REPUBLIC OF THE PHILIPPINES)

CITY OF ___________________
) S.S.
x-------------------------------------------x

AFFIDAVIT FOR THE CHANGE OF SIGNATURE

I, _________________, of legal age, Filipino, married and a resident of
_______________________________, after having been duly sworn to in
accordance with law, depose and state THAT:
1.

4.

I have been using the specimen signature shown below in all my documents
and transactions previous to the execution of this affidavit:

2.

I intend to change my specimen signature shown above;

3.

For all intents and purposes, my new specimen signature shall

be:

I hereby affirm that after the execution of this Affidavit, all the signature
done by me will be in accordance to the specimen signature shown in
paragraph 3 of this Affidavit and any signature done, as shown in paragraph
1 of this Affidavit, will not considered as mine;
5.
I execute this Affidavit for Change of Signature to attest to the
truth of the foregoing facts and to appraise all persons that I change my
specimen signature.

IN WITNESS WHEREOF, I have hereunto set my hand

___________________ in ___________________, Metro Manila, Philippines.

this

____________________
Affiant

SUBCRIBED AND SWORN TO before me this ___________________ in

_________________, Philippines, affiant exhibiting to me her competent
evidence of identity by way of __________________ issued at ______________ on
__________________.
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2016.