REPUBLIC OF THE PHILIPPINES)

Davao City) SS.

AFFIDAVIT

I, _______________________, Filipino, of legal age, married, with

address at __________________________________, after having
been sworn to in accordance with law hereby depose and state
that:

1. That I am married with___________________, as my first wife on

________________ in accordance with muslim rites;
2. That I am married with ___________________, as my second
wife on ____________in accordance with muslim rites;
3. That I am a member of the Philippine National Police since ____
until_____;
4.That I am giving a portion in the amount of php 10,000.00 pesos
every month to _________,as her share in my pension including all of
the benefits that I may received from the service;
5.That in the event I choose to avail lump sum payment of all of my
pension and other benefits, ___________ will get the total of Php
10,000 multiplied by the total months/years availed of;
6.That _________ can demand her share of Php 10,000.00 pesos
every month or everytime my share in my pensions and other
benefits arrived;
7. That in the event I choose to avail lump sum payment of all of
my pension and other benefits, _________ have the right to
demand her total shares from the moment from the moment I
received all of it (Php 10,000.00 multiplied by the total
months/years I availed of;
8. That the foregoing declarations shall be given effect and shall be
enforceable;
9. That my non-compliance with the foregoing declarations will give
_________ the right of action to file a case against me;
10.That herein attest to the truthfulness of the foregoing facts.

AFFIANT FURTHER SAYETH NAUGHT.

IN WITNESS WHEREOF, I hereby affix my signature this ___ day

of __________2017 in ____________.

_____________________
Affiant

SUBSCRIBED AND SWORN to before me, a Notary Public, this ___

day of ____________ 200__ at _____________ City, affiant
exhibited to me his Competent Identification Card ____________
issued on ______________ at ______________.
Doc. No. ;
Page No. ;
Book No. ;
Series of 2017.