PHILIPPINE LEGAL FORMS 2015

TABLE OF CONTENTS

PARTS OF A PLEADING ......................................................................... 1

COMPLAINT
AFFIDAVIT ............................................................. 2
COMPLAINT ...............................................................................
3 VERIFICATION AND CERTIFICATION AGAINST NON-
FORUM
SHOPPING .............................................................................................
. 5
ACKNOWLEDGEMENT ..............................................................
6
JURAT .........................................................................................
.7

AFFIDAVITS ............................................................................................. 8

AFFIDAVIT OF LOSS ..................................................................

9 AFFIDAVIT IN SUPPORT OF FACTS ALLEGED IN MOTION
..... 11 AFFIDAVIT OF ADVERSE
CLAIM ............................................ 13 AFFIDAVIT OF
CITIZENSHIP ...................................................... 15
AFFIDAVIT OF CHANGE OF MOTOR REGISTRATION ...........
17 AFFIDAVIT OF CHANGE OF COLOR OF MOTOR
VEHICLE .. 19 AFFIDAVIT OF CESSATION OF BUSINESS
OPERATION .......... 21 AFFIDAVIT OF CANCELLATION OF
ENCUMBERANCE ........ 23 AFFIDAVIT OF
CANCELLATION ............................................. 25 AFFIDAVIT
OF BIRTH ................................................................ 27
AFFIDAVIT OF AUTHORIZATION .............................................
29 AFFIDAVIT OF
ALTERATION .................................................... 30 AFFIDAVIT
OF AGGREGATE LAND HOLDINGS .................... 32
AFFIDAVIT OF CONSENT AND SUPPORT ..............................
34 AFFIDAVIT OF PARENTAL CONSENT TO
MARRIAGE ............ 36 AFFIDAVIT OF NO
KNOWLEDGE ........................................... 38 AFFIDAVIT OF
NATURALIZATION ........................................... 40 AFFIDAVIT
OF RECANTATION ................................................ 42
AFFIDAVIT OF INSURANCE CLAIMS ......................................
 44 AFFIDAVIT OF
INCOME .......................................................... 46 AFFIDAVIT
OF ILLEGITIMACY ................................................. 47
AFFIDAVIT OF IDENTITY ...........................................................
49 AFFIDAVIT OF EMPLOYMENT ...................................... 50

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AFFIDAVIT OF DECLARATION OF OWNERSHIP ....................

52 AFFIDAVIT OF CONSOLIDATION OF
OWNERSHIP ............... 54 AFFIDAVIT FOR PRELIMINARY
ATTACHMENT ....................... 56 AFFIDAVIT OF
UNDERTAKING ................................................ 58

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS ............ 60

AFFIDAVIT OF SINGLE
STATUS ................................................ 63 AFFIDAVIT OF
SERVICE ............................................................ 65 AFFIDAVIT
OF SELF- ADJUDICATION .................................... 67
AFFIDAVIT OF PUBLICATION ..................................................
69 AFFIDAVIT TO USE THE SURNAME OF THE
FATHER/ACKNOWLEDGMENT ....................................................... 71

CORPORATION FORMS ...................................................................... 73

AFFIDAVIT OF NON OPERATION ............................................

74 NOTICE OF
CALL ..................................................................... 75 NOTICE
OF PRE-EMPTIVE RIGHTS ........................................... 76
PROXY TO VOTE ......................................................................
77 RESOLUTION DECLARING CASH
DIVIDEND .......................... 78 UNDERTAKING TO CHANGE
CORPORATION NAME ........... 79 WAIVER OF PRE
EMPTIVE RIGHTS ........................................... 80 WAIVER TO
SUBSCRIBE NEW STOCK ...................................... 81
TREASURER’S
AFFIDAVIT .......................................................... 82
AFFIDAVIT OF NON OPERATION ............................................
84 ARTICLES OF LIMITED
 PARTNERSHIP ....................................... 86

REAL ESTATE AND PERSONAL PROPERTY FORMS .............................

88

AFFIDAVIT OF CONSOLIDATION OF OWNERSHIP .................

89 DEED OF ABSOLUTE
SALE ......................................................... 91 EARNEST
MONEY RECEIPT AGREEMENT ................................. 93
OFFER TO PURCHASE ...............................................................
95 DEED OF SALE (MOTOR
VEHICLE) .......................................... 97 DEED OF
ASSIGNMENT TRANSFER OF RIGHTS ........................ 99
CONTRACT OF LEASE .............................................................
101

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CHATTEL MORTGAGE .............................................................

103 DISCHARGE OF
MORTGAGE ................................................. 106 PETITION
FOR RESTITUTION OF TCT ........................................ 108
ACTION TO REMOVE CLOUD ................................................
110 AFFIDAVIT OF ADJUDICATION BY SOLE HEIR OF
ESTATE OF
DECEASED PERSON ...........................................................................
112 ASSIGNMENT OF REAL
ESTATE ............................................... 114 COMPLAINT FOR
FORECLOSURE .......................................... 116 DEED OF
PURCHASE ............................................................... 118 DEED
OF SALE OF AGRICULTURAL LAND ............................. 120
DEED OF SALE OF REGISTERED LAND ...................................
121 DEED OF SALE OF REGISTERED LAND WITH PACTO
DE
RETRO .........................................................................................
......... 123 DEED OF SALE OF UNREGISTERED
LAND .............................. 125 DEED OF SALE WITH
MORTGAGE .......................................... 127

MANIFESTATIONS / MOTIONS AND COMMENTS ........................... 129

MANIFESTATION AND MOTION TO ISSUE CERTIFICATE OF

 FULL COMPLIANCE WITH CIVIL OBLIGATION .....................
130 MOTION OF REQUEST FOR OFFICIAL
COPY ....................... 134 MOTION FOR ALLOWANCE TO
APPEAR AS AMICUS CURIAE
.............................................................................................................
136 MOTION FOR BILL OF
PARTICULARS .................................... 138 MOTION FOR
CONSOLIDATION OF CASES ........................ 141 URGENT
MOTION FOR EARLY RESOLUTION ........................ 143
MOTION FOR ISSUANCE OF A HOLD DEPARTURE ORDER
145 MOTION FOR LEAVE TO SERVE SUMMONS BY
PUBLICATION
.............................................................................................................
149 MOTION FOR PERMANENT
DISMISSAL ................................ 153 MOTION TO ADMIT
AFFIDAVIT OF RECANTATION ............. 156 MOTION TO
CANCEL LIS PENDENS ..................................... 159 MOTION
TO CITE WITNESS FOR CONTEMPT ........................ 162 EX-
PARTE MOTION TO DISMISS ............................................. 165
JOINT MOTION TO DISPOSE CONJUGAL REAL
PROPERTIES
.............................................................................................................
168 MOTION TO EXERCISE VISITATION RIGHTS OF
PETITIONER 172

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MOTION TO INHIBIT................................................................
175 MOTION WITH LEAVE TO INTERVENE AND TO ADMIT
ATTACHED COMPLAINT- IN- INTERVENTION .......................
177 MOTION TO LIFT ORDER OF
ARREST .................................... 179 MOTION TO RELEASE
MOTOR VEHICLE .............................. 182 MOTION TO
RENDER JUDGMENT ....................................... 185 MOTION
FOR RE-RAFFLE AND TO SET CASE FOR
ARRAIGNMENT ..................................................................................
188 MOTION TO RESET .................................................................
192 MOTION TO REVIVE CRIMINAL ACTION AND FOR THE
ISSUANCE OF WRIT OF EXECUTION ON THE COMPROMISE
AGREEMENT ........................................................................... 195
MOTION TO SET CASE FOR PRELIMINARY CONFERENCE . 199
MOTION FOR LEAVE TO FILE DEMURRER TO EVIDENCE .... 202
 MOTION WITH NOTICE TO TAKE DEPOSITION ..................... 203
MOTION TO WITHDRAW AS COUNSEL ................................ 207

CIVIL AND SPECIAL ACTION ............................................................

210 COMPLAINT FOR UNLAWFUL
DETAINER ............................. 211 COMPLAINT FOR
EJECTMENT WITH DAMAGES ................. 214 COMPLAINT
FOR SUM OF MONEY ...................................... 216 ANSWER
WITH COMPULSORY COUNTERCLAIM ................ 218
CERTIORARI ............................................................................
221
PROHIBITION ..........................................................................
223
MANDAMUS ...........................................................................
225 COMPLAINT IN
INTERPLEADER ............................................. 226 ACTION
FOR DECLARATORY RELIEF .................................... 228
QUO WARRANTO ..................................................................
230

APPEAL ON CIVIL CASES ..................................................................

231 NOTICE OF APPEAL ............................................................... 232
RECORD ON APPEAL ............................................................ 233
PETITION FOR REVIEW ON CERTIORARI ............................... 235
APPELLANT’S BRIEF ................................................................ 237
APPELLEE’S BRIEF ................................................................... 239

PROVISIONAL REMEDY ..................................................................... 241

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COMPLAINT WITH PRAYER FOR ATTACHMENT...................

