinalupihan, Bataan;

8. Their father is Menandro L. Edquilan. We are not legally married;

9. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13 th day of

January, 2011 at Dinalupihan, Bataan.

Cristina S. Beltran
Affiant

Thumb mark:

Witness:

Regina P. Malit
Dinalupihan, Bataan
 Subscribed and sworn to before me this 13 th day of January, 2011 at Dinalupihan,
Bataan. Affiant exhibiting to me her Postal ID No. 4945695.

Doc. No. 162 Atty. Juvy Mell B. Sanchez-Malit

Page No. 33 Notary Public
Book No. X Commission Expires on 12/31/2011
Series of 2011. PTR No. 0506906.01/04/2011
IBP No. 662038.01/03/2011
Roll of Attorney No. 40601
Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Evangelina C. Pacheco, of legal age, Filipino, widow and with residence and
postal address at No. 14 San Ramon, Dinalupihan, Bataan, after having been sworn to
in accordance with law, hereby depose and state that:
 1. That, my real name as appearing in my birth certificate is EVANGELINA C.
CUARTERO;
2. That, when I attended school up to college I used the name of EVANGELINE C.
CUARTERO because I thought it was my correct name;
3. That, I also used the name EVANGELINE C. CUARTERO in my Marriage
Contract, Birth Certificates of my children and other legal documents;
4. In 1995, when I obtained a copy of my Certificate of Live Birth from the National
Statistics Office (NSO) I found out that my registered first name is EVANGELINA
and so I started using the same to conform with my Certificate of Live Birth;
5. That, however, in the letter dated January 25, 2011 of the Untied States
Department of State National Visa Center address to me, my first name was
entered as EVANGELINE instead of EVANGELINA;
6. The names Evangeline Cuartero Pacheco and Evangelina Cuartero Pacheco as
explained above belong to one and the same person;
7. I will maintain using the first name Evangelina because it is the first name
registered in my Certificate of Live Birth;
8. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 16 th day of

March, 2011 at Dinalupihan, Bataan.

Evangelina C. Pacheco
Affiant

Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 16 th day of March, 2011 at Dinalupihan,

Bataan. Affiant exhibiting to me her Passport No. EB1246268.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Emerson S. Lapid, of legal age, Filipino, single and with residence and postal
address at San Ramon Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

1. My parents are Jose N. Lapid and Mercedes T. Sanchez;

2. They are not legally married, although there were no existing legal impediments;

3. They have been living for forty two (42) years together as common-law husband
and wife until the death of my mother on February 20, 2004;

4. They were blessed with four (4) children;

5. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.
 IN WITNESS WHEREOF, I have hereunto affixed my signature this ___ day of
March, 2011 at Dinalupihan, Bataan.

Emerson S. Lapid
Affiant

Witness:

Angeline L. Saldaña
Dinalupihan, Bataan

Subscribed and sworn to before me this ____ day of March, 2011 at Dinalupihan,
[Link] exhibiting to me his ______________________.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Cancellation
 We, Elena C. Rivera and Katrina G. Cheung, both of legal age, Filipino, and
with residence and postal address at Balsic Hermosa, Bataan, after having been sworn
to in accordance with law, hereby depose and state that:

114. On March 26, 1999, I Elena C. Rivera-Griffith executed a Deed of

Donation in favor of Katrina Griffith-Cheung notarized by Atty. Juvy Mell S. Malit
entered into her notarial register book as doc. No. 329; Page No. 66; Book No.
IV; Series of 1999;

115. We hereby cancel the said document voluntarily;

116. I, Katrina G. Cheung, voluntarily return the said property to Elena C.

Rivera-Griffith;

117. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signature this 25 th day of

April, 2011 at Dinalupihan, Bataan.

Elena C. Rivera Katrina G. Cheung

Affiant Affiant
CTC No. 23122719- 4/18/2011-Hermosa, Bataan SSS ID No. 02-3281193-1

Witness:

Rafael C. Rivera Jr.

Hermosa, Bataan

Subscribed and sworn to before me this 25 th day of April,2011 at Dinalupihan,

Bataan.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )
 Affidavit of Cancellation

I, Alfie S. Alunday, of legal age, Filipino, single and with residence and postal
address at San Ramon Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

118. I am the registered owner of San Ramon Cycle Parts registered with the
Department of Trade and Industry under Certificate No. 00974048;

119. I am requesting that said registration be cancelled considering that I could

no longer operate and manage the same;

120. I hereby transfer said business to my father Ernesto N. Alunday;

121. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 15 th day of

March, 2011 at Dinalupihan, Bataan.

Alfie S. Alunday
Affiant

Thumb mark:

Witness:

Kristine Alunday
Dinalupihan, Bataan

Subscribed and sworn to before me this 15th day of March, 2011 at Dinalupihan,
Bataan. Affiant exhibiting to me his _________________________.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Teddy A. Deregla, of legal age, Filipino, married, and with residence and
postal address at 20 Zamora St., Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

122. I am the owner of DSSD Medical Care Laboratory and Clinic located at
San Ramon Dinalupihan, Bataan;

123. Said establishment is registered with the Department of Trade & Industry
(DTI) as evidenced by Certificate of Business Name Registration No. 00380235;
 124. I am transferring said establishment to Nerissa O. Salvador by virtue of an
Affidavit of Waiver;

125. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ____ day of

November, 2010 at Dinalupihan, Bataan.

Teddy A. Deregla
Affiant

Thumb mark:

Subscribed and sworn to before me this _____ day of November, 2010 at

Dinalupihan, Bataan.

Doc. No.
Page No.
Book No.
Series of 2010.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Ownership

I, Michelle M. Shioda, of legal age, married, Filipino, and with residence and
postal address at Layac Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

21. I am the owner of the following appliances:

(1 unit) Sony TV
(1 unit) Desk Fan
(1 unit) Stand Fan
(1 unit) Meat Freezer
( 1 unit) Play Station 3
( 1 unit) AOC Monitor 22”
(1 unit) Logitech Speaker System

2. Said properties/appliances are located presently at our house in Layav

Dinalupihan, Bataan;

3. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed my signature this 4 th day of

April, 2011 at Dinalupihan, Bataan.
 Michelle M. Shioda
Affiant

Thumb mark:

Subscribed and sworn to before me this 4th day of April, 2011 at Dinalupihan,
Bataan. Affiant exhibiting to me her Passport No. TT0431923.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Ownership

I, Michelle M. Shioda, of legal age, married, Filipino, and with residence and
postal address at Layac Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

22. I am the owner of the following appliances:

(1 unit) Sony TV
(1 unit) Desk Fan
(1 unit) Stand Fan
(1 unit) Meat Freezer
( 1 unit) Play Station 3
( 1 unit) AOC Monitor 22”
(1 unit) Logitech Speaker System

2. Said properties/appliances are located presently at our house in Layav

Dinalupihan, Bataan;

3. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed my signature this 4 th day of

April, 2011 at Dinalupihan, Bataan.

Michelle M. Shioda
Affiant

Thumb mark:
 Subscribed and sworn to before me this 4th day of April, 2011 at Dinalupihan,
Bataan. Affiant exhibiting to me her Passport No. TT0431923.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

) S.s.

Affidavit To Use Maiden Name

I, Michelle N. Canlas, of legal age, Filipino, and with residence and postal
address at Daang Bago, Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

297. I was born on December 17, 1976 in Dinalupihan, Bataan;

298. I am married to Fortunato B. Cervantes Jr. We got married on May 19,

2003 in Dinalupihan, Bataan;

299. We have been separated for more than seven (7) years now and I do not
know his whereabouts. We have no communication;

300. Considering the above, I intend to use my maiden name which is Bartolo
in all my documents and records;

301. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ____ day of

January, 2011 at ___________________________.