242 COMPLAINT WITH PRELIMINARY
INJUNCTION ................... 244
REPLEVIN ................................................................................
246 APPLICATION FOR
REPLEVIN ................................................ 248 AFFIDAVIT
FOR REPLEVIN ...................................................... 250
COMPLAINT FOR SEPARATE SUPPORT ................................
252
 CRIMINAL ACTION / INFORMATION ...............................................
254 ABDUCTION WITH
CONSENT ................................................ 255 ABDUCTION,
FORCIBLE......................................................... 255
ABORTION ..............................................................................
260 ACTS OF
LASCIVIOOUSNESS ................................................ 261
ADULTERY ...............................................................................
262
BRIBERY ...................................................................................
263
CONCUBINAGE .....................................................................
264 CORRUPTION OF
MINORS .................................................... 265 DAMAGE TO
PROPERTY THROUGH RECKLESS IMPRUDENCE
.............................................................................................................
266
ESTAFA ....................................................................................
269
HOMICIDE ..............................................................................
270 HOMICIDE THROUGH
ABORTION ........................................ 271
LIBEL ........................................................................................
272
MALVERSATON ......................................................................
275
MURDER ..................................................................................
276
PARRICIDE ..............................................................................
277 PHYSICAL
INJURIES ................................................................ 280
ROBERRY ................................................................................
283
THEFT .......................................................................................
284
SEDITON ..................................................................................
285 QUALIFIED TRESPASS TO
DWELLING .................................... 286

CRIMINAL PROCEEDING .................................................................. 287

MOTION TO RELEASE CASH BAIL BOND .............................

288 AFFIDAVIT OF
DESISTANCE ................................................... 289
 AFFIDAVIT OF DESISTANCE THEFT.........................................
291 AFFIDAVIT OF DESISTANCE VIOLATION OF BP
22 .............. 293

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COMMENT ON FORMAL OFFER OF EVIDENCE ..................

295 PRE-TRIAL
BRIEF ...................................................................... 298

LABOR CASES .................................................................................... 301

POSITION PAPER ....................................................................

302
REPLY ......................................................................................
318
REJOINDER .............................................................................
325
MEMORANDUM ....................................................................
333
CERTIORARI ............................................................................
353
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PARTS OF A PLEADING
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FORM NO.1: COMPLAINT AFFIDAVIT

Republic of the Philippines)

____________, ________ ) s.s.
x- - - - - - - - - - - - - - - - - - - - - -x

COMPLAINT AFFIDAVIT

The UNDERSIGNED, __________________________, accuses

_________, of _____________, committed as follows, to wit:

That on or about _________, at about _____________ in the

_________________, ______________, Philippines, the said accused did then
and there willfully, unlawfully, feloniously, and by means of _____________,
committed _____________, upon the undersigned directly by overt acts to wit:
(state the details how the crime was committed).
The undersigned executed this affidavit to attest the truthfulness of the
foregoing facts and to support the filing of Criminal Cases against
_______________________________ for violations of
________________________.

___________, this _____ day of __________, ____.

____________________________
Offended Party

SUBSCRIBED AND SWORN to before me this ___ day of _______

at _______________. I HEREBY CERTIFY that I have personally examined
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the herein offended party and I am satisfied that they voluntarily executed and
understood their given affidavit.

_______________________
Prosecutor

WITNESSES

FORM NO.2: COMPLAINT

(Caption and Title)

COMPLAINT

, MOST RESPECTFULLY STATES THAT; COMES NOW, the

plaintiff together with the undersigned counsel to this most honorable
court

1. The Plaintiff is of legal age, married and a resident of

_______________________. The Defendant is likewise of legal age, married
and temporary residing at _____________________
2. The Plaintiff is the owner of the two-storey house unit located at the Petersville
Subdivision, Baguio City, and having the residential address of PV 123 as
evidenced by pertinent documents like tax declaration and deed of sale.
( EXHIBIT “A” )
3. The Defendant is the lessee of the house unit that is owned by the Plaintiff as
evidenced by the written contract of lease that both parties signed. (Exhibit “B”)
4. The Plaintiff and the Defendant came up with a written agreement of Lease on
June 26, 2007, which they both agreed upon and was duly signed by the two
parties as shown in their contract of lease. (Exhibit “B”)
5. Item No. 16 of the contract which the defendant signed expressly provides that
he will only be occupying the property for one (1) year, after which, he will
vacate the house when that term expires. (Exhibit “B”)
6. The contract also provides that the defendant should also take care of the
property and its premises” with the utmost diligence”.
7. On June 28, 2008, the plaintiff, after returning from Japan, was surprised to
discover that the defendant did not vacate the property as he expected. Worse,
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he installed a “sari-sari store” in the original building structure of the house

unit.
8. The plaintiff confronted the defendant about it but the defendant claimed that it
was a “DEED OF SALE” which they signed and not a “CONTRACT OF
LEASE” and therefore, the defendant is the new owner of the house unit.
9. On August 20, 2008, after continuous demands, the defendant constantly
refuses to vacate the house unit and even invited relatives to stay with him. 10.
The defendant willfully and maliciously violated the agreement which they
mutually agreed upon, and which the defendant signed.

PRAYER

WHEREFORE, premises considered, it is most respectfully prayed of this

Honorable Court that judgement be rendered in favor of the plaintiff and that
after judgement;

a. The defendant shall vacate the house unit owned by the plaintiff. b. The
defendant shall be ordered to pay P 120, 000 for the Attorney’s Fees.

Such other reliefs and remedies under the premises are likewise prayed for.

_________________, Philippines, this ____ day of _________ 20__.

______________________
Counsel for the Plaintiff
PTR No. 18909595:1-04-07:B.C.
IBP No, 693095:1-04-07:B.C.
Roll No. 42481:5-10-97: Manila
Rm. 4 2/F Baguio Boating Center
180 Burnham Lake, Baguio City

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FORM NO.3: VERIFICATION AND CERTIFICATION OF NON

FORUM SHOPPING

VERIFICATION AND CERTIFICATION OF NON-FORUM

SHOPPING

I, _______________________, of legal age, after having been duly sworn in

accordance with law, depose and state that:
1. I am a plaintiff in the above-stated case;
2. I caused the preparation of the foregoing complaint;
3. I have read the contents thereof and the facts stated therein are true and
correct of my personal knowledge and/or on the basis of copies of documents
and records in my possession;
4. I have not commenced any other action or proceeding involving the same
issues in the Supreme Court, the Court of Appeals, or any other tribunal or
agency;
5. To the best of my knowledge and belief, no such action or proceeding is
pending in the Supreme Court, the Court of Appeals, or any other tribunal or
agency;
6. If I should thereafter learn that a similar action or proceeding has been filed
or is pending before the Supreme Court, the Court of Appeals, or any other
tribunal or agency, I undertake to report that fact within five (5) days
therefrom to this Honorable Court.

___________________________
Affiant

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SUBSCRIBED AND SWORN to before me this ___ day of __________

200_ at _________________ affiant exhibiting to me his Community Tax
Certificate No.____________________ issued on ________________ 200_ at
______________ City.
Doc. No. ;
Page No. ;
Book No. ;
Series of 20__.

FORM NO.4: ACKNOWLEDGEMENT

REPUBLIC OF THE PHILIPPINES)

CITY/MUNICIPALITY OF ______) SS.

ACKNOWLEDGMENT

BEFORE ME, a Notary Public for and in the (Province/City/Municipality) of

_____________, personally appeared _____________ with Community Tax
Certificate No. _____________ issued on _____________ at _____________
(and Tax Identification No. (T.I.N.) _____________), known to me and to me
known to be the same person who executed the foregoing instrument which
(he/she) acknowledged to me as (his/her) free and voluntary act and deed,
consisting of only ______ (____) page/s, including this page in which this
Acknowledgement is written, duly signed by (him/her) and (his/her)
instrumental witnesses on each and every page hereof.

WITNESS MY HAND AND SEAL this _____________ at _____________,

Philippines.

NOTARY PUBLIC
Doc. No. ______;
Page No. ______;
Book No. ______;
Series of ______;

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 PHILIPPINE LEGAL FORMS 2015

FORM NO.5: JURAT

JURAT

SUBSCRIBED AND SWORN to before me, this _____________ day of

______________, in the City of __________________, by
___________________ with Passport No.________________ issued on
__________________at_____________.

Notary Public
Doc. No. ______;
Page No. ______;
Book No. ______;
Series of ______;

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 PHILIPPINE LEGAL FORMS 2015

AFFIDAVITS

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FORM NO.1: AFFIDAVIT OF LOSS

REPUBLIC OF THE PHILIPPINES)

) S.S.