Michelle N. Canlas
Affiant

Thumb mark:

Witnesses:
May M. Sulangi Regina P. Malit
Dinalupihan, Bataan Dinalupihan, Bataan

Subscribed and sworn to before me this ____ day of January, 2011 at

___________________.Affiant exhibited to me her
_____________________________.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit

I, Martin C. Tongol, of legal age, Filipino, and with residence and postal
address at New San Jose, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

1. I am the owner of a house and lot located at New San Jose Dinalupihan, Bataan
as evidenced by a Deed of Sale executed by Abel A. Dizon on August 5, 2002;

2. The previous owner was Pablo Dizon who passed away a long time ago;

3. Electric meter was already installed by the Penelco in the said property when I
purchased it under the name of Pablo Dizon with meter serial no. 7540551;

4. Considering that I am now the owner of the said house with all the installations
therein found, I am requesting the Penelco to change the name of said account
from Pablo Dizon to Martin C. Tongol Jr.

5. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed my signature this 29th day of

October, 2010 at Dinalupihan, Bataan.

Martin C. Tongol Jr.

Affiant

Thumb mark:

Witness:
Annabel Tongol
Dinalupihan, Bataan

Subscribed and sworn to before me this 29 th day of October, 2010 at Dinalupihan,

Bataan. Affiant exhibited to me his Postal ID No. 4825485.

Doc. No.
Page No.
Book No.
Series of 2010.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Disability

I, Consuelo M. Mariano, of legal age, Filipino, widow, and with residence and
postal address at Luacan, Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

302. I was born on December 14, 1930 in Sta. Ana, Pampanga;

303. I am now 80 years old;

304. By reason of my advanced age. I could no longer write and read. I could
no longer sign my signature and instead affix my thumb mark in my documents;

305. The notary public read and explained to me the contents of this affidavit
before affixing my thumb mark;

306. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 11th day of

October, 2010 at Dinalupihan, Bataan.

Consuelo M. Mariano
Affiant

Thumb mark:

Witness:
Lilia M. Labasan
Dinalupihan, Bataan

Subscribed and sworn to before me this 11 th day of October, 2010 at Dinalupihan,

Bataan. Affiant exhibited to me her VFP Life Member ID No. 03BT1DN01308720214
and Postal ID No. 8949133.

Doc. No.
Page No.
Book No.
Series of 2010.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Late Registration

I, Jessie J. Paule, of legal age, Filipino, and with residence and postal address
at Greenhills Subdivision, San Pedro Hermosa, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

23. I am the petitioner in Sp. Proc. No. DH-192-08 in the case entitled Petition for
Correction of Entry in the Civil Registry Jessie Jaring Paule, Petitioner vs. Local
Civil Registrar Hermosa, Bataan, respondent filed before the Regional Trial
Court, Branch V, Dinalupihan, Bataan;

24. Said petition was granted in a Decision promulgated on October 23, 2008;
 25. Said Decision has become final and executory as evidenced by a Certification
issued by the same court dated December 1, 2008. However, to date the same it
not yet registered or recorded with the Local Civil Registrar of Hermosa, Bataan
and the National Statistics Office (NSO);

26. I was not able to cause the immediate registration because it is only recently that
I got copies of the decision and Certificate of Finality personally at the Regional
Trial Court Branch V;

27. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 6 th day of

January, 2011, 2010 at Dinalupihan, Bataan.

Jessie J. Paule
Affiant

Thumb mark:
Witness:

Regina P. Malit
Dinalupihan, Bataan

Sworn to, signed, and notarized after being carefully read and explained to Jessie J.
Paule in the presence of the undersigned notary and witnesses this 6 th day of January,
2011 at Dinalupihan, Bataan, Philippines.

Doc. No. Atty. Juvy Mell B. Sanchez-Malit

Page No. Notary Public
Book No. Commission Expires on 12/31/2011
Series of 2011. PTR No. 0506906.01/04/2011
IBP No. 662038.01/03/2011
Roll of Attorney No. 40601
Bataan

Republic of the Philippines )

Municipality of Dinalupihan ) S.s.
Province of Bataan )

Affidavit of Service

I, May M. Sulangi, of legal age, Filipino, married, and with residence and postal
address at Daang Bago, Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

7. I am the secretary of Atty. Juvy Mell [Link];

8. On July 20, 2010, I caused the mailing of copies of Motion for Issuance of
Writ of Execution via registered mail in the case entitled Manuel Garcia
Castro vs. Sps. Tomas and Erlinda Bautista, [Link]., docketed as Civil
Case no. G-4389 and filed with the Regional Trial Court, Branch 52,
Guagua, Pampanga, as follows:

Recipient Postal Office RR Number

 RTC Branch 52 Dinalupihan, Bataan _________
Atty. Eddie R. Bansil Dinalupihan, Bataan
_________

9. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 20 th day of July,

2010 at Dinalupihan, Bataan.

May M. Sulangi
Affiant

Sworn to, signed, and notarized after being carefully read and explained to May M.
Sulangi in the presence of the undersigned notary and witnesses this 20 th day of July,
2010 at Dinalupihan, Bataan, Philippines.

Doc. No. _____

Page No. _____
Book No. _____
Series of 2010.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan

Affidavit

I, Martin V. Cruz Jr., of legal age, Filipino, and with residence and postal
address at Roxas St. Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

1. I run for Minucipal Councilor of Dinalupihan, Bataan during the last election
held on May 10, 201;

2. I was not able to file the requested Statement of Expenses and Contribution
with the Comelec within the prescribed period because I had to attend to my
sick uncle who was terribly ill then, and in fact died last week;

3. I undertake to submit the said document within 10 days from execution

hereof;

4. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 1 st day of

October, 2010 at Dinalupihan, Bataan.

Martin V. Cruz Jr.

Affiant
 Thumb mark:

Sworn to, signed, and notarized after being carefully read and explained to Martin V.
Cruz Jr. in the presence of the undersigned notary and witnesses this 1 st day of
October, 2010 at Dinalupihan, Bataan, Philippines. Affiant exhibited to me his
_______________________ to prove his identity as the same person who affixed his
signature above.

Doc. No.
Page No.
Book No.
Series of 2010.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Joint Affidavit of School Official/Teacher

We, Joseph O. Barcarse and Jorey M. Ebalan, both of legal age, and with
residence and postal address at Palihan, Hermosa, Bataan, after having been sworn to
in accordance with law, hereby depose and state that:

1. I, Joseph O. Barcarse is the Guidance Counselor of Subic Montessori, Sta.

Isabel, Dinalupihan, Bataan Branch;

2. I, Jorey M. Ebalan is a school teacher of the same school;

3. We personally know Dhelgin T. Trinidad who was born on February 15, 1994 in
Dinalupihan, Bataan, Philippines to be one of the fourth year students who will be
graduating this school year;

4. We know her to be the child of Abelito Trinidad, Jr. and Michelle R. Torreliza who
are not legally married;

5. We likewise know that it is her father who has been supporting her and her
parents have been separated since 1998;

6. We know the foregoing because we are working at the school where Dhelgin is
presently enrolled;

7. We are not in anyway related to them, either by consanguinity or by affinity;

8. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 26 th day of

March, 2010 at Dinalupihan, Bataan.

Joseph O. Barcarse Jorey M. Ebalan

Affiant Affiant

Witnesses:
Jeffrey Flores Abelita T. Quilao
Luacan, Dinalupihan, Bataan Luacan, Dinalupihan, Bataan

Subscribed and sworn to before me this 26 th day of March, 2010 at Dinalupihan,

Bataan.

Doc. No. _____

Page No. _____
Book No. _____
Series of 2010.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Joint Affidavit of Associates

We, Jerry Ronquillo and Dante Pelagio, both of legal age, and with residence
and postal address at Saguing, Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. We personally know Dhelgin T. Trinidad who was born on February 15, 1994 in
Dinalupihan, Bataan, Philippines;

2. She is the child of Abelito Trinidad, Jr. and Michelle R. Torreliza who are not
legally married;

3. She has been in the custody of her father since she was four (4) years old
because her parents separated;

4. Since then, she has been with her father and the latter’s relative in case he is out
of the country. He has been the ones supporting Dhelgin;

5. We know the foregoing because we are the close associates of Abelito Jr. and
we have worked together in the farm for a long time when he was still in the
Philippines;

6. We are not in anyway related to them, either by consanguinity or by affinity;

7. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 26 th day of

March, 2010 at Dinalupihan, Bataan.

Jerry Ronquillo Dante Pelagio

Affiant Affiant

Witnesses:

Jeffrey Flores Abelita T. Quilao

Luacan, Dinalupihan, Bataan Luacan, Dinalupihan, Bataan

Subscribed and sworn to before me this 26 th day of March, 2010 at Dinalupihan,

Bataan.

Doc. No. _____

Page No. _____
Book No. _____
Series of 2010.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Joint Affidavit of Neighbors

We, Consolacion A. Unlas and Elizabeth R. Buco, both of legal age, and with
residence and postal address at Purok 4 Luacan, Dinalupihan, Bataan, after having
been sworn to in accordance with law, hereby depose and state that:

1. We personally know Dhelgin T. Trinidad who was born on February 15, 1994 in
Dinalupihan, Bataan, Philippines;

2. She is the child of Abelito Trinidad, Jr. and Michelle R. Torreliza who are not
legally married;

3. She has been in the custody of her father since she was four (4) years old
because her parents separated;

4. Since then, she has been with her father and the latter’s relative in case he is out
of the country. He has been the ones supporting Dhelgin;

5. We know the foregoing because we are the neighbors of Dhelgin and her family
and we have known them for a long time now;

6. We are not in anyway related to them, either by consanguinity or by affinity;

7. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 26 th day of

March, 2010 at Dinalupihan, Bataan.

Consolacion A. Unlas Elizabeth R. Buco

Affiant Affiant

Witnesses:

Jeffrey Flores Abelita T. Quilao

Luacan, Dinalupihan, Bataan Luacan, Dinalupihan, Bataan

Subscribed and sworn to before me this 26 th day of March, 2010 at Dinalupihan,

Bataan.

Doc. No. _____

Page No. _____
Book No. _____
Series of 2010.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Joint Affidavit of Friends

We, Nhice P. Lima and Maria Angelica P. Cuenco, both of legal age, and with
residence and postal address at San Isidro, Dinalupihan, Bataan, after having been
sworn to in accordance with law, hereby depose and state that:

13. We are the friends of Spouses Oneal C. Payumo and Ivy D. Guanzon who got
married on November 18, 2010 in Office of the Municipal Mayor Dinalupihan,
Bataan as evidenced by their Certificate of Marriage;

14. We acquired knowledge of their marriage because we attended their said

wedding;

15. Reception was held at Farmlandia Resort in Hermosa, Bataan after the marriage
ceremony in Dinalupihan, Bataan;

16. We know the foregoing because we are the friends of Spouses Oneal C. Payumo
and Ivy D. Guanzon;

17. We are not in anyway related to them, either by consanguinity or by affinity;

18. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 6 th day of

December 2010 at Dinalupihan, Bataan.

Nhice P. Lima Maria Angelica P. Cuenca

Affiant Affiant
Postal ID No. 10284411 Police Clearance Control no. 1001-2010-
3126

Subscribed and sworn to before me this 6 th day of December, 2010 at Dinalupihan,

Bataan.

Doc. No.
Page No.
Book No.
Series of 2010.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Foreign Citizenship Acquired

I, Sarah Visita Dabu, of legal age, married, American Citizen, and with
residence and postal address at No. 7 Del Pilar, Dinalupihan, Bataan, after having
been sworn to in accordance with law, hereby depose and state that:

5. I was born on July 24, 1965 in Dinalupihan, Bataan, Philippines;

6. I first arrived in the United States of America (USA) in November 1990;
7. I acquired US citizenship by Naturalization in 1998;
8. I am now a holder of US passport with number 453881605 issued on February 6,
2009;
9. I arrived last March 2, 2009 in the Philippines together with my child named Piah
Gabriella V. Dabu who was born on January 3, 2007 in USA;
10. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 24 th day of

February, 2010 at Dinalupihan, Bataan.

Sarah V. Dabu
Affiant

Thumb mark:

Witnesses:

Regina P. Malit
Daang Bago, Dinalupihan, Bataan

Sworn to, signed, and notarized after being carefully read and explained to Sarah V.
Dabu in the presence of the undersigned notary and witnesses this 24 th day of
February, 2010 at Dinalupihan, Bataan, Philippines. Affiant exhibited to me a copy of
her US Passport with assigned number 453881605 issued on February 6, 2009 to prove
her identity as the same person who affixed her signature above.

Doc. No. _____

Page No. _____
Book No. _____
Series of 2010.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Family Composition

I, Rafael D. Morales, of legal age, married, and with residence and postal
address at Pagalanggang, Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

11. I am one of the sons of Spouses Erlinda Dimalanta Morales and Andres Morales.
We are nine in the family;

12. I am married to Leticia Baluyot Morales. We got married on March 16, 1974;

13. Out of our lawful marriage, we were blessed with four (4) children, namely:

Rex, born on December 8, 1975

Leslie, born on June 27, 1978
Reymond, born on October 1, 1980
Ronnel, born on February 2, 1991

14. Rex is presently in Italy. Leslie and Ronnel are in the Philippines while Reymond
is in Dubai;
 15. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 27 th day of

May, 2009 at Dinlalupihan, Bataan.

Rafael D. Morales
Affiant

Thumb mark:
Witnessed by:

______________________ __________________________
______________________ __________________________

tubscribed and sworn to before me this 27 th day of May, 2009 at Dinalupihan,

Bataan, affiant exhibited to me his CTC No. CC12008 25585379 issued on February 19,
2009 at Dinalupihan, Bataan and Comelec ID No. 0804-0144A-J2455RDM100002-4.

Doc. No. Juvy Mell B. Sanchez-Malit

Page No. Notary Public
Book No. Commission Expires on 12/31/2009
Series of 2009. PTR No. 2190208, 01/06/2009
IBP No. 661951, 01/06/2009
Roll of Attorney No. 40601
Bataan
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Surviving Spouse

I, Betty M. Aguilar, of legal age, widow, and with residence and postal address at
Palihan, Hermosa, Bataan, after having been sworn to in accordance with law, hereby
depose and state that:

1. I am the surviving spouse of Rodulfo F. Aguilar who died on December 21, 2008
at the National Kidney and Transplant Institute in Quezon City;

2. We got married on June 5, 1983 in Hermosa, Bataan. We have three (3)

children, namely: Jacqueline Precious who was born on May 30, 1984; Lorezza
who was born on November 3, 1987 and Sean Russel who was born on March 4,
1990;

3. I am the only surviving spouse of Rodulfo F. Aguilar, thus entitled to whatever

benefit is due him;

4. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 22 nd day of

April, 2009 at Dinlalupihan, Bataan.