AFFIDAVIT OF LOSS

I, ELLEN A. ADARNA, messenger of Raphael Enrique V. Coronado,

of Legal Age, Filipino, Married, born on with residential address at 316 Palin
St., Block 27, Lot 77, Ai- Ai, General Tinio, GMA, Cavite, subscribing under
oath, hereby depose and state:

1. That abovementioned is the plaintiff in the case of Spouses Coronado vs

Porntakers Industry Corporation filed in the Regional Trial Court of
Imus City, Cavite, Branch 22, for Annulment of Title with Damages;

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2. Plaintiff is entitled to the relief demanded in the complaint in whole or in

part and such other relief consists in restraining the commission or
continuance of the acts complained of either for a limited period or
perpetually;

3. The commission or continuance of the acts complained of during the

litigation will work injury to herein plaintiff and that the defendant is
doing, threatens, or is about to do, or is procuring or suffering to be done
the acts tending to render the judgment ineffectual;

4. That plaintiff is willing and ready to file a bond in the amount which may
be fixed by the Court to the effect that he, the plaintiff, will pay the
defendant all the damages which the latter may sustain by reason of the
injunction if the court should finally decide that the plaintiff was not
entitled thereto.

ELLEN A. ADARNA

Affiant

________________________________________

________________________________________

BEFORE ME, appears the person of ELLEN A. ADARNA

presenting the above Affidavit, who is personally known to me or identified by
me through competent evidence of identity as defined by the Notarial Rules as
the person who signs the document and in my presence taken an oath or
affirmation before me as to such document.

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WITNESS MY HAND AND SEAL this 8th day of January, 2014 in

Imus City, Cavite

Doc. No. ____;

Page No. ____;
Book No. ____;
Series of 2014.

FORM NO.2: AFFIDAVIT IN SUPPORT OF FACTS ALLEGED IN

MOTION

Republic of the Philippines

City of Puerto Princesa ) s.s.

AFFIDAVIT IN SUPPORT OF FACTS ALLEGED IN MOTION

I, RUBEN R. PADILLA, of legal age and with residence at Blk 1, Lot 1,

Brgy. Sta Monica, Puerto Princesa City, having been duly sworn, depose and
say:

That I, RUBEN R. PADILLA, married and of legal age, currently working as

an analyst at the Palawan Diagnostic Laboratory, Puerto Princesa City,
Palawan.

That I personally know that the person named herein in the complaint and the
person whom I personally know are one and the same person.

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That he is my classmate in High school, and a friend of mine. RUBEN

R. PADILLA Affiant

SUBSCRIBED AND SWORN TO BEFORE ME, A Notary public

in and for the City of Puerto Princesa and the Province of Palawan this 3 rd day
of November 2013. Affiant personally came and appeared with Driver’s
License ID No. D11-125477 issued by the Land Transportation Office and
valid until May 1, 2015, at Puerto Princesa City, bearing his photograph and
signature, known to me as the same person who personally signed the
foregoing instrument before me and avowed under penalty of law to the
whole truth of the contents of said instrument

ATTY. PERCIVAL
JAMES L.
LACEBAL
Notary Public
My commission
expires
on December 31,
2011
PTR No. 906760
issued Jan. 3, 2007
IBP No. 918300 Roll
No. 13466

Doc. No. ______;

Page No. ______;
Book No. ______;
Series of 2013;

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 PHILIPPINE LEGAL FORMS 2015

FORM NO.3: AFFIDAVIT OF ADVERSE CLAIM

REPUBLIC OF THE PHILIPPINES)

CITY OF MAKATI ) S.S.

AFFIDAVIT OF ADVERSE CLAIM

I, SASHA GREY, of legal age, Filipino, single and a resident of

2223 Washington Street, Pio del Pilar, Makati City, after having been
duly sworn to in accordance with law, depose and state:

1. That on July 10, 2013, I have entered into a Deed of Conditional

Sale which was acknowledged on the same date before Notary
Public Juan Tamad of Makati City and entered in his Notarial
Register as Doc. No. 2, Page 2, Book II, Series of 2013.

A copy of the said Deed is hereto attached as ANNEX “A” and

made an integral part of this Affidavit;

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 PHILIPPINE LEGAL FORMS 2015

2. That in the said Deed of Conditional Sale, I was the VENDEE of a

certain parcel of land covered by Transfer Certificate of Title No.
111222, more particularly described as follows:
(Technical Description of Property)

3. That because I still have a balance on the purchase price in the

amount of P500,000.00 which is payable within one (1) (year) from
the date of signing thereof, it was stipulated in the aforementioned
Deed that title and ownership over the subject property will only be
transferred upon full payment of the same;

4. That the VENDOR in the said Deed of Conditional Sale agreed that
upon its execution, said Deed shall be annotated in the Title with the
Office of the Register of Deeds of Makati City;

5. However, since the said Deed of Conditional Sale per se could not
be annotated on the Title with the Office of the Register of Deeds, I
am therefore executing this Affidavit for the purpose of attesting to
the truthfulness of the foregoing allegations and in support of my
request for the annotation of an adverse claim over the parcel of land
covered by the Transfer Certificate of Title No. 111222.

IN WITNESS WHEREOF, I have hereunto set my hand this 27TH

day of January 2014 in Makati City, Metro Manila, Philippines.

SASHA GREY
Affiant
With Philippine Passport No. 123456

SUBCRIBED AND SWORN TO before me this 27 TH day of January

2014 in Makati City, Metro Manila, Philippines, affiant exhibiting to
me her Philippine Passport No. 123456 issued in Manila on January
12, 2012 and valid until January 12, 2017.

Doc. No. _____;

Page No. _____;

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 Book No. _____;
Series of 2014.

FORM NO.4: AFFIDAVIT OF CITIZENSHIP

REPUBLIC OF THE PHILIPPINES)

CITY OF IMUS ) S.S.

AFFIDAVIT OF CITIZENSHIP

I, SASHA GREY, of legal age, Filipino, respectively, and presently

residing at Blk 55, Lot 66, Ibarra Homes, Tulingan, Cavite, after
having been duly sworn to in accordance with law, depose and state:

1. I am a Filipino Citizen from birth until the present.

2. On 09 June 1979, my son ROCCO SIFFREDI was born in Brussels

, Belguium.

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 3. ROCCO SIFFREDI is also a Filipino Citizen pursuant to the
provisions of the 1987 Philippine Constitution.

4. At the time of birth of ROCCO SIFFREDI, both his parents, were,

and still is, Filipino Citizens.

5. I therefore have executed this Affidavit to attest to the truth I

mentioned herein and for whatever legal purposes it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 3rd day

of February 2014 in Imus City, Cavite, Philippines.

SASHA GREY
Affiant
Voter's ID No. 5555

SUBCRIBED AND SWORN TO before me this 3rd day of

February 2014 in Imus City, Cavite, Philippines, affiant exhibiting to
me her valid proof of identification.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2014.

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FORM NO.5: AFFIDAVIT OF CHANGE OF MOTOR
REGISTRATION

REPUBLIC OF THE PHILIPPINES)

CITY OF IMUS ) S.S.

AFFIDAVIT OF CHANGE OF MOTOR REGISTRATION

I, SASHA GREY, of legal age, Filipino, married, and presently residing at

Blk 55, Lot 66, Ibarra Homes, Tulingan, Cavite, after having been duly sworn
to in accordance with law, depose and state:

1. I am the owner of a certain registered motor vehicle, which I inherited

from my deceased father through intestate succession, with the
particular description as follows, to wit:

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MAKE: Honda
BODY: Sedan
SERIES: Civic
MODEL: 1998
PLATE NO.: UTS 101
Serial/Chassis No.: US15- 2B3509
MV FILE No.: 2477- 33438

2. However, its motor part has been recently junked, and in its stead was
replaced by Motor No. C240300014.

3. I therefore have executed this Affidavit to attest the truth I mentioned

herein and for whatever legal purposes it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 30th day of

January 2014 in Imus City, Cavite, Philippines.
 SASHA GREY
Affiant
Philippine Passport No. 123456
valid until January 13, 2018

SUBCRIBED AND SWORN TO before me this 30th day of January 2014 in

Imus City, Cavite, Philippines, affiant exhibiting to me her competent
evidence of identity indicated below his above- stated name.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2014.

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FORM NO. 6: AFFIDAVIT OF CHANGE OF COLOR OF MOTOR
VEHICLE

REPUBLIC OF THE PHILIPPINES)

CITY OF IMUS ) S.S.

AFFIDAVIT OF CHANGE OF COLOR OF MOTOR VEHICLE

I, SASHA GREY, of legal age, Filipino, married, and presently residing at

Blk 55, Lot 66, Ibarra Homes, Tulingan, Cavite, after having been duly sworn
to in accordance with law, depose and state:

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1. I am the owner of a certain registered motor vehicle, which I inherited

from my deceased father through intestate succession, with the
particular description as follows, to wit:

MAKE: Honda
BODY: Sedan
SERIES: Civic
MODEL: 1998
PLATE NO.: UTS 101
Serial/Chassis No.: US15- 2B3509
MV FILE No.: 2477- 33438

2. I recently changed the color of the said motor vehicle from color blue
to pink.

3. I therefore have executed this Affidavit to cause the necessary changes

in the registration of the above- mentioned vehicle in the Land
Transportation Office, to attest the truth I mentioned herein and for
whatever legal purposes it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 30th day of

January 2014 in Imus City, Cavite, Philippines.
 SASHA GREY
Affiant
Philippine Passport No. 123456
valid until January 13, 2018

SUBCRIBED AND SWORN TO before me this 30th day of January 2014 in

Imus City, Cavite, Philippines, affiant exhibiting to me her competent
evidence of identity indicated below his above- stated name.