Betty M. Aguilar
Affiant

Witnesses:

Lorezza Aguilar Regina P. Malit

Palihan, Hermosa, Bataan Daang Bago, Din., Bataan
 Subscribed and sworn to before me this 22nd day of April, 2009 at Dinalupihan,
Bataan, affiant exhibited to me her Passport Number PP 0827468 issued on February
7,m 2005 at DFA Consular Office, Clarkfield, Pampanga, Philippines.

Doc. No. Juvy Mell B. Sanchez-Malit

Page No. Notary Public
Book No. Commission Expires on 12/31/2009
Series of 2009. PTR No. 2190208, 01/06/2009
IBP No. 661951, 01/06/2009
Roll of Attorney No. 40601
Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Non-Employment

I, Elena R. Puno, of legal age, married, and with residence and postal address at
Pentor Dinalupihan, Bataan, after having been sworn to in accordance with law, hereby
depose and state that:

vvvv. I have not been employed since 1994;

wwww. My last employment was with Mt. Malasimbu

Development and Industrial Foundation in Hermosa, Bataan;

xxxx. After I resigned, I did not work anymore because of personal

reasons;

yyyy. I am executing this affidavit to attest to the truth of the

foregoing and for the whatever legal purpose this may serve
best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 2 nd day of

November, 2010 at Dinlalupihan, Bataan.

Elena R. Puno
Affiant

Thumb mark:

Witness:

May M. Sulangi
Dinalupihan, Bataan

Subscribed and sworn to before me this 2nd day of November, 2010 at

Dinalupihan, Bataan, affiant exhibited to me her Postal ID No. 6787357.

Doc. No.
Page No.
Book No.
Series of 2010.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Abandonment

I, Christina I. Obispo, of legal age, married, and with residence and postal address
at New San Jose, Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

85. I am the sister of Susan Ignacio Hicom who died on May 1, 2009 in Dinalupihan,
Bataan;

86. During her lifetime, she was using the surname of her common law husband
named Rosito Hicom. They did not legalize their marriage until they separated in
the year 2006;

87. They cohabited for a long time and thereafter she was abandoned by Rosito in
the year 2006;

88. Since then, Rosito’s whereabouts were unknown to all of us;

89. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 5 th day of May,

2009 at Dinlalupihan, Bataan.

Christina I. Obispo
Affiant

The above statements are hereto attested and witnessed by the following barangay
officials:

Milagros D. Mallari Elisa C. Recibe

Kabaka Coordinator Purok Chairman 1-B
New San Jose, Dinalupihan, Bataan New San Jose, Dinalupihan, Bataan

Subscribed and sworn to before me this 5 th day of May, 2009 at Dinalupihan,

Bataan, affiant exhibited to me her CTC No. CC12008 15163793 issued on May 4, 2009
at Dinalupihan, Bataan.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Singleness

I, Federico P. Llarina, of legal age, married, and with residence and postal
address at Happy Valley, Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I am the father of Jeannelyn M. Llarina who was born on April 8, 1983 in

Dinalupihan, Bataan as evidenced by her Certificate of Live Birth;

2. Her mother is Fausta M. Llarina;

3. She has remained single and has not entered into any marriage contract;

4. She is now 27 years old;

zzzz. She wish to marry her boyfriend this year named Brooks
Albery, American Citizen,

aaaaa. I am executing this affidavit to attest to the truth of the

foregoing and for the whatever legal purpose this may serve
best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 20 th day of

October, 2010 at Dinlalupihan, Bataan.
 Federico P. Llarina
Affiant

Thumb mark

Witnesses:

Luis Destreza Ma. Victoria Llarina

Dinalupihan, Bataan Dinalupihan, Bataan

Subscribed and sworn to before me this 20 th day of October, 2010 at

Dinalupihan, Bataan, affiant exhibited to me his Driver’s License No. C02-93-038374.

Doc. No.
Page No.
Book No.
Series of 2010.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Singleness

I, Fanny Almario, of legal age, married, and with residence and postal address at
PEntor, Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

78. I am the guardian of Luigi A. Ruiz who was born on February 23, 1989 in
Dinalupihan, Bataan from parents Spouses Rudyard C. Ruiz and Alice N.
Almario as evidenced by his Certificate of Live Birth;

79. He has remained single and has not entered into any marriage contract;

80. He is now 21 years old;

81. He wish to marry his girlfriend this year named Jalyn R. Almario, 18 years old;

82. I am executing this affidavit to attest to the truth of the foregoing and for the
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 8th day of

November, 2010 at Dinlalupihan, Bataan.

Fanny Almario
Affiant

Thumb mark

Witness:

Luigi A. Ruiz
Dinalupihan, Bataan
 Subscribed and sworn to before me this 8th day of November, 2010 at
Dinalupihan, Bataan.

Doc. No.
Page No.
Book No.
Series of 2010.

Doc. No.
Page No.
Book No.
Series of 2008.

Date:

To Whom It May Concern:

This is to certify that I have seen the original of Transfer Certificate of Title No.
EP-685 which was shown to me by Nicanor C. Morales and thereafter return the same
to him.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Joint Affidavit of Singleness

Of Two Disinterested Persons
 We, Efren P. Sapaden, Jr. and Reynald P. Lumanlan, both of legal age, single,
and with residence and postal address at Bamban, Hermosa, Bataan, after having been
sworn to in accordance with law, hereby depose and state that:

1. We personally know Marry Ann C. Paa who was born on April 17, 1988 in
Dinalupihan, Bataan from parents Leonido and Monica Paa;

2. Marry Ann has never entered into any marriage contract and has stayed single or
unmarried up to this time;

3. We know the foregoing because we are the neighbors and closed friends of
Marry Ann and we have known her for a long time now;

4. We are not in anyway related to her, either by consanguinity or by affinity;

5. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 21 st day of

May , 2009 at Dinlalupihan, Bataan.

Efren P. Sapaden, Jr. Renyald P. Lumanlan

Affiant Affiant
Driver’s Lic. No. C02-05-003956 Passport Number TT0457377
Issued on July 10, 2006

Witnesses:

Marry Ann C. Paa Regina P. Malit

Mambog, Hermosa, Bataan Bamban, Hermosa, Bataan

Subscribed and sworn to before me this 7 th day of April, 2009 at Dinalupihan,

Bataan, affiant exhibiting to me her Postal ID No. 4776144 expiring on December 13,
2011.

Doc. No. Juvy Mell B. Sanchez-Malit

Page No. Notary Public
Book No. Commission Expires on 12/31/2009
Series of 2009. PTR No. 2190208, 01/06/2009
IBP No. 661951, 01/06/2009
Roll of Attorney No. 40601
Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Singleness

We, Elmerlito A. Montemayor and Zenaida I. Montemayor, both of legal age,

married to each other, and with residence and postal address at New San Jose,
Dinalupihan, Bataan, after having been sworn to in accordance with law, hereby depose
and state that:

15. We are the parents of Jayson L. Montemayor who was born on October 11,
1987 in Dinalupihan, Bataan;
 16. Jayson has never entered into any marriage contract and has stayed single or
unmarried up to this time;

17. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 7 th day of

April , 2009 at Dinlalupihan, Bataan.