Doc. No. _____;

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Page No. _____;

Book No. _____;
Series of 2014.
FORM NO.7: AFFIDAVIT OF CESSATION OF BUSINESS
OPERATION

Republic of the Philippines )

City of Imus ) S.S.

AFFIDAVIT OF CESSATION OF BUSINESS OPERATION

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I, SASHA GREY, of legal age, married, Filipino, and presently

residing at Blk 55, Lot 66, Ibarra Homes, Tulingan, Cavite, after
having been duly sworn to in accordance with law, do hereby depose
and say:

1. That I am the Sole Proprietor of XHamster Pet Shop located at Lot

67 Caloocan Business Park, Caloocan City;

2. That said business is registered with the Bureau of Internal Revenue

(BIR) on January 16, 2011 with Certificate of Registration OCN No.
189998-11;

3. That I am applying for the termination of the business effectively

on January 30, 2014 because I am about to migrate to the United
States;

4. That the business has no outstanding liability and obligation;

5. That I am executing this affidavit to attest to the truth of all the

foregoing statements and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this ____ day

of 27th day of January, 2014 at Imus City, Cavite, Philippines.

SASHA GREY
Affiant
 SUBSCRIBED AND SWORN to before me this 27TH day of
January 2014 in Imus City, Cavite, Philippines, his/her competent
evidence of identity by way of _______________ issued at
___________ on ________________.

Doc No. : _____

Page No.: ______
Book No.: ______
Series of 2014.

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FORM NO.8: AFFIDAVIT OF CANCELLATION OF
ENCUMBERANCE

REPUBLIC OF THE PHILIPPINES)

CITY OF IMUS ) S.S.

AFFIDAVIT OF CANCELLATION OF ENCUMBRANCE

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I, SASHA GREY, of legal age, Filipino, married, and presently residing at

Blk 55, Lot 66, Ibarra Homes, Tulingan, Cavite, after having been duly sworn
to in accordance with law, depose and state:

1. I am the registered owner of a parcel of land situated in Tagaytay City,

with Transfer Certificate of Title No. T- 73879 of the Registry of
Deeds for Tagaytay City.

2. It was annotated in the previous certificate of title, which was copied

from the certificate of title in my name, “Pursuant to Sec. 8 of
Republic Act No. 26, this certificate of title is without prejudice to any
party whose right or interest in the property was duly noted on the
original of the reconstituted certificate of title RT- 5 (130-a-1337) at
the time it was lost or destroyed.”

3. From the time of the encumbrance was duly annotated, more than two
(2) years have already lapsed since the title was transferred in my
name.

4. Thus, as can be deduced from the foregoing, the cancellation of the said
encumbrance is warranted and is in order.

5. I therefore have executed this Affidavit to attest the truth I mentioned

herein and for whatever legal purposes it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 30th day of

 January 2014 in Imus City, Cavite, Philippines.

SASHA GREY
Affiant
Philippine Passport No. 123456
valid until January 13, 2018

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SUBCRIBED AND SWORN TO before me this 30th day of January 2014 in

Imus City, Cavite, Philippines, affiant exhibiting to me her competent
evidence of identity indicated below his above- stated name.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2014.
FORM NO.9 : AFFIDAVIT OF CANCELLATION

REPUBLIC OF THE PHILIPPINES)

CITY OF IMUS ) S.S.

AFFIDAVIT OF CANCELLATION

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I, SASHA GREY, of legal age, Filipino, married, and presently residing at

Blk 55, Lot 66, Ibarra Homes, Tulingan, Cavite, after having been duly sworn
to in accordance with law, depose and state:

1. I am presently engaged in a business under the name and style of Prime

Choose Consultancy Services.

2. The business is now aiming for expansion and is now attracting other
investors in the process.

3. To protect all the investors who are putting not an inconsiderable

amount of capital, the plan is to change the present business
organization from sole proprietorship to incorporation.

4. Thus in so doing, the cancellation of the business registration in the

Department of Trade and Industry is now properly called for.

5. In changing the present organizational set- up, no creditors will be

prejudiced because the business has no obligation arising from
contract, other monetary claims and sources of obligation.

6. I therefore have executed this Affidavit to attest the truth I mentioned

herein and for whatever legal purposes it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 30th day of

January 2014 in Imus City, Cavite, Philippines.
 SASHA GREY
Affiant
Philippine Passport No. 123456
valid until January 13, 2018

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SUBCRIBED AND SWORN TO before me this 30th day of January 2014 in

Imus City, Cavite, Philippines, affiant exhibiting to me her competent
evidence of identity indicated below his above- stated name.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2014.
FORM NO.10 : AFFIDAVIT OF BIRTH

REPUBLIC OF THE PHILIPPINES)

CITY OF IMUS ) S.S.

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AFFIDAVIT OF BIRTH

I, SASHA GREY, of legal age, Filipino, married, and presently

residing at Blk 55, Lot 66, Ibarra Homes, Tulingan, Cavite, after
having been duly sworn to in accordance with law, depose and state:

1. I was born on February 15, 1990, in Aguy, Iloilo, to spouses Marc

Blazer and Nikki Benz;

2. This is supported by numerous authentic documents attached in

this affidavit; and I hereby certify that the foregoing
statements are correct.

3. I therefore have executed this Affidavit to attest the truth I

mentioned herein and for whatever legal purposes it may
serve.

IN WITNESS WHEREOF, I have hereunto set my hand this

30th day of January 2014 in Imus City, Cavite, Philippines.

SASHA GREY
Affiant
Philippine Passport No. 123456
valid until January 13, 2018

SUBCRIBED AND SWORN TO before me this 30th day of January

2014 in Imus City, Cavite, Philippines, affiant exhibiting to me her
competent evidence of identity indicated below his above- stated
name.
 Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2014.

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FORM NO.11: AFFIDAVIT OF AUTHORIZATION

REPUBLIC OF THE PHILIPPINES)

CITY OF IMUS ) S.S.

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AFFIDAVIT OF AUTHORIZATION

I, SASHA GREY, of legal age, Filipino, single, and presently residing at Blk
55, Lot 66, Ibarra Homes, Tulingan, Cavite, after having been duly sworn to
in accordance with law, depose and state:

1. I am the owner of a certain parcel of land in the subdivision in Tagaytay

City- known as Block 1, Lot 3- which is being developed by
Doroteaville Developer Corporation.
2. Through this Affidavit, I hereby authorize Mr. Cedric Lee not only to
use and possess the said property but also to continue paying it in the
event there are still balances to be paid to the developer, and have it
consequently registered in his name.
3. I therefore have executed this Affidavit to attest to the truth I mentioned
herein and for whatever legal purposes it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 30th day of

January 2014 in Imus City, Cavite, Philippines.

SASHA GREY
Affiant

SUBCRIBED AND SWORN TO before me this 30th day of January 2014 in

Imus City, Cavite, Philippines, affiant exhibiting to me her Philippine
Passport No. 123456 issued in Manila on January 12, 2014 and valid until
January 13, 2018.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2014.

FORM NO 12: AFFIDAVIT OF ALTERATION

REPUBLIC OF THE PHILIPPINES)
CITY OF IMUS ) S.S.

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AFFIDAVIT OF ALTERATION

I, SASHA GREY, of legal age, Filipino, single, and presently residing at Blk
55, Lot 66, Ibarra Homes, Tulingan, Cavite, after having been duly sworn to
in accordance with law, depose and state:

1. As Assistant Treasurer of the Salinas Electrical Company Inc., I issued

in such capacity the Charge Invoice No. 7095 dated 06 July 2009 to
the Manila Electric Company;

2. However, the first digit in the serial number of the said Charge Invoice,
which was number seven (7), appeared to be unclear and thus
unreadable;

3. To remedy the problem, i caused the superimposition of such first digit

with no other purpose than to make it clear to the person/s concerned
or in whose favour the same was issued;

4. The same was done in good faith and for no other reason than to
directly address the problem and pursuant to the purpose stated in the
immediately preceding paragraph.

5. I therefore have executed this Affidavit to attest to the truth I mentioned

herein and for whatever legal purposes it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 30th day of

January 2014 in Imus City, Cavite, Philippines.

SASHA GREY
 Affiant

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SUBCRIBED AND SWORN TO before me this 30th day of January 2014 in

Imus City, Cavite, Philippines, affiant exhibiting to me her Philippine
Passport No. 123456 issued in Manila on January 12, 2014 and valid until
January 13, 2018.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2014.
FORM NO.13: AFFIDAVIT OF AGGREGATE LAND HOLDINGS

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REPUBLIC OF THE PHILIPPINES)

CITY OF ILOILO ) S.S.

AFFIDAVIT OF AGGREGATE LANDHOLDINGS

I, NANA OGUYA, of legal age, Filipina, married and a resident of

Balabago, Jaro, Iloilo City, after having been duly sworn to in
accordance with law, depose and state:

1. That I am the VENDEE of a parcel of land located at Brgy. Fooday,

Miag-ao, Iloilo with an area of TWENTY THOUSAND TWO
HUNDRED (20,200) square meters, more or less, covered by Original
Certificate of Title No. 54321;

2. That aside from the above-mentioned parcel of land, I do not own

any agricultural land in Miag-ao, Iloilo or anywhere in the Philippines;

3. That I am executing this affidavit to attest to the truth of the

foregoing facts and for whatever legal intents and purposes that it may
legally serve;

IN WITNESS WHEREOF, I have hereunto set my hand this 27th day

of January 2014 in Iloilo City, Metro Manila, Philippines.

NANA OGUYA
Affiant
Voter's ID No. 5555

SUBCRIBED AND SWORN TO before me this 27th day of

January 2014 in Iloilo City, Philippines, affiant exhibiting to me his
valid proof of identification.
39
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Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2014.

FORM NO.14: AFFIDAVIT OF CONSENT AND SUPPORT

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Republic of the Philippines)

) s.s.

AFFIDAVIT OF CONSENT AND SUPPORT

I, RAPHAEL ENRIQUE V. CORONADO, of legal age, Filipino,

married to Ellen A. Adarna, and presently residing at Blk. 5, Lt. 20, Narra
Homes, Imus City, Cavite, after being duly sworn to in accordance with law
do hereby depose and say:

1) That I am the father of minor children MARIO MAURER CORONADO

born on December 4, 1996, B. JOHN LLOYD CORONADO, born on
09 February 1998, and C. KATHRINE BERNARDO CORONADO,
born on 28 September 1999;

2) That I am giving my consent for my children to travel abroad to be

accompanied by my wife, Ellen A. Adarna;

3) That my wife and I are sponsoring their trip and financially capable to
support their stay abroad;

5) That I guarantee that they will not violate any existing laws of their
country of destination (FRANCE) and

6) That I am executing this affidavit in connection with my children

application for a passport at the Department of Foreign Affairs and/or
travel clearance from the Department of Social Welfare and
Development for their travel abroad.

IN WITNESS HEREOF, I hereunto set my signature at the

___________________, this ______ day of__________________.

RAPHAEL ENRIQUE V. CORONADO

Affiant
(Father)
________________________
________________________
________________________

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BEFORE ME, appears the person of Raphael Enrique V. Coronado

presenting the above Affidavit, who is personally known to me or identified by
me through competent evidence of identity as defined by the Notarial Rules as
the person who signs the document and in my presence taken an oath or
affirmation before me as to such document.

WITNESS MY HAND AND SEAL this ______ day of

________________ in ______________________.

Doc. No. ____;

Page No. ____;
Book No. ___;
Series of 2013.

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FORM NO.15: AFFIDAVIT OF PARENTAL CONSENT TO

MARRIAGE

REPUBLIC OF THE PHILIPPINES)

CITY OF IMUS ) S.S.

AFFIDAVIT OF PARENTAL CONSENT TO MARRIAGE

WE, SASHA GREY and RON JEREMY, both of legal age,

Filipinos, husband and wife, respectively, and presently residing at
Blk 55, Lot 66, Ibarra Homes, Tulingan, Cavite, after having been
duly sworn to in accordance with law, depose and state:

1. I am/we are the parents of Rocco Siffredi born in born on 18

October 1998 in Grace Park, Caloocan City

2. My/Our child is intending to contract marriage with Nana Oguya in

Meycauayan, Bulacan;

3. I we are giving our consent to our child, Rocco Siffredi, marrying

said Nana Oguya;

4. We are executing this Affidavit for the purpose of informing the

authorities concerned of the veracity of the foregoing facts and for
whatever legal purposes it may serve.

IN WITNESS WHEREOF, we have hereunto set our hands this 27th

day of January, 2014 in Imus City, Cavite, Philippines.

SASHA GREY
Affiant (Mother)

RON JEREMY
Affiant (Father)

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SUBCRIBED AND SWORN TO before me this 30th day of January 2014 in

Imus City, Cavite, Philippines, affiant exhibiting to me her Philippine
Passport No. 123456 issued in Manila on January 12, 2014 and valid until
January 13, 2018.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2014.

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FORM NO.16: AFFIDAVIT OF NO KNOWLEDGE

REPUBLIC OF THE PHILIPPINES)

IMUS CITY, CAVITE ) S.S

AFFIDAVIT OF NO KNOWLEDGE

(CIRCUMSTANCES REGARDING PLACE AND LOCATION OF

GRANDPARENTS’ MARRIAGE)

I, SASHA GREY of legal age, Filipino with blk. 12 lt.1, Talisay St., Ibarra
Homes Subdivision, Kalayaan Uno, Imus City, Cavite, 4103, after having
been duly sworn to in accordance with law, do hereby depose and say:

1. That I am the only child of FIFTY and SHADES GREY, both now
deceased.

2. I am currently requesting for the late registration of the Birth Certificate

of FIFTY GREY, whose maiden name was FIFTY CENTS, who is
the daughter of One and Two Cents, in the Civil Registrar Office in
Imus City, Cavite.

3. That we are causing its registration for the reason that I am in the
process of claiming my mother’s survivorship claims in GSIS.

4. That one of the requirements for the said late registration is the
determination of the location and date of my maternal grandparents,
which unfortunately cannot be retrieved anymore because the
marriage certificate of my maternal grandparents got lost.

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5. That I have no knowledge of any circumstances regarding the marriage

of my maternal grandparents, as they died when I was still young, and
thus had no clear recollection of them.

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

facts and for whatever legal purpose it may serve.

AFFIANTS FURTHER SAYETH NOT.

IN WITNESS WHEREOF, we have hereunto set our hands this 6th

day of January 2014 at Imus City, Cavite.

SASHA GREY
Affiant
Employment SRUDC ID no. 113- 2014

BEFORE ME, appears the person of:

SASHA GREY

presenting the above JOINT AFFIDAVIT OF NO KNOWLEDGE, who are

personally known to me or identified by me through competent evidence of
identity as defined by the Notarial Rules as the persons who sign the document
and in my presence taken an oath or affirmation before me as to such
document.

SUBSCRIBED AND SWORN to before me this 6th day of January

2014 at Imus City, Cavite.

Doc. No. ______;

Page No. ______;
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Book No. ______;

Series of 2014.

FORM NO.17: AFFIDAVIT OF NATURALIZATION

REPUBLIC OF THE PHILIPPINES)

CITY OF BACOOR ) S.S.

AFFIDAVIT OF NATURALIZATION

I, JAMAICA MAY DELA CRUZ, Filipino, of legal age, single,

residing at 194 Salinas, City of Bacoor, Cavite, after being sworn to
in accordance with law, deposes and say:

1. That I am the vendee in the sale of the above-described private

agricultural land;

2. That I am naturalized citizen of the Philippines by virtue of a final

decision of the RTC Imus Branch on February, 25 1990 ;

3. that a certified copy of my certificate of naturalization is hereto

attached as Annex “A”;

4. That I am qualified to acquire and hold public and private lands in

the Philippines.

5. That I am executing this affidavit in all good faith and to attest the
truth of the foregoing facts.

IN WITNESS WHEREOF, I have hereunto set my hand this 18th day

of January, 2014, in the City of Bacoor, Cavite Philippines

JAMAICA MAY DE LA CRUZ

Affiant
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SUBSCRIBED AND SWORN to before me this 18th day of January,

2014, in the City of Bacoor, Cavite Philippines, affiant having
exhibited to me his License No. 3790682 issued until July 29, 2016.

Doc. No. : ________;

Page No. : ________;
Book No. : ________;
Series of 2014.
48
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FORM NO.18: AFFIVIT OF LOSS

REPUBLIC OF THE PHILIPPINES)

) S.S.

AFFIDAVIT OF LOSS

I, ELLEN A. ADARNA, of Legal Age, Filipino, Married, born on with

residential address at 316 Palin St., Block 27, Lot 77, Ai- Ai, General Tinio,
GMA, Cavite, subscribing under oath, hereby depose and state:

1. That I am the holder of a valid Philippine Passport issued by the

Department of Foreign Affairs;

2. That last December 23, 2012, I placed the aforesaid passport inside
my bag while I am at the Central, Commonwealth, Quezon City;

3. That when I looked for the passport inside my bag, I could no

longer locate it;

4. That my said passport could not be found notwithstanding diligent

efforts to locate the same and is now considered lost for all legal intents and
purposes;
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5. That I certify this oath to report the loss of my Philippine Passport

issued by the Department of Foreign to avoid the said missing passport from
being used for illegal purposes by other persons;

6. That I execute this affidavit to attest to the truth of all the foregoing
facts and for securing a new Philippine passport. Affiant further says none.