Elmerlito A. Montemayor Zenaida I. Montemayor

Affiant Affiant

Thumb mark: Thumb mark:

Witnesses:

Jayson L. Montemayor Mabel Cruz

New San Jose, Din., Bataan Tapulao, Orani, Bataan

Subscribed and sworn to before me this 7 th day of April, 2009 at Dinalupihan,

Bataan.

Doc. No. 49 Juvy Mell B. Sanchez-Malit

Page No. 10 Notary Public
Book No. XII Commission Expires on 12/31/2009
Series of 2009. PTR No. 2190208, 01/06/2009
IBP No. 661951, 01/06/2009
Roll of Attorney No. 40601
Bataan
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Ownership

I, Edgardo L. Alfonso, of legal age, and with residence and postal address at
Remedios, Lubao, Pampanga, after having been sworn to in accordance with law,
hereby depose and state that:

14. I am the present owner of a wheel loader described as follows: Model: TCM835;
Serial No. S12-01120; Engine No. 6BD1-743137; Body Type: TCM wheel loader;

15. The previous owner of the said wheel loader is Fleetline Equipment Corporation
owned by Kian Kok Ang;

16. I purchased the said wheel loader from the said previous owner as evidenced by
the attached Deed of Sale executed on May 25, 2009 notarized by Atty. Virginia
A. Paragua, entered into her notarial book doc no. 292; page no. 60; book no. 01;
series of 2009;

17. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 19 th day of

January, 2011 at Dinalupihan, Bataan.

Edgardo L. Alfonso
Affiant

Witness:

Regina P. Malit
Dinalupihan, Bataan

Sworn to, signed, and notarized after being carefully read and explained to
Edgardo L. Alfonso in the presence of the undersigned notary and witness this 19 th day
of January, 2011 at Dinalupihan, Bataan, Philippines. Affiant exhibited his Driver’s
License No. C02-98-058388, to prove his identity as being the same person who affixed
his signature above.

Doc. No.
Page No.
Book No.
Series of 2011.
Doc. No.
Page No.
Book No.
Series of 20

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Closure

I, Nicolas V. Ocampo, of legal age, married and with residence and postal
address at Sta. Isabel Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

55. I am the registered owner of Nick Store located at Dinalupihan Public Market in
Dinalupihan, Bataan;

56. Said business will be closed effective today February 21, 2011, considering that
it is no longer earning income;

57. In view of the above, I am requesting that my registration with the Office of
Municipality of Dinalupihan be cancelled or revoked;

58. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 21 st day of

February, 2011 at Dinlalupihan, Bataan.

Nicolas V. Ocampo
Affiant

Thumb mark:

Witness:

Marites Ocampo
Dinalupihan, Bataan

Subscribed and sworn to before me this 21st day of February, 2011 at

Dinalupihan, Bataan.

Doc. No.
Page No.
Book No.
Series of 2011.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

AFFIDAVIT

I, Romeo T. Ocampo, of legal age, married and with residence and postal
address at Colo Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

6. I am the father of Julie S. Ocampo who was born on July 2, 1989 in Hermosa,
Bataan as evidenced by her Certificate of Live Birth;

7. Her mother is Magdalena S. Ocampo and presently working in Jeddah, Saudi

Arabia;

8. She has remained single and has not entered into any marriage contract;

9. She is now 21 years old;

10. She wish to marry her boyfriend this year named Aldrin Lloyd Cabatac;

11. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 24 th day of

January, 2011 at Dinlalupihan, Bataan.

Romeo T. Ocampo
Affiant

Thumb mark:
Witness:

Regina P. Malit
Dinalupihan, Bataan

Subscribed and sworn to before me this 24 th day of January, 2011 at

Dinalupihan, Bataan. Affiant exhibited to me his SSS ID No. 02-0463900-2.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of ) S.s.
Province of )

Affidavit of Change of Name in Penelco Billing

 I, Julius Dela Cruz, of legal age, married, and with residence and postal
address at Jollibee Subdivision Cabcaben, Olongapo City, after having been sworn to in
accordance with law, hereby depose and state that:

9. I am the registered owner of a house situated at Sacrifice Valley Hermosa,

Bataan;

10. The electric meter installed in the said house with a billing under account
number 04-0439-0020 ; meter serial no. 2363240 is still under my name;

11. I am requesting the Penelco to change the name as stated in the billing
statement of electric meter from Julius Dela Cruz to Abelardo B. Dela Cruz;

12. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 17 th day of

October, 2008 at Dinlalupihan, Bataan.

Raul E. Salva
Affiant

Subscribed and sworn to before me this 17 th day of October, 2008 at

Dinalupihan, Bataan, affiant exhibiting to me his PRC ID as Chief Mate No. D2-
0012065.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )
 Affidavit of Ownership

I, Edgardo L. Alfonso, of legal age, married, and with residence and postal
address at San Isidro Lubao, Pampanga, after having been sworn to in accordance with
law, hereby depose and state that:

38. I am the owner of a motor vehicles particularly described as follows:

Make : Isuzu
Body Type : Truck
Plate No. : XGJ543
Chassis No. : 10PD1753663
Engine No. : CXZ71J-3005829

Make : Isuzu
Body Type : Mini Dump Truck
Plate No. : RJL513
Chassis No. : NKR66E-7482542
Engine No. : 4HF1-420156

Make : Isuzu
Body Type : Dump Truck
Plate No. : RCS181
Chassis No. : CXZ72J-3000093
Engine No. : 12PD1-770194

Make : Isuzu
Body Type : Dump Truck
Plate No. : RGK109
Chassis No. : CXZ72J-3009360
Engine No. : 12PD1-786029

Make : Isuzu
Body Type : Dump Truck
Plate No. : XDL306
Chassis No. : CXZ71J-3002762
Engine No. : 10PD1-746109

Make : Isuzu
Body Type : Mini Dump Truck
Plate No. : RHR700
Chassis No. : NKR66E-7425312
Engine No. : 4HF1-218717

Make : Isuzu
Body Type : Mini Dump Truck
Plate No. : RHY327
Chassis No. : NKR71E-7408524
Engine No. : 4HG1-491068

Make : Isuzu
Body Type : Dropside
Plate No. : XLS235
Chassis No. : NKR66L-7102986
Engine No. : 4HF1-128699

39. My ownerships are evidenced by the attached Official Receipts and Certificates
of Registration of the said vehicles;

40. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 14th day of

January, 2011 at Dinlalupihan, Bataan.
 Edgardo L. Alfonso
Affiant

Witness:

May M. Sulangi
Dinaluiphan, Bataan

Subscribed and sworn to before me this 14 th day of January, 2011 at

Dinalupihan, Bataan, affiant exhibiting to me his Driver’s License No. C02-98-058388.

Doc. No.
Page No.
Book No.
Series of 2011.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Change of Color

of Motor Vehicle

I, Mack John O. Canlas, of legal age, and with residence and postal address at
40 Del Pilar St., Dinalupihan, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

1. I am the owner of a motor vehicle particularly described as follows:

Make : Isuzu
Body Type : Dropside
Plate No. : RHT729
Chassis No. : NPR71L-7419847
Engine No. : 4HG1-622396
OR No. : 854078573
CR No. : 10668653-2
 2. I cause the changed of the color of the said motor vehicle from red to pure white;

3. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 20 th day of

October, 2010 at Dinlalupihan, Bataan.

Mack John O. Canlas

Affiant

Thumb mark:

Subscribed and sworn to before me this 20 th day of October, 2010 at

Dinalupihan, Bataan, affiant exhibiting to me his ______________________________.