ELLEN A. ADARNA

Affiant

________________________________________

________________________________________

BEFORE ME, appears the person of ELLEN A. ADARNA

presenting the above Affidavit, who is personally known to me or identified by
me through competent evidence of identity as defined by the Notarial Rules as
the person who signs the document and in my presence taken an oath or
affirmation before me as to such document.

WITNESS MY HAND AND SEAL this 8th day of January, 2014 in

Imus City, Cavite

Doc. No. ____;

Page No. ____;
Book No. ____;
Series of 2014.

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FORM NO.19: AFFIDAVIT OF INSURANCE CLAIMS

REPUBLIC OF THE PHILIPPINES)

CITY OF IMUS ) S.S.

AFFIDAVIT OF INSURANCE CLAIMS

I, SASHA GREY, of legal age, Filipino, married, and presently residing at

Blk 55, Lot 66, Ibarra Homes, Tulingan, Cavite, after having been duly sworn
to in accordance with law, depose and state:

1. I am the owner of a certain registered motor vehicle, which I inherited

from my deceased father through intestate succession, with the
particular description as follows, to wit:

MAKE: Honda
BODY: Sedan
SERIES: Civic
MODEL: 1998
PLATE NO.: UTS 101
Serial/Chassis No.: US15- 2B3509
MV FILE No.: 2477- 33438

2. On 03 October 2013 at 2 oçlock in the afternoon, the said motor vehicle

met an accident.

3. This had happened while i was parking in front of a hardware store

between the two motor vehicles, at the left side was an elf van, and
while at the right was a car. At that time, I was carefully looking at the

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car on my right, that I did not notice the elf van in the parking area.
When I made a reverse turn, i hit the elf by my tail light and bumper

4. It is for that reason that i am executing this affidavit to file a claim for
insurance.

5. I therefore have executed this Affidavit to attest the truth I mentioned

herein and for whatever legal purposes it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 30th day of

January 2014 in Imus City, Cavite, Philippines.

SASHA GREY
Affiant
Philippine Passport No. 123456
valid until January 13, 2018

SUBCRIBED AND SWORN TO before me this 30th day of January 2014 in

Imus City, Cavite, Philippines, affiant exhibiting to me her competent
evidence of identity indicated below his above- stated name.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2014.

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FORM NO.20: AFFIDAVIT OF INCOME

REPUBLIC OF THE PHILIPPINES)

CITY OF IMUS ) S.S.

AFFIDAVIT OF INCOME

I, SASHA GREY, of legal age, Filipino, respectively, and presently

residing at Blk 55, Lot 66, Ibarra Homes, Tulingan, Cavite, after
having been duly sworn to in accordance with law, depose and state:

6. I have been engaged in the business of selling merchandise.

7. The business is now firmly established ever since I have started it a

couple of years ago.

8. Having been engaged in this business for a long time, I already

have been earning income in the amount of approximately
THIRTY THOUSAND PESOS (PHP 30,000.00) a month.

9. I therefore have executed this Affidavit to attest to the truth I

mentioned herein and for whatever legal purposes it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 3rd day

of February 2014 in Imus City, Cavite, Philippines.

SASHA GREY
Affiant
Voter's ID No. 5555

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SUBCRIBED AND SWORN TO before me this 3rd day of

February 2014 in Imus City, Cavite, Philippines, affiant exhibiting to
me her valid proof of identification.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2014.

FORM NO.21: AFFIDAVIT OF ILLEGITIMACY

REPUBLIC OF THE PHILIPPINES)

CITY OF IMUS ) S.S.

AFFIDAVIT OF ILLEGITIMACY

I, SASHA GREY, of legal age, Filipino, single and a resident of Blk

55, Lot 66, Ibarra Homes, Tulingan, Cavite, after having been duly
sworn to in accordance with law, depose and state:

1. That I am a the mother of Rocco Siffredi who was born in Davao

City on October 5, 2006 as evidenced by the attached Birth Certificate
issued by the local civil registrar of Davao City;

2. That my son Rocco Siffredi was born out of wedlock;

3. That I am not legally married to his father who I no longer have any
contact with;

4. That I am executing this affidavit to attest to the above facts and to

confirm the illegitimate status of my child;

5. That I am further executing this affidavit to comply with the

regulations of the Philippine authorities in connection with his travel
to Japan and for all legal purposes and intents beneficial to my child.

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IN WITNESS WHEREOF, I have hereunto set my hand this 27th

day of January 2014 in Imus City, Cavite, Philippines.

SASHA GREY
Affiant
Voter's ID No. 5555

SUBCRIBED AND SWORN TO before me this 27th day of

January 2014 in Imus City, Cavite, Philippines, affiant exhibiting to
me her valid proof of identification.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2014.

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FORM NO.21: AFFIDAVIT OF IDENTITY

REPUBLIC OF THE PHILIPPINES)

CITY OF IMUS ) S.S.

AFFIDAVIT OF IDENTITY

I, SASHA GREY, Filipino, of legal age, single/married to RON JEREMY,

and a resident of Blk 55, Lot 66, Ibarra Homes, Tulingan, Cavite, after having
been duly sworn in accordance with law, hereby depose and say:

1. That VHONGH NAVARRO and BONG NABARO are one and the
same person.

2. That I executed this Affidavit of Identity for the purpose of attesting to

the truth of all the foregoing statements and for whatever legal purpose it
may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 27th day

of January 2014 in Imus City, Cavite, Philippines.

SASHA GREY

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AFFIANT

SUBCRIBED AND SWORN TO before me this 27th day of January 2014

in Imus City, Cavite, Philippines, affiant exhibiting to me his Philippine
Passport No. 123456 issued in Manila on January 12, 2014 and valid until
January 13, 2018.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2014.

FORM NO.22: AFFIDAVIT OF DESISTANCE

Republic of the Philippines

Fourth Judicial Region
REGIONAL TRIAL COURT
Branch 21, Imus City, Cavite

REPUBLIC OF THE PHILIPPINES,

Complainant,

-versus- CRIMINAL CASE NO. 9935-11 FOR: Qualified Theft

JASPER SOL CRUZ,
Accused.
x - - - - - - - - - - - - - - - - - - - - - - - - -x

AFFIDAVIT OF DESISTANCE

I, OG SABADO, of legal age, Filipino with postal address at c/o Imelda

Bautista 448- C, YOLO Street, Pinasgsukuan, Pasay City, after having duly
sworn to in accordance with law, hereby depose and state:

1. That I am the private complainant of the above-entitled criminal

complaint that is now pending at Branch 21, Imus City, Cavite;

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2. That after having thoroughly considered the facts and circumstances

surrounding the case, I realized that the case filed against the respondents
was merely on account of misunderstanding and misapprehension of the
facts and I am requesting for the dismissal of the case against him;

3. That for the record, I am no longer interested in prosecuting this case and
will further desisting there from;

4. I am executing this Affidavit of Desistance without Force, Intimidation,

Undue Influence of threats exerted upon me and to the best of my
knowledge and ability, and realizes that once the charge is dismissed, the
same cannot be refilled, reinstate or revived anymore.

5. Further, I executing this Affidavit of Desistance to attest to the

truthfulness of all the foregoing facts and for the purpose of securing a
dismissal of the above-entitled criminal complaint against the respondent.

IN WITNESS WHEREOF, I have hereunto set my hand this 9th day

of January, 2014 at Temporary Village, Imus City.

OGSABADO
Affiant
____________________
_____________________

SWORN ATTESTATION

BEFORE ME, appears the person of OGSABADO presenting the above

Affidavit of Desistance, who is personally known to me or identified by me
through competent evidence of identity as defined by the Notarial Rules as the
person who signs the document and in my presence taken an oath or
affirmation before me as to such document.

WITNESS MY HAND AND SEAL this 9th day of January 2014 in Imus
City.

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Doc. No. ____;

Page No. ____;
Book No. ____;
Series of 2014.

FORM NO.23: AFFIDAVIT OF DECLARATION OF OWNERSHIP

REPUBLIC OF THE PHILIPPINES)

CITY OF IMUS ) S.S.

AFFIDAVIT OF DECLARATION OF OWNERSHIP

I, SASHA GREY, of legal age, Filipino, single, Manager of Rubinzons

Corporation, after having been duly sworn to in accordance with law, depose
and state:

1. That said Corporation is the owner of certain parcel of land, more

particularly described as follows:

TCT No. T-2222

A PARCEL OF LAND (Lot 32 of the consolidation

subdivision plan (LRC) Pcs-5141, being a portion of
the consolidation of Lots 1 and 2, Psu-112287 Amd.,
LRC (GLRO) Rec. No. N-17511), situated in the Dist.
Of Concepcion, City of Sta. Rosa, Laguna, Island of
Luzon. Bounded on the NE., points 3 to 6, by Lot 85;

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on the S., points 6 to 1 by Lot 30; on the SW., points 1

to 2, by Lot 31; and on the N., points 2 to 3 by Lot 35,
all of the consolidation-subdivision plan. Beginning at
a pont marked "1" on plan, being N. 51 deg. 36' E.,
1321.76 m. from B.L.L.M. No.1, Sta. Rosa, Laguna

2. That the said aforementioned Transfer Certificate of Title over said

property includes and contains all the permanent improvements and
buildings located and situated thereon;

3. That I execute this Affidavit to attest and declare the truth of the
foregoing facts and for whatever legal purposes that this Affidavit
may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 27th day of

January 2014 in Imus City, Cavite, Philippines.