Doc. No.
Page No.
Book No.
Series of 2010

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Joint Affidavit
of Two (2) Disinterested Persons

We, Arceli Baluyot and Angel Valenzuela, Jr., both of legal age, and with
residence and postal address at Sto. Rosario, Floridablanca, Pampanga, after having
been sworn to in accordance with law, hereby depose and state that:

1. We personally know Spouses Dominga Vitug-Calma and Amado S. Calma. They

got married in the year 1971 in Bacolor, Pampanga. However, their marriage
contract was not duly registered;

2. Prior to the said wedding in 1971, they already have 3 children and after their
wedding in 1971 they were again blessed with 3 children, or a total of six
(6)children all in all;

3. Two of their children, namely: Armando and Cynthia were born on October 28,
1976 and June 25, 1972, respectively. When they got married on June 20, 2003
for Armando and June 29, 1996 for Cynthia, their parents, Spouses Dominga and
Amado were registered as their parents;

4. We know that the above named spouses in fact got married, but the marriage
contract was not registered without their fault;
 5. They have lived as husband and wife until Amado died on July 7, 2008;

6. We are not in way related with them, either by consanguinity or by affinity;

7. We know the foregoing because we are the neighbors and close friends of
Dominga and Amado and we have known them for a long time now;

8. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 26 th day of

August, 2008 at Dinlalupihan, Bataan.

Arceli Baluyot Angel Valenzuela, Jr.

Affiant Affiant

Subscribed and sworn to before me this 26th day of August, 2008 at Dinalupihan,
Bataan, affiant Angel Valenzuela, Jr. exhibited to me his Driver’s License No. C02-84-
002536.

Doc. No.
Page No.
Book No.
Series of 2008.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Child Placement

I, Alicia G. Merced, of legal age, married, Filipino citizen, and with residence
and postal address at No. 654 Luacan, Dinalupihan, Bataan, after having been sworn to
in accordance with law, hereby depose and state that:

1. Last June 24, 2003, Marites A. Ogaya came in my house in Luacan, Dinalupihan,
Bataan. She is my neighbor. She asked me if I am interested to adopt a child;

2. I told them that I am not interested but I know someone who is interested to
adopt;

3. She told me that a person by the name of Virgie A Suarez just gave birth and she
is interested to give the child to whoever is interested for adoption because she
cannot sustain the needs of the said child;

4. Virgie is the former housemaid of Marites’ sister-in-law named Rosita O.

Quiambao who is now deceased and was a former resident of No. 15 Jones St.,
New Asinan, Olongapo City;

5. The next day, June 25, 2003, I went to the house of Marites and took the child
(who was later on named Johna Isabel R. Yao) from Virgie. Virgie voluntarily
gave the child to us and gave a document stating that she wants to have her
child adopted;

6. I went to Saint John Academy of the same day on or about 5:00 in afternoon and
handed the child to Gemma Yao, who is the principal of the said school. Prior to
this, we already talked to Gemma and she is interested to adopt the child as they
are childless;

7. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.
 IN WITNESS WHEREOF, I have hereunto affixed my signature this 17 th day of
September, 2008 at Dinlalupihan, Bataan.

Alicia G. Merced
Affiant

Subscribed and sworn to before me this 17 th day of September, 2008 at

Dinalupihan, Bataan. Affiant exhibited to me her CC12006 16067088 issued on
January 8, 2008 at Dinalupihan, Bataan.

Doc. No. 479

Page No. 96
Book No. VII
Series of 2008.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Undertaking

I, Turiano A. Reyes, of legal age, married, and with residence and postal
address at No. 328 East Calaguiman, Samal, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. Ruel Cabusao Forbes is the husband of my daughter Bernadette R. Forbes. He

executed a Special Power of Attorney (SPA) on January 28, 2008 in my favor to
represent me in all the transactions relating his application for loan with the Pag-
IBIG Fund considering that he is presently in Saudi Arabia;

2. One of the requirements for the said application of loan is the submission of
newly assessed Tax Declaration of Residential Building declared in the name of
Ruel C. Forbes, being the borrower. The borrower is supposed to submit the
same before the loan is taken out;

3. At present, the Assessor’s Office can not issue such in time for the Housing Loan
takeout. This is due to the fact that the documentation for this case takes more
than the usual processing time;

4. I undertake/promise to submit the required newly assessed Tax Declaration of

Residential Building on the subject property on or before July 16, 2008;

5. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 12 th day of

June, 2008 at Dinlalupihan, Bataan.

Turiano A. Reyes
Affiant

Subscribed and sworn to before me this 12 th day of June, 2008 at Dinalupihan,

Bataan, affiant exhibiting to me his CTC No. CC12007 12010005 issued on January 21,
2008 at Samal, Bataan.

Doc. No.
Page No.
Book No.
Series of 2008.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Voluntary Act of Surrender

(For a Surrendering Father of a Child)

I, Allan Aguas, of legal age, married, and with residence and postal address at
San Benito, Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

1. I am the father of Anne Julia M. Libid and John Michael M. Libid who were
born on August 1, 1999 and March 6, 1998, respectively (both in Dinalupihan,
Bataan, Philippines);
2. Their mother is Josie Libid (now surnamed Grigley). Josie and I are not legally
married;
3. I reside at San Benito, Dinalupihan, Bataan, Philippines;
4. I do hereby surrender and entrust the entire custody and control of the above
named children to Donald Fitzgerald Grigley, husband of Josie Ligid Grigley;
5. I hereby grant to the step-father: Donald Fitzgerald Grigley and mother, Josie
Libid Grigley full custody power of the child and all measures which, may be for
the best interests of my children, including authorizing medical, surgical and
dental care and treatment including inoculation and anaesthesia for the children;
6. I wish to and understand that by signing this surrender, I do irrevocably and
permanently give up all custody and other parental rights I have to the said
children;
7. I understand I cannot under any circumstances, after signing this surrender,
change my mind and revoke or cancel this surrender or obtain or recover custody
or any other rights over the said children;
8. I have read and understand the above and I am signing it as my free and
voluntary act;
9. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 23 rd day of

March, 2009 in Dinalupihan, Bataan.

Allan Aguas
Affiant

Witness:
Regina P. Malit
Daang Bago, Dinalupihan, Bataan

Sworn to, signed, and notarized after being carefully read and explained to Allan
Aguas in the presence of the undersigned notary and witnesses this 23 rd day of March,
2009 at Dinalupihan, Bataan, Philippines.

Doc. No. Juvy Mell B. Sanchez-Malit

Page No. Notary Public
Book No. Commission Expires on 12/31/2009
Series of 2009. PTR No. 2190208, 01/06/2009
IBP No. 661951, 01/06/2009
Roll of Attorney No. 40601
 Bataan

Doc. No.
Page No.
Book No.
Series of 2008.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Joint Affidavit of Mutual Agreement

We, Jaime F. Morales and Bertilia Sanchez, both of legal age, married to each
other, and with residence and postal address at Purok 6, New San Jose, Dinalupihan,
Bataan, after having been sworn to in accordance with law, hereby depose and state
that:

1. We are married to each other having joined the matrimony on March 1, 1987;

2. We have been separated since 1996;

3. There is no chance for us to reconcile as we have our own respective families;

4. We agree not to intervene with each other’s affair;

5. We shall live separately and be freed from our obligation as husband and wife;

6. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signature this ____ day of
October, 2008 at Dinlalupihan, Bataan.