SASHA GREY
Affiant

SUBCRIBED AND SWORN TO before me this 27th day of January 2014

in Imus City, Cavite, Philippines, affiant exhibiting to me his Philippine
Passport No. 123456 issued in Manila on January 12, 2014 and valid until
January 13, 2018.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2014.

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FORM NO.24: AFFIDAVIT OF CONSOLIDATION OF OWNERSHIP

REPUBLIC OF THE PHILIPPINES)

CITY OF IMUS ) S.S.

AFFIDAVIT OF CONSOLIDATION OF OWNERSHIP

I, SASHA GREY, of legal age, Filipino, single and a resident of Blk 55, Lot
66, Ibarra Homes, Tulingan, Cavite, after having been duly sworn to in
accordance with law, depose and state:

1. That in the public auction conducted by the City Sheriff of Makati City on
September 3, 2012 pursuant to the provisions of Act No. 3135 as amended, the
undersigned affiant became the purchaser of a certain foreclosed property with
all its improvements, more particularly described as follows:

TCT No. T-2222

A PARCEL OF LAND (Lot 32 of the consolidation-

subdivision plan (LRC) Pcs-5141, being a portion of the
consolidation of Lots 1 and 2, Psu-112287 Amd., LRC
(GLRO) Rec. No. N 17511), situated in the Dist. Of
Concepcion, City of Sta. Rosa,

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Laguna, Island of Luzon. Bounded on the NE., points 3 to 6,

by Lot 85; on the S., points 6 to 1 by Lot 30; on the SW.,
points 1 to 2, by Lot 31; and on the N., points 2 to 3 by Lot
35, all of the consolidation-subdivision plan. Beginning at a
pont marked "1" on plan, being N. 51 deg. 36' E., 1321.76 m.
from B.L.L.M. No.1, Sta. Rosa, Laguna

2. That the said Sheriff sold the above-described property with all the
improvements and buildings thereon to the undersigned affiant as the highest
bidder for the sum of ONE MILLION PESOS (P1,000,000.00), Philippine
Currency;

3. That That a Certificate of Sale at Public Auction was issued by the said
Sheriff in favor of the undersigned affiant and the same was duly registered
with the Office of the Registry of Deeds of Makati City on September 14,
2012 as Entry No. 123 on the aforementioned title;

4. That a Certificate of Sale at Public Auction was issued by the said Sheriff in
favor of the undersigned affiant is proper and in accordance with law.

WHEREFORE, by failure of the Mortgagor to redeem the said property, I

am executing this Affidavit for the purpose of consolidating title and
ownership of the above-described property with all the improvements and
buildings thereon, as provided for by law, and I am requesting the Office of
the Registry of Deeds to register the same and issue a new title in the name of
the undersigned affiant.

IN WITNESS WHEREOF, I have hereunto set my hand this 27th day of

January 2014, in Imus City, Cavite, Philippines.

SASHA GREY
Affiant

SUBCRIBED AND SWORN TO before me this 27th day of January 2014, in

Imus City, Cavite, Philippines, affiant exhibiting to me her Philippine

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Passport No. 123456 issued in Manila on January 12, 2014 and valid until
January 12, 2017.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2014.

FORM NO.25: AFFIDAVIT FOR PRELIMINARY ATTACHMENT

REPUBLIC OF THE PHILIPPINES)

CITY OF BACOOR ) S.S.

AFFIDAVIT FOR PRELIMINARY ATTACHMENT

I, JAMAICA MAY DELA CRUZ, Filipino, of legal age, single, residing at

194 Salinas, City of Bacoor, Cavite, after being sworn to in accordance with
law, deposes and say:

1. That I am the plaintiff above-entitled case;

2. That a sufficient cause of actions exists against the defendant named

therein;

3. That 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 lawfully
issue, namely:

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“ in an action against a party who has removed or deposed of his property,

or is about to do so, with intent to defraud his creditors;”

4. That there is no sufficient security for the claim sought to be enforced by

the present action;

5. That the amount due to the plaintiff in the above-entitled case is as much as
the sum for which an order of attachment is proper.

IN WITNESS WHEREOF, I have hereunto set my hand this 18th day of

January, 2014, in the City of Bacoor, Cavite Philippines

JAMAICA MAY DE LA CRUZ

Affiant

SUBSCRIBED AND SWORN to before me this 18th day of January, 2014,

in the City of Bacoor, Cavite Philippines, affiant having exhibited to me his
License No. 3790682 issued until July 29, 2016.

Doc. No. : ________;

Page No. : ________;
Book No. : ________;
Series of 2014.

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FORM NO.26: AFFIDAVIT OF UNDERTAKING

REPUBLIC OF THE PHILIPPINES)

) S.S

AFFIDAVIT OF UNDERTAKING

I, RAPHAEL ENIRQUE V. CORONADO, of legal age, Filipino,

married, with residence at Blk. 5, Lot 20, Narra Homes, Imus City, Cavite
after having been duly sworn to in accordance with law, do hereby depose and
say:
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7. That I am presently assigned by our Horsepower Agency in VELTLOG

Realty Corporation as Floor Manager.

8. That the said assignment commenced on January 3, 2014.

9. That upon my resignation, or separation from employment from our

agency, I undertake not to secure an employment to any realty corporation
which is a direct or indirect competitor of VELTLOG.

10. That I also undertake not to reveal any company secret or any
knowledge or information which I obtained directly or indirectly from
VELTLOG in the course of my assignment as Floor Manager.

11. That in case of breach of this Undertaking, I, willingly and voluntarily

without fear or intimidation employed by VELTLOG to indemnify the latter
for all damages and losses that might result from my disclosure of any
company secrets or information which are prejudicial to VELTLOG.

12. That we are executing this affidavit to attest the truth of the foregoing
facts.

IN WITNESS WHEREOF, we have hereunto set our hands and affix our
signatures on this 8th day of January, 2014, in Imus City, Cavite.

RAPHAEL ENRIQUE V. CORONADO

Affiant
______________________
______________________
______________________
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BEFORE ME, appear the person of RAPHAEL ENRIQUE V.

CORONADO presenting the above Affidavit, who are personally known to
me or identified by me through competent evidence of identity as defined by
the Notarial Rules as the persons who sign the document and in my presence
taken an oath or affirmation before me as to such document.

WITNESS MY HAND AND SEAL this 8TH day of January 2014 in

Imus City, Cavite.

Doc. No. ____;

Page No. ____;
Book No. ____;
Series of 2014.

FORM NO.27: JOINT AFFIDAVIT OF TWO DISINTERESTED

PERSONS

REPUBLIC OF THE PHILIPPINES)

IMUS CITY, CAVITE ) S.S

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

We, FIFTY CENTS GREY and SHADES O. GREY, both of legal age,
Filipinos and residents of Block 5 Lot 2 Phase 4, Perla Street, Kalayaan
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Cinco, Immortal Village Village 8, Imus City, after having been duly sworn to
in accordance with law, do hereby depose and say:

1. That we personally know JOLINA MAGDANGAL and SHAINA

MAGDANGAL since their parents, PEDRO V. MAGDANGAL and
JOYCE Q. MAGDANGAL are neighbors and close friends of ours;

2. That we are fully cognizant of the fact that SPOUSES PEDRO V.

MAGDANGAL and JOYCE Q. MAGDANGAL got married in
Malabon City, Metro Manila sometime in April 20, 1993. Photocopy
of the marriage contract is hereto attached as Annex “A”;

3. That the above-named persons are known in our barangay;

4. That the date of marriage appearing in the certificates of live birth of

JOLINA MAGDANGAL and SHAINA MAGDANGAL, August 16,
1981 and August 16, 1980, respectively, was erroneously written.

Photocopies of the certificates of live birth are hereto attached as

Annexes “B” and “C”;

5. That the true and correct date of marriage of SPOUSES PEDRO V.

MAGDANGAL and JOYCE Q. MAGDANGAL is March 19, 1992;

6. That we come to know the abovementioned facts because we are good

friends of the above-mentioned couple, living in the same
neighborhood and close friends of their family;

7. That we are not in anyway related to the above mentioned person nor
do we have pecuniary interest in this matter whatsoever;
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8. That we are executing this affidavit to attest the truth of the foregoing
facts and for whatever legal purpose it may serve.

AFFIANTS FURTHER SAYETH NOT.

IN WITNESS WHEREOF, we have hereunto set our hands this 4th

day of January 2014 at Imus City, Cavite.