Jaime F. Morales Bertilia Sanchez

Affiant Affiant

Subscribed and sworn to before me this _____ day of ___________, 2008 at

Dinalupihan, Bataan.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of No Operation

I, Amy A. Atrero, of legal age, single, and with residence and postal address at
Pentor, Dinalupihan, Bataan, after having been sworn to in accordance with law, hereby
depose and state that:

166. I am the owner of CjMengDave General Merchandise registered with the

Department of Trade and Industry (DTI);

167. It was opened in the year 2006 at Gulf 1 Stall No. 6 Dinalupihan Public
Market, Dinalupihan, Bataan;

168. It has not been operating since January 17, 2008 because the same is no
longer earning income;

169. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 12 th day of

January, 2009 at Dinlalupihan, Bataan.

Amy A. Atrero
Affiant

Subscribed and sworn to before me this 12 th of January, 2009 at Dinalupihan,

Bataan. Affiant exhibited to me her ________________________________________.

Doc. No. Juvy Mell B. Sanchez-Malit

Page No. Notary Public
Book No. Commission Expires on 12/31/2009
Series of 2009. PTR No. 2190208, 01/06/2009
IBP No. 661951, 01/06/2009
Roll of Attorney No. 40601
Bataan
Doc. No.
Page No.
Book No.
Series of 2009.

Doc. No. Juvy Mell B. Sanchez-Malit

Page No. Notary Public
Book No. Commission Expires on 12/31/2009
Series of 2009. PTR No. 2190208, 01/06/2009
IBP No. 661951, 01/06/2009
Roll of Attorney No. 40601
Bataan

Doc. No.
Page No.
Book No.
Series of 2009.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Joint Affidavit of Relatives

We, Rolando Hizon and Socorro Hizon, both of legal age, and with residence
and postal address at Rizal St., Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

1. I affiant Rolando is the brother of Edgardo Hizon who died on September 22,
2007 in Dinalupihan, Bataan and I affiant Socorro is the sister in law of the
said Edgardo Hizon;

2. We know for a fact that Estrelita Hizon is the wife of Edgardo and they got
married on January 4, 1987 in Dinalupihan, Bataan;

3. They had no children;

4. They have been separated since October 3, 1993 because Edgardo had
another family;

5. During his lifetime and before their separation, Estrelita dependent to him for
support, and since they separated, they did not support her anymore until his
death;

6. We are executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 18 th day of

October, 2008 at Dinlalupihan, Bataan.

Rolando Hizon Socorro Hizon

Affiant Affiant
CTC No. CTC No.

Subscribed and sworn to before me this 18 th day of October, 2008 at Dinalupihan,

Bataan.

Doc. No.
Page No.
Book No.
Series of 2008.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Promise to Marry

I, John Kenith Neil T. Pineda, of legal age, single, and with residence and
postal address at Wakas, Orion, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:

7. I am the boyfriend of Joyce Medina (born on February 22, 1987);

8. She is presently pregnant (14 weeks) and I am the father of the child in her
womb;

9. At present, we could not legalize our relationship by entering into a marriage

contract because of my petition for migration in the US;

10. I promised to marry her after two(2) years (from execution hereof) with or
without the approval of my aforesaid petition;

11. I will support her though out her pregnancy and in raising our child, financially,
physically, morally and emotionally;

12. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 11 th day of

March, 2009 at Dinlalupihan, Bataan.

John Kenith Neil T. Pineda

Affiant

Witness:

Carmelita Pineda Demilito Pineda Ma. Teresa Medina

Mother Father Mother of Joyce

Conforme:

Joyce Medina

Subscribed and sworn to before me this 11 th day of March, 2009 at Dinalupihan,

Bataan, affiant exhibiting to me her Postal ID No. 6553732

Doc. No.
Page No.
Book No.
Series of 2009.
Doc. No.
Page No.
Book No.
Series of 2009.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Total Landholdings

I, Rosario Rivera Jimenez, of legal age, married, and with residence and postal
address at Balsic, Hermosa, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

1. I am one of the heirs of the late Eufemia Manuel Rivera who died on July 6, 2007
in Manila;

2. During her lifetime, she acquired several properties in the Philippines as

evidenced by the attached Property Holdings issued by the Office of the
Provincial Assessor of the Province of Bataan;

3. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 8 th day of

January, 2009 at Dinlalupihan, Bataan.

Rosario R. Jimenez
Affiant
 Subscribed and sworn to before me this 8 th day of January, 2009 at Dinalupihan,
Bataan, affiant exhibited to me her SSS No. 03-1990686-6.

Doc. No. Juvy Mell B. Sanchez-Malit

Page No. Notary Public
Book No. Commission Expires on 12/31/2009
Series of 2009. PTR No. 2190208, 01/06/2009
IBP No. 661951, 01/06/2009
Roll of Attorney No. 40601
Bataan

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Non-Preemption

I, Olympia C. Reyes, of legal age, widow, and with residence and postal
address at No. 51 Fontaine St., East Bajac-Bajac, Olongapo City, after having been
sworn to in accordance with law, hereby depose and state that:

1. I am the surviving spouse of Lamberto A. Reyes who died on August 27, 2005;

2. During the lifetime, we acquired conjugal properties. One is located in Pentor,

Dinalupihan, Bataan covered by Transfer Certificate of Title No. T-140225 of the
Registry of Deeds for the Province of Bataan;

3. In this property, Eddie Mallo is working on the property as a tenant on the portion
measuring 4,000 square meters, more or less;

4. Eddie Mallo is not against the transfer of the property in my name and that of my
son Adrian Allen C. Reyes, being the heirs of Lamberto A. Reyes;

5. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ____ day of

September, 2008 at Dinlalupihan, Bataan.

Olympia C. Reyes
Affiant
Conforme:

Eddie Mallo
 Subscribed and sworn to before me this ____ day of September, 2008 at
Dinalupihan, Bataan, affiant exhibited to me her ID No. Senior Citizen ID No. 2605289

Doc. No.
Page No.
Book No.
Series of 2008.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Total Landholdings

I, Olympia C. Reyes, of legal age, widow, and with residence and postal
address at No. 51 Fontaine St., East Bajac-Bajac, Olongapo City, after having been
sworn to in accordance with law, hereby depose and state that:

1. I am the surviving spouse of Lamberto A. Reyes who died on August 27, 2005;

2. During the lifetime, we acquired conjugal properties. One is located in Pentor,

Dinalupihan, Bataan covered by Transfer Certificate of Title No. T-142546;

3. In this property, Cesar Dampil is working on the property as a tenant on the

portion measuring 8,000 square meters, more or less;

4. Cesar Dampil is not against the transfer of the property in my name and that of
my son Adrian Allen C. Reyes, being the heirs of Lamberto A. Reyes;

5. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ____ day of

September, 2008 at Dinlalupihan, Bataan.

Olympia C. Reyes
Affiant
Conforme:

Cesar Dampil

Subscribed and sworn to before me this ____ day of September, 2008 at

Dinalupihan, Bataan, affiant exhibited to me her ID No. Senior Citizen ID No. 2605289

Doc. No.
Page No.
Book No.
Series of 2008.
 6. My landholding in the Philippines does not exceed five (5) hectares;

7. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 29 th day of

September, 2008 at Dinlalupihan, Bataan.