FIFTY CENTS GREY SHADES O. GREY Affiant Affiant Senior

Citizens ID Senior Citizens ID with no. 114150 with no. 18820

BEFORE ME, appear the persons of:

FIFTY CENTS GREY SHADES O. GREY

presenting the above JOINT AFFIDAVIT OF TWO (2) DISINTERESTED

PERSONS, who are personally known to me or identified by me through
competent evidence of identity as defined by the Notarial Rules as the persons
who sign the document and in my presence taken an oath or affirmation before
me as to such document.

SUBSCRIBED AND SWORN to before me 4th day of January 2014

at Imus City, Cavite.

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Doc. No. ______;

Page No. ______;
Book No. ______;
Series of 2014.

FORM 28: AFFIDAVIT OF SINGLE STATUS

REPUBLIC OF THE PHILIPPINES)

CITY OF IMUS ) S.S.

AFFIDAVIT OF SINGLE STATUS

I, SASHA GREY, of legal age, Filipino, respectively, and presently

residing at Blk 55, Lot 66, Ibarra Homes, Tulingan, Cavite, after
having been duly sworn to in accordance with law, depose and state:

1. THAT I have never contracted any marriage in the Philippines or

elsewhere and I remain SINGLE to this very day and hour;

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2. THAT there is no legal impediment for me to contract marriage

under the Philippine Laws;

3. THAT I am executing this Affidavit for the purpose of complying

with the requirements relating to my forthcoming marriage to RON
JEREMY in Caloocan City;

4. THAT I declare that the statements made in this affidavit are true
and correct and I am willing to bear all the legal responsibilities
arising therefrom.

IN WITNESS WHEREOF, I have hereunto set my hand this 27th

day of January 2014 in Imus City, Cavite, Philippines.

SASHA GREY
Affiant
Voter's ID No. 5555

SUBCRIBED AND SWORN TO before me this 27th day of

January 2014 in Imus City, Cavite, Philippines, affiant exhibiting to
me her valid proof of identification.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2014.

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FORM NO.29: AFFIDAVIT OF SERVICE

REPUBLIC OF THE PHILIPPINES)

) S.S.

AFFIDAVIT OF SERVICE

I, ELLEN A. ADARNA, of legal age, with residential address at 316 Palin

St., Block 27, Lot 77, Ai- Ai, General Tinio, GMA, Cavite, after being sworn
in accordance with law depose and state:

That I am the wife of RAPHAEL ENRIQUE V. CORONADO.

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That on 26 July 2013, Rica Kaye O. Lomibao, President of XHamsters

Corporation, personally went to the business office of my husband to talk with
him and settle her financial obligations.

As my husband was not around during that time, I personally handed to Rica
Kaye O. Lomibao a demand letter dated sometime in the month of June 2012
as per my husband’s instruction.

However, Rica Kaye O. Lomibao refused to receive the demand letter and
told me instead that she will just talk and settle her obligation to my husband
personally.

That I am executing this affidavit in all good faith and to attest the truth of the
foregoing facts.

AFFIANT FURTHER SAYETH NONE.

ELLEN A. ADARNA
Affiant
____________________
____________________

BEFORE ME, appears the person of ELLEN A. ADARNA presenting the

above Affidavit of Service, who is personally known to me or identified by
me through competent evidence of identity as defined by the Notarial Rules as
the person who signs the document and in my presence taken an oath or
affirmation before me as to such document.

WITNESS MY HAND AND SEAL this _____ day of August 2014 in

___________________.

Doc. No. ____;

Page No. ____;
Book No. ____;
Series of 2014.

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FORM NO.30: AFFIDAVIT OF SELF- ADJUDICATION

REPUBLIC OF THE PHILIPPINES)

CITY OF IMUS ) S.S.

AFFIDAVIT OF SELF- ADJUDICATION

I, SASHA GREY, of legal age, Filipino, respectively, and presently

residing at Blk 55, Lot 66, Ibarra Homes, Tulingan, Cavite, after
having been duly sworn to in accordance with law, depose and state:

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1. I am the sole heir of the late HUGH HEFNER, being his only
biological daughter;

2. The late HUGH HEFNER passed away on January 2, 2014, and

died without any last will and testament;

3. At the time of death my father, he had no debts, liabilities or

obligations to any persons, agency or institution;

4. The only property left by my late father is a house and lot, more
particularly described as follow:

TCT No. T-2222

A PARCEL OF LAND (Lot 32 of the consolidation

subdivision plan (LRC) Pcs-5141, being a portion of the
consolidation of Lots 1 and 2, Psu-112287 Amd., LRC
(GLRO) Rec. No. N-17511), situated in the Dist. Of
Concepcion, City of Sta. Rosa, Laguna, Island of Luzon.
Bounded on the NE., points 3 to 6, by Lot 85; on the S.,
points 6 to 1 by Lot 30; on the SW., points 1 to 2, by Lot
31; and on the N., points 2 to 3 by Lot 35, all of the
consolidation-subdivision plan. Beginning at a pont
marked "1" on plan, being N. 51 deg. 36' E., 1321.76 m.
from B.L.L.M. No.1, Sta. Rosa, Laguna

5. As sole heir of the herein decedent, I hereby adjudicate the

abovementioned property solely for and in my name as well as any
 and all liabilities arising from the said property;

6. I hereby execute this affidavit for the purpose of processing the

transfer of the said property in my name, the settlement of the estate of
the late HUGH HEFNER, as well as for the release of any other claim
or benefit in relation to his death before any government/private office
and banking institution and for any other legal purpose this may best
serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 27th

day of January 2014 in Imus City, Cavite, Philippines.

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SASHA GREY
Affiant
Voter's ID No. 5555

SUBCRIBED AND SWORN TO before me this 27th day of

January 2014 in Imus City, Cavite, Philippines, affiant exhibiting to
me her valid proof of identification.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2014.

FORM NO.31: AFFIDAVIT OF PUBLICATION

REPUBLIC OF THE PHILIPPINES)
) S.S.

AFFIDAVIT OF PUBLICATION

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I, DIANA ZUBIRI, of legal age, Filipino, single, born on with business

address at 567 Ogbaog Street, General Rojopotsu Avenue, Cavite City, Cavite,
after being duly sworn in accordance with law, hereby depose and state:

5. That I am the Advertising Director of BDSM Inc. that publishes Tiktik

Magazine, a newspaper of general circulation in the Philippines, printed
and published in Port Area, Quezon City;

6. That a NOTICE OF PUBLICATION- ORDER AND SUMMONS (by

publication) Raphael Enrique V. Coronado, petitioner, -versus- Ellen A.
Adarna, respondent, Civil Case no. C-QTZ-24-25285-D for: Declaration
of Nullity of Marriage, RTC, National Capital Judicial Region, Branch
113, Pasay City.

A printed copy of which is hereto attached, was published in the said

newspaper on July 26 and August 09, 2013.

AFFIANT FURTHER SAYETH NAUGHT.

DIANA ZUBIRI

Affiant

________________________________________

________________________________________
 BEFORE ME, appears the person of DIANA ZUBIRI presenting the above
Affidavit, who is personally known to me or identified by me through
competent evidence of identity as defined by the Notarial Rules as the person

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who signs the document and in my presence taken an oath or affirmation

before me as to such document.

WITNESS MY HAND AND SEAL this 8th day of January, 2014 in

Imus City, Cavite

Doc. No. ____;

Page No. ____;
Book No. ____;
Series of 2014.

FORM NO.32: AFFIDAVIT TO USE THE SURNAME OF THE

FATHER/ACKNOWLEDGMENT
REPUBLIC OF THE PHILIPPINES)
CITY OF IMUS ) S.S.

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AFFIDAVIT TO USE THE SURNAME OF THE

FATHER/ACKNOWLEDGMENT

I, SASHA GREY, of legal age, Filipino, respectively, and presently

residing at Blk 55, Lot 66, Ibarra Homes, Tulingan, Cavite, after
having been duly sworn to in accordance with law, depose and state:

1. That I am the biological mother of ROCCO SIFFREDI.

2. That the biological father of the child is RON JEREMY.

3. That my child ROCCO SIFFREDI was born on 18 October 1998 in

Grace Park, Caloocan City;

4. That the facts of birth of my child were duly registered at the Office
of the Caloocan City Civil Registrar.

5. That I, RON JEREMY being the father of ROCCO SIFFREDI,

hereby acknowledged and recognized him as my child and legal heir.

6. That I am allowing my child ROCCO SIFFREDI to use my

surname JEREMY to be his surname in his Certificate of Live Birth.

7. That I execute this affidavit to attest to the truth of the above facts
in compliance with the provisions of Republic Act No. 9255.

IN WITNESS WHEREOF, I have hereunto set my hand this 3rd day

of February 2014 in Imus City, Cavite, Philippines.

SASHA GREY
Affiant
Voter's ID No. 5555
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SUBCRIBED AND SWORN TO before me this 3rd day of

February 2014 in Imus City, Cavite, Philippines, affiant exhibiting to
me her valid proof of identification.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2014.
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