Olympia C. Reyes
Affiant

Subscribed and sworn to before me this 29 th day of September, 2008 at Dinalupihan,

Bataan, affiant exhibited to me her ID No. Senior Citizen ID No. 2605289

Doc. No.
Page No.
Book No.
Series of 2008.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Non-Filing of Income Tax Return

I, Remigion I. Ilagan, of legal age, married, and with residence and postal
address at Palihan, Hermosa, Bataan, after having been sworn to in accordance with
law, hereby depose and state that:
 1. I am an Overseas Filipino Worker (OFW) since 1990 until the year 2006;

2. In the year 2007, I was injured heavily when I met a car accident;

3. As such OFW, we were not required to file our Income Tax Return pursuant to
the Order of the then President Estrada;

4. To date, I am not yet working. Every year, I file my income tax return. However,
last year (2007), I was on official leave for the whole year because I have to take
care of my husband who met a car accident on the said year;

5. The last income tax return I filed was for the year 2006 as evidenced by my
Certificate of Compensation Payment/Tax Withheld, a copy of which is hereto
attached and made an integral part hereof;

6. For the year 2007, I did not file my income tax return on the ground stated in
paragraph 2 hereof;

7. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 9 th day of April,

2008 at Dinlalupihan, Bataan.

Evelyn Ilagan
Affiant

Subscribed and sworn to before me this 9 th day of April, 2008 at Dinalupihan,

Bataan, affiant exhibited to me her CTC No. CC12007 12035420 issued on January 9,
2008 at Hermosa, Bataan.

Capital Gains Tax and Documentary Stamp Tax P 37,500.00

Assessor-Municipal 20,000.00
Assessor-Provincial 5,000.00
Register of Deeds 15,000.00
Others 5,000.00

Total P 82,500.00
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Petition to Include Technical Description in

Transfer Certificate of Title No. T-69573

I, Leandro V. Dabu, ofegal age, married, and with residence and postal address
at San Ramon, Dinalupihan, Bataan, after having been sworn to in accordance with law,
hereby depose and state that:

1. I am the registered and absolute owner of a parcel of land (with all the
improvements therein erected) located at San Ramon, Dinalupihan, Bataan,
measuring 450 square meters and covered by Transfer Certificate of Title N. T-
69573 issued by the Registry of Deeds for the Province of Bataan on June 14,
1977;

2. Said property/title emanated from TCT T-1059 (landed estate);

3. I discovered that the technical description of the said property was not included in
the subject title, hence this petition to request the Register of Deeds to annotate
this petition in the subject title;

4. Attached hereto is the technical description issued by the office of the Bureau of
Lands;

5. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 7 th day of

October, 2009 at Dinlalupihan, Bataan.

Leandro Dabu
Affiant

Witnesses: Susan D. De Guzman May M. Sulangi

San Ramon, Din., Bataan Daang Bago, Din., Bataan

Subscribed and sworn to before me this 7 th day of October, 2009 at Dinalupihan,

Bataan, affiant exhibiting to me his _______________________________________.

Doc. No.
Page No.
Book No.
Series of 2009.
Republic of the Philippines )
Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Non-Employment/Unemployment

I, Vilma P. Gula, of legal age, single, and with residence and postal address at
No. 94 Purok 2-B Roosevelt, Dinalupihan, Bataan, after having been sworn to in
accordance with law, hereby depose and state that:

18. I was born on March 14, 1981 in Matalom, Leyte from parents Spouses Vecinta
Pilo and Fortunato Gula;

19. I have not been employed since 1999;

20. I am executing this affidavit to attest to the truth of the foregoing and for whatever
legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 24 th day of

March, 2009 at Dinlalupihan, Bataan.

Vilma P. Gula
Affiant

Witness:

May M. Sulangi
Daang Bago, Dinalupihan, Bataan

Subscribed and sworn to before me this 24 th day of March, 2009 at Dinalupihan,

Bataan, affiant exhibiting to me her Comelec ID No. 0804-0194A-C-148IVPG20000-9.

Doc. No. Juvy Mell B. Sanchez-Malit

Page No. Notary Public
Book No. Commission Expires on 12/31/2009
Series of 2009. PTR No. 2190208, 01/06/2009
IBP No. 661951, 01/06/2009
Roll of Attorney No. 40601
Bataan

Doc. No.
Page No.
Book No.
Series of 2008.

Republic of the Philippines )

Municipality of Dinalupihan) S.s.
Province of Bataan )

Affidavit of Death

I, Perla Lintag De Castro, of legal age, married, and with residence and postal
address at Magsaysay, Dinalupihan, Bataan, after having been sworn to in accordance
with law, hereby depose and state that:

4. I am the wife of ROLANDO P. LAZATIN who died on November 29, 1988 in

Pinulot, Dinalupihan, Bataan by car accident;

5. We joined the matrimony on July 6, 1979. Out of our lawful marriage, we were
blessed with four (4) children;

6. Later, I married Agusto L. De Castro on March 24, 2007;

7. Considering that my first husband died before I married my second husband, the
said marriage is valid as the first marriage was considered terminated by virtue of
the death of Rolando P. Lazatin;
 8. I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve best.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 15 th day of

April, 2008 at Dinlalupihan, Bataan.

Perla Lintag De Castro

Affiant

Subscribed and sworn to before me this 15 th day of April, 2008 at Dinalupihan,

Bataan, affiant exhibiting to me her CTC No. 12013864 issued on January 11, 2008 at
Dinalupihan, Bataan.

Doc. No.
Page No.
Book No.
Series of 2008.

Republic of the Philippines)

Province of Bataan )S.s.
Municipality of Dinalupihan)

AFFIDAVIT OF COMMITMENT AND UNDERTAKING

I, RODANTE P. SABALLA, of legal age, married, Filipino and with residence

and postal address at Pilar, Bataan, after duly sworn in accordance with law, depose
and say that:

1. I am the legitimate heir of my father Mauricio V. Saballa who died on January

3, 2008 in our residence stated above;

2. My father was a government employee and a GSIS pensioner at the time of

his death with Retirement No. R0088786;

3. My mother is likewise deceased and could no longer claim the benefits due
my said father from GSIS;

4. I shall hold GSIS or any of its employees or representatives not

responsible of liable for releasing to me the benefits owing to the death of my
father;

5. I undertake to indemnify the GSIS, its employees of any of its representatives

of any liability relative to the release of the benefits arising from the death of
my father. I will personally see to it that anyone who is deprived of such
benefit shall be indemnified on my sole and exclusive account.
 IN WITNESS WHEREOF, I have hereunto affixed my signature this 18 th day of
February, 2008 at Dinalupihan, Bataan.

RODANTE P. SABALLA
Affiant
Passport No. MM207207
Witnesses:

Rafael Paguio SSS No. 03-3253530-8 Guillermo G. Eusebio

SUBSCRIBED AND SWORN to before me this 18 th day of February, 2008 at

Dinalupihan, Bataan.

Doc. No.
Page No.
Book No.
Series of 2008.

Republic of the Philippines

Office of Barangay Luacan, Dinalupihan, Bataan

Certification

To whom it may concern:

This is to certify that a child named Johna Isabel R. Yao who was born on June
24, 2003 in Luacan, Dinalupihan, Bataan, was placed into custody to Spouses Ruperto
Yao, Jr. and Gemma R. Yao on June 25, 2003 for purposes of adoption .

This certification is being issued for whatever legal purpose it may served best.

Pentor, Dinalupihan, Bataan, September 18, 2008.

 Alfredo Santos, Jr.
Barangay Captain

Subscribed and sworn to before me this 18 th day of September, 2008 at

Dinalupihan, Bataan. Affiant exhibiting to me his __________________________.

Doc. No.
Page No.
Book No.
Series of 2008.